Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00635
COMMUNITY DEVELOPMENT DATE ISSUED: 9/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.6394171 PARCEL: 2S112DA
srr E ADDRESS: 15333 SW SEQUOIA PKWY ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
PROJECT: SAIF
Project Description: Add (3) branch circuits for new conference room.
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: 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: 2 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 • SAIF CORP
15350 SW SEQUOIA PKWY #300 -WMI 400 HIGH ST SE
PORTLAND, OR 97224 SALEM, OR 97305
Phone: Contact #: PRI 503 - 373 - 8057
FAX 503 - 373 -8801
• FEES
Description Date Amount Reg #: ELE 24 -213C
[ELPRMT] ELC Permit 9/12/2007 $60.15 SUP 41045
[TAX] 8% State Surcharge 9/12/2007 $4.81
Total $64.96 REQUIRED ITEMS AND REPORTS
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 rule -re set f o 'n OA : -0• -0010 through OAR 952 -001 -0100. You may obtain copies of t j -se rules or r - +t questio sto OUNC at
503.246.: • 9 9 or 1.800.33 - . . /
Issued : j/ ;. Permittee Signature: 1 / /
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:
• ONTRACT - TAL • - j • N ONLY p
SIGNATURE OF SUPR. ELEC'N: L. /..'!, / DATE: 9' •
LICENSE NO: `'pS
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.
Electrical Permit Application FOR OFFICE USE ONLY
1
City of Tigard Received / Permit N a "' 131 Hall lvd., Tigard, OR 97223 Date/By: an Review 07 erm No.: ��c ��lo
' Phone: 503.639.4171 Fax: 503.598. t: y CeNED Date/By: Other Permit:
•
TIGARD
Inspection Line: 503.639.4175 �. ' = Da(- Ready /By: "2";77-0. ®S ee Pag 2 for
Internet: www.tigard-or.gov Date /By: Supplemen Information
TYPE OF WORIbEV 1 2 z DO? PLAN REVIEW
❑ New construction S Addition/alteratio � Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition 0 Other: !v 1F11a7
�1]ldi8tNe @�1F11a7IM ❑ Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current
❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other- ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system:
❑ Addition of new motor load of ❑ "A "E ", °l - ", "l -
Job no.: Job site address: l' 553 SW SEG U!DPt 1?AQIt!Nlllk 100 o more. c
❑ Six o o r r moo re residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: - D( . 4 1/4 2 ... b ���` J q��Q ! `/ ❑ Health-care facilities. ❑ Supply voltage for more than
v `+ ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 2.2, $ Project name: CzNI Fimeioce, ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: R W 0 1,0 D nption
I Qty. I Fee. ( Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: pp(c1 fit & la p �, � Lot no.'Z_ 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: � Ea. add'l 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
, DESCRIPTION OF WORK .. (with above sq. R)
/+ r �j Limited energy, multi - family
ADD 3 2(,,.1.) l - 1 S 'rOZ. CON Fga , residential (with above sq. ft.) 75 00 2
n ^O 1 `'' \ A Services or feeders installation and/or relocation
1(,V 1 200 amps or less 80.30 2
❑ PROPERTY OWNER I X TENANT 201 amps to 400 amps 106.85 2
Name: S A l CocZ'? 401 amps to 600 amps 160.60 2
N 601 amps to 1,000 amps 240.60 2
Address: '1 O0 i4 tC4k ST S t E- Over 1,000 amps or volts 454.65 2
City/ State/ZIP: Sik C:12. E v q 30 S Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503) 3,3 - OOS7 Fax: (SCS) 373 eSt) ! 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 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
Al APPLICANT I CONTACT PERSON' above service or feeder fee, 6.65 2
each branch circuit
Business name: - B. Fee for branch circuits
Contact name: /�� NIL, Sl�Arl without service or feeder fee, ' 46.85 46, 85 2
first branch circuit
Address: SpYMe_ S0 VC, Each add'I branch circuit 2. 6.65 I 3.30 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( )
Reconnect only 66.85 2
E -mail: t.JW Ac5 M ` ea) hi F , CO )4\ Pump or irrigation circle 53.40 2
CONTRACTOR = Sign or outline lighting 53.40 2
Business name: CO2f Signal circuit(s) or limited-
energy panel, alteration, or
Address: s •r '� A.,3 � 0NI Fe_ extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Phone: ( ) Fax: ( l I o f Per inspection 62.50
f,I Investigation per hour (I hr min) 62.50
CCB Lic.: Electrical Li •.:.421 3 uprv. Lic.: A I ors Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: /pO , 15
t ? 4 Ss3 Date: 8--3 07 Plan review (25% of permit fee):
Print name: i State surcharge (8% of permit fee): S I
Authorized signature: TOTAL PERMIT FEE: 64 1 q
This permit application expires if a permit is not obtained within NO
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit
I: Building \Permas\ELC- PermitApp.doc 05/23/06 440- 4615T(I I /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION i PERMIT #: ELC2007 -00635
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007
Phone: (503) 639 -4171 np'
Inspection Requests (24 Hrs.): (503) 639 -4175 ! �..
INSPECTION WORKSHEET FOR DATE: 10/17/2407 TIME: 7 :02AM PAGE: Q1
SITE ADDRESS: 15333 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAIF
DESCRIPTION: Add (3) branch circuits for new conference room.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: SAIF CORP PHONE #: 503.373 -9057
Inspection Request Scheduled For: Date: 10/17/2007 Pour Time:
Code # Inspection Description Confir Contact # Message
120 Electrical rough -in '.\ 057741 -01 503-932-3092 V
Corrections /Com - s nstructions:
S i E LA c;2} . S
rt—(Z2-001• *6
• cap=
1.0 11 07
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G , 0)e) L-S Date: lei 1 d Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E1.C2007.00635
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1272007
Phone: (503) 639-4171 Wd�r�y 11�
Inspection Requests (24 Hrs.): (503) 639 -4175 ''! �..
INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7 :Q1AM PAGE: 40
SITE ADDRESS: 15333 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAIF
DESCRIPTION: Add (3) branch circuits for new conference room.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: SAIF CORP ( D A� 1 PHONE #: 503- 373 -8057
Inspection Request Scheduled For: Date: 12/4/2Q07 Pour Time:
Code # Inspection Description Confirm # Contact # \ssage
199 Electrical final 060708 -02 503.332 -3082
Corrections/ Comments /Instructions:
•
\a
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' '`' b4 Date: 2'� - Phone #: (503) 718- 3- •