Permit CITY 0,F. TI GA R D ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00543
COMMUNITY DEVELOPMENT DATE ISSUED: 9/23/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S134AA -01900
SITE ADDRESS: 10115 SW NIMBUS AVE 400 ZONING: MUE -2
SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT : 001 JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: Reconnect only.
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: SIGNAUPANEL:
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ROBINSON, WILLIAM R /CONSTANCE A
ROBINSON, LYNN + BELL, KAY ET
BY ELLIOTT ASSOC
PORTLAND, OR 97204
Phone: Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 9/23/2008 $66.85
[TAX] 12% State Surchar 9/23/2008 $8.02
Total $74.87 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: /,`7 /j 2ay
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.. Electrical Permit Applicati on FOR OFFICE USE ONLY
City of Tigard r"` Davy
rj..7 rn. 6 Permit No.: Rz .bk.., a$-tr- j - ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 DateReadyBy: ® See P r
Internet: www.tigard - or.gov Notified/Method:� Supplemental ental I nformation
qCEIVE n
TYPE OF WORK PLAN REVIEW
co . ❑ New construction 0 Addition/alteratio a nt Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ® Other:
❑ Service or feeder 400 amps or more ❑ Building over three stories.
2008 where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CRAW , . exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
,ryry BAR i less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ®m
Comerci Hd CIA i , • % r building amps for all other installations. buildings.
El Multi El Master builder ❑ Other: ❑ Firepump. 0 Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SiTE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A", "E", "1 - 2 ", "I - 3 ",
i00HP or more. occupancy.
Job no.: Nimbus Cen Job site address: 10115 SW Nimbus Suite 400
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /Z►P: Tigard ' OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 400 Project name: Nimbus Sho ng Centers ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Scholls 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'] 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK • (with above sq. ft) 75.00 2
Limited energy, multi - family 75.00 2
PGE shut off power at pole. Need inspection of meter to allow for PGE to recon residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
ect power to space #400 (former Sign World space) 200 amps or less 80.30 2
® PROPERTY OWNER i ❑ TENANT : 201 amps to 400 amps 106.85 2
Name: Nimbus Center - do NBS 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 121 SW Morrison #200 Over 1,000 amps or volts 454.65 2
City/ State/ZIP: Portland, OR 97204 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)273 -0318 I Fax: (503)273 -0256 200 amps or less 66.85 I
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, per panel
A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Norris, Beggs & Simpson as Agent for Nimbus Associ B. Fee for branch circuits
Contact name: Stephanie MacPherson without service or feeder fee, 46.85 2
P first branch circuit
Address: 121 SW Morrison, Suite 200 Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: Portland, OR 97204 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 273 -0318 Fax: : (503) 273 -0256 Reconnect only 1 66.85 66.85 2
E -mail: smacpherson @nbsrealtors.com Pump or irrigation circle 53.40 2
CONTRACTOR ,. Sign or outline lighting 53.40 2
Business name: Signal circuit(s) or limited-
. energy panel, alteration, or
Address: extension. Describe: Page 2 2
City /State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50 ,
Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 •
CCB Lic.: Electrical Lie.: Suprv. Lie.: industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 66.85
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): 8.02
Authorized signature: TOTAL PERMIT FEE: 74.87
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.
I:\ Building \Permits \ELC•PermitApp.doc 05/23/06 440.4615T(I /05 /COM/WEB
• Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information - •
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
TI Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ 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 t ` PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELC 20013 00.,43
Phone: (503) 639 -4171 AA 9/23/2008 Inspection Requests (24 Hrs.): (503) 639 -4175 9
Pi ii
INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME: 7:02AM PAGE: ,
SITE ADDRESS: 10115 SW NIMBUS AVE 400 CLASS OF WORK:
SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT #: 001 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Reconnect. only.
OWNER: ROBINSON, WILLIAM R /CONSTANCE A, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9/79/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076024 -01 503.273 -0318 N •
Corrections /Comments /Instructions:
. \\
q- I
�
N,
c s . ..._)(L PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G --1 N68 Date: 31411 Phone #: (503) 718 - lily(,