Permit T CITY OF TIGARD ELECTRICAL PERMIT
CITY PERMIT #: ELC2007 - 00315
g 14 V
'- t t COMMUNITY DEVELOPMENT
DATE ISSUED: 5/8/2007
T IG L 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101DA 00100
SITE ADDRESS: 13010 SW 68TH PKWY ZONING: C -P
SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 007 JURISDICTION: TIG
PROJECT: US BANK
Project Description: TI and demo with (6) branch circuits without service. Job # 113307
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/ 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: 2 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:
PACIFIC NORTHWEST PROPERTIES BOONES FERRY ELECTRIC INC
9665 SW ALLEN BLVD PO BOX 628
BEAVERTON, OR 97005 WILSONVILLE, OR 97070
Phone: 503 - 626 - 3500 Contact #: PRI 503 - 682 - 4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 - 223C
[ELPRMT] ELC Permit 5/8/2007 $80.10 LIC 88482
[TAX] 8% State Surcharge 5/8/2007 $6.41 SUP 3170S
Total $86.51 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 wit 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 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Ji /j / 1 _ Permittee Signature: 3, `-' ,- Il C .Gt' f 7 r7(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'N: 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.
E]May, 8. 2007 20AM iicaB 00NES FERRY E N P. r
4 + + �r»�Qlt ni !c i� ��s. oN>I 7747 4 � x.
City of Tigard _ Re� ' +.� -- : =� . ���ti ,�;.�
• if tt �t � � :' ` DataB : r J Permit No.: I. LG 2C0-7-- � • ■�J
MM 13)25 SW mall Blvd., Tigard, OR 97221
f R `, Phone: 503,639.4171 Fax 503,598.1960 Plan Review i ,. --∎ A,�g�•. � )
- �5"M Inspection Line: 503,639.4175 200 Date/13 : Other Permit: M AYi i� � T ,
�T l s r w Data lteadyiay:
Internet www ti gard -or gov t . , age ; _�
Notified/method; ty n1w 1 !'f r s t �i r k� r r + � SupDtemental lnror
• !LsrY,rxn ;�T w s.rrt: ! i' �l�' 1v,�tt7 t?i�11Jti i a sa c. Y c1 i 3
L ., r t:.e s z1 1 � 4 i �.r{ r
1 . I n .+ t M , -�
,,.. �_ � 1 =r.',. '{; ,_ f 1 .,.:. r� 1 }..., #_,.Fi ;_ tip, l �lAr L + l��r�: > +.t �� 6�:x. r' 1agii e, n;(�i
0
New construction ,� Addition /alteration/replacelitent • Please clunk all that apply PP Y (submit 2 sees of pions w /items checked below):
❑ Demolition 1E1 Outer ❑ Service or feeder 400 amps or more 13 Building over three stories.
il l
` t� r f f r i i3 st ' i f rc 3 + t i � fSi f { tr ^Ir lr wham the available fault current ❑ Marinas and boatyards,
- 1l a .�t S;s ^ e - i! ,F 1 j,gl,[ IS 7 C,c -�M1' ' „ r t ra4 , ` 4}t n'. exceeds 10,000 amps al 150 volts or ❑ Floating buildings
r�,,.ir�.S .r.., -v, ry .f .ls,d_,it f4,._: g
❑ 1- and 2 - family dwelling ►� _ OmnterCial /industrial less to ground. Or 'exceeds 14,000 ❑ Commercial -use agricultural
❑ Accessory building steps for all other installations, buildings.
_ ❑ Multi family ❑ Master builder
i�} i�S tiT ?.l � � ° v T'T k'R � 0 � c pum
z ➢ - ,rrZ -„ cr� z r 0 of 75KVAor
.6!! , �}'?Cy , r ea `11Jr�i eL`p i fifi
, , `t n�l�iFt i j t J rr 1 i, r,. ^'� g r f g yE s uer , g paroled del
4� t� t r- •l'.'!:� .� r.,..: ^� . ; „ ,j` ❑ S Plr orer ens y Ian eras y rvm.
t ter "-k - ` T El� 4 r r 1 j r ' t•_„ 0 Addition of new motor load of
Q ., A „ r.E„ .,d- z'• °1.3„ ed syste
-�� Job site address_ 1 c , n � key 100Hp or more, occupancy.
Job no.: �
�+ S� 1.D$ h ❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: 1 , yR Y o (� a � , 1 ❑Health -care facilities.
" 4 ❑ Supply voltage for more than
• ❑ fla�rdo locations. 600 volts nominal
Suite/bldg. /apt. no.: Project name: 4,- a v s ❑ Service or feeder 600 amps or more
.� J' r� till ! rVrr� 1. m + t'-r r+-r- r rr x
•
Cross street/directions to fob site: L 10- 7 r f i 1r�3J1 , ic u �� j J; P i ` t l�qq ,n '° y r x •
Description �- f tl %g, ; J/f,� . „ko
1iy. $ea. • Total •
- New residential ;single- or multi- fancily dwelling unit.
Includes attached garage.
Subdivision:
500 s Lot no,: 1,000 sq. It or less'
Tax map /parcel no.: _
E. add'l 145.15 4
7^� z7 sq. ft, or portion 33.40 • 1 .
{ r�! '�k{
tII' l T • �i L { ilt� �0gJ� s 9{ j , 1` E a5 r i - '�r• r q r r �3 _ Limited ene rgy, residential .
i .l-.Nlt, .mn�. ..u ti i • ?3a .i.i } 1 ,> r� t i` 1+V. r , . r . 7 a l °�f 2 J i f 1
u �' Mt' u`iuw,� t�,,'�,. ;'• .�.�..c'f , iii. (with shovesq. @.) 75.00 2
De mI1 T , Limited energy, multi - family .
• residential (with above sq. ft.) 75.00 2
Services or feeders installation alteration and /or
r s relocation .
•
rY %3i�l^ij ntk ''mvtrP c rps ,.r `� n 200 am s or loss -
{r ms�ltsrfi is iT n:�tr�zl,TIE a F i 1)4 ; rn(l 1 , ;3 r�} U:FFr - FT " t }1. .5, L P _ 80.30 2
` ' ` 1 '• ` "� F '' •' s�'- -=' 201 amps to 400 amps 106.85 • 2
Name:
Date 5.. 1 D1 All Permits 401 amps to 600 amps 160.60 2
ldress: Payment ❑ Billie Co 601 amps to 1,000 amps 240.60 2
Card Y N To PY Over 1,000 amps or volts • 454.65 2
-City/State/ZIP: Temporary servlces or feeders installation, alteration, and/or
Phone: ( ) JL1r1SdxCt relocation
200 amps or less a 66.85 1
_ Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 11111 100.30 _ 2
intended for sale, lease, rent, or exchange, according to OILS 447, 449, 670, and 701. 401 amps to 599 amps
Owner Signature: Branch ci rcus 133.75 2
T R
Date: t$ - new, alteration, or extension, per panel
��t "i�j 4. }star f ii'�t ' ]ti 1 � )c , t E ` ` x.r� ' � 'rcr � A. Fee for branch circuits with
.,.. .r'i,.,:gFg !7 i .!r-;,..?" �i S`...0 ?�� , i ��. }K S��: 3 �A fpt �t*�I trd F t n .
� +1L-E* R
,,. „� ..t.. � !, t_ , •;4 above service or feeder fee,
Business name: each branch circuit 6.65 2
•
B. Fee for branch circuits
Contact name: without service or feeder foe,
first branch circuit ' 46.85 2
Address: Each add'! branch circuit • 5
6.65
. 2
•
City/State/Z1P: MIseetlaneoas service or feeder not included
Each manufactured or modular
•
11111 •
Phone: ( ) dvvellin_ service and /or feeder 90.90 - . 2
Fax:.:( • )
I; mall Reconnect only 66.85 2
Pump or irrigation circle MI 53.40 2 •
r f fi t, irij., yE s`..;76..ex.3_:I `'to/;]�. ��„ iaH<:: ik tis.,l..'.' , . +,sl,r.f S ", ... / 1.7 - ,. iF k t,, - Sign Outlt E lightin �� .�l�a,.. P� n lig ti g 53.40 2
Business name: Boones Ferry Electric INC Signal circuit(s) or limited-
energy panel, alteration, or
Address: P.O. Box 628 extension. Describe;
Page 2 2
•
City /State/ZIP: Wilsonville OR 97070 Each additional inspection aver allowable in any of the above
Phone: (503) 682 -4936 Fax: (503) 682 Per inspection • 62.50 • _ Investigation pet hour (1 hr m(n) 62.50
CCB Lic.: 88482 Electri Lic.: 3 - 223C 1 . Lic.: Industrial plant per hour
73.75
Suptv. Electricittnsignature, Ulre•' �. • ::1i.,: r �,j 1 �f51.11�E a IF �9( ?`s)�� tai -� °2 m i s�� {K?
n9 ��. � - ! 10 al:
:Subtotal: i Q
.nt name.
`.3 r '�< DaN 5 $ Plan review (259�a of permit feep '
/Authorized signatur- • ` Stale surcharge (8 %af permit fee
• TOTAL PERMIT FEE: + 51
M , - Date: This permit applira expires ire permit Is not obtained within 180
Print name: ,111111 �li ..
days after it has been accepted as complete.
1 : �luildingtPrimiv\ELC PermitApp,d°a 05/27/06
• Number of inspections allowed per permit.
440 - 46 1 5 T(11Po3/COM/W 6a
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27 /2007 TIME: 7:O0AM PAGE: 56
•
SITE ADDRESS: 13010 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: US BANK
DESCRIPTION: TI and demo with (6) branch circuits without service. Job # 113307
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: 503 -626 -3500
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503 -682 -4936
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover ! 0 503 -682 -4936 N
Corrections /Comments /Instructions:
o3 -5\ ,
%,% MALL t-Vv&
.�. 2 F oe 1-664 I WALLS I fielK s i ACS s 1a
C., E I La Ciktqa k.-`; et4t •
VpaiziaU fbiL cokia
n PASS PARTIAL APPROVAL ❑ CANCEL ILi NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: : NOS LE Date: 6 Phone #: (503) 718 - 1- 444