Permit CITY OP. T I G: D
ELECTRICAL PERMIT
PERMIT #: ELC2006 -00409
DEVELOPMENT SERVICES DATE ISSUED: 7/26/2006
°�I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110DC -02300
SITE ADDRESS: 11535 SW DURHAM RD C -3 ZONING: C -G
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT : JURISDICTION: TIG
Project Description: TI and low voltage for data.
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: 1
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: 1 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:
DURHAM /99 ASSOCIATES LTD PTNSH THREE PHASE ELECTRIC
BY CRIIMI MAE SERVICES LP 493 NE 3RD AVE SUITE B200
ATTN: LOAN SERVICING CANBY, OR 97013
ROCKVILLE, MD 20852
Phone: Contact #: PRI 503 - 263 -2558
FEES
Description Date Amount Reg #: ELE 24 - 390C
[ELPRMT] ELC Permit 7/26/2006 $128.50 LIC 128282
[TAX] 8% State Surcharge 7/26/2006 $10.28 SUP 4498S
Total $138.78 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are setforTli in'OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of thes- - es or direct questions to OUNC at
503 -24 -6699 or 1- 800~3 _ -
Issue By: K . A, _ /A, Permittee Signature: , 9 I ( / .11 r ,
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
-ONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: . "Art %, - -- DATE:_ ?/.. ...4 /
LICENSE NO: y
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
<s, �dN613 :28 ' 41035981980 503c -35�, three phase electric � P o 2 3
Mieetr Pel~mit M3phicatio
City of Tigard u
VE' RA iINF.oNi.ti'
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13125 SW Hall B1vd -, Tigard, OP. 97223 P atrJ$ : .4>L' Permit No.: c iDGr n0 De
Hall 503598.1960 Da- - :
2 6 2 00. : -....: . . Da - .: l��e
Inspection Line: 503,639.4175 Jv11 III!'
Phone: 503,639A171. Fa
r
L
_,..,11,... _ _� *ate ltaady/By;
Intoner wv.w.ci- tigati -or.ua Notified/meted; a teen rot
OF T IGA • � N supplemental IaMimodoa
gIli ..,,�( �� !, � �,1�1S1iQTIMRI`V " ".,= r.��'r� �:. i�•� .. i .;
(�liti iu .d '11+ 1 Aor� S.q((1,4'. 1. �ir3 .,i7., li! �T; .t ; � ir `� i w i. " ar_ ".•.ta U -
1 ,,,•- � .. -Nri . ",IrrF�,�.'�Y� rR..d.l��'. 1. , i _...: .�' ;� • y '�� i. � ;iJ� : ':;r• , ; I e, :• ._ � .
❑ Ntlw canstruclion a� ._f�'a .ki_7ai1 ". : .• i ,, T
: . dition/altera ionheplacemant Please check all that apply
❑ Demolition 13 Other: °Service over 225 amps, corrnn•I ❑ltazarroue location
it4 ,,,- ...r -,G. - .................................................... . 'rr_ >';, rte,, :.
i ° ' ; ; :r' " , " 4'` � ,• � � '. Service over 320 alms - rating ❑riuiidr, over l O Q00
,41 � Itr.. 1D f,, `'} .. j„ i r sq. ll
::z,� ._:..: . . . 1,kJ.. •"M rir.0 �;;��. �rl3J'` - �'k.'�ry. � ��� of 1 -and 2 family dwellings 4 or more new relic/Mill
• 1 and 2-flintily dwelling '!4 Corntrneroial/indtiCrial 0 Accessory building ❑Synetn ova 600 volts nominal units in one structure
lainlda over three stories
vlulti- farnil al builder ❑ Other. ilt+ L7Feeders, 400 amps or more
0 l
� ;« ;`slt's ;,y' t; a ;',,• ;irT —� a •. • , i`rte ^'�r - •° • � �,. ❑Otetipant load over 99 persona ❑Manuthctured structures or
41 M ti = '_.' , J f , t i i i ! 1> . n Ill _ a .c : ; i 0 "�:'i }
.y ,. a a.. ..r I 1 . .k o -e
�. - . •a: . . , . , , . s1 .i�.: _.t- � -�•r > ? it � � � ; :,��l� ['Egress/lighting pla RV park
Job no.: Job site address: 2 -- -_- �� iL \ ` 0„1/41 [Wealth -care facility ['Other: ! sub/I-A.1 oats of piano with any of the .bona
City/State/ZIT; SAS , it . t. The above are not applicable to temporary construction service.
Suh 'bklgJapt no.: C_ Project name: L ,f'?5 � it� , :,'"°f, ,11 : ,. "i . iti
nnmertpdn _ Orr. fns NE= t * "'
Cron street/directions to job site: New residential single -or multi - tinnily dwelling unit.
- Includes attached garage.
1,000 aq. ft. or leas 145.15 4
Subdivision: Lot no.: Ea. add'1 S00 act. .11. or portion 33.40 I -
Tax map/parcel no.: Limited energy, rsaidmnisl 75.00 2
V::::.1...!".1'7:' -r '1r.--- r_ ; - 1��•a•, ; : ,.,,� i ..,.,. y , i .,..,. rs , Limited energy, on•reeidenllu
.! ,� G , :g ci L: .-, , ,c,i„ h 1 'f ":, 777: ! SY, 75.00
.x.:.. ' -. ...e _. il.: 'i...i :,1awfq,.: ply' 1 ill 2
1 '�'-: ". � e,.3 "'�±�,;a, Each
�Y k� T - 0 y QA�= dwells oerviee and/or faede^ _ 90 90 2
1,n Services or feeders Inatallotbn. *iteration. and/or relocation
l_ fD \C$t-A ctt- I' - _ 200 amp/ or trsa 80.30 - t—".
4'' ` r i e & "ri i ,. :� .' r ; :11 Y. y u:i ,,._ y ,, . NF, V] W' r•' f,T' i (� Imes it? 4 t)Q 0 i
q,. :431`.* , „:.. . , ',_ :f• " :j. „.+i, • . L,. r .�r �.� r yi'g` , ,'i 2Ql 106.83
Name: 401 arms to 600 amps 160.60 - 2
Address: . Over p erno 1,000 *rape 240.60 2
am or volts 434.65 2
ROGOVneet only y 46.85 z
Temporary services or feeders lnatellatlon, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps nr less gS 1
Owner instillation: Thin :. .. lotion is being made on property that I own which is not 201 amps to 400 gimps 00.30
Intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. a
OW= eigaature t : -r Dille: Branch circa 600 amps 153.15
renew, alteration, or ex eiion, pe r panel
2
1
- ... _ ..... ..._ :_y �.. 1 !......F..
i ...; _.3 ;'',' " �..... ' .,,�_ A. branch Ci a c h
se
Business ntlm service ftc
e or feeder fee, eac
brach circuit 6.65 2
Contact name: H. Fee for branch circuits
valour setvice or feeder foe, 'I 46.85 1 4/ 4 1S — 2
Address: __
each branch circuit
Each add'1 branch circuit ' -- 6.65 (, i„o_.i 2
City /Stat[drLEP: Miscellaneeus (service or feeder net lneluded)
-
Phoa� ( ) F :: ( ) • R or irrigation ci rcle 53.40 2
_Sign outline lighting 53.40 2
E mail: � Signal eircuit(s) or limited.
t ”- •' r r 11:_ t . 41. A ::,_1 L lin2 .711,0 ftai !Si: P 1' ' ; ; ;. .; ' '° §.' 7 energy panel, alteration, or �--rZ)
Business name ■ r ,/ S`
=cm= Dracnbe: 1 Page 2 - 2
Business
S1/ ! /
Address: 0 t 1 Q j „ •. _ Each additional inspection over allowable in any of the above Lt • / 1 - 7 Petinspectioa 62.50
Ci ty /StatdZlP: , i ` t ! i Investigation per hour (i hr meal III 62.50
�� a _ pax: ( �� ( E - - -
Industrial damper hour 73 -75
t ^ • llltf2l:;:i�L,I_:.•'.kJ •, tl_,i4 w,1. ; , X 11 i. lt' t 41∎A`�. fi y ..
• Subtotal , <5 Zj 1
Suety, Elt:otsicitrtr signature, required: 41.....„... _ � �P MP A /�,� Plan review (25% ofp.m,it fee) 0 _
Print name :r. 4I: eel. ` ..•
l sate: �. '_ L Sims surcharge (8% ofper,smittie) i' "7
Authorized signntvrc: ' i � 1 1 TOTAL PERMIT PEE 1 -g +`Z,
its ,.. 71,u permit application expires If • Permit is not obtained Aft/5 150
days after it 6= been =tweed at complete
Print uame: t Date: - Fee medwdplosy sat by rrt -Counq Huildmit Indwo-y Service Board
Nntvticr of ttupcctions Dcr permit atrowpd.
Ba,tilai. $MITI* .cs,srriArveoc lwa 4,o■clsrpoavcotenves
CITY OF TIGARD ;, • ,
BUILDING DIVISION ..if ..,
PERMIT #: ELC200600409
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/763006
Phone: (503) 639-4171 4will0114ti I itit\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET WORKSHEET FOR DATE: 8/7/2006 TIME: 7:02AM PAGE: 7
SITE ADDRESS: 11535 SW DURHAM RD C.3 CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: LIBERTY TAX
DESCRIPTION: TI arid low voltage for data.
OWNER: DURHAM/99 ASSOCIATES LTD PTNSH, PHONE #:
CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 503-263-2558
Inspection Request Scheduled For: Date: 8/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final , 034489-01 503-913-2933 N
Corrections/Comments/Instructions:
s.%*'-'''''
PASS PARTIAL APPROVAL Pi CANCEL I NO ACCESS
FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: 1■166 Date: /1 6 () Phone #: (503) 718-14k_
CITY OF TIGARD `
BUILDING DIVISION .... `' PERMIT #:
ELC200t- 00409
13125 SW Hall Blvd., Tigard, OR 97223 0 DATE ISSUED: 7/26/2006
Phone: (503) 639 -4171 , ovolt
Inspection Requests (24 Hrs.): (503) 639 - 4175 . .:�
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 50
SITE ADDRESS: 11535 SW DURHAM RD C-3 CLASS OF WORK:
SUBDIVISION: WILLOWI3ROOK BUSINESS PARK. LOT #: TYPE OF USE:
PROJECT NAME: LIBERTY TAX
DESCRIPTION: TI and low voltage for data.
OWNER: DURHAM /99 ASSOCIATES LTD PTNSH, PHONE #:
CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 503. 263.2558
Inspection Request Scheduled For: Date: 7/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 033874 -01 503 - 913 -2933 Y
Corrections /Comments /Instructions:
�vv� c___,.---
M
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v tg L- � e Date: 7 .2:1 Phone #: (503) 718-7.4410.