Permit cr (
CITY OF TIGARD v I ELECTRICAL PERMIT
Il
PERMIT #: ELC2008 -00005
COMMUNITY DEVELOPMENT DATE ISSUED: 1/2/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 110 D C -02300
SITE ADDRESS: 11535 SW DURHAM RD C -4 ZONING: C -G
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT : JURISDICTION: TIG
PROJECT: GENTOG
Project Description: Electrical TI, (6) branch circuits. Combining Suites 4, 5 & 6. 3/11/08 added data and fire alarm low voltage
systems.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: 2
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: 5 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:
HIP WILLOWBROOK LLC ALFA ELECTRIC
PO BOX 2708 7146 SW 158TH AVE
PORTLAND, OR 97208 BEAVERTON, OR 97007
Phone: Contact #: PRI 503 - 804 -2090
FEES
Description Date Amount Reg #: ELE 34 -443C
IELPRMT] ELC Permit 1/2/2008 $80.10 LIC 121141
(TAX 8% State Surcharge 1/2/2008 $9.61 SUP 4320S
[ELPRMTI ELC Permit 3/11/2008 $150.00
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $257.71
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 4.
Issued By: 4 1 .110-
illi
,./ Signature: / /0"/
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.
• ctrical Permit Application F OR' " OFFI C E U SE ONLY .
''"'` City of Tigard Date /By: / Permit No.: &!!27 !2w
v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639:4171 Fax: 503.598.1960 DateB Other Permit:
y:
T =IGAR' Inspection Line: 503.639 Date Ready /B 1u ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: / (C, Supplemental. information
. TYPE OF WORK - .PLAN REVIEW'
❑ New construction i 1 Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
M .Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑•Commercial -use agricultural
❑ I - and 2- family dwelling ( Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "t -3 ",
Job no.: Job site address: /✓ ) �j /5 w r., ,/ IOOHPormore.
/ �k�`J' ' �y 0 Six or more residential units. occupancy.
❑ Recreational vehicle parks.
City/State /ZIP: 14 e`�!C) / Q l� ZZ ❑ Health -care facilities. ❑ Supply voltage for more than
V (� ❑Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: k. Li. b 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: O\ Q\ W Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or•less' 145.15 4
Ea. add'I' 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION' OF WORK (with above sq. ft.)
Q • Limited energy, multi - family 75.00 2
N'etr- 8 ( ) / � residential above sq. ft.)
Services or feeders installation, alterations, ar..d/. r relocatin'.
200 amps or less 80.30 2
❑ PROPERTY' OWNER. ❑ TENANT ' ' 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 450,65 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
Branch circuits — new, alteration, or extension, Rer panel
Owner signature: Date: A. Fee for branch circuits with
❑ . APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee ' 46.85 La.S' 2
first branch circuit
Address: Each add'I branch circuit S 6.65 3325 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
• CONTRACTOR . Sign or outline lighting 53.40 2
Business name: A Lid .6' (, , / [l c- Signal panel, or limited -
energy panel, alteration, or
Address: 71 ti 6 SW It 52 4 v extension. Describe: Page 2 2
City/State /ZIP: 8 _ ,( 4 l ,2.,e 9 707 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( o3) 8 a 5 '.-. Zp 9 Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic : / /U/ f/ Electrical Lic.: y,yt C, Suprv. Lic.: y320 Industrial plant per hour 73.75
Su rv. "Lrle� an signature, wired: 7 -7// / (7p . ELECT PERMIT FEES
P g nature, re 9 � r0 Subtotal: V() , ( a
Print name: R 1 / Date: i 2 p Plan review (25% of permit fee): --e-
\ �l/ ���� / State surcharge (8% of permit fee): 9'6/
Authorized signature: TOTAL PERMIT FEE: R'9 • 7 /
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
C\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(t 1 /05 /COMIWEB
•
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESID WORK °ONL
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
H Vacuum Systems*
H Other:
COMMERCIAL. WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 -26C,
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation •
n Fire Alarm Installation
❑ HVAC
n Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
H Medical •
H Nurse Calls •
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2008-00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/212008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/11/2008 TIME: 7:01AIVI PAGE: 34
SITE ADDRESS: 11535 SW DURHAM RD C-4 CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: GENTOG
DESCRIPTION: Electrical TI, (6) branch circuits. Combining Suites 4, 5 & 6. 3/11/08 addod data and fire alarm low
voltage systems.
OWNER: HIP W Ll..01A/BROOR LLC, PHONE #:
CONTRACTOR: ALFA ELECTRIC PHONE #: 503-801-2090
Inspection Request Scheduled For: Date: 4/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # f‘Assage
199 Electrical final iR 068206.01 503-8042090 Y
Corrections/Comments/Instructions:
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FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Nc%L.g Date: 0 B Phone #: (503) 718- 9-
„ . „.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i/212008
Phone: (503) 639 -4171 ,, -
�11 �� j l �
Inspection Requests (24 Hrs.): (503) 639 -4175 : �!�
INSPECTION WORKSHEET FOR DATE: 4/9/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 11535 SW DURHAM RD 0 - 4 CLASS OF WORK:
SUBDIVISION: WILLOWDROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: GENTOG
DESCRIPTION: Electrical TI, (6) branch circuits. Combining Suites 4, 5 & 6. 3/11/08 added data and fire alarm low
voltage systems
OWNER: HIP WILLOWI3ROOK LLC, PHONE #:
CONTRACTOR: ALFA ELECTRIC PHONE #: 603 - 804-2090
Inspection Request Scheduled For: Date: 4/9/2000 Pour Time:
Code # Inspection Description C onfirm # Contact # -Message
199 Electrical final • 068111.b1 503 804 -2090 � ` Y
Corrections /Comments /Instructions: ' p e', ann Nit
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N(1211- Date: H v ° Phone #: (503) 718 - 2-.100
CITY OF TIGARD ;;
BUILDING DIVISION PERMIT #: ELC2003 -00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2/2008
Phone: (503) 639 -4171 4,uae 4
Inspection Requests (24 Hrs.): (503) 639 -4175 :..
INSPECTION WORKSHEET FOR DATE: 3/1/12006 TIME: 7:00AIVi PAGE: 11
SITE ADDRESS: 11535 SW DURHAM RD C - CLASS OF WORK:
SUBDIVISION: W LLOWAIBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: GENTOG
DESCRIPTION: Electrical Ti, (6) branch circuits. Combining Suite$ 4, 6 & 6.
OWNER: HP WILLOWi3ROOK LLC, PHONE #:
CONTRACTOR: ALFA ELECTRIC PHONE #: 503 -B04 -2090
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Cortfir-rn -# Contact # Message
125 Wall cover 0664 -01 503.1304 -2000 \ V
Corrections /Comments /Instructions: (P\
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr" QV tE5 L Date: bit OA Phone #: (503) 718- 1 t
CITY OF TIGARD NW
BUILDING DIVISION ,, .
PERMIT #: ELC2008-00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112/2008
Phone: (503) 639-4171 4 /M I°12 NiAl#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 11535 SW DURHAM RD C - 4 CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: GENTOG
DESCRIPTION: Electrical TI, (6) branch circuit. Combining Suites 4, 5 & 6.
OWNER: HIP WILLOWBROOK LLC, PHONE #:
CONTRACTOR: ALFA ELECTRIC PHONE #: 503-8041-2090
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 066307-01 603-804-2090 V
Corrections/Comments/Instructions:
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4 155AIL [1] CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
ll
Inspector: 4 Date: 3 -7- 0 ,P Phone #: (503) 718-
CITY OF TIGARD ., ' .
BUILDING DIVISION PERMIT #: FLC2008.00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2/2008
Phone: (503) 639- 4171 4 ,,, „44,01 ,�
Inspection Requests (24 Hrs.): (503) 639 -4175 '_L
INSPECTION WORKSHEET FOR DATE: 2112/2008 TIME: 7 :05AM PAGE: 8
SITE ADDRESS: 11535 SW DURHAM RD 0 - 4 CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: t3ENTOO
DESCRIPTION: Electrical TI, (6) branch circuits. Combining Suites 4, 5 & 6.
OWNER: HIP WILLOWBROOK LLC, PHONE #:
CONTRACTOR: ALFA ELECTRIC PHONE #: 503-804 -2090
Inspection Request Scheduled For: Date: 2/12/2008 Pour Time:
Code # Inspection Description oe ifi r# Contact # Message
120 Electrical rough-in 064889 -01 503 - 804 -2090 ' Y
T.
Corrections /Comments /Instructions: / (gill )
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FAIL tX CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C- 1-1- 06
Date: 2'1 CI% Phone #: (503) 718- tii 1 ko'