Permit CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES
PERMIT #: E 8/2006 -00506
DATE ISSUED: 9/8/2006
''' =- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S 113AD -01900
SITE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT : 009 JURISDICTION: TIG
Project Description: (2) Branch circuits for outlets in training room "L ". Job # 93733.
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: 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:
PACIFIC REALTY ASSOCIATES OREGON ELECTRIC GROUP
15350 SW SEQUOIA PKWY #300 -WMI 1010 SE 11TH AVE
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 9/8/2006 $53.50 LIC 203
[TAX] 8% State Surcharge 9/8/2006 $4.28 SUP 4460S
Total $57.78 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 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: ()��J�(�L✓ Permittee Signature: ('pr& tl V)
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.
SE•P -07 -2006 04:14PM FROM -OR ELECTRIC SVC 5035352763 T -867 P.001 /002 F -576
.Electrical Permit A `� E® _ I
C. eived I City of Tigar ' 0 7 Rev iew Other Permit
13125 Hall Bvd., Ti , OR 97223 ! oo n �a/
S� page 2 or
phone: 503.639.4171 Fax: 503.598. ley /By Sapplematalltormadoa
Inpection Line: 503.639.4175 CITY OF TIGAR NotiSediMethod
Internet www.ei.tigad onus ING DIVISIO PLAN REVIEW
TYPE OF WORK Pl�se check all that apply:
❑ Ncw construction ® Addition /alteration /replacem ps se e over 225 amps, comm'l ['Hazardous location
ID Demolition ❑ Other: DSc-vice over 320 amps - rating ❑ Buildng over 10,000 sq, it_,
dwellings new rei
sdential
of 1- and 2 -family Ps 4 or more ne units in one w res de
• CATEGORY Of CONSTRUCTION b urldin ❑SY:,tem over 600 volts nominal units
amps or more
Commerciallmdusuial 1=1 Accessory g ❑Building over three stories ❑Feeders, ps
❑ 1 and 2-family dwelling ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures or
❑Multi - family ❑Master builder ❑ 0Egtesslliglhting plan RV park
JOB SITE INFORMATION AND LOCATION ❑Oter
❑Hcalrh -care facility
sitc address: 16600 SW 72 " AVE Submit 2 sets of plans with any of the above.
Job no.: 93733 Job s e a bove are not applicable to temporary construction service.
City /StateIZ1P: TIGARD, OR The
SCHEDULE ..
Suite/bldg./apt. no.: Project name: ROCKWELL COLLINS nevtpdon Qq'• MIZEIIIEM
Ncw residential single - or multi-family dwelling unit.
Cross street/directions to job site: Includes attached garage. ��_ 4
1,000 sq. R. or less l
Ea. add'l 500 sq. A or portion _ 33 -40 r
Lot no.: 75.00 _ 2
Subdivision: Limited energy. residential 2
Limited energy. non - residential 75.00 r
Tax map/parcel no•= Each manufactured or modular . 90.90 2
DESCRIPTION OF WORK dwcllin: service and/or feeder
INSTALL OUTLETS IN TRAINING ROOM "L" Services or feeders installation, alteration, � and/or relocation
2
200 amps or less 2
201 amps to 400 amps 106.85 Mil [l TENANT MI 160.60 ME 2
❑ PROPERTY OWNER 401 amps to 600 amps
601 amps to 1,000 amps 240.60 - 2
Name: FLIGHT DYNAMICSlROCIC3✓RLL COLLINS 2
Over ] ,000 amps at volts 2
Address: Reconnect only r
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: relocation 66 B5 _ i
Fax: ( ) 200 amps or less 2
Phone: ( ) that I own which is not 201 amps to 400 amps 11111 100.30 Owner f or sale, lease, This installation is being made oo O , 449, 670, and 701. 401 amps to 600 amps ®� 2
intended for sale, l rent, or exchange, according
Date: Branch desalts -new, alteration, Or extension, per panel
Owner signature ranch circuits with
❑ APPLICANT CONTACT I'F -RSON A Fee for branch
or feeder fee, Cach 2
branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, y(p . 2)D 2
Contact trams. each branch circuit ® � 2
Address: Each add'l branch circuit
Miscellaneous (service or feeder not 2
City/State/ZIP: Pump Or ini atron Circle OM Fax:: ( ) Sign or outline lighting 53.40 r
2
Phone= ( )
Signal circuit(s) or luhsitad-
E - energy panel, alteration, or Page 2 2
CONTRACTOR panel, extension, Describe
Business name: Oregon Electric Group
Each additional lospcCtton over allowable In any (Attie above
P i 62.50 r
Address: 1010 SE 11th Ave hour (1 hr min) r 62.50 -
Investigation per
City/State/ZIP: Portland, OR 97214 ill hour 73.75 r
Fax: (503) 53S 2763 ELECTRICAL PERMIT FEES'
Phone: (503) 234-9900 Fax: 5 3 , 5 0
CCB Lic.: 203
Electrical Lic.: 26-95C S . C. : 4460S
Plan review (25% of permit fee)
Sup/. Electrician sighamrc, re d: :40 = ±rr . J State surcharge (B% of permit fen) .. A / t_
Print name: M A YK /��
C e. "A l Dat 09/07/06 TO fAL PERMIT PEE
I
This permit application permit is not obtained v ithin IIN il Authorised signature: days after It t has has been accepted as complete
3 Date: 09 /07/06 • Fee methodology set by Tn - Canty Building Industry Service Boar(r
Print name: M a Y K In •• Number of inspections per permit allowed
a40 -461 ST(i 0/02/COM/WEB
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