Permit UP CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 00098
COMMUNITY DEVELOPMENT
DATE ISSUED: 3/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 D C -00100
SITE ADDRESS: 15675 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK 111 LOT : 002 JURISDICTION: TIG
PROJECT: NIKE GOLF
Project Description: Free standing crane unit.
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: 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 US CRANE & HOIST, INC.
15350 SW SEQUOIA PKWY #300 -WMI 29375 SW HINSMAN RD.
PORTLAND, OR 97224 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 682 -5881
FAX 503 - 682 -1459
FEES
Description Date Amount Reg #: ELE 3 -275C
[ELPRMT] ELC Permit 3/5/2007 $46.85 LIC 65119
[TAX] 8% State Surcharge 3/5/2007 $3.75 SUP 33325
Total $50.60 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 C at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: /tie- —C_� T�/i
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 ONI.1
fi r { ; r-
City of Tigard t.` l m 1' tiv Received ,
III q 13125 SW Hall Blvd, Ti Date .. U 1 Permit No. " 1
gard, OR 97223 Plan Review Other Permit:
-
Phone: 503.639.4171 Fax 503.598.1960 .. 7: 200 / DateB .
T i G n It t7 Inspection Line: 503.639.4175 Date Ready/By: Dias: Id See Page 2 for
Internet: www.tigard- or.gov u.r 1 Y v; : r..Wtiw, Notified/Method Supplemental information
t;t r .-tp - ''.l.ri:..sa -:
TYPE OF WORK PLAN REVIEW •
❑ New construction a Addition/alteration/replacement ,lease check all that apply (submit a sets of plans wfrtems checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other:
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
El 1- and 2-family dwelling JJ Commercial/industrial ❑ Accessory building lmssoorallo, other 14,000 ❑Commercial-use agricultural
Y g amps for all other itlstallations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
/_ Jy� 100HP or more. occupancy.
Job no.: Job site address:
�c�I,7S 6.1.3 • 72 rnJe ❑ Six or more residential units. ❑ Recreational vehicle parks.
0
Ci / State/ZIP' j 3 `�� C 7 Z xi/ ❑ Health -care facilities. ❑ Supply voltage for more than
ty t —n ri ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE •
Cross street/directions to job site: 61,5 k Ito c 46 Lu if 1,2 .LP /1,c _ Description 1 Qty. 1 Fee. 1 Total 1 •
New residential single- or multi- family dwelling unit.
-5 —r £ I42twt.«N /pa_ TD `7 2 NI) 4tie . ' /0 01 -ik Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. It or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation alteration, and/or relocation
200 amps or less 80.30 2
. . 0 PROPERTY OWNER - I Xi TENANT - 201 amps to 400 amps 106.85 2
Name: 1 s t ; K E. 6 01.1r 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: is 7 ,5 • 72 1-t, 1 4 Lq . . Over 1,000 amps or volts 454.65 2
City/State/ZIP: --r:/3„,„ Temporary services or feeders installation, alteration, and/or
ty f - 7 Z relocation
Phone: ( ) Fax: ( ) 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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
. 0 APPLICANT ' ' I 0 CONTACT PERSON ': _ ^•~ above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, ' 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) _ Fax: : ( ) Reconnect only 66.85 2
E - mail: - Pump or irrigation circle 53.40 2
CONTRACTOR • Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: vs e ig 44 , £ / q,V,D µ Sr t 7 . energy panel, alteration, or
Address: extension. Describe: Page 2 2
29375 X3 .14• , . kiNsrn....t .
Cit / State/ZIP: ) _ , Lc oN Dt / � t o . - 9 7o) o Each additional inspection over allowable in any of the above
W Per inspection 62.50
Phone: (3 ) (,92 _ J-•1,F, Fax: (23 ) 6 82 _ iy Investigation per hour (1 hr min) 62.50
CCB Lic.: 6)5 1141 Electrical Li • 3 - 2 uprv. Lic.:3 3 Industrial plant per hour _ 73.75
ELECTRICAL PERMIT FEES /
Suprv. Electrician signature, required: f ia8 /0 1 p Subtotal: �p �2
Print name: g g UC 2i J S� Dat � '' 13 •�7 Plan review (25% of permit fee):
r l V State surcharge (8% of permit fee): 3 , 1
Authorized signatur �, TOTAL PE FEE
Print name: jr 57-h• � 2/34 days after it h has Date: This permit application sena accepted is d as ct obtained w ithin 180
• as been as complete.
• Number of inspections allowed per permit
1:\ Building \Permits\ELC- PamitApp.doc 05/23/06 440.4615T(1I/05 /COM/WEB
Electrical Permit Application - City of Tigard
. Page 2 - Supplemental Information " - --�
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY: •
Fee for all residential systems combined $75.00
Check Type of Work Involved: .
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other.
- COMMERCIAL WORK ONLY:,:.. • .
Fee for each commercial $75.00
system
(SEE OAR 918 -260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \PeimitAELC- PamiiApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00098
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 `'' I
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7 PAGE: 66
15675 SW 72ND AVE
SITE ADDRESS: OREGON BUSINESS PARK III 002 CLASS OF WORK:
SUBDIVISION: NIKE GOLF LOT #: TYPE OF USE:
PROJECT NAME: Free standing crane unit.
DESCRIPTION:
OWNER: PACIFIC REALTY ASSOCIATES PHONE #:
CONTRACTOR: US CRANE & HOIST, INC PHONE #: 503-682-5881
Inspection Request Scheduled For: Date: 5/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 048707 -01 503-682-5881 Y
15 kW .
Corrections /Comments /Instructions: �__--)
N
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr ( % Date: 1 --- 1 401 Phone #: (503) 718- 1 4%)
a
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00098
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/512007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . '
INSPECTION WORKSHEET FOR DATE: 5/1512007 TIME: 7:OOAM PAGE: 109
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Free standing crane unit.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: US CRANE & HOIST, INC. PHONE #: 503-682 -6881
Inspection Request Scheduled For: Date: 5/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 048239-01 503- 682 -5881 N
Corrections /Comments /Instructions: . L T i oN 6p tsit' • 'o -10 E� P00 2,0 . �� (
%Goal coIUDA6& 5 ALL et- p
PW sicAL bfqx.,13.v .
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
gl FAIL 'ALL FOR INSPECTION IK; ADDITIONAL FEES ASSESSED
Inspector: CY 66 Date: Si I 00 Phone #: (503) 718 -1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 000138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5 /2007
Phone: (503) 639 -4171 4'411V
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:OOAM PAGE: 54
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Free standing crane unit.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: US CRANE & HOIST, INC. PHONE #: 503.682 -5881
Inspection Request Scheduled For: Date: 4/10/2007 Pour Time:
Code # Inspection Description Conf' Contact # Message
199 Electrical final 6204 -01 503 - 682 -5881 N
Corrections /Comments /Instructions:
Q - 0 n ) S � c ► \ 4 ) / ( c6 to Nv fez)
C;t. czt s E. vE U)k)bQ gek '11
�N A GC ()(Z Y t CJo- vV i` AlZ.1, WO 16 RIQA. IR,
Gictsq A , C Rik 14
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ly CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v • WU �• Date: k ( 311 Phone #: (503) 718 - 44
1
CITY OF TIGARD ilk
•
BUILDING DIVISION PERMIT #: ELC2007- 00098
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/6/2007 TIME: 7:04AM PAGE: 39
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Free standing crane unit.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: US CRANE & HOIST, INC. PHONE #: 503-682 -5831
Inspection Request Scheduled For: Date: 4/6/2007 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046095 -01 503- 682 -5881 N
Corrections /Comments/ Instructions:
•
Rtm_4
t' 1 C I E ) 1 .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
ISLFAIL .CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY. NC 4 Date: 6 0 ') Phone #: (503) 718 - /sqi
CITY OF TIGARD - Or ,
BUILDING DIVISION PERMIT #: ELC2007 -00098
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639 -4171 4,400 1,
Inspection Requests (24 Hrs.): (503) 639 -4175 s' I I..
INSPECTION WORKSHEET FOR DATE: 3 /15/2007 TIME: 7:01AM PAGE: 66
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK ill LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Free standing crane unit.
OWNER: PACIFIC REALTY ASSOCIATES, --i- 0 vi P PHONE #:
CONTRACTOR: US CRANE & HOIST. INC. PHONE #: 503- 682 -5881
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description is ' -<_ # Contact # Message
•
199 Electric :al final 044796 -01 503- 682 -5881 N
Corrections /Comments /Instructions:
A9 M 3 4. ►12.:' L Ab>7. bi S coo rte► l T Etrt- c,(LA; N rvvoTek
6 N nIGTZ - P401_ •
KAI
C� GA.() s1JOicJ ?c�„,0 G-,r O / 66,0/N 6F
C
CL_L E'PAL_ L 5 ) F1 c Pte- 1Aa. ‘,10k61 d
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918 -271 -0030
•
. ;:ailteoceio.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C AR , NQ13 Date: 11 S tn Phone #: (503) 718- _141[I)