Permit •
• . CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00608
•� DEVELOPMENT SERVICES DATE ISSUED: 8/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 100 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 002 JURISDICTION: TIG
Project Description: T.I. & (6) branch circuits, low voltage for fire alarm.
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: SIGNAUPANEL: 1
MANF HM/ SVCI 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: 5 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:
TIGARD TRIANGLE I LLC GREENWAY ELECTRIC COMPANY
4650 SW MACADAM AVE STE 220 9460 SW TIGARD STE. 104
PORTLAND, OR 97201 TIGARD, OR 97223
Phone: Phone: 503 - 620 -6020
FEES Reg #: LIC 153421
ELE 34 -617C
Description Date Amount SUP 5025S
[ELPRMT] ELC Permit 8/19/2005 $155.10
[TAX] 8% State Surcharge 8/19/2005 $12.40 REQUIRED ITEMS AND REPORTS
Total $167.50
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: -y,Z Permittee Signature: p•.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Ap ,f C`tir',,,, 1 ' ,l t �, iivl 1
Cry of Tigard Recessed
17 �� t �a � .
13125 SW Blvd, Tigard, OR 97223 AU ` - 3 1 i 191)S-
Phone: 503639.4171 Pax: 503.598.1960 -$ ' 0 1 1 . , . :, , curer :
hispodion Line: 503.639.4175 ' i
t www.citigard -or.us WV OF Nonord
6 1510 caste ltasd f/ e tor sneeloncand Information
.� . Zv x . �; � � . •, - a; = - f.
l +fewroaeartction ,:: is
❑ ® Ad dition/alteration/replacement Please deck a8 that apply:
❑ Demolition 0 Other OService over 225 amps, comra'l ❑Hazardous location
'! ;': dneeverAiraq.l
7 ❑5g Citir3,
irri`t' /T ` b f '" ., R ::`: ` ' oil- and2t. ay dwa ra
1b 4or earssawiwidaotial
01- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑Systean over 600 vole, nominal unite in one structure
❑ Multi- family [) Master builder 0 Other D '�] B (� u ,,��� �mw�gg�� thetio stories DE des, 400 amps or more
�.: _t, . . 0"e". load over 99 Knew Ql�aOfactured aar>caores or
. , . :: .. ; K: K;ei14$'. 4�� 'd :?119C4'Fl�lli: ; : :`' ; J'' IZIEVerarlighting plan RV park
Joh no.: 1032-3s I Job site address: 13221 SW 68th Parkway Ox ealtb-earo facility DANE
Submit 2 ads of plans with any edit; above.
City /State .1P Tigard Or The above are not applicable to unapt/airy construction aoryice.
SuitdhidgJapt. no.: 100 ( Project name: Cadence a:.' •'•'`.'' "G∎Z: T.' ^ '^;' ;: T '; ~ : T :` ' . ; .~ -: fi r*
msobaua -
Cross sheet/direetioos to job site: Now residential sir i t i. � '
� or multi-family dwelling unit
b,dados attached garage.
2,000 sq. g or lam 145.15 0,00 4
Subdivision: _ I Lot no.: Ea. addl 500 eq. . or potion 33-40 0.00 1
Tact mapdparcel no.- J Limited enemy, residential 75.00 r .00 2
: •. , ,.. Y Limited energy, non- residential 75.00 0.00 2
. :��' ~'. :..• '. ... ... Each manufacaaed
tennant improvement & lighting r e t r o dwelling,. service rad/or feede r 90.90 0.00 2
Services or feeders installation, alteration. and/orrelocetion
200 amps or leas 80.30 0.00 2
`i :0 .'l 4 .it . '!•` :,1 :,` 4 ;; 201ampaw400a111p 106.85 0.00 2
401 to 600 amps
Name: ; \ � Q), � �f rte\ �� Got mpa to 1,000 amps 240.60 0.00 2
� 0.00 2
Address: Over 1,000 ampe or volts 454.65 0.00 . 2
c;ty /state/ziP R only 66.85 0.00 2
Temporary services or feeders Installation, alteration, and/or
Pboac: [Floc relocation
200 amps or lean 66.85 0.00 1
Ovine r installation: This installation is being made on property that 1 own which is not 201 amps to 400 ampa 10030 0.00 2
intended for sale, lease, rent; or exchange, according to ORS 447. 449, 670, and 701. 401 amps to 600 amps 133.75 0.00 2
Owner signatures _ Data .. ._... Branch circuits_ new, rdteratioa, er extension, paid
', ' e
::Q; 1 Ai
`A7t�. ,'• 2.':. . ' :' ., _ : 2;gOilI. '. A. Fee f's branch aoeits with
, ,, . . . T4S
�' s,avico or feeder fee, each
Business name: brantlt 6 Business 0.00 2
B . Foe for branch c
Contact name: without aervies or feeder fee,
Addnem user branch circuit 1 46,85 46.85 2
Each add`l branch circuit 5 6.65 3325 2
City/State/21P: Miscellaneous (service or fender not included)
Phone: ( ) R ) Pump or ruination circle 53.40 0.00 2
E-mail; Sign or outline lighting 53.40 0.00 2
: v Stone) cireaigs) or limited -
Business name: Greenway Electric Company ' °1O6 Describe: DigE2 2
D.00
Address: 9460 SW Tigard St, Ste. 104 Each additional inspection over allowable ha any of the above
Per motion 6240 0 -00
City/State Tigard, Oregon 97223 lnveatigatum per hoar (1 hr mw) 6250 0.00
Phone (503) 620 -6020 Fax: 1 (503) 620-6124 Industrial Plant P hoar 73.75 0.00
;,.
CCB Lic.: 163421 I_ Elocttical Lk.: 34-617C Suprv. Lic.: 5025S
Subtotal X89 - r6' i s .s, C 0 ,
Suprv. Electrician signature, =prized: .ti Planrwiow (25% of permit fee)
Print name: James V. Rooney ) Dade: 9 • / B�� State surcharge (B96of Permit see) 't t Z.`iD
TOTAL PERMIT FEE
1 b-} • 50
Authorised signature:
This person pr=elm Ira permit bnotdrthred vistas no
Print name: Mark Short I Dear daysoterumsbeenacapmdes cowptate
Fee Who okay sot by hi-Canty Builder War/ Service Board
"Number of in:peon:ma per punk allowed.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005'0060$
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2005 /
Phone: (503) 639 -4171 ,egp
Inspection Requests (24 Hrs.): (503) 639 -4175 . `:L
INSPECTION WORKSHEET FOR DATE: 9/13 /2005 TIME: 7:05AM PAGE: 34
SITE ADDRESS: 13221 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: CADENCE
DESCRIPTION: T.I. & (6) branch circuits, low voltage for fire alarm.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: GREENWAY ELECTRIC COMPANY PHONE #: 503-620-6020
Inspection Request Scheduled For: Date: 9/13/2005 Pour Time:
C e # Inspection Description Confirm # Contact # Message
199 Electrical final 015511 -01 503-849-7204 N
Corrections /Comments / Instructions:
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X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 1 1 G Date: /3 Phone #: (503) 718 -