Permit 74 _ y� CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2006 -00664
DATE ISSUED: 11/16/2006
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 III LOT : 002 JURISDICTION: TIG
Project Description: Electrical TI, (13) branch circuits. Job No. 261920
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: 12 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 CAPITOL ELECTRIC CO INC
15350 SW SEQUOIA PKWY #300 11401 NE MARX ST
TIGARD, OR 97224 PORTLAND, OR 97220 -1041
Phone: 503 - 624 - 6300 Contact #: PRI 503 - 255 - 9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 11/16/200( $126.65 L[C 48748
[TAX] 8% State Surcharge 11/16/200( $10.13 SUP 3132S
• Total $136.78 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules - _ -- • h in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies t..hese rules or direct questions to OUNC at
503.246. • • 9 or 1.800.3 ' . - • , .
Issued :y: _ � � iI .I Permittee Signature: (� Latpa C pl /c J�-�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
,CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: � C - ` 'YC DATE:
LICENSE NO: -
Call 503.639.4175 by 7:00 a.m for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
11/16/2006 09:42 5032577121 CAPITOL ELECTRIC PAGE 02
e FOR OFFICE IISE ONLY
Eleetx, lCa7 Permit App ' eE1V E® ecelven `
Date/By: /1 Ned" ,L' 10 Permit nn.: 1 . 0 1,7 6 1 o' -to
City of Tigard Plan Review
13125 SW HALL BLVD., TIGARD, OR 97223140V 1 t) 2006.iLt1 •� f i Date/By: Other Permit:
Phone: (503) 639 -4171 Fax (503) 598 -1960 RaY or T IGARD Tate Ready/By: • See Page :for
71G
Inspection Line: 503- 639.4175 CITY OF Notified/Method: Supplemental Inlbrmmion
Internet: www,ci,tigard.or.ua ING DIVISION
, : "I }, , !Y;I ::..,n: •! I r k • r 1: I I F5i! P:.1}'!. .., �. �!, i � IE i °I 1 - 'I 1 r '':1l! II 1', � ::•I4c, I : i::
:•n.
,;,,•' .. „ +, r' I, .L •a' .., I a. I ' I I II61 ,I 1 sari:` ;iilei�: ;h��:� '!'Ici'$hllid. �!I ' ' ' ' ` ' IIIIIiilQllll &� >:� sl i I ffjk� S I . ,(„ IIUI i:,c
�li.. :., uln,,b�l .,_,.,.,..ti, ; � ..ti,,: lilll � 1 .. '. �.:. , ,, i ,,:,',...�.:�p�: i�:r: �� III, li ... � , „ u, .,
WW .I; � �I.I, IN .:.
11 New construction " Addition /alteration/replacement Please cheCk ail that apply;
❑ Demolition ❑ Other; ❑ Service over 225 amps, comm'I ❑ Hazardous location
',.,j . ! ; .: , S.,
'i iii i ;l'i !1 ( 4 Pg6 � Y; .01 91R17,,MON. :'• 'I :.;:..'i, ;,.::il(i'li: ❑ Service over 320 amps • rating ❑ Building over 10,000 sq.ft.
I__I 1- and 2- family dwelling U CommerciaVindustrial n Accessory building of 1- and 2 - family dwellings 4 or more new residential
❑ Muhl ❑ Master Builder ❑ other ❑ System over 600 volts nominal units in one structure
9 ; I
II'�I":`
iif .:.. ;', •' 1; ill •,:,>..; b iqi 11, .. r ;illl!1 e ' r •A I:I ' l lii 9 over three s
E,...�,,,In,... .1�1,.6i ;; ;: r � Ol i I i�>?�' �ilt�>� i. I > >'° � ;I'.ti•Ir! ,• , I ❑ Building striae Feeders, 400 amps or more
fob no. 261920 I Job site address: 15705 SW 72nd Ave ❑ Occupant load over 99 persons ❑ Manufactured structures or
l ❑ Egress/lighting plan RV park
City /Stat&7lP: Tigard, Or. 97224 ❑ Healthcare facility ❑ Other:
Submit g sets of plans with any of the above.
jProicctnamc. he ave are not plio mporary consservice.
Suite bidgiupl, nu: Nike Goff ; .• 'i'` i ''y' I�illlllil li Illlil :::;; 7 ra ";i ;.;
iCi, ,:I' 11 li ',! :iii, il' IiIieSt�' . illiii;c,,: � {amll;l 4:..
Cross Street/Directions to job site: Description Qty. Fee. Tetet ' I
l Ncw residential - single or maltl - family dwelling unit
Subdivision: I Lot no,:
Includes attached garage.
1000 sq. ft. or leas $ 145.15 4
Tnx, map/parcel no.: Ea. Addl 500 aq, ft or portion ` $ 33.40 1
' l I ' ! ''f' >: "' l l; ! i' i''' ,1 '' . . :`. i''sk;a ; :'!`! ;!''! limited energy residential $ 75,00 2
''' i I:LIIi I ;lliiliill�; k ,1!IiII .. y ,� • .I. , I�III�;.�@. xfi.lilfi ltLlG J''`
Limited energy, non - residential $ 75.00 2
Added and Relocated circuits. ! Each manufactured home or modular
m! °' yn : w ':r :: , I ' I ':r 1 NN} '" 1 1'. 11:; i � dwelling, Service and/or fe eder $ 90.90 2
.,r a ;�iLl •4hift�i" . .Il.,;I':.' :.I • „ ii,ll:: .. �i,,,,l w „ � . g. _
Service or feeders installation, alteration, and/or relocation
Name: Pac Trust 200 amps or less S 80.30 2
Address: 201 amps to 400 amps $ 106,85 _ 2
401 amps to 600 amps S 160.60 2
City /State /ZIP: 601 amps to 1000 amps $ 240,60 2
Over 1000 amps or volts • 6 454.65 2
Phone: Fax: Reconnect only $ 66.85 2
Temporary services or feeders installation, alteration, and/or
Owner installation: This installation is bcing made on property that I own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less I $ 66.15 1
Owner signature: Date: 201 amps to 400 amps $ 100.30 1 2
401 amps to 600 amps $ 133.75 2
, i iillj 1's i Iltiv!pugir.i." I! ilDiillul! l! IlIi ;Illii[19;lillhliillliiliil iliiG l!Illl lil! l iii!!illi „C4}: ,r ,ar.P.ERSON!i":I ; ;'ji:li Branch circuits - new, alteration, or extension, per panel_
Business Name: Jim Eddington A. Fee for bunch circuits with
service or feeder fee. each
Contact name: CAPITOL ELECTRIC CO., INC. branch circuit 5 6.65 2
B. Fcc for branch circuits
Address: 11401 NE MARX ST. without service or feeder fee,
each branch circuit 1 5 46.85 46.85 2
City/State/ZIP: PORTLAND, OR 97220 Each additional branch circuit: 12 S 6.65 79.80 2
MLsceltnaenus (service or feeder not include
Phone: 503.255.8488 Fax; 503 -257 - 7121 Pump or irrigation circle S 53.40 7.
Si or outline li: tin' $ 53.40 2
E -mail: jimt' Cepdx.c0m Signal circuits(e) or limited -
t �` :' ;: •. �" . r'' '•' � '�i��•i'il`,i ; ;: ; energy el alteration, or
�ii•:itlili iIIlI�111N�� :id" IRI!�; :a!$:1.1' •. . ,,.�...ti < :L A I:•.'. I � ', :1'...' (�'T>an o altcra
Business Name: CAPITOL ELECTRIC CO., INC extension. Describe: Fagg 2 2
Contact name: Jim Etltlington Each additional inspection over allowable In an of the above
Per inspection ,. I $ 62.50
Address: 11401 NE MARX ST. investigation per hour (1 hr min) 1 $ 62.50 I
Industrial plant per hour $ 73.75
Ciry/Stan /, TT': PORTLAND, OR 97220 - 1041 a Ili !iiinilliiliilaill3111iiii''. !: � f j11111EPEP iliP �MSIV; 'st iiiii ;B� 7, ::. 'liii ;a ,
Subtotal 128.85
Phone: 503- 255 -9488 Fur.: 503-257-7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fcc) 10.13
CCB Lic.: 48748 !Electrical Lic.: 26-496C iSuprv. Lic.: 3132.8 TOTAL. PERMIT FEE_ 136.78
Suprv. Electrician signature, required ,g( T5 u permit ap mien Ito permltti not obtained whUa 1*0
y V Y�
nays sitter tt hen been accepted at mmpktc
_
Print Namc: DARRELL M L Dare: 11116/06 • Pec tnathodolopy net by TT .Chanty Building industry Service Board
Authorized signature: 1 ` s **Number of inepectinns per permit allowed.
Print Name: DARREIL i' y v
. CITY OF TIGARD -, . -
BUILDING DIVISION PERMIT #: ELC200G -00664
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/1006
Phone: (503) 639 -4171 iteltCI
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 12/612006 TIME: 7:01AM PAGE: 68
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Electrical TI, (13) branch circuits. Job No. 261920
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503. 255-8488
Inspection Request Scheduled For: Date: 12/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 040718 -01 971-506-3475 Y
Corrections /Comments /Instructions:
1 0 3o>
mac.. toes 6. o o b VI f jjj
oPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: K‘8, tE Date: 1 - 2 -) -(% Phone #: (503) 718- 2y `IL .