Permit 1.�
CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00867
:1
COMMUNITY DEVELOPMENT DATE ISSUED: 12/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA-01800
SITE ADDRESS: 10180 SW NIMBUS AVE J3 ZONING: I -
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : 002 JURISDICTION: TIG
PROJECT: EID PASSPORT
Project Description: (2) 200 amp service, (30) 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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 W /SERVICE OR FEEDER: 30 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:
ROBINSON, CONSTANCE A + GUILD ELECTRIC INC
ROBINSON, LYNN + BELL, KAY ET PO BOX 674
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97075
BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 957 -1173
FAX 503 - 291 -1532
FEES
Description Date Amount Reg #: ELE C21
[ELPRMT] ELC Permit 12/27/200' $359.10 LIC 109116
[TAX] 8% State Surcharge 12/27/200' $28.72 SUP 3868S
Total $387.82 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: 1 Permittee 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:
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 Appl' • FOR OFFICE USE ONLY
III •; ved � f( f�
City of Tigard D L // ��f� 7 D ( �J , - Permit N�ij � f1/1 D A DD K�
• 13125 SW Hall Blvd., Tigard, 2 Plan Review ( l - � ��(
Phone: 503.639.4171 Fax: 503.59 l9 p t , Date/By: Other Permit:
Ti c. n R D Inspection Line: 503.639.4175 li z 7 2007 Date Ready/By: ' kirk El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
. _ : :ta v. � . A .REViEw . •
•
4- :c�yvn a " 1 itjA ace..
❑ New construction C813 V i / t kipl 1c In iiiSION 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.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
2,15 CATEGORY OF CONSTRUCTION : , -. -_ exceeds io,b00 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'nstallations. 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 bf ❑ "A' . "E ", " I - " I - ",
Job no.: Job site address: Q I�bo � 100HP or more. occupancy.
Nimbus 3 ❑Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: P&v'+)itt4 OIL 7 Z Z r!1! ❑ ❑ Health -care H facilities. l ❑ Supply voltage for more than
600 volts nominal.
Suite/bldg. /apt. no.: -d 3 Project name: ..„,,, p4.5s T ❑ Service or feeder 600 amps or more.
• ' SCHEDULE
Cross street/directions to job site: e-^ 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 I
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. R.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
D 200 Services or feeders installation, alteration, and/or relocation
if
200 amps or less 80.30 114.1.0 2
PROPERTY OWNER J I ❑TENAN 1 e 201 amps to 400 amps 106.85 2
Name: /op 45 0 (OY157Qy1[e�A /C� l�/7� hV C n+° it 401 amps to 600 amps 160.60 2
2 / 601 amps to 1,000 amps 240.60
Address: ' = .- . �� SG(/ Nl 2u 3 su de- Over 1,000 amps or volts 454.65 2
City/State /ZIP: O p >~t1a 3 I /P/� / Z_ Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 5 0 3 ) 5q q l I c I Fax: ( 5 D 3 ) 5 ' _Cf Rf zi 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, per panel
Owner signature: Date: A. Fee for branch circuits with
APPLICANT I ❑ CONTACT PERSON above service or feeder fee, ' to
each branch circuit 6.65 2
Business name: '6
U) )/ rk B. Fee for branch circuits
/�
y without service or feeder fee,
Contact name: .,L) j L, K03 e_. v. first branch circuit 46.85 2
Address: p0 B b72.74 Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Re ye, v ti i D/L 92)7 , - D679 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (SD3 )q 5-7 ._)) 6 Fax: : (S03 ) p2q) /,S 3 Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
' CONTRACTOR Sign or outline lighting 53.40 2
' / Signal circuit(s) or limited -
Business name: 6 u! ) �l lyte� energy panel, alteration, or
Address: Pp ,0x 67 y extension. Describe: Page 2 2
City/State /ZIP: Beil..0 nett, pi. D /--- g 7075 0 67 y Each additional inspection over allowable in any of the above
Phone: �ro3) ? -) g v I Fax: Per inspection 62.50
( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: )0V i Electrical Lic.: C- Z.,,) I Suprv. Lic.:386 f( J` Industrial plant per hour 73.75
_ ` . ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: S o eig Subtotal: 69. Jo
"♦ �� ed "� l� 3 Plan review (25% of permit fee):
Print name: ,4'/r_ X. dEiSe",, Date: 17/2
�
State surcharge (8% of permit fee): 2 ,7a-. _
Authorized signature: ' L ✓ Z TOTAL PERMIT FEE: 3n 80....
This permit application expires if a permit is not obtained within 180,
Print name: .4 KQ 5 j� Date: /7 - Z �- Q 7 days after it has been accepted as complete
• Number of inspections allowed per permit.
I :\ Building \Permita\FLC- PermitApp.doc 05/23/06 440.4615T(11/05 /COM/WEB
Electrical Permit Application City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
S IDE IAL VORB;OIVLY : 7 :77777 i }A
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*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 91,80.309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems .
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
Fire Alarm installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El 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 \Pemits■ELC- PermitApp.da 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00867
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17J27/20fl7
Phone: (503) 639-4171 ,u��p F' �li
Inspection Requests (24 Hrs.): (503) 639 -4175 .. _-.
INSPECTION WORKSHEET FOR DATE: 1/25/2008 TIME: 7 :00AM PAGE: 27
SITE ADDRESS: 10180 SW NIMBUS AVE J3 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: E1D PASSPORT
DESCRIPTION: (2) 200 amp service, (30) branch circuits.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 -957 -1173
Inspection Request Scheduled For: Date: 1/2 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final / 06394 0 1\ 503-'752-0251 N
'1
Corrections /Comments /Instructions: I
( , 44 ,
' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i 00 lk" Date: 1 ' 2-11' 0'18 Phone #: (503) 718-
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: ELC2007-00867
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2/27/2007
Phone: (503) 639 -4171 11
Inspection Requests (24 Hrs.): (503) 639 -4175 fitj'A
INSPECT ION WORKSHEET FOR DATE: 1/24/2008 TIME: 7 :02AM PAGE: 38
SITE ADDRESS: 10180 SW NIMBUS AVE J3 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: 6D PASSPORT
DESCRIPTION: (2) 200 amp saivice, (30) branch circuits.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503-957-1173
Inspection Request Scheduled For: • 1124/2008 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
199 Electrical final 083845-04 '.503. 380.8229 N
Corrections/Comments/Instructions:
- (kav c�Li 1 fseKo \1A‘_, t 0
-- OM 5 i6 1w° Spot c .. `7 3 Atz S 1- .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
0 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N vn LE Date: I `Z. Phone #: (503) 718- AC
CITY OF TIGARD
jiht . .
BUILDING DIVISION PERMIT #: ELC2007.00867
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2007
Phone: (503) 639 -4171 /0.k. A i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7 :02AM PAGE: 40
SITE ADDRESS: 10180 SW NIMBUS AVE .13 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: Q02 TYPE OF USE:
PROJECT NAME: EiD PASSPORT
DESCRIPTION: (7) 200 amp service, (30) branch circuits.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503- 957 -1173
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description __Confirral Contact # Message
130 Ceiling cover 063845.03 503.380 8229 N
Corrections/Comments/Instructions:
CD " PRO V;X)$ es0Y4 Aao - Ge1 u vi 16L..
- b :L' 1 ' • " " •
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
A FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v u v �� - " Date: ! 4 ti) Phone #: (503) 718- Igt_______
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00667
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2007
Phone: (503) 639 -4171 : 4,.•ti
Inspection Requests (24 Hrs.): (503) 639 -4175 _L
INSPECTION WORKSHEET FOR DATE: 1/71200 ° TIME: 7 :00AM PAGE: 48
SITE ADDRESS: 10180 SW NIMBUS AVE J3 CLASS OF WORK:
SUBDIVISION: SCROLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: EID PASSPORT
DESCRIPTION: (2) 200 amp service, (30) branch circuits.
OWNER: ROBINSON, CONSTANCE A +. PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 -957 -1173
Inspection Request Scheduled For: Date: 1/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 062659 -02 503 -380 -8229 Y
Corrections /Comments /Instructions:
❑ PASS "\PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N v Date: 1.4'1 Phone #: (503) 718- Dfit
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007•0:)667
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212110037
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . :, F'I L
INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7 :00AM PAGE: 49
SITE ADDRESS: 10180 SW NIMBUS AVE J3 CLASS OF WORK:
SUBDIVISION: SCHOLL.S BUSINESS CENTER LOT #: UO2 TYPE OF USE:
PROJECT NAME: EID PASSPORT
DESCRIPTION: (2) 200 amp service, (30) branch circuits.
OWNER: ROBINSON, CONSTANCE A ¢, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 -957 -1173
Inspection Request Scheduled For: Date: 1/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 062659 -01 503 380 -8229 N
Corrections/Comments/Instructions:
r AI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N 6 a ( Date: V7' 31 Phone #: (503) 718- 24116
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007 -00887
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2007
Phone: (503) 639- 4171 ;4-, I
Inspection Requests (24 Hrs.): (503) 639 -4175 .:�J F'LL.
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7 :01AM PAGE: 52
SITE ADDRESS: 10180 SW NIMBUS AVE J3 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: EID PASSPORT
DESCRIPTION: (2) 200 amp service, (30) branch circuits.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503-957-1173
Inspection Request Scheduled For: Date: 1/4/2008 Pour Time:
Code # Inspection Description • onfikm # Contact # Message
125 Wall cover 06:..r60- 1 503-380-8229 Y
Corrections /Comments /Instructions: 1
IAi K)
Z 5 peo F c p.-&z. ,R. _.._3 5 1.. 3O( , e AA
c) 6 v p 6b7 F- 1.. is) A 8 LE cAso b v117 Pia, MT 3 0
Z s k,et m c, Ate. m7 . 3 30.30
t`� El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N be Date: 1 • Li" Oi Phone #: (503) 718 - Pi Lilo.
CITY OF TIGARD
BUILDING DIVISION A .. PERMIT #: ELC2007.00867
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/200/
Phone: (503) 639 -4171 � t
Inspection Requests (24 Hrs.): (503) 639 -4175 �!-
INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 10180 SW NIMBUS AVE J3 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: EID PASSPORT
DESCRIPTION: (2) 200 amp service, (30) branch circuits.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503-957-1173
Inspection Request Scheduled For: Date: 12/20/2007 Pour Time:
Code action Descri tion Confirm # Contact # Message
105 Underground/slab cover 062275-01 503-9557 -3887 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - og Le' Date: 1244 Phone #: (503) 718 - r 4