Permit A CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: opar DEVELOPMENT SERVICES DATE ISSUED: 9/12/02
9 2/02 2 -00459
III
"=--' 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 25101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY 200
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: C -P
BLOCK: LOT : 003 JURISDICTION: TIG
Proiect Description: Add 2 branch circuits for floor boxes and projectors.
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:
SCHNITZER INVESTMENT CORP ENCOMPASS ELECTRICAL TECH
PO BOX 10047 7379 SW TECH CENTER DR
PORTLAND, OR 97296 PORTLAND, OR 97223
Phone: Phone: 503 - 684 -3600
Reg #: LIC 52288
ELE 34 -247C
SUP 3863S
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 9/12/02 $53.50 2720020000( Elect'I Final
5PCT CTR 9/12/02 $4.28 2720020000(
Total $57.78
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1-800- 332 -2344.
Permit Signature: Issued By: Q • •
r p
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: (/ Y ` DATE:
LICENSE NO:
Call 639 -4175 by 7:OOpm for an inspection the next business day
SEP - 06 -2002 FRI 04:26 PM FAX NO. P, 01
T / :;
//' Electrical Permit Application
Date receive4: ' 0 j■ Permit no.: E ? 02 59
l t , -1 C ity of Tigard Project/appl.no.: . Expire date:
Ciryo}gard Address: 13125 SW Hall Blvd, Tigard OR 97223 Dateissur R eceiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
,
Land use approval: _
TYPE OF PEKlllIT
O 1 & 2 family dwelling or accessory GI Commercial/industrial Q Multi- family . Iii(Tenant improvement
O New construction . 0 Addition/alteration/replacement • Q Other. O Partial
JOB SITE INFORMATION . •
Job address: 131 01 O a 10% pore 4z... Bldg. no.: . Suite no. :2oa . Tax map /tax lot/accountrio.:.
Lot: Block: Subdivision: •
Project name:.. 5 R C.-'70)17U /4 - '' '. ' . tdon and location of Work ori• . - • ' — : , .t I oce - e 1 P . (cr• •
. Estimated date of completion/inspection: Sc-P O Z .
('ONl itACI Olt APP1.1C'A l'It)N FEE SC111 DIIL1; •
Job no: G n 3 1 R . . . , - Fire Max Business name: CiflMewStS E.1ec.. "T r - D a c dpttt Qtr• (ea.) Toml no. hasp
tlkwateddential- aiagle Per
• Address: 5211 5•-. 14000 'A.rd— . dwilLogtmit.htdudcsattached prage-
City: a . al- \pFwy State: 0 ZIP: 9723' . Servicetsdudeth
Phone: $D • al ba,• -1a41) , F ax: E-mail: 1000 sq. ft. or less i 4
Each additional 500 sq. ft. or portion thereof
CCB'no.: $228'a • . Elec. bus. lic. no: 34. • 2
Ii rrr i tea i energy, residenti
City/MVO ; c. n..: ,..,—..- Umlted energy, non- residential _2
i 'wpm . w Fr . . . Fach Alanafaeotredhomcorm0da l ardWellu >g - -
Signal= of supervising electrician (required) Date Service =Vac feeder •
Sup. elect: same (print): til.; e:.1, cs.,..k, b t" License no3 705 S , Services orieeders— installation,
alteration or Macadam
PROPER"T)' OII'NLR 200 ampsor less 2
Name (print):
201 amps to 400 amps 2
_
401 amps to 600 amps 2
_
Mailing address: 601 amps to 1000 amps . 2
City: StRre: ZIP: Over 1000 amps or volts 2
Phon Pa x: E-mail: ftuonnectonly 1
Owner installation: The installation is being made on property I own Tmtpmar7 aces ar feeders -
which is not intended f o r sale, lease, rent, or exchange according to W o o , � `r'
200 amps or leas - 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: - Date: 401 to 600 2
Brunch cirentts - now, aiteratlod,
, or extension per panel: .
Name: k Fee for branch circuits with purchase of
Address: _ service or feeder fez. each branch circuit • 2
City: I State: 1 Zr P: B. Fee for breach circuits without Purchase %' ••(wgf 4441' • of service or feeder fee, first branch circuit 2
Phone: Fax: • • . Ei - mail: Bach additional branch ciresit: M� •
PLAN R1:v1LIY (Please ellecl: all that apply) Misc. (Service or feeder not Included):
O Service over 225 amps-osraeenial • 0 Health -ears facility Each pump or irrigation circle • 2
O Service over 320 amps-rating of 1 &2 0 Hazardous location Bach ail . or outline lighting 2
familydwe:llinga 0 Bulking over 10,000 square feet former Signal circuit(e)or a limited energy panel.
O System over 600 volts nominal more residential units in one structure alteration, orextension• 2 .
0 Building over three stories . 0 Feeders, 400 amp or more .p o ,
0 Occupant load over 99 persons 0 Manufactured atructtues or RV pads Each additional inspection over the allowable in any oldie above:
O Egress/lightingplan 0 Other . Per inspection --1.--- I - • ) .. -
. ...Stt6tnit —___ sets or plans with any of the above. .:. • inveuti adon fee
'Ate above are not applicable to temporary construction service. other . . • _ • - - ... — - ... _ , .
Permit fee $ S 3, SD
'Not alt j i audit cards, please can jociaticaoa for more intomwlai Notice: This permii application Plan review f ew (at 9 b) $
0 V sa'_ • asterCa • expires if a permit is not obtained
Cre4it - . aoWr. S a
tK- / • d .440 • - O4�,� 6 /l' within 180 days after it has been State surcharge (8%) $ '
/ 4 A - • acceptedtis complete. TOTAL $ '
r.. , der signature
Amount ,
44o.4615 000/00P4)