Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00341
DEVELOPMENT SERVICES DATE ISSUED: 6/11/2004
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S135B6 00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING. I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: (2) 200amp services, (4) branch circuits.
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: 2 W /SERVICE OR FEEDER: 4 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:
AMB PROPERTY L P CAPITOL ELECTRIC CO INC
BY TRAMELL CROW NW INC 11401 NE MARX ST
8930 SWGEMINI DR PORTLAND, OR 97220 -1041
B EAVE RTON , OR 97008
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/11/2004 $187.20
[TAX] 8% State Surcharge 6/11/2004 $14.98 Elect'I Service
Rough -in
Total $202.18 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 a re 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 -800-33 -2344.
Issued By: s 14.* Permit Signature: 6
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 639 -4175 by 7:00pm for an inspection the next business day
06/10/2004 09:25 5032551966 CAPITOL ELECTRIC PAGE 02
1'I∎I2rIII14 I• .I• I1".11
Electrical Pe_L_PAAplicAtiOII R ved� D o
City Pctmi[nn.: 3' e � /_0D 3 /
: of Tigard , Plan Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223 � `-1) Date/B
Phone: (503) 5394171 Fan (503) 598.1960 CITY OF TIGARD Data Ready/By: ■
Inspection Line: 503 -639 -4175 Notificd/Method:
Internet www.ci.ti• • or•us • - -
■ New construction ■ Addition /alteration /replacement Please check alb that apply:
❑ Demolition • Other. ❑ Service over 225 amps, comrnl ❑ Hazardous location
.rat Building over 10,000 sq.R.
,, • -- , - .... .. . .. . .. .... ,..., -, , . . : -.., Service over 320 amps Ins 9
■ ' 1 - and 2- family dwelling in Commercial/industrial • Accessory building of 1- and 2 - family dwellings 4 or more now residential
❑ Multi - thmi ❑ Master Builder ❑ Other ❑ System over 800 volts nominal units In one structure
••---.. • - r -- :. ^, - "' Building over three stories ❑ Feeders, 400 amps or more
El Occupant load over 99 persons ❑ Manufactured structures or
Job no.. 24492 Job site address: 10STS SW CASCADE AVE ❑ Egress/lighting plan RV park
❑ Health -care facility ❑ Other. ,_
City/State/ZIP: TIGARD, OR 97223 Submit a sets of plans with any of the above.
'project The above are not a w lieeble to tem • era construction service.
Suite/bldg./apt. no.: 130 1Projectname: , — - — :...7
Res _ tarot ,.._. .,
Cross Street/Directions to job site; Desert lttion pi,'
New residential - single or multi - family dwelling unit.
includes attached _garage.
Subdivision: Lot no.: 1000 eq. Ib or loss $ 145.15 4
Tax m steel no.: Ea- Add9 500 sq• ft or portion 5 33.40 _ 1
Limited ever residentiel S 75.00 2
480V PNL• INSTALL 45 KVA TRANS AND 150A MCB PANEL IN WAREHOUSE _ Limited energy, non - residential 5 75.00 2
Each manufhctured home or modular
dwelling, Service and/or feeder $ 90.90 2
Service or feeders Installation, alteration, and/or relocation _
Name: 1 NV\ ',nit, k G f• � 200 amps or less 2 8 80.30 100.60 2
� 201 amps to 400 amps s 1136 -M 2
Address: 4` 4c 51,0 m e f . dot oS 5-4 - 150 401 amps to 600 amps S 160.60 2
601 amps to 1000 am s Mao 2
City/State/ZIP: kt / 1e w � G I 7035 Over 1000 amps ar stets S 240 2
'�` Reconnect only . S 66.85 2
Phone: a_ - R 0 Temporary services or feeders installation. alteration, and/or
Owner installation: This installation is bcing made on property that I own which is not relocation
intended for sale, lease, rent or exchange. according to ORS 447. 449, 670, and 701 200 amps or less 5 66.85 1
201 amps to 400 amps $ 100.30 2
401 amps to 600 amps V $ 133.75 2
Owner Si: attire: _ ., � — — circuits - n ew, a lteration, or extension, p er p anel
rr^�^ ----- �'_��....;:�i ��R;.ct�i'i�:;G < <i. �r:: '. ■�r .�.i �_2,-_%.- Branch - ,
.::.F.i�,';;___�.. .., ... .,.. A• Fee fir branch circuits with
Business Name: service or feeder fee, each
branch circuit 4 $ 6.65 29.00 2 _
Contact name: B. Fee for branch circuits
without service or feeder fcc.
Address: each branch circuit 5 46.55 2
Each additional branch circuit: S 6.65 , 2
City /State/ZTP: Miscellaneous (service or feeder not Include
Pump or irrigation circle • [ $ 53.40 2
Phone: • Fax: Sign or outline lighting 8 53.40 , 2
E -mail: Signal circuits(s) or limited -
7 _7; _., --."- v--- --rr - _ - _ - ,'. - , enema i on. or
Business Name: CAPITOL EL
..., _•._:.._.:ate . , extension. .Describe: Page 2 2
ELECTRIC CO., INC.
Each additional Inspection over allowable In airy of the above
Contact name: STEVE 44HUE Per inspection 3 62.50
Address: 11401 NE MARX ST. investigation per hour (I hr min) $ 62.50
industrial .lant • hour $ 73.75
City /State/ZIP: PORTLAND, OR 97220.1041 Subtotal 187.20 '
- Plan review (25% of permit fba)
Phone: 503.2954498 Fax: 502457 State surcharge ( 8% of permit fee) 14.98
CCD Lie.: 48748 'Electrical Lie.: 26 - 496C ISuprv. Lie.; 3132-S TOTAL PERMIT FEE 202.18
^^"'���� TM, permit appne.u.n eaprre. Ira permit Ia WA r,Iq.I,, with
is ten
Suprv. Electrician signature, re ` ��Z'��C � diy. .RerIthas ba4naeeepted m eemblet•
_ Print Nome: DARRELL MCN Date. 0 • , : AN ' • rot methodology set by y Comity Building tndusny Service Board
Authorized signature: /
r/ - "Number of inspections per permit snowed-
-/ .../L.41 ..4 X-. fr di
Print Name: DARRELL MCNEEL