Permit CIT OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00386
.044-11111'' DEVELOPMENT SERVICES DATE ISSUED: 6/28/2004
13125 SW Hall Blvd.. Tictard, OR 97223 (503) 639 -4171
PARCEL: 2 S 112 DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100
SUBDIVISION: PACIFIC CORP. CENTER ZONING. I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Tenant Improvement
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: 17 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:
PACIFIC REALTY ASSOCIATES ENDERS ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 1661
PORTLAND, OR 97224 BEAVERTON, OR 97075
Phone: Phone: 626 -4813
Reg #: LIC 00026728
SUP 2028S
FEES ELE 34 -265C
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 6/28/2004 $159.90
[TAX] 8% State Surcharge 6/28/2004 $12.79 Ceiling Cover
Wall Cover
Total $172.69 Elect'I Service
Elect'l Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1.800- 332 -2344.
Issued By: Permit Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
t
I Jun` 22 04 02:45p ENDERS ELECTRIC 503 - 646 -3871 P.3
t 0 See Page 2 for
1 ED
Electrical Permit AMIEB I FOR OFFICE USE ONLY
■ C ity of Tigard Da�ea Permit No. • , .�. 4 ,0 g -
13125 SW Hall Blvd., Tigard, OR 97223 I " 1. 4 < ( 11 4 Plan Review
//1 4111 : � OtherPernuC : /I„ 60z
-
Phone: 503.639.4171 Fax: 503.598.1960 h �F1 4 , i - r ( DatrJ6 :
C ' I y fore:
Inspection Line: 503.639.4175 CITY O i I � ":_.. Date Read !B
y:
Internet: www.ci.tigard.or.us -_ U,L
I J1"1yG DIVISI� ~ Notifed/Method: Supplemental Information
r � °h r ;,v, �a -`,'*tn ':,$ tf.'c -ot� �eN r ,. m. -. ��
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Please check all that apply:
El New construction ] Addition /alteration/replacement ['Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
r.., OE@l>rF :q^ 1 �'2 f j ,Yn .(a r 'V, �li.,,"i
'� ] J = ,, �r r _,, o� { o i s ..a t� /o ff K t 1. r ;l :411 of 1- and 2- family dwellings 4 or more new residential
L'•�'•�r�" �+�� ' '^'' '' ��''�'� �`��" ���� ❑System over 600 volts nominal units in one structure
El l - and 2- family dwelling 0 Commercial industrial Accessory building ❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑ Manufactured structures or
F' ..,..% : rl�Af ys . ,. m {, 1 ® � i O t, ll� 4� 617 o's le "'.., lR W. RV park
ft � ,, , it 9. 1, :.:;. ❑Egressnighli
f.r.::8.ca , 9ay�t?+;lun>An•iLiarrsalr it Y,. -r t ,i� 4> f.,; <'e a
El Health-care facility ❑Other:
Job no.: Job site address: 15055 SW Sequoia Pkwy Submit 2 sets of plans with any of the above.
City/ State/ZIP: Tigard, OR The above are not applicable to temporary construction service.
� d n l Y' ,(l e,;, •
Suite/bldg. /apt. no.: 100. Project name: Description [ Qty. I Fee. I Total
CUBS street/directions to job site: New residential single- or multi- fatnily dwelling unit.
Includes attached garage. ,
1,000 sq. ft. or less 145.15 4
Subdivision:
I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
-w, r r +• t� � o eEtt+ �. . Y;. ,,;'4, �' ., .f ' r r s , '
i<'. ' i e n manufactured or modular
(� ,. i?°np'x . f.-,4‘.4. it • ail �: r � • t r. . t 5' , Tla r :, ls:'f, l ;' ,..s a„'' Each
dwelling, service and/or feeder 90.90 2
• - 100 - T. I „ Ci r.ri i is Services or feeders installation, alteration, and/or rnIncation
200 amps or less - ' 80.30 2
r -* r ' sue, , 20l amps to 400 amps 106.85 2
Et f ,,� : ,'� = ' 1 r `f i t } p:.: -S o' ..',. i : 3 ` 160.60 2
tt '; #lei G, c 'n a , s ` i' ®y :11 � ` k i 1� rr w wgi I2. `5 x 1 .,•1 401 amps to 4 00 amps
Name: PAC Trust 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66.85 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( . ) l Fax: ( ) 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 400 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 zr � ', v`. Y r s ` ' r'`' R `'', k '. A. Fee for bch rcuis with I I I �
S 't��r� �i�� - . f �.,..,.�.��i�`� 1�'` ' dy o 1 1 ��:. �" ..•�•'� r:Nr ' : service o;acne eder ci fee t
each
6.65 I � 2
Business name: Enders Electric Inc. branch circuit
B. Fee for branch circuits
Contact name: Allen Robert on without service or feeder fee, i 46.85 ,,$<j 2
each branch circuit
Address: PO Box 1661 Each add'I branch circuit it 6.65 0.05' 2
City/State/ZIP: Beaverton, OR 97075 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( 503 626 - 4813 Fax ' ( 503) 646 - 3871 - Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
? I.. , y t 1 y ! y ti I , + , ....,li7i ', • : P %:Aa e kk liv :t• r;wd . ..04 ' .. :j M f1.? l't energy panel, alteration, or Pa e 2 2
✓r � extension. Describe: g
•
Business name: Ender. 111 et"trio. The. ...
Each additional inspection over allowable in any of the above
Address: P0 Box 1 AF,1 Per inspection 62.50 -
Cit / State/ZIP: T�a5.n=■rtpn C1R • • 7(1 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: ( t i • • - : Fax: ( 503 ) 646 - 387 siis; =L ' ; ,l Io''or ., -� cvP -i-.' '_Evi.. :: '.Jc:;
CCB Lic.: 26 72 8 Electrical Lic.: iu 85s Sup .. �� Subtotal (59 Gio
Suprv. Electrician signature, required: 4 / ` ' row Plan review (25% of permit fee) _
State surcharge (8% of permit fee) }a. 7q .
Print name: Allen G. Robertson Date: 6/24/04
1'07'AI. PERMIT FE I P7a 6q
Authorized signature: Tills permit application expires if a permit is not obtained witliln 18u
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
• • Number of inspections per permit allowed.
i:l BuildingWennits \ELC- PermitApp.doe 17/03 440.4615T(10/02/COMM'F11
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: '503) 639 -4171 � -ksI \ MST
BUP
Received Date Requested S a' AM PM / BUP
Location I 50 CA- - Suite 100 MEC
Contact Person / J -m-tr Ph (. ) Cn 2-C - 403 PLM
Contractor ( / 7�) q5 ? -' 3 (orb SWR
BUILDING Tenant/Own ELC ' dvr 7 60 3
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear War
Int Sheath/Shear
Framing
Insulation � p 1 , /fin �� n 11
Drywall Nailing � ► r t/ �'/ ms's ! L/
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling C/ I
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire ADASupply Line 8 -27 `^ 41 /'L CI APL-YX ; n L/ � Approach/Sidewalk Date Inspector t
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL