Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00654
1"i DEVELOPMENT SERVICES DATE ISSUED: 10/27/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135BB - 00501
SITE ADDRESS: 10575 SW CASCADE AVE 120
ZONING: I -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Tenant improvement, (1) branch circuit. Job No. 23 - 1337
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:
AMB PROPERTY L P CAPITOL ELECTRIC CO INC
BY TRAMELL CROW NW INC 11401 NE MARX ST
8930 SW GEMINI DR PORTLAND, OR 97220 -1041
BEAVERTON, OR 97008
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/27/03 $46.85
[TAX] 8% State Surcharge 10/27/03 $3.75 Rough -in
Elect'I Final
Total $50.60
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- .2 -2344.
Issued By: v. , 1 « 411P Permit Signature:/ - ,
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: / 3a 5
Call 639 -4175 by 7:00pm for an inspection the next business day
10/21/2003 11:08 5032616404 CAPITOL ELECTRIC PAGE 01
Electrical Perm Application OFFICE
ONLY
Date received:/ . i] Permit no.: • ..� - - des6 S
Project/appL no.: Expire date:
. _ al��^ City of Tigard Date issued: By: Receipt no.:
CITY OF TIGARD Address: 13125 SW HALL BLVD, TIGARD, OR 97223 Case file no.: Payment type;
Phone: (503) 639 -4171 Fax (503) 598 -1960
Land uxc approval:
•
TYPE OF PERMIT .
❑ 1. & 2 family dwwlling or accessory ❑ Commercial /industrial ❑ Multi- family Tenant improvement
❑ New construction ❑ Addition /alteration /replacement ❑ Other: ❑ Partial
Job address: 10575 SW Cascade Blvd City: Tigard Bldg. No.: / Suite rto: 120 Tax map /tax lot/account no.: /5/35 -o,Go ,
Lot; (Block: N/A JSubdivision: ea Cade A s i n e.ss Ce rt.
Project name . Spec Suite #120 'Description and location of work on premises: Add outlets
Estimated date of completion /inspection; 1 1/2E103
Job no: 23 -1337 Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) ruck,/ no. Imp
Address: 11401 NE Marx New residential - single or multi - family per r
City: Portland State: OR ZIP: 97220 -1041 dwelling unit. Includes attached garage_
Phone; 503-255-9488 [Fax: 257 -7121 IE -mail: darrellacepnx.com Service included;
CC13 no.: 48748 iElec. bus. lic.no: 26 -495C 1000 ac], ft, or Icss $ 145,15 4
C 'y /metro Jic,no.; N/A Each additional 500 sq. ft. or portion thereof S 33.40
, , li ' 1 I 10/21/03 Limited energy residential 5 75.00 2
:cat c o supervising electrician (required) � Date Limited energy, non - residential $ 45,00 2
Sup, elect. name (print): Darrell McNeel License no,: 3132-S Each manufactured home or modular dwelling
PROP Elm OW'N'lR Service and /or feeder S 90,90 2
Name (print): id Pro o • ex L P errrvicee�s or feeders - installation,
Mailing address: c/o Tramrvtecl CQ , j Sty ✓ tee s S'6,25" S fi! C.s c ads' It if on or relocation:
City: }' akre ( +o—, State: O i- IZIP: 97,301.- 200 amps or less $ 50.30 2
Phone: ea 5«1 ry SGc,G Fax: 52z, — /O I'S' 1E -mail; 201 amps to 400 amps $ 106,83 2
Owner installation: The installation is being made on property I own 40.1 amps to 600 amps $ 160,(0 2
which is not intended for sale, lease, rent, or exchange according to 60] amps to 1000 amps S 240.60 2
ORS 447, 455, 479, 670, 701. Over' 1000 amps or volts $ 454,65 2
Owner signature; Date: Reconnect only $ 66.55 1
EN'CI TIER Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less $ 66.65 2
Cily: State: 'LIP: 201 amps to 400 amps $ 10030 2
Phone: Fax: E - mail: 401 amps to 600 amps $ 133,75 2
PLAN RL1.1EW (l'ieasc check, all dial . ;apply) .. Branch circuits - new. alteration, ,
a Service over 225 amps - commercial 0 tlealth•aare facility or extension per panel:
❑ Se vice over 320 amps.rating of 1&2 ❑ Hazardous location A. Pee for branch circuits with purchase of
family dwellings ❑ Building over 1 square it roof ar service or feeder fee, each brunch circuit s 6.65 2
❑ Syslon over 600 volts nominal more residential vain in alts structure B. Fee for branch circuits without purchase
❑ Building over duce Stories ❑ Feeders, 400 amps ar inure _ of service or feeder ace, first branch circuit: 1 $ 46.65 46.55 2
❑ Occupant load over 99 persons ❑ Mattutitetures .aucture,5 or RV Park Each additional branch circuit: $ 6.65
❑ Egress/lighting plait ❑ Other. Miac (Service or feeder not included):
Submit seta of plans with any of the above. Each pump or irrigation circle s 53,40 2
The above are not applicable to temporary construction service. Each sign or outline lighting S 53.40 2
Signal circuit(s) or a limited energy panel,
alteration, or cxtcesiont' 5 75,00 2
'Description
Each additional inspcctionover th allowable in any of the above:
Per inspection r I S 62,50 I
_ investigation fee
Other
p Visa ❑ MasterCard Permit fee $ 46.65
Credit card ntnnber. / / Notice: this permit application Plan review ( ) $
En irCs expires if a permit is not obtained State Surcharge 8% ) $ 3,75
Name orcordlwidor as shown on credit cord
$ wlthing 180 days after it has been TOTAL $ 50.60
Am
Cardholder denature OUne accepted as complete,
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received )7 / i i /9 Date Requested l — Z 9 7 AM PM BUP
Location ` 5 . C rap MEC
Contact Person Are_ Ph (_£3 ZS 5— 9CW PLM
Contractor r , Ph ( ) SWR /
BUILDING Tenant/Owner LC ' 07 5 `
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm A�
Susp'd Ceiling ' -
Roof 1
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam • , 10 _ o�
Under Slab . �' V
Rough -In
Water Service
Sanitary Sewer •
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
Low olt C.r J� _a)�3
Low Voltage
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE 0 Please call for reinspection RE: /1 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date/ , 7 Inspe ' -I ' t� Ext
Other:
Final DO NOT REMOVE this inspection record fr . m the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re ueste g /// AM PM BUP
Location /057 4 ) / 5 Suite t �� > MEC
Contact Person ,OJ !/ � 7•0/1 Ph ( L ) SZ ^ ? 07 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: , SIT
Post & Beam go ci •(�f
Shear Anchors rilefiti
Ext Sheath/Shear
Int Sheath /Shear n �J
Framing
Insulation
Drywall Nailing
Firewall ( S i* —'
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL r
S e �_� i IIV
In
UG /Slab 4 _ _
Low Voltage
Fire Alarm
F -
PART FAIL Reinspection fee of $ required before next inspection. Pay at City H II, 13125 SW Hall Blvd.
❑ Please call for reinspection RE: , ���", � Una a to sect – no access
Fire Supply Line
ADA : 11167-- Approach/Sidewalk Date p
In s ector 7
Other: fk7
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL