Permit CITY OF TIGARD ELECTRICAL PERMIT
A . PERMIT #: ELC2006 - 00220
-,' DEVELOPMENT SERVICES DATE ISSUED: 5/31/2006
.2' .-
Ali' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S112DD - 01601
SITE ADDRESS: 15755 SW SEQUOIA PKWY 100 ZONING: I - P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 001 JURISDICTION: TIG
Project Description: Job # 90372.
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: 1
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 W /SERVICE OR FEEDER: 38 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: X
Owner: Contractor:
PACIFIC REALTY ASSOCIATES NEW TECH ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 13970 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: Contact #: PRI 503 - 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE 26 -418c
[ELPRMT] ELC Permit 5/31/2006 $488.30 LIC 41868
[ELPLCK] ELC Pln Rev 5/31/2006 $122.08 SUP 3849S
[TAX] 8% State Surcharge 5/31/2006 $39.06
REQUIRED ITEMS AND REPORTS
Total $649.44
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: igt Permittee Signature: 4..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:
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.
Electrical Permit A {� c�ltio FOR OFFIC USE ONLY
i Received
City of Tigard e, 20 l ` „,..----)..../.
Permit No.: L C.�,ZlYO , 0
13125 SW Hall Blvd., Tigard, OR 97223 \F Date : tip �
Plan Review,/ --- Phone: 503.639.4171 Fax: 503.598.1960 ' !e t eta .. 0 6 \e‘ Other Permit:
Inspection Line: 503.639.4175 y „Cy' 1 — Date Ready/By:
Internet: www.ci.ti ard.or.us --art`s Supplemental See Page 2 Inf for t g � 1 -CCW- Notified/Method: '- ' Supplemental Information
y ! - Yd a -# , , i s { : • r.ff �n t a �` E
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�' eh,
❑ New construction ► i Addition/alteration/replacement Please check all that apply: ',. T
OService over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑Other:
a a��u r_ _ 7 � , v Service o ver amps - rating Buildng over 10,000 sq. ft., , •
'7: i , ,, ` . 1 t I yi '' t G t li , i Q v v i. r 320 P F> ❑ o
. , rt ,. _ _ .,. , 1 _ ' „ t L , { r t r t ,, . of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Buildin over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑Master builder ED
I y _ his t W _ �, DOccupant load over 99 persons ❑Manufactured structures or
a iti(Os 't" ,� ' a �OB S1fR ' e 1.1•,: ' ® c.,..z< CK D f _, ' 1 , i' l � I ,L2: : s . 4E, ❑ E ess /li htin plan RV park 2,14 : , .a,. _ _. . -, gt g g P P
Job no.: v7��2 Job site address: MI ealth -care facility ❑Ocher:
J.S 7.S-s s l[1 S e 0 , 4 0 _ Submit 2 sets of plans with any of the above.
City/ State/ZIP: ID 0+ / AiJ d, 0 A 9 72. 1 4 r Q /, 0 / The above are not applicable to temporary construction service. ----'
Suite/bldg. /apt. no.: Project name: '", ,� . 1�int-, b'`iSC` p . E< Ati..:; s( = :._: ': 7
Q °!J�,QO F rMA �n 4� Description Qty. Fee. Total ••
Cross street/directions to job site: �/ (/ New residential single or multi family dwelling unit. , /
Includes attached garage. (
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'! 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
1 p �� y Limited energy, non - residential 75.00
. Each manufactured or modular
p dwelling, service and/or feeder 90.90 2
PP; ,.._e_ - r A N d A �
�' P"t r S ervices or feeders installation, alteration, and/or relocation ,�
M a Z ,,...,v ;7-- 200 amps or less . 80.30 6 ' •
uXtm t o.(o�
a 4 40pli l' ,;) Ittl ity t®. i mot„ d� � me ; , N; ,,, �; - du 201 a s to 400 amps x: a s^ ..,c.� s w ,-,... . , r '.�tw ta: ` uf i v f �_, •4 � .,- ' ' � 'c�.: �I - -' ? t L m P P 106.85
401 amps to 600 amps 160.60 2 EL
Name: �l f�l oG r� !►
P�'� 1 1 A b t I 1J 6 01 amps to 1,000 amps 240.60 2
Address: 1 5 C5 .4 `7c u of A l P2L 9L, 4 Over 1,000 amps or volts 454.65 2
{/ Reconnect only 66.85 2
I City /State/ZIP: 0 UP-rLA1Jr) D -
t 11- Temporary services or feeders installation, alteration, and/or
Phone: ( ) 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 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
alteration, or extension, per panel
y `
Owner signature: Date: Branch circuits - new, ,- ' P P
®lr ,1'.T1;Tt_ ; ; :;"! $ ; -- 1 i;;.g� 4®0'Cp ,u 2_�tTt.'•ififi O' 1�� * �{}, Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 2 9 6.65 ZS , — 2
Contact name: B. Fee for branch circuits
without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'! branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail:
W,�_ a r _ _ Signal circuit
(s) ' s) or limited -
.Adg 7iC ; ; l±: r r a#l'''- . �3' i�QON s : r u, >' yr_��tryryr,�.,,,„{; -,v.,, : ._;••�s :�}•��!j5r energy , ,
- 4 ,13, {i_ h*fu4:r �..•. r+: A:' Ar.�t~ /at�'s <�,�w• %t+3�r!s�e,1i ener bJ P anel alteration,
extension. Describe: / Page 2 /j ° ' O 2
Business name: New Tech Electric
Address: 13970 SW 72nd Ave Each additional inspection over allowable in any of the above
Portland O R 97224
Per inspection 62.50
City/State/ZIP: ' . Investigation per hour (1 hr min) 62.50
Phone: ( 5 0 3 648-1900 Fax: 5 0 3 )648-3131 Industrial plant per hou 73.75
CCB Lic.: 418 6 8 'sf.? ?' ;" ,pK _ta •ELECTRICAL ; PERMIT' iFEES* ,'' ' `,- "' ,
.Vi; "' /rlc; c�.:. ..1"%:7
Electrical Lic.: 26-418 Suprv. Lic.: - Subtotal 4 S g
Suprv. Electrician signature, required: Plan review (25% of permit fee) ( Z-- . 0t')
Print name: r2.1 z - -u FAN, Date: �0�o State surcharge (8% of permit fee) 3 9
TOTAL PERMIT FEE U 4 1 .4i
Authorized signature: This permit application expires if a permit is not obtainer' wt[ 180 obtainer' tun 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:\ Building \Permits\ELC- PermitApp.doc 12/03 440-4615T(10/02/CON✓WEB
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2006.00220 .
13125 'SW Blv`d., Tigard, OR 97223 DATE ISSUED: 5/31/2006
Phone: (503) 639 -4171 /� -�r� 1 '
Inspection Requests (24 Hrs.): (503) 639 -4175 !�1i "'I L .
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7 :06AM PAGE:
SITE ADDRESS: 16755 SW SEQUOIA PKWY 100' CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE: '
PROJECT NAME: BRIDGEPORT MRI 1,-. — .
DESCRIPTION: Job # 90372 '
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: .
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 - 648.1900
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034821 -01 503 - 849-0157 Y .
Corrections /Comments /Instructions: vv\61 ....\
c ----- A — PA ,
"T \Ott 6 6 e pre.oNiist— IS F6cL. iNki.raL k-k 6 ,NA D .
Pa -welt. 10 citsci ii. 0 A,,143 LEarcl iT
. UN i T • ' ALS ►■i s 4' PLve s tkMD
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i1.A.- VAtAt 04, G ►... I .
N ®i Pe.rh� 't-Q (3 `2 .
C./11 \j1 t 17 I t C IA( L U 0
OtPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
U FAIL .❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z1N1 U Date: Phone #: (503) 718 IJO
CITY OF TIGARD
' BUILDING DIVISION r PERMIT #: ELC2006-002.20
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3112006
Phone: (503) 639 -4171% ��
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I
INSPECTION WORKSHEET FOR DATE: 7/14/2006 TIME: 7 :16AM PAGE: 22
SITE ADDRESS: 15755 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: BRIDGEPORT MRI
DESCRIPTION: Job # 90372.
OWNER: PACIFIC REALTY ASSOCIATES PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503-64B•1900
Inspection Request Scheduled For: Date: 7/14/2006 Pour Time:
imo -z:z Inspection Description Confir-m_# Contact # Message
Electrical service �,� 033117 -01 503-849-0157 N
Corrections /Comments /Instructions:
kept,) G-tt CAgl.L E-a t., v` (1 t..i ll greNadii c3' _
■
❑ PASS X PARTIAL APPROVAL El CANCEL 111 NO ACCESS
111 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v • II J ep Date: 1 1 {y Phone #: (503) 718- t44 I'
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC-200Ci- 00220 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2006 Phone: (503) 639 -4171 �avv !;+�
Inspection Requests (24 Hrs.): (503) 639 -4175 F'' I
INSPECTION WORKSHEET FOR DATE: 6/3012006 TIME: 7:01AM PAGE: 69
SITE ADDRESS: 157h5 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: BRIDGEPORT MRI
DESCRIPTION: Joh # 90372.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 603. 618.1900
Inspection Request Scheduled For: Date: 6/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 032482 -01 5034349.0157 N
..As1 C., 1 ‘... N 1 C.-CA
orrections /Comments /Instructions:
: ^ C,12 . P • . 3 .41 *C. to A 1i. it V• L,a7u
14e ptI ,
x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ - Date: CI 3 31 c) Phone #: (503) 718 - ti1A6i
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: VG3oD6 d 171)"2" 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' p - —.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ! g7 CC 9 0 t q Ajw I CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: , _ P. -44- -
DESCRIPTION: Cow) A
OWNER: 0
PHONE #: 5b3 °W 0 ' S 7
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: (p - Pour Time:
Code # Inspection Description Confirm # Contact # Message
1. & 1.4_,* c.ev-e-(&
Corrections /Comments/ Instructions:
ALL, , Aft.wk 4 >_ `i, c - T 11' A. Re I (Lopes -
❑ PASS Z PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 04i(c6tf Date: Cs . 2 2 6 • 6‘ Phone #: (503) 718 - /INlo•
CITY OF TIGARD
BUILDING DIVISION , . PERMIT #: EU 2006. 002:0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3112006
Phone: (503) 639 -4171 In spection Requests (24 Hrs.): (503) 639 -4175 JC1 ,44* At L
INSPECTION WORKSHEET FOR DATE: 6/712006 TIME: 7 :06AM PAGE: 83
SITE ADDRESS: 15755 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: BRIDGEPORT IMRI
DESCRIPTION: Job # 90372.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 5016dB-1900
Inspection Request Scheduled For: Date: 5/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
lia Wall cover [LACE) 03125/01 50 849-0157 Y
Corrections /Comments /Instructions:
`Ivtib / to lle , S Woeii,; pit P o0 140 DATAI
6. `ILk6`1S C ij 411(1J
N) 6.
U
XPASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ii 0 a Ve Date: 61' OD Phone #: (503) 718-201113
f
• , -
CITY OF TIGARD . ...,,.
BUILDING DIVISION ' .
PERMIT #: EIC2;QO
i c-'1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ,3' 11;;)(;
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,..4:1111
INSPECTION WORKSHEET FOR DATE: 11 1/20% TIME: 7: (j:IAM PAGE:
SITE ADDRESS: 1575 1 ,; 9AI SO7)0(7)1APKtiv;';' 100 CLASS OF WORK:
SUBDIVISION: PACIFI.; i.:Cd.TORii.11.. CE..gi ER LOT #: (j31 TYPE OF USE:
PROJECT NAME: 8R1DGEQRT ,,IP,A
DESCRIPTION: „id) #
OWNER: P/%11°1C:-' REALTY At-.::•;. PHONE #:
CONTRACTOR: N&W' : ii al.:C1 PHONE #: 503.-641:312:.10
Inspection Request Scheduled For: bate: at i;4: Pour Time:
Co. - • Inspection Description Confirm # Contact # Message
W:,-J1 t over
11111. 0 '.3924-01 E:o3.a19.oiv
Corrections/Comments/Instructions: 7
Wricl
t■ O N - ' - ..-'
. .
COV.e., Call-A is) ei
•
X PASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
D FAIL E CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: N (■,(4 1.._c: . Date: 1,-- 1- 0•6 Phone #: (503) 718- 2A__%"_____
___