Permit Nz' CITY O F TIGARD
GA R D
COMMUNITY DEVELOPMENT ELECTRICAL PERMIT
° V PERMIT #: ELC2007 -00119
D ATE ISSUED: 2/23/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134AA -02100
SITE ADDRESS: 10340 SW NIMBUS AVE NC ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: COCHRAN INC
Project Description: 4 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: 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: 3 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 + BROADWAY ELECTRIC - COCHRAN INC
ROBINSON, LYNN + BELL, KAY ET 626 SE MAIN
BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97214
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 - 546C
[ELPRMT] ELC Permit 2/23/2007 $66.80 LIC 72942
[TAX] 8% State Surcharge 2/23/2007 $5.34 SUP 3447S
Total $72.14 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: Adel" /G Permittee Signature: .9
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.
,, - , • F- rr , - ,._„_ - , ,, -.--D '7
Electrical Permit ApplicaVon FOR OFFICE USE ONLY
City of Tigard FEB 23 20040 Receive .-
; permitN0. 4 ,2 4 ,-7...
Dat : MO .
6 1 ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie 60/10,4
Phone: 503.639.4171 Fax: 503•598.19er u ,,,, .,,, , A:T:4%00 Date/B : Other Permit:
Inspection Line: 503.639.4175 2. 22. ,.. .L i I Date Ready/By: R3 See Page 2 for
Internet: www.ci.tigard.or.us I fl f 1 .r t r.4 ( r 1") N - 7. , Notified/Method: Supplemental Information
''''- ' ;','.',..; C: j ' . . '.'-' 1 i : 77itii. 72 wok - ',.: , ::': - .1. - i:',..!.!:;i::'::=,";; , iv:`Z;,If,'k'i;:11.`„. t; t . - . - •
0 New construction Addition/alteration/replacement Please check all that apply:
OService over 225 amps, comm'l [lHazardous location
0 Demolition 0 Other:
. OService over 320 amps - rating 0Buildng over 10,000 sq. ft.,
:,--,,=''. ,c..014 of 1 - and 2 dwellings 4 or more new residential
0 1- and 2-family dwelling ptImmercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories 0Feeders, 400 amps or more
El Multi-family 0 Master builder - 0 Other:
00ccupant load over 99 persons OManufactured structures or
'''.'•- SialE iNifili.MATfOk4hi toe:Atiasf; =.. L ... i'-7 ..*.--•: :..- nE plan RV park
Job no.:LeChc Job site address:10;y4004 , 13145 1 0Health-care facility 00ther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: 1 tt 01 The above are not applicable to temporary construction service.
i ,
.1dg./apt no.: Project name: b(),(litic\ Description I Qty. I Fee. I Total I **
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion _ 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: .
. Limited energy, non-residential 75.00 ' • 2
. ' .' 2 ' '''' ' • ..• - • ' . 15ESaitIPTIoNs VOoRk -' ': . '- , . - • Each manufactured or modular
W eN . Uh Li Cahl Gt-f dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
CCLi. - 1)1/ 3
200 amps or less 80.30 2
.. .r. -..„......, . - ,y . 201 amps to 400 amps 106.85 2
1=1:PROPERW: 'OWNER - ..,.:, ,., ,, ., .• :' . ,'..: • El TENANT: . 9 :.--. ,_,...:.;.,,:.
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuiti - new, alteration, or extension, per panel
• - . ••• • '' . , D .APPLICANT ' ' • .: '--,' 1 :, - -. .1 - :: ,• • : . ' ' .00NTACT.PERSQ N . ,.. A. Fee for branch circuits with
...,. ,
service or feeder fee, each
6.65 2
Business name: -- _
branch circuit
Contact name: fi i v.z. Anbnif,H,' B. Fee for branch circuits
without service or feeder fee,
46.85 Llio r 2
i
each branch circuit
Address:
Each add'I branch circui - ' an t 6.65 tqpic" 2
City/State/ZEP: Miscellaneous (service or feeder not included)
Phone: (9:y3)Lityl- CI )C) Fax: : ( ) Pump or irrigation circle
Sign or outline lighting 53.40
53.40 2
2
E-mail: Signal circuit(s) or limited-
:. ' ... • ' ` .., ,' . ::::"...'. '.:. -..:,-..:,, .., : , • '-,:H",.J:;::::,., ...`,:';:;',. :,...;,; , energy panel, alteration, or
t extension. Describe: Page 2 2
Business name: -a_
, c -o. e.A k....a 0,..‘i "' \ a.. c_lc. .r ■c_
Each additional inspection over allowable in any of the above
Address: C 2_ (.., 5 L _ ; .-... 1 \1 \
c:...w.. Per inspection 62.50
City/State/ZIP: , \-- 09- c k - 7 ."2-L4 Investigation per hour (1 hr min) - 62.50
Phone: (503 ) Z3( Lk Fax: (9N3) 124 ....?_cct4E Industrial plant per hour 73.75
:,..
CCD Lic.: 7 z c‘q2_ Electrical Lic.: 3/-5 L,c_„ Suprv. Lic.: 3,44-i-5 Subtotal 1 SD
Suprv. Electrician signature, required: V - Plan review (25% of permit fee)
State surcharge (8% of permit fee) ip .
Print name: \,r V.6-X-0 Date:
TOTAL PERMIT FEE 12.-, li-10
Authorized signature: ' This permit application expires if a permit Is not obtained within 180
days after It has been accepted as complete
Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed.
iABuildinePermitskELC-PcrmitApp.doc 12/03 440.4615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00119
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23 /2007
Phone: (503) 639 -4171 a I
Inspection Requests (24 Hrs.): (503) 639 - 4175' -..
INSPECTION WORKSHEET FOR DATE: 3/13/2007 TIME: 7:02AM PAGE: 59
SITE ADDRESS: 10340 SW NIMBUS AVE NC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: COCHRAN INC
DESCRIPTION: 4 branch circuits.
OWNER: ROBINSON, CON STANCE A +, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503. 2340564
Inspection Request Scheduled For: Date: 3/13/2007 Pour Time:
Code # Inspection Description Con #' Contact # Message
199 Electrical final 044597 -01 \ 503407 -9800 N
Corrections /Comments/ Instructions:
//1/
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 'V 66 Date: 3 '1 3' 0') Phone #: (503) 718 - Z-4