Permit CITY IT OF TIGARD ELECTRICAL PERMIT
— ^� PERMIT #: ELC2003 -00255
e�� DEVELOPMENT SERVICES DATE ISSUED: 5/7/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DC -04603
SITE ADDRESS: 07405 SW TECH CENTER DR 144
SUBDIVISION: SW COMMERCE CENTER ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install (2) branch circuits to roof top and computer 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: 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:
WATUMULL PROPERTIES CORP BROADWAY ELECTRIC - COCHRAN INC
307 LEWERS ST #6FLR 626 SE MAI N
HONOLULU, HI 96815 PORTLAND, OR 97214
Phone: Phone: FAX- 238 -2098
Reg #: 1214-6564 00072942
SUP 3447S
FEES ELE 37 -546C
Description Date Amount
Required Inspections
[ELPIZMT] ELC Permit 5/7/03 $53.50
[TAX] 8% State Tax 5/7/03 $4.28 Rough -
Elect'l Final
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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: �A & IS - M,/t2 Permit Signature: ()- Co— Q x
OWNER INSTALLATION ONLY dd
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: 3 /.f n
Call 639 -4175 by 7:00pm for an inspection the next business day
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0 IS + tom= Date received: $ - I Permit no.: , -,, "_1! r
r f II City. ®f Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Ti 97✓22- 2003 Date issued: By: Receipt no.:
Phone: (503) 639 -4171 CITY OF TIGARD
Fax: (503) 598 -1960 Case file no.:.. Payment type:
BUILDING DIVISION
Land use approval: • -- -
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❑ 1 & 2 family dwelling or accessory ommercial/industrial 0 Multi family ❑ Tenant improvement
❑ New construction Addition/alteration /replacement 0 Other: ❑ Partial
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JOB
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Job address: 9- 3 S \s 'FE tj9 Ct»..) Tt - Bldg. no.: Suite no.: Pi ' Tax map /tax lot/account no.:
Lot: Block: Subdivision:
Project name: 13)0 t , VJJ)Z 5 TTc 44 I Description and location of work on premises:,L1oa IC ((% k ' t i 0i 7' „P 4 C ' ( ) r iPutTEI.-
Estimated date of completion/inspection: t3 MA (l; -- i is r,(. 4 I/(, -t, I,t 0 cr5 ' c)uT” n.3 C U/.-Pu'T E7 2 /Lr't
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t 54 ' ; C01 CTOR APPL1. 101v � , t .,
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Job no: / (. ( 0,3 — ,,5? S Fee Max
Business name: 6 - r 6 ,- 3 1 (,,) E P Description Qty. (ea.) Total no. insp
Y N ew residential - single or multi- family per
Address: Co al,,, (` MA, ,;\..) ' dwelling unit Includes attached garage.
City: - 17.1 -- t_, € I State: 021 ZIP: 7.-, 9 9 Service included:
Phone: S& . 23 • ( I E -mail: moo sq. ft. or less 4
J "/ n Each additional 500 sq. ft. or portion thereof I I
CCB no.: L � �/ �- I Elec. bus. lic. no: 3.- — 7 t C- , Limited energy, residential 2
Cl _ ty /Ii1etr 0.: > Limited energy, non- residential 2
Each manufactured home or modular dwelling
� Service and/or feeder 2
Signature of supervi
� g electrician (required) Date
Sup elect. name (print): , e _ . ,V ■ License no: 3� Services orfeeders — installation,
z; : _ & t' n o relocation.
alters to r
.7 ,4 ,,,- x n PROPER =TAY O�', - - R. . 200 am s or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: 'Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701.
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
?� b , g ,�. 7 1'' . a ` " 1- ENdNEER ' % 3 Branch circuits - new, alteration,
s ` or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: I 4 f
1C :' 2
Phone: Fax E-mail: Each additional branch circuit: / f- t
q ,�' PI.AN'RE 1EWilteleasekchecl �all,tl apply), , ¢ 4 ,;' : ' Misc . (Service or feeder nnot included): llv
O Service over 225 amps- commercial O Health -care facility Each pump or irrigation circle 2
O Service over 320 amps -rating of l &2 O Hazardous location Each sign or outline lighting 2
family dwellings O 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 O Feeders, 400 amps or more *Description:
0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
0 Egress/lighting 0 Other. Per inspection I I I 1
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 $ 5? SID
O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8%) .... $ Lt. Q
Expires accepted as complete. TOTAL $ 57,i
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440 -4615 (6/00 /COM)
CITY OF TIGARD 24 -Hour.
BUILDING Inspection Line: 4503).339-4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re uested 6 � ` AM P BUP
Location - 7 Li 6 5 1-� V CA-) Suite / MEC
Contact Person i<eAAV Ph ( ) s a '' — 73 G 7 PLM
Contractor D� Ph ( ) SWR
BUILDING Tenant/Owner ELC 3 -0 a ass
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain L
Slab Inspection Notes: SIT
Post & Beam
Sr Anchors
v i— /�i / ►'t' 1
Ext Sheath/Shear
ear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
/ 4-1-1
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 tl
Low Voltage V-- i✓.✓
Fire Alarm
•
— Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
`ASS PART FAIL
0 Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA d 4 ( Y / o - t.-w� Ext
Approach /Sidewalk Date Inspe
Other:
Final DO NOT REMOVE this inspection record fro the Jo . site.
PASS PART FAIL