7409 SW TECH CENTER DRIVE STE 155 '.1
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CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT#: ELC2003-00004
DEVELOPMENT SERVICES DATE ISSUED: 1/7/03
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S•101DC-04601
SITE ADDRESS: 07409 SW TECH CENTER DR, 155 ZONING: I-P
SUBDIVISION: TECH CENTER BUSINESS PARK
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: Reverse 200amp panel to opposite side of wall.
RESIDENT IA'- UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
•1000 S'r OR LESS: �— 0 200 amp: PUMP/IRPIGATION:
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: t W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st Wr1) SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLA_N_REVIE_W SECTION
1000+ amp/volt: >=4 REE UNITS: _ >600 VOLT NOMINAL:
Reconnect only: _i SVC/FDR—225 AMPS. — CLASS AREA/SPEC OCC: _
Owner: Contractor:
WATUMULL PROPERTIES CORP MID VALLEY ELECTRIC INC.
307 LEWERS ST#6FLR PO BOX 655
HONOLULU,HI 96815 WILSONVILLE,OR 97070
Phone: Phone: 503-682-2955
Reg #: ELE 3-5420
— -- LIC 151602
FEES SUP 34836
Description Date Amount
_ Required Inspe^tions
11?I.1'RM f1 ELC'Pcnnir I - 1 i $80.30
ITAX 18%State Tax I - �; $6.42 Elect'I Servire
Rough-in
Total $86.72 Elect'l Final
I
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specially C,-des and all other applicable laws.
All work wi!I be done in accordance with appro.ed 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 Or;gon Utility Notiflration Center, Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rues or direct questi— a OUNC at(503)
246-6699 or 1.800-332.2344.
Issued By: lri l t P.t.G.c� f�,Jf��(�C,(/� Permit Signature:_ � �� k
OWNER INSTALLATION ONLY
The installation Is being made on property I own witch is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ _ nATE:____
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: -- — DATE:
LICENSE NO: _ -- — --
Call 639-4175 by 7:00pm foi an Inspection the next business day
Electrical Permit Application
H
Date received: _ �. Pe :Tut
EGENED
City of Tigard +r'� Project/appl.no.: Expiredate:
City of Tigard Address: 13125 SW Hall Blvd,Ti g t UJB 77', Date issued: 11%.Dt Receipt no.: _
Phone: (503) 639-4171 1J ,,000UJ
Fax: (503) 598-1960 Case file no.: Payment type:
CITY OF TIGARD -
Land use approval: BUILDING DIVISION
1
;ob
2 family dwelling or accessm Cornmercial/industrial ❑Multi-family 0 Tenant improvement
w construction Addition/alteration/replacement ❑Other: ❑Partial
drr s: �`. t �Bldg.no.: Suite no.: 1� Tax map/tax lot/account no.:
Lot: Block: Subdivision:
Project name: ,, '� 4, 1 Description and location of work on premises: qe
Estimated date of completion/inspection: i
'CONTRACYORAPPUCATION FEE SUIEDULE
Fee R1ax
_ Description Qty. (ea.) Total no.lns
Business name: 1.041 _ -
New msidential-single ormulti-family per
Address: 7`7 dwelling unit.I.,cludes attacked garage.
City: t�� State: ZIP:y a-10 Service included:
PhaneE-mail: 10(x)sq.ft.or less 4
Each additional 500 sq.ft.or portion thereof
CCB nQ.:` ` G Elec.bus. IDC.no: �— U Limited energy,residential 2
City/metro tic. '' Limited energy,non-residential 2
Each manufactured home or modular dwelling
Si nature of su rvisin ec ricfan(required) pale Service and/or feeder 2
l.ieensena ;3y$�`j Services or feeders-instaltatlon,
Sup,elea name(print �s i c alteration or relocation:
]PROPERIN OWNER 200 amps or less -
Name(pang; a, 2U1 amps to 400 amps z
— 4Ul amps to 6W amps _ =
Mailing address: '— 601 amps to 1000 amps
Clt! State: ZIP: WIQL&A Over 1000 amps or vols— 2
Ph,me:mss. ^. jFax: I E-mail: Reconnect only
Owner installation:The installation is being made on property I own Temporary services or feeders-
which is not intended ;or sale,lease,rent,or exchange according to in+iallatlon,altcratton,nrrelocatlon:
200 amps or less
ORS 447,455,479,670,701. 7.01 amps to 400 amp 2
Owner's si nnturc _ Date: 401 to 600 am s
-new,alteration,
or,
i0l N N: circuits
milon per panel:
Name: I A. Fee fm branch circuits with purchase of
Address: service or feeder fee,each branch circuit _ 2—
City: Stale: ZIP: — B. Fee for branch circuits without purchase
--- - - of service or feeder fee,first branch circuit: 2
Phone: E-mail: Each additional branch cir,uir
Misc.(Service or feeder not Included):
❑Serviaover22Samps-comnutciul UHeelth-carefacility Eachpum or irrigation circle 2 __
❑Service over 320 amps-rating of I fi,2 ❑Hazardous location Each signor outline lighting 2 _
family
dwellings ❑Building over 10,000 square feet four or Signs,circuit(s)or a limited energy panel,
❑System over 600 volts norninal more reridential units in one su cture alteration,or extension"'
❑Building over three stories ❑Feeders,400 amps or more "Description:
❑Occupw,t load over ng persons ❑Manufactured structwes or RV park Fich additional Inspection over the allowable in any of the above: —
❑Egressllightingplan ❑Other. Perinspection
Submit sets of plans with any of the above, Investigation fee
'I he above are not applicable to temporary construction service. Other _
-- Permit fee.................... $
Not ell Jutiutictirms trcept credit cards,please cell p indiction for mon information. Notice:This permit application
❑visa ❑MasterCard expires if a permit is not obtained Plan review(et _ �) $
Credit card num'ter.— __ / / . within ISO days after it has peen State surcharge(846) ....$
Expires accepted as complete. TOTAL .......................$
Name o Withal r as shown on credit card
Cardholder uprature Amount r ,}.4615(6100I000M)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received _Date Requested_— _ AM _ __ PM___ BUP
Location4 G _
ti suiteMEC
Contact Person . Ph(--) �2K PLM
Contractor 72 0( - ( c ( SWR _
BUILDING _ _ Tenant/Owner _____-__ _ E:LC -3 ALU
Footing
Foundation ELC
Ftq Drain ELR
Crawl Drain _
Slab Inspection Notes: srr —
Post&Beam
Shear Anchors t —
Ext Sheath/Shear
Int Sheath/Shear ,
Framing —._-___---
Insulation
Drywall Nailing
Firewall
Fire Sprinkles -----
Fire Alarm
Susp'd Ceiling
Roof
Other: —
Final —
PASS PART 'WL
PoSt&Beam
Under Slab
Rough-In
'Nater Service - - --
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final ---------------
PASS PART FAIL — - -- —
MECHANICAL
Post& Beam
Rough-In - --
Gas Line ------------ - --
Smuke Dampers
Final
PASS PAR'r FAIL
ELECTRICAL
Service----- — — --- -- --------- --- --
Rough In
Uta/Slab
Low Voltage —
F farm
PART FAIL Reinspection fee of y_—.—_.____.required before next inspection Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE:— [� Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk I>ta•b- C - , Inspector —
Other: \/
F� a! —_ — DO NOT REMOVE this Inspection recortl from the Job site.
PASS PART FAIL