Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00404
^jli DEVELOPMENT SERVICES DATE ISSUED: 7/8/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DC -01100
SITE ADDRESS: 07298 SW TECH CENTER DR
SUBDIVISION: ZONING: 1 -H
BLOCK: LOT : JURISDICTION: TIG
Project Description: JOB NO 71356 Wire equipment to existing service panels and outlets
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: 15 W /SERVICE OR FEEDER: 20 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:
CIRCLE A W PRODUCTS COMPANY E C COMPANY
ATTN: PHIL PINGSTERHAUS PO BOX 10286
BY B-LINE SYSTEMS, INC PORTLAND, OR 97296
HIGHLAND, IL 62249
Phone: Phone: 503 - 552 - 5503
Reg #: ELE 26 -45C
LIC 49737
FEES SUP 4040S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/8/2004 $1,337.50
[TAX] 8% State Surcharge 7/8/2004 $107.00 Ceiling Cover
Wall Cover
Total $1,444.50 Elect'I 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 1-800-3.e-
Issued By: - ( j . • Permit Signature: cf7t/ ,9 /', i d_"9-776
•
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:
, N C INSTALLATION NLY
U
SIGNATURE OF SUPR. ELEC'N: 7;4)1/ e' DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
Electrical Permit Application • FOR OFFICE USE ONLY
—�
I
City of Tigard Received .l��. Permit No.
g . � � ��_,�.. Date/By: : a %I� Co o _ eay6
13125 SW Hall Blvd., Tigard, OR 97223'' - O , I �! � , - I Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 `' L' = ` ° ' J — '10/ li;y I' Date/By: Other Permit
Inspection Line: 503.639.4175 _111. .•11 Date Ready/By: : See Page 2 for
• w
C '
Internet: ww.Ci.tigard.or.us Notified/Method ' Supplemeotallnformation
- TYPE OF WORK '2,''::,." _ . ' PLAN REVIEW
____
❑ New construction ------4- I @ ario' i 'ii went, Please check all that apply:
} ..._.__,. ...s1 ❑Service over 225 amps, comm'l ❑Hazardous location
0 Demolition 0 Other: y ❑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 0 Cotnmercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
ID Multi - family 0 Master builder ❑ Other: ['Building over three stories ❑eeders, 400 amps or more
['Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.:n VI S c Job site address: ❑Health -care facility ❑ Other:
a o\ % s Lam.) ��e'- C-e fit. ti • Submit 2 sets of plans with any of the above.
City/State /ZIP: -•V \ S� 0 ( °Y.1.11 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: t^�
FEE* SCHEDULE
M \\ \ "C C v.,, t k P\ to S \ r t C S Description I Qty. I Fee. I Total I ••
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'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
. DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and /or feeder 90.90 2
\Y e C\ns'c Ov-,eo ea c. v ‘v Q. X\ S r S Services or feeders installation, alteration, and/or relocation
S e--.1 v\ C.e q-As p 1 Q•••.�r \e 200 amps or less \ 5 80.30 \a 04•So 2
❑ PROPERTY O WNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: �ttc.k-se-wr eAei \-1-C Lessee. is `e t.•••'C" ClAs \-■ ci 601 amps to 1,000 amps 240.60 2
\ Over 1,000 amps or volts 454.65 2
Address:
\1 $ Sw \A1,0, W OOc) Reconnect only 66.85 2
City/State /ZIP: 7 1., O� p,, .`-1 Temporary services or feeders installation, alteration, and/or
Phone: (Sa - ) Fax: ( ) relocation
y\ - �\ 0 200 amps or less 66.85 I
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
0 APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each a 6.65 `,1 2
o
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: EC c0 r zt,
Address: G 1 Each additional inspection over allowable in any of the above
0 a O R `U a C Per inspection 62.50
City/State /ZIP: 'p \ r,k ea_ , -6 ,a o -531/7 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: (Sul ) 03 0 - $ 11 Fax: (S1rl) �-, . ELECTRICAL PERMIT FEES*
t��
CCB Lic.:\. - Electric o11• •iric.: - Subtotal
131`1.
Suprv. Electrician signature, required: , i ` ; wl Plan review (25% of permit fee)
_44- L►∎ il\ _ ∎ ...
Print name: — Date: State surcharge (8% of permit fee) \ Ol ,Q1)
!� - _AV _11, Q TOTAL PERMIT FEE Vit,ti , 50
Authorized signature: This permit application expires if a permit is not obtained within 180 , /
days after it has been accepted as complete 1/
Print name: Date: • Fee methodology set by Tri - County Building Industry Service Board
•• Number of inspections per permit allowed.
1 Building\ Permits\ELC -PmnitApp doc 12./03 440- 4615T(10/02/COM/WEB
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line:. (503)639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 0 AM PM BUP
Location - 7 a` 9 7 7 --- Suite MEC
Contact Person Ph ( ) 3 1 8 3 7/ 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC .966 g--.6 �
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation 1� N� 1 {� s � � y J 14 Lj t
Drywall Nailing J
Firewall
Fire Sprinkler
Fire Alarm M��� �� N `))\\(L.4 Susp'd Ceiling `L
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
no Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE 111 Please call for reinspection RE: D Unable to inspect — no access
Fire Supply Line ] 0 /
ADA
Approach/Sidewalk Date �. I ® "` Inspector A �.►. i - Ext
Other:
Final DO NOT REMOVE this inspection recor from e Job site.
PASS PART FAIL
•