Permit •
CITY OF TIGARD ELECTRICAL PERMIT
11 v
a.. COMMUNITY DEVELOPMENT Permit #: ELC2012 -00665
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/21/2012
Parcel: 1 S135DC00200
Jurisdiction: TIGARD
Site address: 11845 SW GREENBURG RD 220
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: (4) branch circuits for TI
Contractor: VAST ELECTRIC Owner: MGC PROPERTIES LLC &
1525 SEATTLE SLEW DR. SE JEN PROPERTIES LLC
SALEM, OR 97301 BY C&R REAL ESTATE SERVICES CO
1440 SW TAYLOR
PORTLAND, OR 97205
PHONE: 503 - 566 -7274 PHONE:
FAX: 503 - 585 -8828
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 11/21/2012 $78.44
Specifics: Service or Feeder
1 ea 12 %'State Surcharge - 11/21/2012 $9.41
Type of Use: COM Electrical
Class of•Work: ALT
Type of Const: •
Occupancy Grp:
•
Total $87.85
• • Required Items and Reports(Conditions)
•
•
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty .Codes and all other applicable law. • 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 the 180
days. .ATTENTION: 'Oregon law requires you to follow the 'rules adopted by the Oregon Utility Notification' Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 -001 -0 0. You may o obtain a of the rules or direct questions to OUNC by calling.503.232.1987 or
Issued By: f � a i'C.CrlZjl Permittee Signature: t& rt PPL /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' Date:
LICENSE NO. •
Call 503:639.4175 by 7 :00'a.m. for the next available inspection date.
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.
•
TIGARD ELECTRICAL PERMIT '
CITY OF T0�7AR®
r.-'. COMMUNITY DEVELOPMENT ■= r , r. Permit #: ELC2012 -00665
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/21/2012
l / a8 / �. Parcel: 1S135DC00200
Jurisdiction: TIGARD
Site address: 11845 SW GREENBURG RD 220
- Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: (4) branch circuits for TI. 11/28/12, reprinted to add low voltage for data.
Contractor: VAST ELECTRIC Owner: MGC PROPERTIES LLC &
1525 SEATTLE SLEW DR. SE JEN PROPERTIES LLC
SALEM, OR 97301 BY C &R REAL ESTATE SERVICES CO
1440 SW TAYLOR
PORTLAND, OR 97205
PHONE: 503 - 566 -7274 PHONE:
•
FAX: 503 - 585 -8828
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 11/21/2012 $78.44
Specifics: . Service, or Feeder
1 ea 12% State Surcharge - 11/21/2012 $9.41
Type of Use: COM Electrical:
Class of Work: ALT • 1 ea Signal circuit or-Limited 11/28/2012 $75.00
Energy Panel
Type of Const: 0 ea 12% State Surcharge - 11/28/2012 $9.00
Occupancy Grp: Electrical
Total $171.85
Required Items and Reports (Conditions)
This permit is ' vied subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' accordance •th approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. A TENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili ∎• -- Center. Those rules are set forth in OAR
952 -001 010 through OAR 95� • '9. You may obtain a copy of the rules or direct questions to OU b�v .1987 or 1.800.332.2344.
Issue / 1 Permittee Sign • e: a� `.= / l/�� ,
1 —
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Electrical Permit A7plicatio V FOR OFFICE SE O\L1
��LI Received
City of Tigar3 , t Dates : //� Permit No ..: ELC2012
13125 SW Hall Blvd, Tigard, OR 97223 AAII R
Phone: 503.7182430 Fax 503.598.1960 t V 2 8 2012 Plan Z Plan R: Other Permit
"_ I C Is w•D Inspection Line: g 03.639.4175 CITY OF TIGARD Date Ready /By: luriz ® Pane 2 for
Internet: www.tigard-or.gov ov Notired/Mc hod: Supplemental in[armatian
TYPE OF ARUM DIVISION PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
❑ Service or feeder 400 amps or more ❑ Building occr three stories.
❑ Demolition
❑ Other. where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑1- and 2-family dwelling ® Commercial/industrial 0 Accessory building amps fora other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency systen_ larger separately derived system.
❑ Addition of new motor load of ❑ "A "E", °I - "l - ",
Job no.: I Job site address: 11845 SW Greenburg Rd 10014P Or more. occupancy
❑ Six or more residence units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard OR ['Health-care facilities ❑ Supply voltage for more than
❑ }lazardous tor—Mans. 600 volts nominal. 1
Suite/bfdg.!apL no.: 220 Project name: f ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description - I
ptroo 1 (NT- 1 ice. I Total I •
New residential single- or multi- family dwelling nail.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. R. or less 168.54 4
Tax map/parcel no.: Ea. add'l 500 sq. ft or portion 33.92
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft) ,
Limited energy, multi - family
Please add low voltage to permit ELC2012 residential (with above sq. R) I 7 2 I
Services or feeders installation. alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps I 13356
Name: 401 amps to 600 amps I 200.34 ? 2
601 amps to 1,000 amps 301.04 i 2
Address: Over 1,000 amps or volts 552.26 2
Ci ! State!ZIP: Temporary services or feeders installation, alteration, and /or
n relocation _
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
1 201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease., rent, or exchange, according to ORS 447, 449, 670, and 701. l
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2
. each branch circuit
Business name: B. Foe for branch circuits without I
service or feeder fee, first
56.18 I 2
Contact name: branch circuit
Each add'/ branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
C % S1ate/TIP: Each manufactured or modular 6i 84 2
rty dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84
E -mail:
Sign or outline lighting 67.84 2
CONTRACTOR Signal cireui:(s) or limited - energy
Business name: Vast Electric, Inc panel, alteration, or extension. Page Page 2 76.00 2
Each additional inspection over allowable in any of the above
Address: 1525 Seattle Slew DR SE Additional inspection (I hr min) 66.25/ hr
City/State/ZIP: Salem, OR 97317
investigation (] hr min) 66.25/ hr
industrial plant (1 hr min) 78.18/ hr
Phone: (503) 799 -5627 Fax: (503) 585 -8828 Inspections for which no fee is 90.00/ hr
specifically listed (X hr min)
CCB Lic.: 175531 I Electrical Lie.: C -280 Suprv. Lie.: 5186S ELECTRICAL. PERMIT FEES
Suprv. Electrician signature, requited: (25% Subtotal: 75.00
• Plan review (25/0 of permit fee):
Print name: Tim Vander Stoep Date: 11/28/2012 State surcharge (12% of permit fee): 9.00
TOTAL PERMIT FEE: 84.00
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
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Electrical Permit Application RECEIV . -
FOR OFFICE LE t). \�h
City of Tigard NOV 2 1 2012 I DakiByd / I �.�,1 1..- Si''' Permit No.: - � a . e . J - DO & 4. r
. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960G`''y T�' Other Permit:
T I n K n Inspection Line: 501639.4175 BU��DING U191S Date Reedy /By. r ® See Page 1 for
Internet: wvw.ligard- or.gov Notifieevw rod. ' rp Supplemental Information
TYPE OF WORK PINY REVIEW
❑ New construction ® Addition /alteration/replacement Please abed( all that apply (submit 2 sets of plans wlite ms checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition
❑ Other: where the available fault current
❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 rolls or ❑ Floating buildings.
® Cornrr�rciaL industrial less to ground, or exceeds 14.000 ❑ Commereial -use ncuhural
❑ 1- and 2- family dwelling
❑ Accessory b uilding amps for all other installations. buildings
❑ Multi - family ❑ Master builder ❑ Other. ❑ Fire pimp. ❑ Installation of75 KVA or
JOB SITE LNFQRMATION AND LOCATION ❑ Emergency system. lager separately derived system.
❑ Addition of new molar load of ❑ "A ", "C, l -2 "1.3 ".
Job no.: I Job site address: 11815 SW Greenburg RD 100HP more. occupancy.
❑ Six or mere residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard OR ❑ Health-care facilities. ❑ Supply voltage for more than
❑ I- Ivardot s locations. 600 volts nominal.
SuiteibldgJapLno.:220 Project name: ❑ Service or feeder 600 amps ormore.
' FEE SCHEDULE
Cross street/directions to job site: Description
I djrv, I pee. 1 rout 1 •
New residential single- or multi- family dwelling unit.
Includes attached garage
•
Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4
j ax map /parcel no.: Ea. add'[ 500 sq. ft. or portion 33.92 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi-family
Tenant Improvement residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation _
200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 1 33.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 55226 2
City /Slale/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or Ice 59.36 l
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits— new, alteration, or extension, per panel
!� A. Fee for branch circuits wuh
® APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7.42 2
each branch circuit
Business name: Vast Electric, Inc. B. Fee for branch circuits wilhous
service or feeder fee, first I 56.18 56.18 2
Contact name: branch circuit
Each add'[ branch circuit 3 7.42 22.26 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular I
City /State/ZIP: I 67.84 2 '
dwelling, service tend or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail:
CONTRACTOR Sign or outline lighting 67.84 2
Signal circuit(s) or limited - energy
panel, alteration, or extension. I Page 2 ; 2
Business name: Vast Electric. Inc.
Each additional inspection over allowable in any of the above
Addre 1525 Seattle Slew DR SE Additional inspection (1 hr min) 6625,' hr I
City/State/ZIP: Salem OR 97317 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr mat) 78.18/hr
Phone: (503) 799 -5627 ? Fax: (503) 585-8828 Inspections for which no fee is 90.00/ hr
specifically listed (ii hr min)
CCB Lic.: 175531 I Electrical Lie.: C -280 Suprv. Lie.: 5186S ELECTRICAL PERMIT FEES
,,,./ �� Subtotal: 78.44
Suprv. Electrician signature, require
1� a Plan review (25 %of permit fix):
Print name: Tim Vander Stoop Date: I/ 0/2012 State surcharge (12% of permit fee): 9.41
Authorized signature: TOTAL PERMIT FEE: 87.85
The permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
N um b er of inspections allowed per permit.
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Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
p Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEF. OAR 918-309-000G)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
Other Phone and Data
Total number of commercial systems: 1 •
*No licenses are required. Licenses are required
for all other installations
n.tBtiding\Pair ELC -Pe nitApp doe 07101/10
•
• £ 9Z98 • '01.11 oiipel3 lseA d0[470 , 9Z AoN
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11845 SW GREENBURG RD 220, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
04/08/2013 00:00
ELC2012-00665
PASS - No C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11845 SW GREENBURG RD 220, TIGARD, OR,
97223
Commercial - Electrical
130 Ceiling cover
04/02/2013 00:00
ELC2012-00665
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11845 SW GREENBURG RD 220, TIGARD, OR,
97223
Commercial - Electrical
130 Ceiling cover
04/01/2013 00:00
ELC2012-00665
FAIL
Slack wires required on fixtures
Violation Summary:
Inspector Contractor