Permit CITY TIGARD OF ELECTRICAL PERMIT
Eir OF TIGARD PERMIT #: ELC2006 - 00651
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AD-06201
SITE ADDRESS: 10450 SW NIMBUS AVE RC ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: 20 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: 19 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:
KG INVESTMENTS GUILD ELECTRIC INC
KYLE LATTA PO BOX 674
10240 SW NIMBUS SUITE L3 BEAVERTON, OR 97075
PORTLAND, OR 97223
Phone: 503 - 598 -9980 Contact #: PRI - 503 - 957 -1173
FAX 503 - 291 -1532
FEES
Description Date Amount Reg #: ELE C21
[TAX] 8% State Surcharge 11/13/200( $13.85 LIC 109116
[ELPRMT] ELC Permit 11/13/200( $173.20 SUP 38685
Total $187.05 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: q�� 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 ApplRECELVED rolz (wricl.: ,,SE ONLY
City of Tigard `� 2006 o 8 ' Permit N °� A006 - 0066 1 13125 SW Hall Blvd., Tigard, O 2 3 Plan Review
a Phone: 503.639.4171 Fax: is Date/B Other Permit:
Inspection Line: 503.639.41 P' T dr TIG�II�D Date Ready/By. rut HI See Page 2 for
r I C: n I: U In www.tigard -or.goBUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans writems checked below):
. ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ 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
❑ 1- 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
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
IOOHP or more. occupancy.
Job no.: I Job site address: 10450 r te ) A i/
r^i% G C ❑ Six or more residential units. ❑ Recreational vehicle parks.
�}
City/State/ZIP: cD Q� 72Z ❑ Health-care o es. ❑ Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: . G Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: — 4 -1 5115 a _ _ Description I Qty. I Fee. I Total I •
r New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I TENANT 201 amps to 400 amps 106.85 2
Name: � j ���1t2� fez rsoi ajO L� 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 104'50 S -) /`) Fh')tJ AVE Over 1,000 amps or volts 454.65 2
City/State/ZIP: '" j l 0L `11177.- -3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I 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, p r panel
Owner signature: ,--,� Date: A. Fee for branch circuits with
❑ APPLICANT I LT c:ONTACT PERSON above service or feeder fee,
p each branch circuit 6.65 2
Business name: (( )� !t - B. Fee for branch circuits ��//
, without service or feeder fee, ( 46.85 7 2
Contact name: - r - .6 o i, first branch circuit
Address: la 6)C0'7 0 Each add'l branch circuit (9 6.65 /d(o.35 2
Miscellaneous (service or feeder not included)
City/State/ZIP: j(,A-(frd Ai r 66 9.7 076 — Each manufactured or modular 90.90 2
Phone: (_3) p F : . (5 ) Q � � dwelling service and/or feeder
, ' ? , ?i % / 53Z Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: f q . ' . ` Signal circuit(s) or limited -
v! IA ! G / �' energy panel, alteration, or
Address: 1- f.� extension. Describe: Page 2 2
City/ State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (!33) qt 7 _ / )73 Fax: ( ) Investigation per hour (I hr min) 62.50
CCB Lic.: (0C1 1/ Electrical Li • I Suprv. Li .: 3 86 8 S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: /73•ait7
Print name: I •-� , j \/ ' � Date: r /t2 Plan review (25% of permit fee):
/ / State surcharge (8% of permit fee): // gs
Authorized signature: TOTAL PERMIT FEE: /8 05
Print name: Un � *6 G _ Date: C ' / t This permit application expires if a permit is not obtained within 180
( • days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\BuildingWermits\ELC- PamitApp.doc 05/23/06 4104615T(11/05/COM/WFB
•
• 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:
El Audio and Stereo S ,
• •
I=1 Burglar Alarm
El Garage Door Opener* •
El Heating, Ventilation and Air Conditioning System*
•
El Vacuum Systems* .•
El Other:
COMMERCIAL WORK ONLY:
, Fee for each commercial $75.00
system
(SEE OAR 918-260-260)
•
Check Type of Work Involved:
, .
El Audio and Stereo Systems
11 Boiler Controls
O Clock Systems •
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC _ •
•
; •
El Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
• El Medical
E l Nurse Calls
El Outdoor Landscape Lighting*
• El Protective Signaling •
El Other •
Total number of commercial systems:
. *No licenses are required. Licenses are required
for all other installations
IABuildingTennitslELC-PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639 -4171 4 + . 0 4 , 1 f
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' "'I I ..
INSPECTION WORKSHEET FOR DATE: 2/20/2007 TIME: 7 :09AM PAGE: 32
SITE ADDRESS: 1(1450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: 20 branch circuits.
OWNER: KG INVESTMENTS, PHONE #: 503 - 598 -99B0
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 - 957 - 1173
Inspection Request Scheduled For: Date: 2/20 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043588 -01 503 - 957 -1173 Y
1 ‘6 /WIN)
Corrections /Comments /Instructions:
N
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr ' "V be Date: "2,-26' O'7 Phone #: (503) 718- 2.344X4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1312006
Phone: (503) 639 -4171 �u 4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7 :00AM PAGE: 36
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: 20 branch circuits.
OWNER: KG INVESTMENTS, PHONE #: J03- 598.9980
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 -957 -1173
Inspection Request Scheduled For: Date: 12/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041318 -01 503.957 -1173 N
•
Corrections /Comments /Instructions:
.3crAlet--. I\ Li, woR,Y,. - IN El- CAL
1Z,t6 .
a co- n o ❑, c��S A rk)f CrIAIRC HIS Wi T+
Q, (Z-*I• \). NALL T z-wt . 1_, i RT 1 41% 1,)'ail .
ik L Pa-i vI cY sip Act S u @
i\L\L_ ru" ' ( c.A1_4
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
y \ AIL \ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , ot-g it" Date: 1 O k Phone #: (503) 718- 24417 •
CITY OF TIGARD _,*
BUILDING DIVISION PERMIT #: ELC2006-00661
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639 -4171 Az�0
Inspection Requests (24 Hrs.): (503) 639 -4175 _A- 1.
INSPECTION WORKSHEET FOR DATE: 1 2/1 312006 TIME: 7:04AM PAGE: Si
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: 20 branch circuits.
OWNER: KG INVESTMENTS, PHONE #: 503 -598 -9980
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503.957 -1173
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 041011 -01 50 -957- 117 " 3 Y
Corrections /Comments /Instructions: J ; C&
2 PR\1:R
Nc.LS ON
- PAk-T, . 71 me
A
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( 6 8 Le Date: 12 1310 iO Phone #: (503) 718- Z14111a'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C2006-00651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639 -4171 4,
Inspection Requests (24 Hrs.): (503) 639 -4175 Air I I
J
INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7 :02AM PAGE: 31
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: 20 branch circuits.
OWNER: KG INVESTMENTS, PHONE #: 503.598 -9980
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 - 1173
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 039731 -01 503 -957 -3887 N
Corrections /Comments /Instructions:
'��`� • 33 1 • ,2_ (A) (t4 � 2- v i f3 M s X A (.1.<1.A)
%e■rK �c no- sti6 N
cuts 0 ■i'l os . 6W IPRo1' '
‘CU 4 110 F L c 1'4"
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
.FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: 1 1`[ lJ(-) Phone #: (503) 718 -''j 4'V