Permit CITY OF TIGARD ELECTRICAL PERMIT
a
PERMIT #: ELC2007 -00143
COMMUNITY DEVELOPMENT DATE ISSUED: 3/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112 DC -00100
SITE ADDRESS: 15705 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT : 002 JURISDICTION: TIG
PROJECT: NIKE
Project Description: Service with 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: 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: ai-f PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 6 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 ASSOCIAT CAPITOL ELECTRIC CO INC
15350 SW SEQUOIA PKWY #300 11401 NE MARX ST
TIGARD, OR 97224 PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 3/9/2007 $120.20 LIC 48748
[TAX] 8% State Surcharge 3/9/2007 $9.62 SUP 3132S
Total $129.82 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 OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: J r �. LC Permittee Signature: (Cc
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.
03/09/2007 09:19 5032577121 CAPITOL ELECTRIC PAGE 02
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Electrical e� A►ppli c RECEIVED FOR OFFICE USE ON V
) o ? tS� Permit no �7 . Do 1 3 'cv/
City of Tigard I'i ��l\ 4 200 a Plan
13125 SW 11AT I- BLVD., TIGARD, OR. 97223 r � � Ij c p,t�gy. Other Permit
CITY OF TIGA•A4i- ° -.
Phone; (503) 639-41.71 Fax (503) 598-1960_ TI GARD Date Rcady/By I Juris: L� See Page 2 fm
Inspection Lite: 503-639 -4175 BUILDING D I Notified/Method: sfm:mend tztmme ien
Internet: www•ci.tigar(Lpr.us
• • 11 . 1 .. ,- I p l .. r I . , .". .. • i .�.......... I . N' iidl •` `'I •.,': i j l I V Ct'T'-Ur•.p.r r , _.I} I. r . l ; , :.L ..• ''
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1:1.�1I 1 I )I .,• Il l �l I l.w�lJ? iJ � t.l. 1 Yi �� i � ,!.,: �...tl:llr .�.�. ��• .If;l�m': r � ..•... �ti'•:- ' �l� Ivl .illi.J,���. ".i.1�c uil rl I..I II . IJ [ I I � 1. I I'.•, �, W �1' _ I
•1._,0... ",..,.bw,_:uu ...... __1.1r_.:�... I L.
New construction -, Addition/aheradon /rcplaccncnt Please check all that apply:
❑ Demolition ❑ Other. _ ❑ Service over 225 amps, comml ❑ Hazardous location
,r ._t' '- r r ,� r _`_' _ '1';'T�:r,,...= .Ir' - C af' ;
".Ii a - V
I�;LLIi,�i!�..:.,,�i rr I !!( 4-,,^I��r�:' iillr ]:d,�.W,�tiL,ln ;h.,;�!�,�, � � ;, I�i�,lt, l , ,....i n_. ; L .,!. •a '• 1;Rr ❑ Service over 320 amps rating 0 over 10.000 . q.ft.
III 1- and 2- family dwelling -' Commercial/industrial IN Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi - family . .0 Master Builder ❑ Othcr ❑ System over 600 volts nominal units in one structure
:illiLlSS' 01
`,,, t ' ,. _ .. "< t
I - 11 i• I I u' lu t / i° x l Ifq a �,•yu I 1 f1 r l:. ;. 10 . V , 1 I:bl,i n�' ❑ Building over three stories ❑ Feeders, 400 amps or more
Lll! .:. �.. � I L.��'n:n•...... - av:FJ•n 4 a. ^.!__r...�• - ....JU l :11t.�. � ::ru 9
.iob no 270028 Jn. site address: 15705 SW 72ND AVE ❑ Occupant Toad over 99 persons ❑ Manufactured structures or
❑ Egress/lighting plan RV park
'City/State/2Z: TIGARD, OR. ❑ Health-care facility ❑ Other.
Submit 2 sets of plans with any of the above.
-
NIKE GOLF The above are not a. •licable to tem•oraryconstruction Service.
3uitc/k ldg. /opt, nn.: J otct name: :I _ - � • +'111 �.- L- I'P.n Ll+ta.n. I I1«1 .i .: a �
i '13 ::;E;(`.11!.;: ( i! "r
Cross Street/Directions tin" site: Description Qtr. rM Total
New residential - single or multi- family dwelling unit.
Subdivision: I Lot no.:
Includes attached garage
1000 sq. R or leas $ 145.15 4
TAX m ••_ •arcel D0.: Ea. Aden 500 sq. ft or portion 5 33.40 1
_ .
1I I, II1�' �I cTrT' "'I , I I II I li il Iri t c - 5l'it' )" " i` r y� I l h 1 ,';�`1�i'.t " Limited rcai ; 7500 2
dcotal $ . .
� :��1! y``cIII.,IJ.I'l�..i IL wlT' i.U.I1.r1 -. . t .,•�:..lu:.:Ji�iur<u- . _.;� : JI. liitd � _
EQUIPMENT CONNECTIONS FOR INJECTION MOLDER Limited energy, non - residential $ 75.00 2 -
FAO, manufactured home or modular
°v .1E i:l1 ' .La:1:ila ; %P'v! i 'tr� i:,..i1Jl ".rEL:•; ,, ii l ,4 ti� 1`;�1 t T dwelling, Service and/or feeder $ 90.90 2 .
Name: Service or feeders installation, alteration, and/or relocation
.PACIFIC REAL TY ASSOCIATES 200 ,....s or less . 1 5 . 8030 80.30 2
Address: 20I amps to 400 amps . 3 306.85 2
401 amps to 600 amps S 1 60.60 ( 2
City /Stnte/7Q': 601 amps to 1000 atntps $ 240.60 j z
Over 1000 amps or volts S 454.65 - L 2
Phone: Fax: Reconnect only 5 66.85 L
Temporary services or feeders installation, alteration, and/or
Owner installation: This installation is being made on property that I own which is not • relocation
intended for Sale, lost., rant or exchange, according to ORS 447, 449, 670, and 701 20 0 amps or leas 3 65.85 r
Owner signature; Date: 201 amps to 400 ,:ups $ 10030 Z
• 401 amps to 600 tarps $ 133.75 2
!lilt'71111 i• B I��t , ( I t •'MIT 'E: :1117` f:TffJi° c 11•;f� Branchcircuib - new alteration, orcxcda p �-
I i'�. • I�ILin , I�J Iry -U.nN .. �, -. r .. _ f l ti l tsi er
� �
Business Name: ' CAPITOL ELECTRIC CO., INC. A. Fee for branch circuits with
•
service or feeder fee. each
Contact name; JIM EDDINGTON branch circuit • 6 $ 6.65 39.90 2
B. Fcc for branch circuits
Address: 11401 NE MARX ST. without acrviee or feeder fee,
•
_ each branch circuit 3 46.85 2 .
City /State/ZIP: PORTLAND, OR 97220 -1041 Each additional branch circuit , S 6.65 2
Miscellaneous (service or feeder notlacludedd
Phone: 503 - 255 -94BB Fax 503 - 257 -7121 Pump or irrigation circle 3 53.40 r 2
Sign or outline lighting - S 63.40 2
E -mail: jim cepdxc om . Signal cucvits(s) or limited- .
i "•f { I `. - .'..%•: .!JyLi 1 11 1 ; 'l I'!*',II,:ti 1 ." v l,.,lla..«`;raV.' 1t1ifi •:,.:+yl t'I:∎. 1 1_'.':1 I.:'•7 • :4; energy panel, alteration, or
Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe; Page 2 2
Contact name: .JIM EDOINGTON Bach additional Inspection over allowable in stator the above
. Per inspection . S 62.50 i
Address: 11401 NE MARX ST. Jovestipatinn per hour (I hr min) 3 62,50
Industrial •lane •cr hour S 73.75 •
.
City/Stile/MP: PORTLAND, OR 97220 -1041 ri''"`:g._ a.' t 1; t U.il :
i; 14 �I:4��1-i1l3 7. J I -Yi'�, 1 ;•.ET. 7 751- .. : -itc 1 N
r:'. u� :'iC;: >i��' :,l�:iii�•ii_[_ J:N::: I ^111:1.
Subtotal 120.20
Phonc: 503.255-9488 Fax 503. 257 -7121 Plan review (25 "/ of permit fee)
State surcharge ( S% of permit fee) . 9.62
CCA Lac.: 48748 !Electrical Li • • 26 -196C jSuprv. Lic.: 3132 -S _ TOTAL PERMIT FEE 129.82
Suprv. Electrician sigriat:we, required �� Thl permit nppOcntlon rumble, or a p„r,ntr Is not sban -t .tr5tn t s0
/ Asps Ow It fm! Tnaf seurert at eomplM" i �
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Font Name: DARR FL �f��� 03108/07 - Fee met hodologynatty per d Industry Service Hoafd I
Authorized signature: // "Number' allowed.
Print Name: DARRELL MCNEEL
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2007
Phone: (503) 639 -4171 4 '
Inspection Requests (24 Hrs.): (503) 639 -4175 ' "'I L
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 26
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 111 LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE
DESCRIPTION: Service with branch circuits. 4/11/2007 ADD 1 SERVICE AND 6 BR. CIRCUITS.
OWNER: PACIFIC REALTY ASSOCIAT, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 -255 -9488
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Inspection Request Scheduled For: Date: 7/6!2007 Pour Time:
Code # Inspection Description firm-# Contact # Message
120 -' • - rough -in 051533 -01 \ 971 - 506 -3096 Y
Iq• F; N
• ' . ructions:
Z V h \-\a-E<
F' i �J A 1• 1 t� S � � b � Rg icl ui ( ;0 -
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
C Q.
(;-- .
' ►�• i • 0 640, 666 LE- .
0 PASS ' • _- AL APPR AL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - °.J L Date: 1 •6.0/ Phone #: (503) 718 - Zi'14 tj'