Permit ! p CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELC2013 -00355
Date Issued: 06/26/2013
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S101 DA01500
Jurisdiction: Tigard
Site address: 7150 SW FIR LP 100
Project: Spec Space Subdivision: 72ND BUSINESS CENTER Lot: 5
Project Description: (2) branch circuits for TI
Contractor: COCHRAN INC Owner: DHS LLC
7550 SW TECH CENTER DR #220 15 OAKWOOD AVE
TIGARD, OR 97223 NORWALK, CT 06850
PHONE: 503 - 234 -6564 PHONE 503-372-0677
FAX: 503 - 238 -2098
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 06/26/2013 $63 60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/26/2013 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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. ATTENTIO • • - ,on law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 - 001 -0010 rough OAR 9 : 001 • r u may obtain a copy of the rules or direct questions to OUNC by call 987 or 1.800 332 344
Issued : // Pr Permittee Signatur �, %L �.a%' ( ��
•
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 ApplicationEIVED FOR OFFICE USE ONLY «;,
City of INSIMPII Tigard
R
e -
eceived
permit No .
JUN 2 6
Date/B ��"'4� ��
1111
- ° 13125 SW Hall Blvd., Tigard OR 97223 203 Plan Review
Phone 503 - 718 -2439 Fax: 503 598 Date /B Other Permit.
TIGARD Inspection Line: 503.639.4175 � 'YQFTIGARD Date •
Ready /By. Other
El See Page 2 for
Internet: www.tigard- or.gov BUILDI Notified /Method Supplemental information
TYPE OF WORK PLAN REVIEW
El 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 over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi - family Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
rn Li SO JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E", "l 2 ","I - 3",
p IOOHP or more. occupancy.
Job no.: y 8 LA 5 Job site address: 1 1 5Q S U., -4. 2- ❑ Six or more residential units. ❑ Recreational vehicle parks.
p ❑ Health -care facilities. ❑ Supply voltage for more than
City/ State/ZIP:
10 (� > 9 Z Z vt ❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: 1 D n Project name: e g m Ali me�'�—' ❑ Service or feeder 600 amps or more n FEE SCHEDULE
Cross street/directions to job site: S 1 Z nc-+C ue n , A _N Description 1 Qty- I Fee. 1 Total i *
_ 1 New residential single- or multi - family dwelling unit.
S LID 1 I r 5-7-•- Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
-For \ Limited energy, multi - family 75 00 2
ed t r C l - c u. l i L -.5 1 \ 1J f residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
e 7 ` et- G..,E. 200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/State/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 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.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT CONTACT PERSON above service or feeder fee, 7.42 2
each branch circuit
Business name: C Uc n .171.C..... B. Fee for branch r fee, without
service or feeder fee, first I 56.18 �� i e 2
Contact name: pi A n aeon n branch circuit
Each add'1 branch circuit ( 7.42 '7 I. 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
City/ State/ZIP: dwelling, service and/or feeder
� � 1) Z z1 Z z f Q 1) � 6 e � Reconnect only 67.84 2 8 Phone: S CJ Fax: : ( V
Pump or irrigation circle 67.84 2
E - mail: rtr- Oae..h .") GCxil ("a n i nC, C D rn Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name: COCHRAN INC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 7550 SW TECH CENTER DR. SUITE #220 Additional inspection (1 hr mm) 66 25/ hr
Investigation (1 hr min) 66.25/ hr
City/ State/ZIP: TICARD OR 97223
industrial plant (1 hr min) 78 18/ hr
Phone: (971) 205 -4242 Fax: (971) 205 -4268 Inspections for which no fee is 90.00/ hr
specifically listed (A hr min)
CCB Lic.: 72942 Electrical Lie.: 37546C uprv. Lic.: 3447S ELECTRICAL PERMIT FEES
\C____3\.‘„,_ �/
Subtotal. � • (
Suprv. Electrician signature, required: ` ` Plan review (25% of permit fee)):
Print name: KENNETH /• TO Date: 6 - 1,6 --/3 State surcharge (l2% of permit fee): 7, f
l Ai/ ` TOTAL PERMIT FEE: 7/ . Z.3
Authorized signature: / i/J 4( � Y ,�. This permit application expires if a permit is not obtained within 180
CCC ^ 7 � / 3 days after it has been accepted as complete.
Print name: �U ru f1 �t2G Date: • Number of inspections allowed per pennit.
us\
1 \Building \PermELC -P � pp doe 07/01/10 440 -4615T(1 I /05 /COM/WEB
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
7150 SW FIR LP 100, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
06/28/2013
ELC2013-00355
FAIL
Fire extinguisher one per 3000 square feet no more than 75 ft apart
Change occupancy title at city to reflect new tenant
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
7150 SW FIR LP 100, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
06/28/2013 11:15
ELC2013-00355
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
7150 SW FIR LP 100, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
06/28/2013
ELC2013-00355
FAIL
Work not complete, not ready for inspection R109.3 ORSC
Fixtures in hall missing
Violation Summary:
Inspector Contractor