Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00362
� DEVELOPMENT SERVICES DATE ISSUED: 7/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S113AD-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, (1) on rooftop, (1) above mezzanine. Job # 92925.
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 7/5/2006 $53.50 LIC 203
[TAX] 8% State Surcharge 7/5/2006 $4.28 SUP 44605
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.
O Y
Issued By: � Permittee Signature:
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.
JUL -05 -2006 10:57AM FROM -OR ELECTRIC SVC 5035352763 T -405 P.003/004 F -710
4 tric:a1 r grim i ti 1 IV ,' _ ,,.. , r
City of Tigard Sri R y ad � 0 6 _ ' 1
`J -b Date/BY: I - PennttNo � 0 C �
13 i 25 SW Hall Blvd., Tigard, OR 97223 - pm Review '�
Phone: 503.639,4171 Fax: 503.598.1960 {� Other Permit:
Inspection Line 503.639.4175 �" L 1 �� U s 11 f ti Cot Ready/13Y Jug= ® See rage 2 for
ww
Internet w.citigard.or.us CITY OF TIGAR u No tifed/ Melhoci 1 r I S °gyp lementallnformation
.( II°N PLAN REVIEW
❑ New construction ® Addition /alteration/replacement Please check all that apply:
❑ Demolition Other ❑Service over 225 amps, comae' ❑Hazardous location
0 ❑service over 320 amps — rating DBuildng over 10,000 sq. it.,
CATEGORY OF CONSTRUCTION of 1- and 2-family dwellings 4 or more new residential
0 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building ❑System over600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑ Other: ❑Building over three stories :Weeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufact u'ed atructurrs Or
JOB SITE INFORMATION AND LOCATION ❑Eg'ess/Iighting plan RV park
Job no.: 92925 I Job site address: 16600 SW 72 ND AVE. ❑Hralth facility ['Other:
Submit 2 sets of plans with any of the above.
City /State/Z1P: TIGARD, OR The above are not applicable to temporary conavttction service.
Suite/bldg. /apt. no.: 10 Project name: FLIGHT DYNAMICS FEE SCHEDULE
neneriptieo 1 Qty- 1 Fro J Tool I ••
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
I,000 sq. It or less 145 -15 4
Subdivision: s I Lot no.: Ea. add'I 500 sq. ft. or portion _ 33.40 _ l
Tax map /parcel no.: Limited energy, residential 75.00 2
- Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
INSTALL (2) 30 AMP CIRCUITS, (1) ROOFTOP, (1) ABOVE MEZZANINE dwelling service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or ICas 1 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps I60.60 2
Name: ROCKWELL COLLINS/FLIGHT DYNAMICS 601 amps to 1,000 amps — 240.60 2 _
Address: 16600 SW 72 AVE Over 1,000 amps or volts 454.65 - 2
Reconnect only 66.85 2
City /State/ZIP; TIGARD, OR 97223 Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66.85 1
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, ltasc, rent, or ctcbange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps _ 133.75 2
Owner signature: Date: - Branch circuits - new, alteration, or extension, per panel
Cl APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, C
each branch circuit 46.85 �� . 8 5 2
Address:
Each add'I branch circuit 1 6.65 .62_,- 2
City /StateJZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal cirrtrit(s) or limited-
CONTRACTOR energy panel, alteration. or
extension_ Describe: Page 2 2
Business name: Oregon Electric Group
Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97214 1. .. • Investigation per hour (1 hr min) 62.50
F T
Phone: (503) 234 -9900 I Fax: (S03) 535 -2763 - - • Industrial plant per hour 73 -75 -
ELECTRICAL PERMIT PEES*
CCB Lic.: 203 1 Electrical Lic.: 2 • " 1 up tc.: 4460S Subtotal 5 3 , SD
Suprv. Electrician signature, requited: / -!.. / Plan review (25% of permit fee)
Print name: M !AYK `3 • Ke " 0 ' Da e: D /
State surcharge (8% of permit feel 4 - of $
- / TOTAL PERMIT FEE ' i g
Authorized signature: /Lii� This permit apptication expires if n portnit Is not obtained within 1811
�� • days after it hm been areepted as complete
Print name: M arl. c. . ,K • vwmAl_ / De 7151 methodology • Fee methodolo set by Tri• u Shading indnsay service Board
•• Number of iospoctiona per permit allowed.
i :e Buildln5ePennitalELC- PehhApp.doc 12/03 41111 44046111110/02/COM/W0n
I
CITY OF TIGARD
BUILDING DIVISION 4 ,
PERMIT #: ELC2006-00362
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 id8WAJ
INSPECTION WORKSHEET FOR DATE: 8/28/2006 TIME: 7:00Alvi PAGE: 41'1
SITE ADDRESS: 16600 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: 009 TYPE OF USE:
PROJECT NAME: FLIGHT DYNAMICS
DESCRIPTION: (2) branch circuits, (1) on rooftop, (1) above mazzanine. Job # 92925.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503.231-9900
Inspection Request Scheduled For: Date: 8/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final R e" .. 035635-01 503-793-5706 Y
Corrections/Comments/Instructions: SIA f, yak) 1\
Cr. O'Sb
0 PASS I PARTIAL APPROVAL El CANCEL n NO ACCESS
FAIL Y FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: .T • vli 11._ Date: 4 itl•-i ' 06 Phone #: (503) 71814110
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2 {30€;-00362
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7!5!20 06
Phone: (503) 639 -4171 ',, i'
Inspection Requests (24 Hrs.): (503) 639 -4175 .szari AU—,
INSPECTION WORKSHEET FOR DATE: 8!23!2006 TIME: 7:O3AM PAGE: 15
SITE ADDRESS: 16600 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: 009 TYPE OF USE:
PROJECT NAME: FLIGHT DYNAMICS
DESCRIPTION: ( branch circuits, (1) on rooftop, (1) above merzanine. Job # 9 2925.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 -2 9900
Inspection Request Scheduled For: Date: 8/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final • 035442 -01 / �� .503.84?4•2610 Y
Corrections /Comments /Instructions:
4 ' . 2.6"0% ..^� it tai 1.06 A ;a , G�(k. tJ
yJN.c"�__v( 1 ON - %N -S" CSOILS .
10 STRA - I Nn N 1.4 , ► cecsvc'c..
1/4.) sew a
•
L PASS n PARTIAL APPROVAL CANCEL NO ACCESS
IA CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
spector: N 66 Date: et' 2 OL Phone #: (503) 718- VAL
•