Permit CITY OF TIGARD MIT
AL ELECTRIC PERMIT
#: CAL P MIT 1
Aw i� DEVELOPMENT SERVICES DATE ISSUED: 9/20/2004
JI 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC-00300
SITE ADDRESS: 12288 SW SCHOLLS FERRY RD
SUBDIVISION: GREENWAY TOWN CENTER ZONING. C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: (1) 200 amp <, (33) 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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 33 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 OES LLC
BY BURNHAM PACIFIC PROPERTIES 12785 SWTV HWY SUITE F
ATTN: JOHN WATERS ALOHA, OR 97006
SAN DIEGO, CA 92101
Phone: Phone: 503 - 649 - 4642
Reg #: LIC 159395
ELE 34 -572C
FEES SUP 4587S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/20/2004 $299.75
[TAX] 8% State Surcharge 9/20/2004 $23.98 Rough -in
Elect'I Final
Total $323.73
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty 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 -800- 332 -2344.
Issued By: Permit Signature: _ e_
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 639 -4175 by 7:00pm for an inspection the next business day
Sep 20 04 09:44a 0. E. S., LLC /Precision Mec (503) 649 -4652 p.2
' Elec,cical Permit At V VE D
City of Tigard DatNBY 7 a 0 U7 Pem�itNo.: L-c ' /yc D( � C/
13125 SW Hall Blvd., 7 igard, OR 97223 Plan RM �"
Phone: 501639.4171 Fax 503.598.196arn 0 2004 ' " wJ l�' 1 , > Permit
Inspection Line: 503.639.4175 .r ,�!,i DateReady/By: 1 8 see Page roe
Internet: www.citigard.orus �CtIoTY OF TIGARD Notific ,A -rl ( I s ten m mnt trat•r a
,BUNDINS ION PLAN REVIEW
❑ New construction 34 Addition /alteration/replacement Please check all that apply:
ID Demolition ❑ Other ❑Service over 225 amps, nom n'l ❑Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2-family dwellings 4 or more new residential
❑ 1- and 2 -family dwelling ❑ Commerciallindustrial ❑ Accessory building ['System over 600 volts nominal units in one strud ire
El Multi- family ❑Master builder ❑ Other ❑ Building over time stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑ Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egigh�plan RV park
Job no.: 4 13 y I Job site address: / 2 2 88 S 5 C l-/U L L5 r-C /ZR Micah-care facility O
Submit 2 sets of plans with any of the above.
City/State/ZIP: Ti C—AX ( Project ) / lJ ' 12 y 7 2 ? 3 NO The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: name: L. 0 L t) 5 / 0/1)1E C2 FAi9t F_R' FEE SCIi I E Fee 1 Tom 1 ••
Cross stteet/directions to job site: New residential single- or multi- 6tmlly dwelling emit.
Includes attached garage
1,000 sq. ft or less 145.15 1 4
Subdivision: Lot no.: Ea. add'I 500 sq. It or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non residaaial 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
" _ dwelling, service and/or feeder 90.90 2
R F 1 o () E L E X I S%/ tv 1 6 5 / TORE E �J 2 Al F &LI Services or feeders installation, alteration, and/or relocation
CA) L 0 ST 7 /v 5 C k 1=804 T '/ 200 amps or less 1 80.30 80, 30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: A i R O Fnl r, R AR( 5 F_ c., rN C - 601 amps to 1,000 amps 240.60 2
Address: / S 2 7c 5, R/ A; G D /9L F e T
Over 1,000 amps or volts 454 65 2
Reconnect only 66.85 2
City / StateZIP: l C,4yF�P Tr Il C7, 972 2 3 Temporary services or feeders Installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 40o amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits— new, alteration, or extension, per panel
Q APPLICANT ❑CONTACT' PERSON A. Fee for branch circuits with i 1
senrice or
Business name: circuit
feeder fee, each 2
J 6.65 26, S j 2
UPS L mo
B. Fee for branch circuits
Contact name: kg - a r N 5/4 K e 2 withoui service or feeder fee,
46.85 2
Address: each branch circuit
Each midi branch circuit 6.65 ' 2
City/ State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) I Fax : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: j extension. Describe: Page 2 2
[� gS ; L1.,c, .
Address: Fa additional inspection over allowable in any ofthe above
2 j 7 1 / T i' /G//G ;l� Y S r 7.= Per eh inspection 62.50
City / State/ZIP: 1 9 / 4 / " 1 A C77 006,- ' Investigation per hour (1 hrmin) • 62.50
,t v ' / Industrial plant per hour 73.75
Phone: (; i? 3) 649- f i 4 ' t Fmc ( SC :j 6 4g - 4 6 5 r`
ELECTRICAL PERMIT FEES
CCB Lic.: / 5 c/ 5 g 5 I Electrical Lie.: ,3% Le----1 Snow. Lic.: cy. j 7 5 sutitotal 1 2_.! 9
Suprv. Electrician signature, required: -72---- Plan review (25% of permit fee) p
Print name: / I Date: 9', ,..7:17,474-r, surcharge (8% of permit fee) 2 3 . Q 8
Authorized si lure: TOTAL PERMIT FEE . 3 2 3 7
Thi
/� �� s perm application expires Ira permit knot obtained within 180
L
�� days alter k ban been aaepted'as complete name..„ I,s,ne A � 4 , 4.ez - - I Date: - y • icomethodolo�setbyTri- CoimtyBuilding Industry Service Board
A ee Number of inwesrinns per t emit allowed.