Permit CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2005 -00493
4 DEVELOPMENT SERVICES DATE ISSUED: 7/11/2005
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DC -04000
SITE ADDRESS: 07550 SW TECH CENTER DR 220 ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Replace existing panel.
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: 1 W /SERVICE OR FEEDER: 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:
SPIEKER PROPERTIES LP HILLSBORO ELECTRIC
4380 SW MACADAM AVE STE 100 21185 NW EVERGREEN PKWY #110
PORTLAND, OR 97201 HILLSBORO, OR 97124
Phone: Phone: 503 - 439 -9666
FEES Reg #: ELE 34 -4399C
Description Date Amount LIP 134481
SUP 4941 S
[ELPRMT] ELC Permit 7/11/2005 $80.30
[TAX] 8% State Surcharge 7/11/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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: Permittee Signature: S/;-e..- ?\c)
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.
, Fr Om H I LLSBORO ELECTRIC LLC . 5036013680 07/08/2005 14 : 01 #023 P.001
.-- . . .
...
f - . • . .
Electrical Permit Anplicatipii \\I .e0 FOR OFFICE USE o NI_ Y
City of Tigard
DatafIl - - a
Permit No.:6L,C 9o5
13125 SW Hall Blvd., Tigard. OR 97273
r "f"' r i. 'Mk Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ` 7‘ ---' . Date/B . Other Permit: . .
Inspection Line: 503.639.4175 ,, , 4.- 0 _1 IL I Date Ready/By: • Jurig; ta gee Page 2 for
Internet: www.ci.tigard•or uS
. rA l*.%i °‘-' AS\
• C \ a -- t Notified/Method:
. Supplemental Information
-
. •.. !:' . ...':.,.:..:"....,: - ::::. ' i: zi ::. ':. ' ' ... :, . TYPE. RT :.: ''2k:::' 2,::: .;::.:: j.::'::":!''.".:.:.' ''.. ' ' • ..::: .,. ':: ...:, PLAN ''REVIEW ''' ' ::'.: ....:.,'.... •••':'...:: '';'' :::; :...
El New construction gAdditioYalteration/replacement . Please check all that apply:
EJ Demolition _ 0 Other: ['Service over 225 amps, comml ['Hazardous location
I2Service over 320 amps - rating 0Buildn over 10,000 sq. ft.,
' '::::::.....''. ::: ...:: ::•:-',. : • . : .CATECORY. OF CONSTRUCTION ::'''. 2 - :..,' ::::•••••:::' ....:;:::: of 1 - and 2-family dwellings 4 or more new residential
El 1- and 2-family dwelling laCommercial/induStrial 0 Accessory building • System over 600 volts nominal units in one structure
OBuilding over three stories 0Feeders. 400 amps or more
0 Multi-family 0 Master builder 0 Other. •
1:Occupant load over 99 persons 0Manufactured structures or
,.:;:::•::: .:::.;:,' ' JOB . SETE lNiiimmArio14... i....odaTiO$::',.! ElEgressAighting plan RV park
Health-care facility 00ther: .
Job no.: 3715 X Job site address: - 7s- go S ( T c 14' s
r „t er , _ a . m . - e.
7 t 2 sets of plans with any of the abov
City/Statc/ZIP: 1 & p ie i 7 2.3-3 , The above are not applicable to temporary construction service.
r5 Si ) .:: **1•'.'..::....:!...!..
Suite/bldg./apt. no.: c ... A. ,..2
e' 0 Project name: ,F.;..FEEi!.. Prose) /e tc e,
- Desalt:elan I 00 I Fer_ 1 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. addl 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
'.: Tt Each manufactured or modular
K tp 14c e c)c s i. pptel
. A Ligoup/1- . &veiling, service and/or feeder 90.90 _
, Services or feeders installation, alteration, and/or relocation 2
• 200 amps or less • 1 _ 80.30 V, SO ... 2 _
s
201 amps to 400 amps 106.85 2
. ,... : i.':::::4>.:';‘:;.:.0.PROPERTY.:' bi*Eli:::':;!.::::::71
.....• . _ .... • .. •• - 401 amps to 600 amps 160.60 .2 _
Name: . • 601 amps to 1,000 amps 240.60 2
- _
Address: • . Over 1,000 amps or volts 454.65 2
Reconnect only - L 2
City/State/ZIP: • •
' Temporary services or feeders installation, alteration, and/or
relocation .
Phone: ( ) j Fax: ( ) • .
200 amps or less • 66.85 • I •
Owner installation: This installation is being made on property that 1 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.•,. A. Fee for branch circuits with
'service or feeder fee, each 6.65 ' 2
Business name: branch circuit .
. B. Fee for branch circuits
Contact name: ' . • ' without service or feeder fee, 46.85 . • 2
each branch circuit
Address:
• 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: ( ) I Fax: : ( ) ,
• Si
_ Sign or outline lighting 53.40 2
E-mail: . Signal circuit(s) or limited-
:. •••.:;',..-•'•'
- '.:,: ; • •Z;i ': • ':..' CONTRACTOR '.:' .'....'• . energy panel, alteration, or
....--....- • extension. Describe: ' Page 2 2
Business name: Hillsboro Electric L .L . C .
Each additional inspection over allowable In any of the above
Addre 21185 NW Evergreen PKWY Ste '41 U Per inepection 62.50 •
. . .
City/State/ZIP: Hillsboro, OR. 97124 Investigation per hour Cl hr mm) 62.50 ,
Phone: (503) 439-9666 I Fax:(503 )601-3680 Industrial plant per hour '73
:....',..-..'...••: •:::•ELECTRICAL 'PERMIT FEES,* • I ':::•••::::. • i'':::.::
. CCB Lic.:134481 I Electrical Lic.:34-4 9 9c Suprv. Lie.: 4941 s Subtotal , S'O ,gC)
Suprv. Electrician signature, required:
j ari
. . Plan review (25% of permit _
it fee)
State surcharge (8% of permit fee) l . g. ,2_
Print name: joey vitacco Date:
-
- TOTAL PERMIT PEE slit a - 126,2 .,
• '
Authorized signature: . This permit application aspires Ye permit is not obtained within ISO
days after it has been accepted as complete
Print name: . . . Date: • Fee methodology set by Tri-County Ruda% Industry Service Board
* Number of inspections per permit allowed.
iAaeihenswerems■ELC-PerreitaPp.doe 1210.3 ' 440.46 UV 10/02./COM/WED
. .
' .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S-00493
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2005
Phone: (503) 639- 4171 �'�� � �����
Inspection Requests (24 Hrs.): (503) 639 -4175 - _ _..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 97
SITE ADDRESS: 07550 SW TECH CENTER DR 220 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PROSOURCE
DESCRIPTION: Replace existing panel.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503. 439-9666
Inspection Request Scheduled For: Date: 7/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 011315-01 503-439 -9666 N
Corrections /Comments /Instructions:
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Da ` f^ OJ Phone #: (503) 718 -