Permit CITY OF TIGARD ELECTRICAL PERMIT
41 COMMUNITY DEVELOPMENT PERMIT #: ELC2008 - 00293
DATE ISSUED: 5/22/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AC-00103
SITE ADDRESS: 07204 SW DURHAM RD Q300 ZONING: I - P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: CONSUMER ELECTRIC
Project Description: Installing (1) service and (5) 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: 1 W /SERVICE OR FEEDER: 5 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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 BRIDGETOWN ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 22732 NW GILLIHAN ROAD
PORTLAND, OR 97224 PORTLAND, OR 97231
Phone: Contact #: PRI 503 - 621 -7122
FAX 503 - 621 -7123
FEES
Description Date Amount Reg #: ELE 26 -887C
[ELPRMT] ELC Permit 5/22/2008 $113.55 LIC 103824
[TAX] 12% State Surchar 5/22/2008 $13.63 SUP 4177S
Total $127.18 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: Permittee Signature: 7
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.
May 22 2008 11:16AM Bridget l9ctric 503 -621 -7123 p.1
Electrical Permit j Applica � FOR 0H :icy l st_ (.)N1.1'
- •- ,�'? City of Ti rd v Q Q� Received _ a
13125 SW Hall Blvd., Tigard, O 972 t P� l� v 4 O MUM= IL ) A l •�� e i
Plan Review
Phtme: •
503.639.4171 Fax: 503.598. I t "1 G` P � Other Permit.
Ins Line 503.: OF ` ,S \ Date R ead y g
l ? %vKii `, Yom ®S ee Page lrttem www .t i gard- 639 orgov 4175 11 ®`� Notified /Method: A li �s Supplemental Information
iza , .f s r sA 8 dI F �' 4'2 11 '7z y a �,=, .. t , 5 .5 � 5 , . � _ _ .+,
- s W ' . t t ' T 1 t E y .1. a 2: 7 t � k 3 3 ..r(c r t i 1 t - s ..: .
.. -.� . ..t.A ...., ..r � _i't.... x , 6; I. '� , ` =s ? ,...� �.t 'ti 1` . : - ' re t .i �s� � ��� �� � + t ai 3; `,.; s s
a5 - .., .. �� „ t t 1'� '�i,x�:, uavF;s_��ss��� `- - ..'e" s.r•
❑ New construction _ • • ddition /alte lnon/replacement Please check all that apply (submit j sets of plans whims checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
s } r e v i� • . .' t t 3 : { li i , 1 x t °'� � :t exceeds 10,000 amps at 150 volts or ❑ Floati bu
: -a • ;...r x _,.: . + a..<.. z t �J 11 less to ound or ex 14
� gr ❑Commercial -use ng ildings agricultural
E-1 1- and 2- family dwelling ommercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
'!�f , .. �' - r s 't . - a " � r *. x ;c - v ..r - •�u. org.la 'm ' ❑ Emergency system. larger separately derived system.
Q sd , ff Addition of sew motor load C ❑ O• «E" «1.2^ "1.3
,fix .. k .. >,..Fs „ a, �, , ..,. au,..,:xo..xh;t- .c..'> .l: 1a =_ ...L.,.,.. , .u§a ' 'in me v. s.. ! ❑
Job no.: 8 f S Q Job site address: 7 SW {y .m,P.A( St3 ab 100HP or more ocwpancy
y �� ❑Six or more residential units, ❑ Recreational vehicle parks.
City /State/ZIP: A - f vim- - - �, ° l7 Z ❑ Health -care facilities ❑ Supply voltage for more than
I� '>.¢gf (at!a , _ ,/ ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: c Project name: COLScry ❑ Service or feeder 600 amps or more
Crass street/directions to job site: eax • r• Fe
Description Qty. Pia Total •
r New residential single -or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. R. or less 145.15 4
Tax map /parcel no
Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential
6 = r �' ', r t Li t� .
54-; .� �{ �'i , '�' "-'y, riXrilsz tr ['#�'Fis
d' .., . l , .�.> c , Ss, s . _ ;'Ei e I a � lg,r s , Tj.1135 .. (with above sq. ft.)
�� _ f �/ Limited energy, multi-family 75.00 2
/ ".I ��� C C • �' j
residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
tP� a a � � ' '� '�'�� rn =v � �x sRa e �°.J�✓9 s Y ,, .aka d 5� ��'�y a�s �.
200 amps or less 80.30 '4,b 2
a. _ .._ran. t ....' a .., -,... =ask. :,.." 1.t,a, t.,+e ixi,i �:..' i.�.n��''l 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
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, r panel
A. Pee for branch circuits with 4-5
„�. y. >: _,.: - } z z ..., , F °, ._..../ fr t bit r k . _ceprM' } 7 t ' {. „R, 4,r,. E '£Rt + i.?v=YtESa�,ae'..w� p '.Tway t z,.;I r.... .ltik 1i?t iilil'r r above service or feeder fee, 6.65 33
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'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 90 90 2
Phone: ( ) Fax::( ' )
dwelling, service and /or feeder
Reconnect only 66.85 2
E -mail Pump or irrigation circle 53,40 2
a `' ++> �� ;. (d�lgr 3 "'alb ...:. _.....:.. .....,. ,,..>.....,� ; _., ...- :[ m,T..r•:.a� �, .•, � w:,f.. x. . 'tr°xtr �z# .*'mss a�sF� ,. +rd.4a:�,!�.,n.: in . -Sign or outline lighting 53.40 2
Business name: Bridgetown Electric Signal circuits) or limited -
energy panel, alteration, or
Address: 22732 NW Gillihan Road extension. Describe: Page 2 2
City/State/ZIP: Portland, Oregon 97231 Each additional inspection over allowable in any of the above
Pe r inspection 62.50
Phone: (503) 621 -1122 Fax: (503) 621 -7123 Investigation per hour (I hr min) 62.50
CCB Lic.: 103824 EMIZEIESEM Suprv. Lie.: 4177s Industrial plant per hour 73.75
; kla 3 e Sa�:e:n . �....s 's:~l' •t a:. N t sTi}� .
Suprv. Electrician signature, requi - `Y Subtotal: /j..;. ,.a 5
Print name: Keith Steenslid Date: 5 / 9 -a g Plan review (25% of permit fee):
State surcharge (12% of permit fee): 13 (03
Authorized signature: TOTAL PERMIT FEE: ) 77, / i
Print name: Date: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1 :l auildirgV 'ermicsaELC- PennilApp.dou 0923/06 440 4615T( II/05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00293
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2212003
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 J --
INSPECTION WORKSHEET FOR DATE: 5/29/2008 TIME: 7: 00AIVI PAGE: 35
SITE ADDRESS: 072i SW DURHAM RD 0300 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONSUMER'EL-E6:1411C--
DESCRIPTION: Installing (1) service and (5) branch circuits. -
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC PHONE #: 503-621-7122
Inspection Request Scheduled For: Date: 5/29/2003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 070478-01 503.621-7122
Corrections/Comments/Instructions:
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PASS El PARTIAL APPROVAL CANCEL NO ACCESS
FAIL 1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: NVI Date:154Ar_3_1) Phone #: (503) 718- 1--iffj°