Permit K Y
CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2005 -00169
rl DEVELOPMENT SERVICES DATE ISSUED: 3/21/2005
'•' I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 134BC -00300
SITE ADDRESS: 12268 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
Project Description: 4 branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
BPP RETAIL LLC COHO ELECTRIC INC
BY BURNHAM PACIFIC PROPERTIES PO BOX 40
ATTN: JOHN WATERS WILSONVILLE, OR 97070
SAN DIEGO, CA 92101
Phone: Phone: 503 - 582 -9774
FEES Reg #: LIC 157169
ELE 3 -575C
Description Date Amount SUP 17815
[ELPRMT] ELC Permit 3/21/2005 $66.80
[TAX] 8% State Surcharge 3/21/2005 $5.34 REQUIRED ITEMS AND REPORTS
Total $72.14
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1- 8p0=332-
Issued By: �� �� Permittee Signature: !1Y1
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mar " 1 25 01:39p p.
- Electrical Permit Application FOR OFFICE USE ONLY
City of'Tigard R��'V D Received
13125 SW Hall Blvd., Tigard, OR 97223 natdRy: a / /0) ( � N o .
Phone: 503.639.4171 Fax: 503.598.1960 /irn, ;, , ; h YLw Review
J , Pete/3, otherrermit
��
Inspection Line: 503.639.4175 .5j` � II
Internet: W1'VW.Ci.tigar(l.or . u9 .. Date Ready/)3Yl "Juris:
Not[Ped/Method; ® Smpe nt l I
7 Supplemental
!± Q It ` ti .i T r r I �'Ri 17 t 51v r! �`J t s +3F t t i tp r t r , a,
;:!�k it,.'4! {i;� .x �r3f I �G" i }�nR'd�(w�ly n r?i /rri 3 Jri ( i , ((1: tj M me �M,,� ,, t}� . . ; t • 4 �` ..
-IA A [t � t_ }'r n . A ' e l.. Y•e 1 r .r. - r j . {;,ti:�7rj
0-New construction ►7I Addition/alt • �r p acemcnt Please check all that apply:
❑ Demolition 0 Other: ['Service over 225 amps, vomm'1 0 lia2ardous location
y N"P a' !� i'T[ br a r i'
['Service over 320 amps - ratio
1 �.; + � t � ,,. r�k }¢,� ��,o n / 1 i �' � p B ❑4uildng over 10.000 sq. R.,
r t t l li ,gg [ f, m .� .n n „� j X F t t r � A : � of l- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling ►'J Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi ❑ Master builder ['Building over three stories ['Feeders, 400 amps or more
,,> v fa ,yam. ❑ Other
�yd r �' 14� "S'`r ' 4 La t�Z �r ,�� .ir. 7 �� • .SiFI'.'v t r .., i •c ['Occupant load over 99 persons
❑ ManUl3Cturt:d structures or
t s;;., . , `. ': 7� M o ,� vs t �, ay��rc. ; ' 1 i. lq B
dr. i ... M a.r.... {r „a r c �`+1�� d ls1 �v? •r r� r�tw� �" �y. u;i �i. �<i a ❑Lgress/liphring plan RV park
Job no.; `` _ Job site address: `aa�o� ��� ��rlol ; ❑llcalth care facility ['Other
�� Submit 2 sets of plans with any of the above.
City /State/ZIP: 1 , , 0Q. C, Oe ^ r •w R The above are not applicable to temporary construction service,
..+cTr6�'�c �N >.�.
Suite/bldg./apt no.: --+ ^ i ;e,� Mh rf�'. . �, s:° (�i: :.�:.:;:; r,.
Project name: ■ ` I l �� Fi ;t 4 �t' --, .,. rr,'..it:.. ' ' . .
Cross street/directions to job site: Ncw residential single• or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: [ Lot no.: Ea. addl 500 sq. ft. or portion 33.40 I
•
Tax map/parcel no.: _ Limited energy, residential 75.00 2
' v� � '�tl t Y ' . ����' �.l.�tsrti7 t,�, y {PS1..9iAY..Y ¢•y�,7�,��, 1 y6•�r `•�v,�. r Ott R " ux Limited energy, non-residential 75.00
i i .'. iii .dc'. i ii U t.:::�Q J � r1 r-:+n:h�'i' `tr*�1 g ' '.♦N . ;',, l`'�Tl i t t :�; S 1�, {� ,,,, I ' 2
+�. �Jlt�i'.�5 Gach rmnuCa[:t[aed or [nodular
M • ,dwelling, service and/or feeder ' 90.90 2
to `Ca ■aria Services or feeders installation, alteration, and/or relocation_
i _ !r CZYN' t - '' 1r e-v -v-2/.- c S 200 amps or less _ R0. i0 2
j :Y w :A: y . T 1 g 3 ' o i 7,� , 7 y y 7 h f t 'aZI s� t' ? .: g ,�,rt „1 1' f� , it, 201 amps to 400 amps r r', a
� 1w� M ry�l! „chi ?7GVa�d v r! 1 .1!r�1rn?�' Il A,r�S �� , 1 06.85
2
401 amps to 600 amps 1 60.60
♦V1t. ' 601 amps to 1,000 amps 240.60 2
Address: 1 ...7. c - �. ` d S Over 1,000 amps or volts 454.65 2
City/State/ZIP: 4 a
q�
Reconnect only 66.85 2
ta' Temporary services or feeders installation, alter and/or
Phone: ( ) We"e_, - 3r�i Fax: ( ) relocation
Owner installation: This installation is being made o n property 200 amps or less _ 66.85 _ 1
$ p perry that f own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Owner signature: 401 amps to 600 amps 133.75 2
R" ure: Date: Branch circuits- new, alteration, or extension, per panel
e �S'� ,��{� „ � .,�..., rca4 ,• � t �
` T.)7 ii„ - !F. y I dif Q ' . w.�� e . a u 4Tt°4 1.iY.h�"}i
'�; .��.+,'4:5.�.�`; .:rI1L "fan ^� ;►s +�'�,�:!1E`. s � .� c��n '�F=�L��t'�,�II;rt' +Ii�l[,t���� A. Fee for branchc[[ r:ults with
g " service or feeder fee, each
Business name: _ branch circuit 6'65 2
Cont4tct name: 13. Fee for branch circuit
without service or feeder fee, ` 46.35 `` �. 0� �� . 2
Address: each branch circuit `1
liach add'I branch circuit , 6.65 rt s 2
City/State/ZIP: - Miscellaneous (service or feeder not included) y
-
Phone: ( ) Fax : ( ) Pump ur irrigation circle 53.40 2
E
or outline lighting 53.40 _ 2
Signal circuit(s) or limited-
%j T�N1 rdi { ly /� 2/ .�; Ig v t ��p
u_,1 �x� `K .�� AV, ,'14 ."� M 'r�i rS?:iGi4 i1 ? ` ,I a�i energy panel, alteration, or
`5'�'�r�l�. ff''x
Iiusiuess name: extension. Describe: Page 2 2
Address: c -)/ ��C w Each additional inspection over allowable in any of the above
\ Per inspection 62.50
City /Staree/ZIP: k `+._] 1 1� yr . 1 _
�l ~ 1 W Investigation per hour (1 hr. min) 62.50
Phone: ( ) % C\-1-1 Fax; ( ) am t �_ Industrial plant per 73.75
ant hour
CCB Lie.; b _ _ �� �� �� - ,�,. ,.... r e•
-), 1 [ Electrical Lic.: ?�- _'7'�� Sup rv. L ie.: ( 2 ) 1 ..
S �,ti�4 n ' +*K :o4 �i6l:i :�1 b i t rot al 66 d.: =‘..54I.!• :i ?�
. Subtotal
Suprv. Electrician signature, required: 0 _..../._.. ' Plan review (25% of permit fee) _
-
Print name: ��,., �, 0 -- D c: 3 --a 1- State surcharge (R% of permit fee)
TOTAL PERMIT P6F 1 -1 ..4
Authorized signature: . 14, , I This permit appleatioa expire. If o permit is not obtained wlthln l [{o
days aver It has been accepted as complete. • Print name: • 1 ♦ `� ', t
Date: 3 l _ Pee methodology ac by 7ti Coon[ L[uildia Indus a et
Y' SY Y Y g try Service Roam
•• Number of in portions per permit allowed.
i:\ BuildiniAPermitOPLC-Pe„„itApp.doe 12/03 an_4RIST(lwo21COM/w0B
CITY OF TIGARD
y BUILDING DIVISION PERMIT #: ELC2005 -00169 II
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2102005
Phone: (503) 639 -4171 i r.mip�p,� ' I i Ir
Inspection Requests (24 Hrs.): (503) 639 -4175 "
INSPECTION WORKSHEET FOR DATE: 3/30/2005 TIME: 7:11AM PAGE: 47
SITE ADDRESS: 12268 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: LUCKY JADE
DESCRIPTION: 4 branch circuits.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503 -582 -9774
Inspection Request Scheduled For: Date: 3/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 003204 -01 603-582-9774 N
Corrections /Comments / I nstrui;tions:
C.
PK
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
fiA44 r ` Phone #: 503 718 -
Inspector: y Date: ( )
CITY OF TIGARD .. , ' . ,
BUILDING DIVISION PERMIT #: ELC2005 -00169
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/21/2005
Phone: (503) 639 -4171 :Nowt i
Inspection Requests (24 Hrs.): (503) 639 -4175 _IA- `.!L
INSPECTION WORKSHEET FOR DATE: 3/22/2005 TIME: 7:13AM PAGE: 53
SITE ADDRESS: 12268 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: LUCKY JADE
DESCRIPTION: 4 branch circuits.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503 -582 -9774
Inspection Request Scheduled For: Date: 3/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 002429-01 503 -582 -9774 Y
Corrections /Comments /Instructions:
Pw\ -
V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z �� r Dater , , v ji y Phone #: (503) 718-