Permit _? CITY O F TI GA ® ELECTRICAL PERMIT
f, ' •,,. „ PERMIT #: ELC2008 -00324
COMMUNITY DEVELOPMENT DATE ISSUED: 6/9/2008
TIdAIZq, 13125 SW Hall Blvd Tigard, OR 97223 503.639.4171
• • PARCEL: 2S110DC -02300
SITE ADDRESS: 11535 SW DURHAM RD C -1 ZONING: C -
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT : JURISDICTION: TIG
PROJECT: WILLOW BROOK BUSINESS CENTER
Project Description: (2) branch circuits for TL
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 HMI 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:
HIP WILLOWBROOK LLC E TECH ELECTRIC
PO BOX 2708 3350 NW ASHLAND DR
PORTLAND, OR 97208 BEAVERTON, OR 97006
Phone: Contact #: PRI 971 - 570 -9298
FAX 503 - 690 -9185
FEES
Description Date Amount Reg #: ELE 34 -628C
[ELPRMT] ELC Permit 6/9/2008 $53.50
LIC 156530
[TAX] 12% State Surchar 6/9/2008 $6.42 SUP SOOSS
Total $59.92 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 b- : • - . - • rdance with approved plans. This permit will expire if work is not started within 181 • . s of issu - e, or i , ork is suspended for
more • - n 180 days. A • TION: • regon law requires you to follow rules adopted by the Oregon • i y Notific..'0 ' enter. Those rules are set forth in
OA 952 - 001 -0010 through • ' - •52 -:0 •' 00. You may obtain copies of these rules or direct • destions to OUNS at 503.246.6699 or 1.800.332.2344. i,
Iss' -d By: / 4, " / Permittee Signature: Y i f 4 Ann wrippiP .
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:
F ONTRACTO" 1 , ALLATION ONLY
SIGNATURE OF SUPR. ELECC
/'� DATE: t � .
LICENSE NO: . 7_:0 S
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.
a li ''''1"�,.. x y 1 VAirl ti ing' dti' 1 d- l tr.g [ i �. i t i r i , l
Electrical: Permit Application , �'ti FORo FFIt E`USEONLY ,i,,1, t - �,,4 .:
v-.•
Received ? gj 3 ��
; • City of Tigard Date/
By: ? d 0 , 1 PermitNo.: -.�
a ° 13125 SW Hall Blvd., Tigard, OR 97223 Y
g Plan Review
I r 'hr, Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
`" 4 Inspection Line: 503.639.4175 Date Ready /By: 1 u� / ® See Page 2 for
€. T I .T-1 G A R U Notified Method: l Supplemental Information
G ..4 It Internet: www.tigard- or.gov
E OF WORK 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 over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGOR 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 C ommercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION. AND LOCATION, ❑ Emergency system. larger separately derived system.
y ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "I - ",
Job no.: Job site address: I ( 5 3 5 S UV Du ( l'$ t Six or NI 4 - C -1
0 or or more. occupancy.
Y more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: 7-! 6,47e t t 0 ? 9 7 2 ' Z 3 ❑ Health -care facilities. ❑ Supply voltage for more than
' ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: C— 1 Project name: IA) f LLow 13/0)/( gUci,uss ❑ Service or feeder 600 amps or more.
/ � (� / FEE SCHEDULE,.
Cross street/directions to job site: D u tz.1 r A 1 / -1 q Description 1 Qty. 1 Fee. 1 Total 1 •
// t vv New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel no:: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential
.DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
//1� f� Limited energy, multi - family 75.00 2
AO 0 2 C-K7 S F: b (_ 1 7 E5 ._ residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
0 PROPERTY' OWNER .0 TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) . 200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own 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 701. . 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, • er panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT. , ' ❑: CONTACT PERSON abov service or feeder fee, 6.65 2
. each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, / /�
46.85 '�l 6 ' 2
first branch circuit
Address: Each add'I branch circuit / 6.65 (a / (0S— 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
• dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 - 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: C - 7EC 1 LE ' L L Signal panel, or limited-
4 / /` /� energy panel, alteration, or
Address: 33 5 C3 N W / 3 d / I U [..�'N u ,) 1 , extension. Describe: Page 2 2
�^ Each additional inspection .over. allowable in any City /State /ZIP: ��q � / �� O � 617 QV () y of the above
Per inspection 62.50
Phone: ( 7O 1 ) s `? g � Fax: (S'0 3) 6 0 -- 9 / S Investigation per hour (1 hr min) 62.50
CCB Lic.: / S 6 ,S S 0 Electrical Lic.: 3 it.. ( o i zU C Suprv. Lic.: S 0(5 Industrial plant.per hour 73.75
/ 7 . ELECTRICAL PERMIT FEES' ,.y -
Suprv. Electrici n s required�4, Subtotal: 5 3, 5v
Print name: N/ Plan review (25% of permit fee). �— ri
K t v/ J 4SJ 7 Date: g -- 6 _ U 'State surcharge e (8% of permit fee): (p
Authorized signature: /� , — TOTAL PERMIT FEE: 5q.9 2
j ' This permit application expires if a permit is not obtained within 180
Print name: JVIC K i \ , S 10 Date: 6 0 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I.\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(tt/05 /COM/WEB
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*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OF
�pnn x n�"n TIGARD
BUILDING DIVISION
' `
~�~°,~~~°,,°~= ~°,°,~°,~~,~ - PERMIT #: Et .C2008-00324
13125 SW Hall Blvd., Tigar . OR 97223 DATE ISSUED: 6/9/2OU8
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639'4175
INSPECTION WORKSHEET FOR DATE: 6J23/2008 TIME: 7:018h4 PAGE:
SITE ADDRESS: 11535 SW DURHAM RC>[}1 CLASS OF WORK:
SUBDIVISION: VN|J-0VM3R0DK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: MLLOW BROOK BUSINESS CENTER
DESCRIPTION: (2) branch circuit for TI.
OWNER: HIP VNLLOVVBR0ONLLC. PHONE #:
CONTRACTOR: E TECH ELECTRIC PHONE #: 97157(19298
lnspection Request Scheduled For: Date: 6/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
189 Electrical final 071719-01 971-570-9298 N
^ -~
Corrections/Comments/Instructions:
/
�� PASS �� PARTIAL ���AN�EL �� NO ACCESS
- �� � .
FAIL 1 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
r‘rl ‘'1 3 -
Inspector: G Phone #: (503) 718- P VD
,
'' ' '
T ■A� a � ^(
CITY OF ■ IGA■ l
BUILDING DIVISION PERMIT #: El t 20033 -(0324
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 619/20013
Phone: (503) 639 - 4171 °' ^
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/17/2008 TIME: 7 :O0AM PAGE: 37
SITE ADDRESS: 11 535 SW DURHAM RD G1 CLASS OF WORK:
SUBDIVISION: WILLOWt3ROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: 1MLLOW BROOK BUSINESS CENTER"
DESCRIPTION: (2) branch circuits for TI.
OWNER: HIP WILLOWt3ROOK LLC, PHONE #:
CONTRACTOR: E TECH ELECTRIC PHONE #: 971 - 570 -9298
Inspection Request Scheduled For: 7 D ate:_ __6 /17/2008 Pour Time:
Code : • • -ction Description / Confirm # Contact # Message
130 Ceiling cover 071457 -01 971..'_- 70 -9298 N
Corrections /Commef is /Instructions:
a PASS n PARTIAL APPROVAL ❑ CANCEL I 1 NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gr N 6Q L' Date: 6( ` 1 Phone #: (503) 718 - L 'o