Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00339
ai, - DEVELOPMENT SERVICES DATE ISSUED: 6/11/2004
" el I I 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 - 4171
PARCEL: 25101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY 110
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: C -P
BLOCK: LOT : 003 JURISDICTION: TIG
Project Description: (4) branch circuits.
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: SIGNALJPANEL:
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: 3 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:
SCHNITZER INVESTMENT CORP CAPITOL ELECTRIC CO INC
PO BOX 10047 11401 NE MARX ST
PORTLAND, OR 97296 PORTLAND, OR 97220 -1041
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/11/2004 $66.80
[ELPLCK] ELC Pln Rev 6/11/2004 $5.34 Rough -in
Elect'I Final
Total $72.14
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1.8 332 -2344.
Issued By: 4416/1...) Permit Signature: le — iY .,
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:OOpm for an inspection the next business day
■
06/10/2004 08:03 5032551966 CAPITOL ELECTRIC PAGE 01
.`- - 10It 01:1"11'1 IiS1:4 i\1,1
electrical Permit Application A e . n teeeived 3
Permit n o
r +' Date/BY' , / D� ■ .I /tilt — 6. /
Cli>�y of Tigard • , i , ` Ir ;�/ { � ,, Plan Review Other Permit:
13125 SW HALL BLVD., TIGARD.Olt 97223 r 1 " i1 Date/By:
Phone: (503) 539.4171 Fax (503) 59S -1960 `` ��O n,_`t 598.1960 •
II) Date Ready /By:
Inspection Line; 503 -639 -4175 J`+'' Notified/Method: iiiiinirgEMIE
www.ci.ti ard,or,us
iii lilffiiilf #(N1111131fliiiiiiiigi1111 %t ali PRiagrABSIPMEVIIMINN beal IIIIIIIIIIMENIIIN di hiNE111111111131111 NNlll$! ME 11III!IiiIIMIIMIlli?i tt .:llti
I--I New construction _ Addition/albcretion/replacem NG DI Please check all that apply;
❑ Demolition D Other: 13 0,1D1 ❑ Service over 225 amps, Commit ❑ Hazardous location
I,r't li : i; I i l ''. a+rl „ ':e :. ce P.Mit wnR,:r12 " Y i1 i,, llf i :I {al.',.:.H, ' e `'i , :, ❑ Service aver 320 amps - rating 0 Building over 10,000 sq.ft.
• 1- and 2- family dwelling .M Commercial/Industrial ■ Acemsory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi- family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units In one structure
ii.,:heii;'t;Y!itiM II IIlI14IlIIMIDMII :M l 1 ' atingialt= ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no.: 24811 lob site address: 13190 SW 88th Parkway ❑ Occupant load aver 99 persons ❑ Manufactured structures or
❑ Egress)llghting plan RV perk
City/State/ZIP: Tigard, Oregon ❑ Health -care facility ❑ Other:
Submit 2sets of plans with any of the above.
The above are not applicable to temporary construction service.
Suite/bldg./apt no.: 'Project name; SRC Software
g:liffi laiia lniiiii113 !!anialg13i1&ll ;' '''.':i "'' ,'� ,1}11111 ^; ■ V IN t..1;? inii' i'.4-'in
Cross Street/Directions to jab site: Description Qtr. Vet. Tina "
New residential.. single or multi- family dwelling unit.
Subdivision: Lot no.:
_Includes attached garage.
1000 sq. ft or less $ 145.15 4
Tax ma parcel no„ Ea. Add'l 500 sq. fl or portion $ 33.40 1
lilliiigitilliinglinigaMlin3 Lin iced energy residential S 75.00 2
Limited energy, non - residential S 75.00 2
Each manufactured home or modular
`11111!l! liE 3 PERIMM OR5lg ,Illiiiiilllgellilllfiili )1">W:��t+:l'r,1...13�ll11 `369i!ill'n; ''�S 1 , dwelling, Service and/or Bader s 90.90 _ 2
Name: �• V1 * z ee - 0 t VWW+ t a c ) Service or feeders installation, alteratIonnd /or relocattan
..�i` s
— 200 amps or less $ 80.30 2
C g m 0 n a s 201 amps to 400 amps I06.85 2
Address:
c.J V"� pp 61103.0 She- zoo 401 amps to 600 am $ tunas $ 1.60,60 2
City /State/ZIP; Po r4 i` 601 amps to 1000 amps S x40,60 2 i
Over 1000 tunes or vale; S 454.65 2
p � Reconnect only - 1 $ 66.85 2
Phone:
503 - ` �g '�Z Temporary services or feeders installation, alteration, and/nr
Owner installation: This installation is being made on property that 1 own which is not relocation
Intended for sic. lease. rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or icss I S 66.95 I 1 t '
201 amps to 400 amps
I $ 100.30 1 2
Owner si &nature: 401 amps to 600 amps $ 133,75 2
r ABLJ;;iii!RtKOZWAlM11 1 1!), IMlllll{ 41 (r!'JIIIIRIIIi?;1?(IIISQ(!l{;fi ;iiIGC1.-,1M 1 41iFi.;,s:a llll Branch circnit5 - new. alteration, or extension, per nnel
Bus iness Name: A. Fee for branch circuits with
service or feoder fee, each
Contact name: branch circuit $ 6 2
D. Fee for branch circuits
Address: without service or feeder fee,
each branch circuit 1 S 46,85 49.x5 2
Each additional branch circuit: 3 $ 6,65 19.95 2
City /9tateJliP: M Iaccilaneons (service or feeder not included) _
Phone: Fax: Pump or irrigation circle 5 53 2
Sign or outline lighting 5 53.40 2
E.nisil: • Signal circuits(s) or limited-
; :iiiiiill ' tai.', -:;^:ta ,' ils'`' fi{ fI` sIliiili !IIIIiinIIIIiIllifger Megraill1 ;'Y'!1'3aPaI1(R;IilliEi ''' iaiii li!ICl ialiallg energy panel, alteration, nr
Business Name: CAPITOL ELECTRIC CO., INC. extension, Describe: Page 2 2
Contact name: Richard Martin Each additional inspection ever allowable In any of the above
Per inspection _ S G2.50
Address: 11401 NE MARX ST. Tnvcsti atian r hour 1 hr min s 62.50
. Industrial plant pet hour 3 73.73 _
City/State/ZIP: PORTLAND, OR 97220-1041 f !li'1i! (l!i!iNlllln'i)!s i lll!f 110 ll . e' 1/4 1 gaiiialliSter4
Subtotal 88.80
Phone: 503-255-9488 Pax: 503 -257 -7121
Plan review (25% of permit fee
State surchnr c 8% of rmit fee 5.3d
CCA Lic,: 48748 IBlcctrical Lic.: 26 -4960 ISuprv. Lic.: 3132.5 TOTAL pp.o.mr ' FE.. 72.14
Suprv. Electrician signature. required: ) L��,i� / �� aermttnppn after b m acc emltbn enmpt hxa . rta,ln tso
d�a near It tuu Item accepted m, eompteR
Print Namc: DARRELL MCNEEL Date: 08/09/04 • Fee methodology set by Tri.Coonty Building Industry Service Roam
a iq,e / t l � % _ ' ioNnmt+cr of inpFecK per r permit allowed. Authorized signature: ,1VI/�!iw
Print Name: DARRELL M NEEL
CITY OF TIGARD 24 -Hour -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 1 AM PM BUP
Location /3/9b g t Suite l/4 MEC
Contact Person P - Ph ( / ) V6 7 7(' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC .Q60 4 7-0d3....3
�
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final (�
P ASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service •
Rough -In
UG/Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 7P r �
Approach/Sidewalk Date Inspector L,e.t.ad Ext
Other: L�!�
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL