Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: :,20cJ:00365
DEVELOPMENT SERVICES DATE ISSUED:
- - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S136DD -04100
SITE ADDRESS: 11850 SW 67th Ave PARK STRUCT ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT : 007 JURISDICTION: TIG
Project Description: Parking structure, electrical.
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 NW PROPERTIES CAPITOL ELECTRIC CO INC
ATTN: PAUL GRAM 11401 NE MARX ST
P.O. BOX 2206 PORTLAND, OR 97220 -1041
BEAVERTON, OR 97075
Phone: 503 - 626 - 3500 Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description . Date Amount Reg #: ELE 26 - 496C
[TAX] 8% State Surcharge 9/7/2006 $4.81 LIC 48748
[ELPRMT] ELC Permit 9/7/2006 $60.15 SUP 3132S
Total $64.96 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 -234'.
1
Issued By: ' j , �... r Permittee Signature: or ` I I _ ' 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.
Electrical Permit Application FOR OFFICE USE ONLY • , •
City of Tigard Received 1/5/06' a Permit No.: / 4,
13125 SW Hall Blvd., Tigard, OR 97223R Plan Review /
Phone: 503.639.4171 Fax: 503.598.19 � ‘ � A � 1� / Date/I3 Ocher Permi i S OD � �. .
Inspection Line: 503.639.4175 - n' D a te Read /B fur" / El • Page 2 for
Internet: www.ci.tigard.or.us JUN 2 6 20 t': Notified/Method: � r(3t su .I. I me ; l Informati
TYPCUW 161I&GARD \ G �,� r 1
PLAN REVIE �! .....,. rAt
l New constr ❑ Ad.- I : - 't s ac Plea, check all that apply: / ,
❑ Demolition ❑Other: EService over 225 amps, comm'I ['Hazardous location
Service over 320 amps - rating Eguildng over 10,000 sq. ft.,
' . . CATEGO]2Y OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling CommerciaVindustrial ❑ Accessory building ❑System over 600 volts nominal uyts in one structure
❑ Multi- family ❑Master builder ❑ Other: ['Building over three stories v❑i eeders, 400 amps or more
[ccupant load over 99 persons ❑Manufactured structures or
, - JOB SITE INFORMATION AND LOCATION _ 11 gress/lighting plan RV park
Job no.: Job site address: //85- 7.7„.4 ❑Health -care facility ['Other:
lE Submit 2 sets of plans with any of the above.
City /State/ZIP: 1:5A -0-6 r o 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: s tzt .) FEET SCHEDULE .
I t� Description I Qty. I Fee. Total ••
Cross street/directions to job site: Sub ...c. r New residential single- or multi - family dwelling unit.
Includes attached garage.
• 4 ttar'1b N - cS V.l 6 $'T 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
- , . DESCRIPTION" OF WORK , Each manufactured or modular
�
1 t dwelling, service and/or feeder 90.90 2
4e i.i [ [
,� C- ,1 t tAtN� Pfrrta - 1(44 SrYttrCTlSSI� Services or feeders installation, alteration, and/or relocation
J 200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
PROPERTY OWNER 1 - EI.TENANT 401 amps to 600 arms 160.60 2
Name: T A- :4 rtc. kb •24 14-1,3ti 'r 'p ,1' eS 601 amps to 1,000 amps 240.60 2
Address: ll Over 1,000 amps or volts 454.65 2
'iN
Goo 0 0 5 /O 5� 5U I'M �
r Reconnect only 66.85 I 12
City / State/ZIP: amN J R. 1 7a oS Temporary services or feeders installation, alteration, and/or
relocation
Phone: (563) &„7.4, gsoe - Fax: ( i3) 671 — Dvt 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 I 2
intended for sale, lease, rent, or exchange, 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
, rt
`, - , 1:1 APPLICANT . A. Fee for branch circuits with
y ' • ❑ �CUNTACT PERSON
� service or feeder fee, each 6.65 /' 2
Business name: i-( (-��tJ '2'2,---.. t 5 / _ - p branch circuit � ,fin
' /
Contact name: "r`°� 1 B. Fee for branch circuits y t6`j
y � �-. without service or feeder fee, 1 46.85 f 2
Address: first branch circuit
74 �'� O 'vS 1. MO/el -A U �r . / S.) 1-r a (ZO Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
-- re-p=1-0...0 1 rprt✓ 9 - 7 27,3
Fax: ( �3 ) 29 - p ¢ t Pump or irrigation circle 53.40 2
P h o n e : ( ; )
? tea ' O 5S Z. I 7 Sign or outline lighting 53.40 2
E -mail: /"Am e. N1'DG PG , C4Wl Signal circuit(s) or limited -
----- . . __ _ _ CONTR,SCTOR.. . 7 ,°1_ 1 :::::-::::'
_ ... .. M _ , e energy panel, anel, alteration, or
... . ..,
extension. Describe: Page 2 2
1 Business Name: CAPITOL ELECTRIC CO., INC.
Each additional inspection over allowable in any of the above
f Contact name:
— — Per inspection 62.50
< Address: 11401 NE MARX ST. Investigation per hour (1 hr min) 62.50
1 — Industrial plant per hour 73.75
City /State /ZIP: PORTLAND, OR 97220 722 0 - 041 ELECT RICAL PERM IT FEES*
Subtotal /,.
- Phone: 503 - 255 - 9488 Fax: 503 - 257 - 7121 Plan review (25% of perrnit fee) ' , r(.9'
CCB Lic.: 48748 Electrical Lic.: 26 -496C I Suprv. Lic.: 3132 -S n State surcharge (8% of permit fee) '
Suprv. Electrician signature, required: 1 n (/ l
�1L�1�(11� ��l `+ f 1 � X - TOTAL PERMIT FEE ( / 4�� 41)
nt Name: DA RELL MCNEEL Date: 08/31/((6 1 This permit application expires if a permit is not obtained within 180
— Authorized signature: /� /� L l days after it has been accepted as complete
)� , 41v * Fee methodology set by Tri- County Building Industry Service Board
— Print Name: DARE - ELL MCNEEL ** Number of inspections per permit allowed.
i:\ Building \Permits \LI.C- PcrmitApp.doc 12/113 440 - 46151'(1(( /02/CUM/WE1I /
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200GMO365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2006
Phone: (503) 639 -4171 AA
Inspection Requests (24 Hrs.): (503) 639 -4175 .�•: 1 .L
INSPECTION WORKSHEET FOR DATE: 8/20/2007 TIME: 7:02AM PAGE: 34
SITE ADDRESS: 11850 SW 67th Ave PARK STRUCT CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE `COMMONS
DESCRIPTION: Parking structure, electrical.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 626 - 3500
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 -9468
Inspection Request Scheduled For: Date: 8/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054309-01 971- 506 -3495 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: _ Date: Phone #: (503) 718 -
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #:. ELC2006- 00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2006
Phone: (503) 639-4171 • ,9 gi
Inspection Requests (24 Hrs.): (503) 639 -4175 . `'�. Ai. '
INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 11850 SW 67th Ave PARK STRUCT CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
'DESCRIPTION: Parking structure, electrical.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503. 626 -3500
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503. 255 -9488
Inspection Request Scheduled For: Date: 4/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 046621 -01 971 -506 -3495 N '
Corrections /Comments / Instructions: .
.v■ lot e '
iN
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector:: N • Date: 4 1 (\ Phone #: (503) 718 - 7--4 /410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C200600365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 --, •
INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 22
SITE ADDRESS: 11860 /MI 67th Ave PARK STRUCT CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Parking structure, electrical.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503
Inspection Request Scheduled For: Date: 3/21/2007 Pour Time:
Code # Inspection Description IN Contact # Message
106 Underground/slab cover 046179-01 971-506-3495
Corrections/Comments/Instructions:
P M?
•
El PASS PARTIAL APPROV CANCEL NO ACCESS
[ 1 FAIL CALL FOR INSPECTION - El ADDITIONAL FEES ASSESSED
Inspector: Gr t Date: 3 - 2 —V(Y1 Phone #: (503) 718- 7..q4
CITY OF TIGARD
_ .
BUILDING DIVISION .
PERMIT #: ELC2006-00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2006
Phone: (503) 639-4171 .:$111/141141
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3112/2007 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 11850 SW 67th Ave PARK STRUCT CLASS OF WORK:
SUBDIVISION: TIGARD TR;ANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Parking structure, electrical.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-25&9488
Inspection Request Scheduled For: Date: 3/1212007 Pour Time:
Code # Inspection Description '�I.. (m # Contact # Message
105 Undergroundklab cover 044642-01 971-506-3495
Corrections/Comments/Instructions:
? •
S 0 TN YokLF-- oat.
_ 4ikr-sz XPARTIAL APPROVAL L1 CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: (A Date: 312— (Y1 Phone #: (503) 718-
CITY OF TIGARD
•
BUILDING DIVISION . PERMIT #: ELC200S-00365
13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 9/712006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 218/2007 TIME: 7: 03AlkA PAGE: 15
SITE ADDRESS: 11850 SW 67th Ave PARK STRUT CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: -
PROJECT NAME: TIGARD 'TRIANGLE COMMONS
DESCRIPTION: Parking structure, eletirical.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503626-3500
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488
= Inspection Request Scheduled For: Date: 2 Pour Time:
Code # Inspection Description Confirm # Contact # -Message
125 Wall cover 043127-01 971-506-349 Y •..
Corrections/Comments/Instructions: P (Y\ ?
•
•
0 PARTIAL APPROVAL El CANCEL fl NO ACCESS
n FAIL LII CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: N I-12 Date: OLT Phone #: (503) 718- et'
. •
_ .
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•
CITY OF TIGARD _ .
PERMIT #: ELM006-0036/1
BUILDING DIVISION
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2006
Phone: (503) 639-4171 at
Inspection Requests (24 Hrs.): (503) 639-4175
•
INSPECTION WORKSHEET FOR DATE: 2J5/2007 TIME: 7:05AM PAGE: 22
SITE ADDRESS: 11850 SW 67 AVE • CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: '
PROJECT NAME: l• iP l*E COMMONS
DESCRIPTION: Building 1.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488
Inspection Request Scheduled For: Date: 215/200 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 042969-01 971-506-3495
Corrections /Comments/ Instructions:
uo R I.) 0 RYWA:11?
V; Lra t\i` 1‘.4 s
0 K. coin LikiRt G-ft4xbe,
•
?a
PASS PARTIAL APPROVAL El CANCEL 0 NO ACCESS
FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
G-Atn NU)
Inspector: LE Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91812006
3 4AS
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 —...,..
INSPECTION WORKSHEET FOR DATE: 1(30/2007 TIME: 7:O3AM PAGE: 16
SITE ADDRESS: 11850 SW67THAVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: " TRIANGLE COMMONS
DESCRIPTIO 0: Building 1.
OWNER: PACIFIC NW PROPERTIES, I ..J PHONE #: 503
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 2'.;Er 9488
Inspection Request Scheduled For: Date: 1/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 042692-01 971-506•3495
Corrections/Comments/ Instructions:
L,
st
•
0 PASS h PARTIAL APPROVAL 1 CANCEL [J NO ACCESS
fl FAIL n CALL FOR INSPECTION LIJ ADDITIONAL FEES ASSESSED
G
Inspector: N Date: ‘ - 61 t Phone #: (503) 718-
. , ..
CITY OF TIGARD ..,
BUILDING DIVISION - PERMIT #: ELC9006-00365
s,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/70006
Phone: (503) 639-4171 /4044
Inspection Requests (24 Hrs.): (503) 639-4175 ,t.dol AL
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6:68AM PAGE: 32
SITE ADDRESS: . 11850 SW 67th Ave PARK STRUT CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Parking fAructure, electrical.
OWNER: PACIFIC NW PROPERTIES, , PHONE #: 503-626-3500
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488
Inspection Request Scheduled For: Date: •2/1/2006 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
195 i - isc. inspection 040546-01 971-606-3096 Y
Vi 6--K-0 t■c NO -
Corrections/ • 4 ments/Instructions: ---_.
PIA .
iNeP
Pb 1- -
-....
41r PASS fl PARTIAL APPROVAL fl CANCEL 7 NO ACCESS
n FAIL 0 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Cn KO 6 1.-e Date: 1 2.- I - 0 b Phone #: (503) 718- 2 A 1 4 1 0
.. ,