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Permit A4 CITY OF TI GARD ELECTRICAL PERMIT PERMIT #: ELC2001 -00201 vY�l�j DEVEL ) 639 -4171 DATE ISSUED: 04/20/2001 - 13125 SW PARCEL: 2S 112DA -00700 SITE ADDRESS: 15333 SW SEQUOIA PRKY SUBDIVISION: PACIFIC CORPORATE CENTER ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of (2) branch circuits for computer room. Job #402195 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: 1 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 STONER ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI 1904 SE OCHOCO STREET PORTLAND, OR 97224 MILWAUKIE, OR 97222 Phone: Phone: Reg #: - 462363 SUP 4025S ELE 26 -122C FEES Required Inspections . Type By Date Amount Receipt Wall Cover PRMT CTR 04/20/2001 $53.50 2720010000( Elect'I Final 5PCT CTR 04/20/2001 $4.28 2720010000( Total $57.78 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1.800- 332 -2344. Permit Signature: nA G49 Issued By: /670,d,tea_4_, zeei2 :.rib 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: 0 a y� DATE LICENSE NO: 3 1 c9( S Call 639 -4175 by 7:00pm for an inspection the next business day b 0 Electrical Permit Application Date received -;20 -0/ Permit no.: . xr i As l.�, R , City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR Xga Date issued: By: I Receiptno.: Phone: (503) 639 -4171 2 ® 20 t Fax: (503) 598 -1960 ' Case file no.: Payment type: calm DEVEL t , Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory lE.Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: l5333 5t..) Se A .14RKwAy Bldg. no. )Z, Suite no.: Tax map /tax lot/account no.: Lot: 'Block: I Subdivision: Project name: * A I F I Description and location of work on premises: /Da ex7S Fog C o 2 12ta*t Estimated date of completion/inspection: _ . ' . ... CONTRACTOR.. APPLICATION__ ___—. _..---__ —__ •_._._. • - -- _ • ,,.__ -FEE- SCl1EDULE - -- _ ---- - -. -.- Job no: 4 21 °ls Fee Max Business name: S. eN�v_ � L Description • Qty. (ea) Total no. insp Address: New residential - single or multi - family per is 04 ,S�OelfCLt) dwelling unit. Includes attached garage. City: M,Lw,q. 1 E I State:0 I ZIP: ,--7z 27_ Service included: PhoneSo3,1/LZ_G90 I Fax4 9 -490 1E-mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: 44492.3 'Elec. bus. lic. no: 21a - 2...2t,. Limited energy, residential 2 City /metro lic. no 44/ 6 Limited energy, non- residential 2 _ ,¢// 7/01 Each manufactured home or modular dwelling Si na upe g trici Date Service and/or feeder 2 Sup. elect. name (print): M tee License no: 349‘s Services or feeders— installation, alteration or relocation: PROPERTY OWNER • 200 amps or less 2 Name (print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: 'State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: 1E-mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary servicesorfeeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amts 2 • ENGINEER Branchcircuits - new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: 'State: 'ZIP: B. Fee for branch circuits without purchase Phone: Fax: E -mail: of service or feeder fee, first branch circuit: I 14, 2 Each additional branch circuit: I 444 L a< PLAN REVIEW (Please check all that apply) misc. (Service or feeder not included): O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2 O Service over 320 amps- rating of I &2 0 Hazardous location Each signor outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* _ 2 O Building over three stories 0 Feeders, 400 amps or more 'Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan 0 Other. Per inspection I I I I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ S3, information. SD O visa O MasterCard Plan review (at _ %) $ 'Cr expires if a permit is not obtained Credit card number: / / within 180 days after it has been State surcharge (8 %) $ 4-, 2 a Expires accepted as complete. TOTAL $ S7. 78 Name of cardholder as shown on credit card $ Cardholder signature Amount 440-4615 (6/00 /COM) '" • Electrical Permit Fees: • Limited Energy Fees: • Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY p Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4 Check Type of Work Involved: . Residential - per unit 1000 sq. ft or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40. 1 0 Burglar Alarm ` Limited Energy $75.00 • Each Manufd Home or Modular ❑ Dwelling Service or Feeder $90.90 2 Garage Door Opener' Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less • $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems` 401 amps to 600 amps $160.60 2 601 amps to 1000 amps • $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918-260 -260) • • 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, • see "b" above. ❑ Audio and Stereo Systems Branch Circuits ❑ New. alteration or extension per panel Boiler Controls a) The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 n HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40. ❑ Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels (10) $125.00 Each additional inspection over ED Medical the allowable in any of the above ❑ Per inspectiun $32.50 Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See 'Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: • Total Balance Due $ Enter total of above fees $ El Trust Account # 8% State Surcharge $ Total Balance Due $ i:'dsts\fo n s'elc- fees.doc 10/09/00 3 /JP CITY OF TIGARD BUILDING INSPECTION DIVISION MST 4. Inspection Line: 639 -4175 Business Line: 639 -4171 _ BUP Date Requested AM PM BLD Location /5 3 314' 5- 14-01 w P rK7 Suite MEC Contact Person Ph - 7 ,3-3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2e/U J-- D Z G( Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall , f Fire Sprinkler /tip /� rt/J / s% g J� ID (-1/i V P Y fro, /i /4)Y Fire Alarm Susp'd Ceiling D 6 1 'j'1 Roof Aet? A n/ � m s 2 / l0 Misc: S2 �� FUi' Final PART FAIL r V ? NS P_ Vp r1 /J% V ' 4 4 71. / N PLUMBING C C e .SS 2 c m, d 4 Y D v-rr) Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service o C rc: l Rough In i co - UG /Slab Low Voltage Fire Alarm Final PASS P • -• FAIL SITE Backfill /Gradi t Sanitary Sewe Storm Drain [ ] : • spection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Otheoach /Sidewalk 6 z- Q / Inspector Q. eelz. /�J( E D a t e Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 7- 5")A CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -hfur Inspection Line: 639 -4175 Business Line: 639 -4171 r BUP Date Requested S AM PM BLD Location / j 3 3 3 SL✓ ,el a- Oda- Suite MEC J Contact Person // h1l /4e Ph 3/5 30 U S PLM Contractor 43"7 e r Z- / e Ph SWR BUILDING Tenant/Owner p / .DG x CAll' ELC 200/ - 6°2- Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation $1q / �+_ r �D rQ r! Drywall Nailing (_O v r Fire wall D r�cJ f /� i Fire Sprinkler C!? 1� y�(,�1 � e r D T< /` s Fire Alarm �" Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab k/ t° -- Top Out Water Service Sanitary Sewer Final Drains a Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL CELECTRICA Service Rough In UG /Slab Low Voltage Fire Alarm OW ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA / I nspector Approach /Sidewalk Date v " 9 — t� / It Lga, Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site