Permit i 8 �i CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 - 00370
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/31/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126BC-01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 520 ZONING: C -G
SUBDIVISION: ONE EMBASSY CENTER LOT : JURISDICTION: TIG
PROJECT: CHEMRAY INTERNATIONAL
Project Description: 2 circuits for cubicles
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:
WYSE INVESTMENT SERVICES COMPANY GARNER ELECTRIC
111 SW 5TH AVENUE #1100 2920 SW 247TH AVE #A
PORTLAND, OR 97204 HILLSBORO, OR 97123
Phone: 503 - 294 -0400 Contact #: PRI 503 - 648 -4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELE 34 -305C
[ELPRMT] ELC Permit 5/31/2007 $53.50 LIC 121 159
[TAX] 8% State Surcharge 5/31/2007 $4.28 SUP 37075
Total $57.78 REQUIRED ITEMS AND REPORTS
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: 2 .��it4f _ Permittee Signature:
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.
f OM :OARNER ELECTRIC FAX NO. :5036427925 May. 31 2007 01:25PM P1
Electrical Permit A, 4ic2 ' NED roR iOrF aCr'; USE oN>I;v
City of Tigard Received 3/ 0 it P8Tinitti O0510
13125 SW Hall Blvd., Tigard, OR 97223 rr Plan Review Other Permit:
Phone: 503.639.4171 Pax; 502.598,1960 1��M S k t 2001 �' xP' r r;r j ' Plates .
Inspection Line: 503.639 4175 , ; U. 'Ii pate Ready/By. J • Ga See Page 1 for
Internet: www.ci.ttgard -ar•us - QF �iU� Notified/Method: Supplemental Information
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i irali•,1a,RM . Y� r M3' �i yt. I�� 22RiA , 1�Fi- .fr�„ �J71 I' V r '�'•�`'..' g ?, '.� .
6 l� � ��1� ` � ; 1;4"d r kl��Gl�,ti" 5111- i1,,b� � i I .�`iha k rd, hl�l ,,s�liw � r , , w �. .-
"'ta' li'rkuY:lhl�t 1>r Irr _ l,i. ". s.�1 F R. h ;. � -_ that h
all k hec a ta ]
0 New construction 1T Addition/alteration /replacement please check apply:
['Service over 225 amps, cornm'l ❑Hazardous location
❑ Demolition ��vv ■Other !!.,�7, ['Service over 320 amps - rating ❑Bulldog over 10,000 sq. ft ,
'} 1 'j'tf l .1 ` /'F i t���'L�lll ) ?Rd (1 I'•' k �, •, n ; �•a• N , i F �'i ' ' �' o 1 and 2- fami dwellings
±y1�(' iP /�� ,, �p � 1 a or mare new residential � ai :U1 1 .,1,, '7.J ir✓�7N'r iAtz ➢i.".�! 16.e�7.01.vi it rte o''' `i'.0 4 .,' •. .'"Iii , al' ! } ' , . 4 1 51 ..
[] 1- and 2- family dwelling !i Commercial/industrial [] Accessory building EISystern over 600 volts nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi - family [l Master builder ❑ Other: t ❑Occupant ioad over 99 persons ['Manufactured structures or
egg + S Ffi'/io Y4' t uel"?' ,,,a•�a,�.�" ; �p ^>_r t'��;�,��� 1 v ,>tl t park ',y� n1� j1 1 l r ti m , l d d D u� o •, ri 1 -A " f.1"
'; 'I Egress /lighang plan RV park
]S1l.ew��iJ. �l�w�liflr k1�D � � +��' .,��. E,�!�.,�����1ir:� ;.till., ' t �r�l� � 1 , , 11>, �� } ,
[Wealth-care facility ❑Othar:
Job no.: lob site address: t � p(, ,,, bY 4 Submit./ sets of plans with any of' the above,
City /State /ZIP: The above arc not applicable to temporary construction service,
_ -rm r;y.:� ' pry f , ..
� 4rp �]f�'i � • I 7 , � D 4� D, P„ � ,
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Suite/bldg./apt. no.: Project trains: neeeription oty. I Fen- Total I , "'
Cross Street/directions to job site: _� New residential single- or multi - family dwelli unit.
Includes attached garage.
__ 1,000 sq. ft. or less 145.15 4
Subdivision:
L no.: add't 500 sq, ft, or portion 33.40 1
Limited energy, residential 75.00 2
Tax trap /parcel no.: „ Limited energy, non - residential _ 75.00 2
i r� t lr Rt "r 7a ) q p tr5t!SYti9 y ` ;ll� n d ^ i;, �', ; t ° s: '.° �����pp ` a�` h'1 {t'�' I511'f :1_,'.i 4 t -,� i; • L Each manufactured or modular
'1fIS17117t� liifwLhi�, i ti'ri•kti(il ��:� '"''inn i`,n.lS�li i. , s . 31 t
dwelling, service and /or feeder 90.90 2
C z) (I irG - : -J3 Ct .i t .l P S Services or feeders installation, alteration, and /or relocation
200 amps or leas _T 80.30 2
401 amps to 600 amps 160.60 i a q ea ax I "+ . viA i s ll15. + -0 '.�I+1 41 201 amps to 400 amps 10685 2
v " ' x ' ' .iyr.tl aiii : `; / .4 � * ?' Di �;, ;� d i' FL' 'lar ' ..a .l 4: , it - " h' '''r ,i ' 19'2 T 2
s i` � I
Name: • . . . / • _ A ., r A / : I • 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts • 454.65 2
Address: - 66.95 2
- __, _ -- Reconnect only
City /State /ZIP: Temporary services or feeders Installation, alteration. and /or
-- relocation
Phone: al ) 3 ' - 7 W 22 Fast: ( ) 200 amps or less _ 66.85 - 1
Owner installation: This installation is being made on property that I o 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 70) 401 amps to 600 amps - 133,75 2
Owner signature: RR il•+l s '+l .- Date: branch circuits - new, alteration, or extension, per panel
i 1 i' t' 1 L diiliit sl inom i,i p 'iii !' Il , gdr ...':'''..M. , 1k:',T^ A ' s er v i ce or fender fct' h Fec 6.65 2
Business name: branch circuit
B. Fee for branch circu
Contact name: without service or feeder fee, / 2
46.85
- each branch circuit IC
Address: _ _ Each add'l branch crrculr 6.65 « m 2
Miscellaneous (service or feeder of Included)
c /state/zzP: -
Pump ar irrigation circle 53.40 2
Phone: ( ) 1 Fax: : ( ) 5ig1 or outline lighting 53.40 2
E-mail: signal circuit(s)01" limited -
ntl ) ire. , tt g - ��Fb1j;',4 '., 7',"� „�, i..." � }% energy panel, alteration, or
�� } S r SI ' "ti' {� �t l �i?u CLJ" ' S ' `7KVe�:vd �a '. ?Fb' ;' titk , ^ l , . , �. „it wapiti' ni•, L� rsr Page 2 2
f� - extension. Describe: g
.C`z Z l C.
Business name: A N L -•
Each additional inspection over allowable In any of the above
Address: \:27 61 2-(1) ( :� 1 � {� J> v _ -_ P er i nspection - 62.50
City/State/ZIP: (4 ( to � i'l ' U 01- ` - 1 - 7 I c - .-- - Investigation per hour (1 hr min) - 62.50 __
Industrial plant per hour 23 75
Phone: ( ` •� tit ...------)-4--- _I i' ) 40 7
(4 0 -MtAR` IlAk ggi .d 1N .Z,V1al .5 , 1 :: F
w , .5
CCR Lic.: ! ' G ) Jlectrical Lic. �0 � - �� s p • . i�•: - ;, l�, -� . 5 Subtotal
t
sup,. electrician si required: ) f i ,.'/./7 Plan review (25% of porn fee) _
. ate surcharge (8% of permit fee) 'it _
name: ,,,5 3 f -
Print n - 5 7 ' p
... �- j,�� r`='i C: -lf�` � �Z�� -L �^� l �,�_ Datc: / � ! �� � TOTAL PERMIT FEE Q
Authorized signature: mit This per appllcstinn expires If a pertttlt la tint ol,tciftri within I80 -
�, - -- .. days Riker It has been accepted as complete
Print name: Date: • Fee methodology sai hy T,i- Cotmty Building industry Service Board
- •" Nnmher of inspections per permit allowed.
1:1I 3uildinpal'crnuutnl.C- YmvtitApp doe t2/09
44 o -4L t 5T(l0/02 /COM /w Ca
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC2007 -00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2007
Phone: (503) 639 -4171 HIV
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/4 /2007 TIME: 7:01AM PAGE: 102
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 520 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: CHEMRAY INTERNATIONAL
DESCRIPTION: 2 circuits for cubicles
OWNER: WYSE INVESTMENT SERVICES COMPANY. PHONE #: 503 -291 -0400
CONTRACTOR: GARNER ELECTRIC PHONE #: 503-64 8-4552
Inspection Request Scheduled For: Date: 6/4 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049446 -01 503 -648 -4552 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECT ❑ ADDITIONAL FEES ASSESSED
,Inspector:- U7 LE Date: o•'T 1 Phone #: (503) 718-4O'