Permit 4 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00323
�i1.., DEVELOPMENT SERVICES DATE ISSUED: 6/7/2006
-- ---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 AD - 00803
SITE ADDRESS: 12600 SW 68TH AVE ZONING:
SUBDIVISION: PORTLAND HEIGHTS LOT : JURISDICTION: TIG
Project Description: TI Job No. 1614
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/ SVCI 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: 6 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:
EQUITY GROUP FUND 1, LLC NAES POWER CONTRACTORS INC
BY KURT DALBEY 2130 NE GRIFFIN OAKS ST #700
7125 SW HAMPTON HILLSBORO, OR 97124
PORTLAND, OR 97223
Phone: Contact #: FAX 503 - 681 -4823
PRI 503- 681 -4664
FEES
Description Date Amount Reg #: ELE 5 - 33C
[ELPRMT] ELC Permit 6/7/2006 $86.75 LIC 142759
[TAX] 8% State Surcharge 6/7/2006 $6.94 SUP 2121S
Total $93.69 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 9 - 01=0010 throu s AR,952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
:: ) ? L , -_�2;' Permittee Signature: ,7
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:
— CACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ( / , A . 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.
WED /JUN/07/2006 11:46 AM Keizer Electric FAX No. 503 378 1861 P. 003
Ju i . 6. 2006 2 : 36 PM , � ,,r ;., •4*-,r . No 0217 P 2 Y
EElectrical rermt A heatio>n� , *,, , , ; ,,,,,,:, , ,:,, , ,, , -...-1 : ,. - ., , , r (1 IR 0rrlc I s ! . ,r }
City of Tigard D e/e (/ V(0 .! S Pena Nu.: 1Z.C' 912 e, );5' J
13125 SW Hall Blvd., Tigard, OR 97223 Pisa MOW
'
Phone: 503,639,4171 Fax: 503.598.1960 " . > V • " / .>v' , . 1 i , pates . Permit.
' i I
lnspeatlollLine; 903,639.4175 ,1.�a <�i__�s; Dete Ready/By. Id See Page 2 for
Internet www.ci.tigard.or_uS Notified/Method: Iffil SrgrplemeatalInformaton
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0 New construction El Addition/alteration/replacement Please aback all that apply
[] Demolition El Other: 1]5ervtce over 225 amps, commit ❑Hazardous looadon
.......r Demolition ,.. : ” •••.n:,.::ny Oche 19 .•1'111{ {R.ii'g1::Xi�i!:i:P_ C i°_;:{•,i:: .: 7 ::'• . :: • ; {1 i!!I{ n �,rn -5:;f_ ,
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['Service over 320 amps rating ❑ Buildng over 10,000 sq. ft
_.t, `ii I� I t r .1 1 ?, 1 r 1 1 q -, { Il 1` I I , i I , 'i r .. Of 1 z family d 4 Of mOTO new residential ��.x:r'�,r:J ,.!!.. ILhll .. ' 1 11 1d:�a•�c �_.1n, !r•�, , l.ta 1...trlY, ..0 - r..e,.G ,]f$�s�d n.,.1.lc1U1., ,, ,! ( ,i 1 }L� . I ...dl:1i
❑ 1- and 2- family dwelling [A Commercial/industrial ❑ Accessory building ❑ over 600 votes nominal units in one Structure
�] Multi -fly ❑Master builder ❑ p��: 1 ❑Building over three stones ❑Feeders, 400 amps or more
-'
nap 'rP i i i t i i - - -�1 � t:�:• lifllt: Master .-(r.. - ..r_� CCf• «h ; ! { f ! In LJOccupant load over 99 persons ❑Manufactured structures or
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Job no.: j i Job site address: 12600 SW 68 Ave. ❑Health care facility ['Other
Submit 2. sets of plans with any of the above,
City/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service,
! f!_ )'1 :.' %,1 _.,.e s• •;1',:4 '. ■
Suite/bldg/apt, no,: Bldg. E Project name: Office Products Northwest : ; `L: r; 1r -.11 _ii ,i•,F'';. :r:c 1 . ,. r'i � .,_ i _ 141 '
:
flosceipdon Qty_ Fee Total
Cross sn•eet/directlons to Job site: SW Hampton St. New residential single- or multi- family dwelling Unit.
/Deludes attached garage.
, 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. Well 500 sq. ft of porttoa 33.40 1
limited energy, residential 75.00 2
1)32(1118p /petcal no.:
U' 'f I a 1A'! map/parcel n o. ",' . ,n;e {:u i {'; � '- - 'lL�' n 51 ?1 'f' { t i ': ' li,i q - .r.,, — %;- Limited energy, non-residential 75.00 2
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;11tiFf 1!g -�:. �1�. =:cn,.u1, .. '' ... •I :1. ■
Tenant iroproveroent dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 asps or leas ' 80.30 2
' 1 . 111:4 i' , '):7li;;1^•p; r 1nE!il�i'I l
l °%P 1i:l :i �a itt° 1
11 ^1 :' 11 Th 'Hilt ?1?'i1 t r , .1 f1t l it; li,,_I'd:,!uu' •t t _ m - = 201 amps tD 400 amps s 106.85 2
';( Ftl 1 ∎ ,, 1 i11 ! (t � #11111, °1( , 1 ' . , i 1 , 1 ,�. {' ' :111 . �i):11, . ;IIiH1. 1 it 11 - I G i
4 %( i I..t;. + 1 ! I:! .1r ,:r, t nri,._,Ir., _ Ii,o r . ,.. ii6i.,.ia:•...:;:;.11.1.r.1, 1:1.11. y ..._ ;a.:i 401 to 600 amps 160,60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Recouneat only 66.85 2
City/State/ZIP: Temporary services or feeders Installation, alteration, and/or
•
Phone: ( ) Fax: ( ) relocation
200 amps or lase 66,8s 1
Owner Installatiout T'hls inetallatioa is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or excht age, according to ORS 447, 449, 670, and 701. 401 crops to 600 amps 133.75 , 2
Owner signature: Pate: preach circuity -new, alteration, or extension, per panel
!� • ii ll; rigs, I ? !i!1!.il "'1e : ∎ i {;: u:;r )1ii iV. ii. � 1i •{' i' 1l : I I!I derv::,', {' i p,In1 I I : , 1TIV"pi{'f ,LI ?I! i 1 111ilE
,� , 11 I II(I , �i ti � i y 4 ` 1 , 1 ! ,,1 1 1 ,1,1 { (1111 ; ;• . f 1 !' J ; , _ ,�" (1 1 ., ,. �, I ,� A Fee for branch clrcults veldt
. �� y 1Y .. ' I.1 �P . 1 1 1 . I l I 1 i 1 11 :,1,._ 1 t , ; .'..
,,:1'.dl. .,'.111a .. n!:Illn, l', L.IbI!,:a,.ui N,:,l ni,v,1,'I ,i.! t. ,L, i. l,. uII. 1 ! •1!a1�LIJ•��.i�! YL: �� service Or feeder fee each
Business name: brunch circuit _ 6.65 2
• rcu
- B. Fen for branch elroults
Contact name: withow service or feeder fcc,
Address:
first branch circuit 1 46.85 2
Each add'l branch circuit C. 6.65 39, 9d• 2
City /Stater/ZJP: litscellaneoun (service or feeder not Included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
B- triad: Signal circuit(s) or limited-
su4t3 - -u•r . ...•_ , ; , ... : ; ::c _t ;Vi T.:cup s:� %! 11{jM 'S 1 1 i tit i i1Eiill i
. �� ,� 1,,, i %r;_, a ,: ;1 1I ` 1 1;i ;;I I ii : ` ; • 1 1 , 1 ' • ` . , 1 1 t f1 i energy panel, alteration, or
1 to _ � -. ..:._ •. ,rw,:, .
�;- _ -.. � a i e ,111w I ,h,.ls +:a:;::'•IiU f f_ :: ,: L.n •:1.111,:! ..1;:, is tltr ll extension. Describe: page 2 2
Business name: NAES Power Contractors PMRI Division
Address: 2130 NE Grin Oaks St Spite 700 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Hillsboro, OR 97123 Investigation per hour (1 hr min) ' 62.50
Phone: (503) 681 -4664 Fax: (503) 681 - 4813 Industrial) plant per hour 73.75
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CC13 Lie.: 142759 Electrical Lic.: 5.330 Subtotal g34. /
Suprv. Electrician signature, required: I Plan review (2534 of permit fee) -
Print name: O _ D ;' e: Stole surcharge ( of Penult fee) 6 , As) IR TOTAL PERMIT FEE 13, G ._
Aurhorszed Signature: This ponds applicants' aspires It a pormIr is not obtained within 180
days atter 11 has been accepted al complete
Print name: Date: • Fee methodology set by Tri-Cowuy Building Industry Service Board
•' Number of inspections per permitallowed. O
i:aildingTonnitslSLC-PermitApp .doe 17/03 s40- 4015t(10Po7lCOI'tNY$8
CITY OF TIGARD LL
.
BUILDING DIVISION PERMIT #x,006 — 00 . 3 c.
..3 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 1 i,1\ 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ■
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: f a 6 o Q 6 g / (/`� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: C‘—, 7 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
/ y 3 7I7s
Corrections /Comments /Instructions:
411.,/I .! 4 : 4, . m !�
I
n i '
•
PASS 0 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: UV 4 t L Date: i • ..)'1' 06 Phone #: (503) 718- 2 .
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CITY OF TIGARD _
•
BUILDING DIVISION PERMIT #: ELC2006 -00323
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 617/2006
Phone: (503) 639 -4171 !gty '' .,I�IA1
Inspection Requests (24 Hrs.): (503) 639 -4175 ,�': p:_..
INSPECTION WORKSHEET FOR DATE: 611212006 TIME: 7:O3AM PAGE: 10
SITE ADDRESS: 12600 SW 613TFI AVE CLASS OF WORK:
SUBDIVISION: PORTLAND HEIGHTS ' LOT #: TYPE OF USE:
PROJECT NAME: OFFICE PRODUCTS NW
DESCRIPTION: I 1 Job No. 1614
OWNER: EC)LII Y GROUP FUND 1, LLC, PHONE #:
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 5 .
Inspection Request Scheduled For: Date: &121200€ Pour Time:
Co. - • Inspection Description . Confirm # Contact # Message
allk Well cover 031577 503-705-1691 N
Corrections /Comments /Instructions:
AL)Sv' PO .- F A CS csN Sl f,Erf Sar
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• co Nkr. 11i -4 C.R.out z E -t) . 4) ALL oq S . Aq' 25- -
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 -- " .( 4 6A Date: 6 12- % Phone #: (503) 718- 2 44 -