Permit CITY OF TIGARD ELECTRICAL PERMIT
DATE
PERMIT ISSUED: 4/30/ #: ELC200 7 -00286
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB-00600
SITE ADDRESS: 16125 SW 72ND AVE BLD.B ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: JERRY BOOGAARD
Project Description: Add (3) branch circuts.
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: 2 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 NEW TECH ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 13970 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: 503 - 624 - 6300 Contact #: PRI 503 - 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE 26 -418c
[ELPRMT] ELC Permit 4/30/2007 $60.15 LIC 41868
[TAX] 8% State Surcharge 4/30/2007 $4.81 SUP 38495
Total $64.96 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: c::: .sr y Permittee Signature: 5 � � OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/26/2007 15:53 5036709571 NEW TECH ELECTRIC PAGE 01/01
1.'01 OV iC.F. USE ONLY
Eiecti Perm A RECF.
City of Tigard Pcrmil ELL .• —op _r
d '�
a 13125 SW Hall Blvd.. Tigard, OR 97223 l � P Plan Review Oar Permit:
Phone; 503.639.4171 Fax: 503.59$.196 2 6 2001 Dade Rendy/By; 'mire BI See Pape Z far
Inspection lines 503.639.4175 CITVOF NotifieNMethod: Supplemental lntormlttien
T I t; ARD Internet: www.ttgard- or,gov TIGA • 1 y � fy � } ,
, ,. '.'^ 'i1i 1, �1' 6'1 r7' y ° Ftf:a`IM 1� ij v ? , .4'. '0 JI,: l
( r . r . • � R1, F ��.., r l „.,.i1{ i • jl l' I } j � 1 gi ,, .. S 1." , i j .�',a'ry'” „•,1 1f: {I:v ,l� ' (k
a :t'v a 'J f .Jl; ,. .., It .i� I# ('jy ,.ji � J ;I i''1F '�. ; ''br. "�. _ ° :�� ' i., 1) N r, �. a "6, SftP a , N. , N...D , ' all ,1G'a apply checked below
y ��•� � r'1 ' 1 .'.'W ' 17¢:.' -t' � ,
i ,;,�, , ..r � , ' • � . Please chec all That apply (submit 2 acts of plans wlitema chcc )'
❑ New construction i Addition /alteration/replacement 0 Servke or feeder 400 Bolls or mare 0 Building over three stories.
II----11 what the available fault current ❑ Marinas and boatyards.
Demolition I.t Other: , „, , i , r;,p r l 000 am at 150 volts 0 Floating buildings.
r 4..,q' t aY: ' .ui.glY ' w° r ii �: ? ; s��t l.... •I exceeds 10, amps Cnmmcrs .
X+ jr !U>l+ . $ ',. Q . ., • , q t�.. 1,,.4 �i:' i' 1 {' i ' or exceeds 14.001) 0 in1 -use agricultural
iPY 9L�'j(r : �{� .;' uf' � j�,.'.�'. . ..,,. � "•�' •..��' �'t'�" r Icse to grooms.
❑ 1- and 2- family dwelling a commercial/industrial ❑ Accessory building amp for all other ; mediations. buildinlw.
CI Fro own,. ❑ Installation of 75 KVA a<
❑ Master builder ❑ Other: 1)e s tern larger acparately derived system
' i +� Iti fam9 ;:t f IA` ' a "' 'ep � ?tk • A ; i J ft,� 141 a ;)1 1 ' 1 Q Bttrcrge f new molar load of Q A„ PAY "1.1',
�,rr RMi��l[o nif t :'11.,,. '' , i, .. . n e n . '' , • . , . '1 i, Addition o u "1-2",
, V;A a, t,.;,..14cr ti �” . ; •: , , a . 10014P or more. .
Job no.: .46610 Job site address: it„, 125 ,71,..4 12i--11� on, or more residential unit. ❑ Recreational vehicle parks.
0 Health-care facilities. 0 Supply voltage for more than
City /State/ZIP: ilbAr^ - ' e ' p limardoas locutions. 6(10 volts nominal.
- A A fin service or loader 600 amps or more. ;y
g apt. no.: _ roJtxt. m: name: r rI' A r ^; 1)l! !( is ii,4l }viii 11),
$U1tC/bld P
./ f y ' � ''Y "ir,�'4�1ii'r'
' ' i. �� a 'ifo ,� ��i 6r'
A rF�rapurm qv bee. Tolnl •
Cross street/directions to job site: — New residential single- or multi- family dwelling unit -
Includes attached garage.
1,000 sq. ft. or lama 145.15 4
Subdivision: Lot no.:
Ea. add' 1 500 sq. ft. or portion i
33.40
Tax map/parcel no.. m curial 75.00
Li ited energy. raid 2
,' f. rr �µi: of ,^ f ql ' b , 1 f . • r • r J14. 0 k � ` ,' Vj, `N :Y '' (P above 9Q• ,
��'ii i .f �9�t- . ' ,�r�'• t:'r '`rvJ .V X:,;, .a.,,, ,. r -r:kYl:,., i klnkili ll d '�'' multi - family
,,,J;L; f +::i�: +�Jldti a "f %.t;�l It . - w = " 4- » -'- );imi energy, y L 7S 2
A !'0 residential (with above sq. R )
_�� L 1 Services or feeders brstallation relocation
200 amps Or less 80.30 2
lr f + "
" ° ' 1 1 1 1 414 2 1 1 A . : 1)
'7#8 :&D °+ f I � a to 400 a .. 44 106.85 2
a 1 l �11 r' ,4 N :lll .li`f . ,iAr 1• 201 amps mp s
; :''��1 ,1„�. :;/.:,,,:, ';4 a. �^ , ' ,�f' 1 1 . ( 1 �'• { 1 1 y . 1 to amps 1G0•60 2
P�}C 7--/-Z-/ 5 24
0 amps mP
Name: A 601 amps to 1,000 amps 240.60 .. Address: ‘ t A4 A' ZirJ Over 1,000 arms or volts 454.65 2
,
Temporary services or fcederi installation, alter a and/or
City/State/ZIP: relocation
—
Phone: (
co, e ,, ti 0401 1 Fa x: ( ) 200 amps or leas 66.85 1
201 amps to 40 amps _ 100.30 '
Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 133.75
intended for sale, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alterations or extension, p�ipanc1
Owner signature: Date' A. Fcc for branch circuits with
v 1�' n t ,' r , ; �I� ' 4 't above service or feeder fcc, 6.65
, 11)`' : #K73, 61EI' S . s 31 10 : Rillz.' H'S�. ,E;1' !r 1, !ktI Ji ,°' . 4 +, $1 i� . ; ,r'
e 4 ,.; ',t ' `° �`
each branch circuit `
Business name: B. Fee for branch circuits
without service or feeder fcc, l� t 46.85 AL, Contact name: first branch circuit
Each add' I branch circuit t y ' -----67 . - I 2112 '
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 90.90
dwelling, service and/or feeder
Phone: ( ) TFax: ( ) Reconnect catty 66.85 .
E -mail: Pump or irrigation circle 53.40
"'f9� :,.�ht ' , lei v ., tr " 1) i' !;F ;.;lA ". ' -" 1; "a;'1) ?'!': `t''y Si or outline lighting 53.40
�'� 'Z1) {� 1 );'l! /.. f • ' n'S;Y4 �: � { �y �, ;N ; t..�i ; �:° tJ6 � �'(.1�'lf s ' ' � ! 4 � �U " .. 1::f`�� 11,. ' ° t �.F: ii. ", �
Business name: � �� � T r � Signal circuit(s) or limited -
clt+L•J--L r l��t! 1 11 N energy panel, alteration, or
Address: t 1 ±:nd .Jf7 Wit extension. Describe: Page 2
City /Statc/ZIP: kin i� 1),+- j Each additional i fxon over allowable in an of the above
i �— l'cr inspection 62.50
Phone; ( ) �aDl/ pax: ( )
� 2- Invcatig:ttlon per hour (I hr min) 62.50
CCB Lie.: Ql et.$ electrical Lie.: 0l0'4Ie , Suprv. Lic.: '' 4tp - IndusWal pl:lhlperhour 7335
Suprv. Electrician signature, required: i '/ ( > : ::, ; :: :`•t ,'6;EG OA;fi,?s ' , ,'• ORS ,;.'; >.:'{ri;'''''
Subtotal: G
Print name: A • ' Date: rev (25% fee):
�� �'�"~ �' ��� Sta te Surcharge ($76 of pepermit rmit fee); 24. $
Authorized signature: —
TOTAt, PERMIT of PBB; • 9p
Print name: Date; —This
permtt appiicntinn expire iew if a prnnll Ia not enwinod within 1110
t1n9P alter it has been accepted 1)a complete.
I:1 ButidinerPr 'nnirrrGLC.PcrmhAnr.,i,w 051 M q .. l j A4. �r.� 5ierS/C(1 " Number or inspections allowed per permit.
M/W5t1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00286
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007
Phone: (503) 639 -4171 471171,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5129/2008 TIME: 7:O0AM PAGE: 37
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Add (3) branch circuts. Job Number 40810
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503. 648 -1900
Inspection Request Scheduled For: Date: 5/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 070473-01 971 - 223 -7022 N
Corrections/Comments/Instructions:
UPS • n)c utv .
J
0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
- ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � V �i Date: 6 2' M Phone #: (503) 718- 1-4 "