Permit 1
CITY OF TIGARD ELECTRICAL PERMIT
° PERM # ELC2008 -00490
A
° COMMUNITY DEVELOPMENT DATE ISSUE D : 8/26/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 •
PARCEL: 1S134AD-06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I - P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: SCHOLLS BUSINESS CENTER
Project Description: TI.
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: 4 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 + SHAW WEST COMPANY
ROBINSON, LYNN + BELL, KAY ET PO BOX 1427
BY INSIGNIA COMMERCIAL GROUP TUALATIN, OR 97062 •
BEAVERTON, OR 97008 '
Phone: Contact #: PRI 503 - 682 - 3939
FAX 503 - 682 -3723
FEES
Description Date Amount Reg #: ELE 34 - 70c
[ELPRMT] ELC Permit 8/26/2008 $73.45 LIC 63142
[TAX] 12% State Surchar 8/26/2008 $8.81 SUP 5316S
Total $82.26 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: �� ,, wA/
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.
. _ +,1ectrical Permit Applicati— -'OR OFFICE USE ONLY
City of Tigard o � � � ` ∎ rec Permit No.: :
71
° 13125 SW Hall Blvd., Tigard, OR 97223 f 11 'r--,
, 4= `• . t
11 r Phone: 503.639.4171 Fax: 503.598.1960 Dat ; y: Other Permit:
T 1 GA RD Inspection Line: 503.639.4175 AUG 2 5 2 ii {ate Ready/By: �iuris: � 0 See Page 2 for -
Internet: www.tigard - or.gov ' 4btified/Method: . 7.1..t9 I Supplemental Information
• I; . v i ", , ::"�' `. • . s .�:
, a. FYP.E> {O1? WORK f - a; . 'i ."gg �,!;':',',Y,''',. fi !,)!
�.'- -.r •I. -. •5,iy_ A1 ., J - ' +� ^�" kY�-ht , r.. �� � PLAN, W ., JO:C4 . r' +
❑ New construction Addition /alteratidn/rippicitn,A),' - •" :, : �> • " J ry, a Please check all that apply (submit / sets of plans w /items checked below):
• °' ❑ Service or feeder 400 amps or more
Demolition . ❑ Other: p ❑ Building over three stories.
❑ Demoli
where the available fault current ❑Marinas and boatyards. •
1•,..;y. ,r; a ;,5++ �' - ' T CONST _ UCTION . , . "�. .. exceeds 10,000 amps at 150 volts or ❑
Floating buildings. ' " .. � GA ,EGQR1',zUF �t ....:. = •: " ' :: • p
t less to oun or exceeds 14,000 gr d, ,❑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
�• r " , ; i'yv +,,,,, - J OB S INF . . II • vr7.7 `j }`: . `. ;: . . •: ❑ Emergency system. larger separately derived system
.,.. , ', - i:t' , • IS is .. ► IQN ;,A ', % : .,'
. �, _. , .. ... • • .::, . `' -....: 1, ❑ Addition of new motor load of ❑ "A ", "E', "1 -2 ", "1 -3 ",
Job no.: ST 2.5B9 Job site address ` I � i - i — ' 100HP or more. occupancy.
/0 5 � N ` IM ta ❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: P ` .r! l D q ❑ Health -care facilities. ❑ Supply voltage for more than
I / A.2. 3 ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: So `: et Q ❑ Service or feeder 600 amps or more.
`F,:r' :SC1l3EDU1 E .,: .
Cross street/directions to job site: 5 ((5 6usi ( 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 1
Tax map /parcel no.: Limited energy, residential 2
- .'4 V. 4:' `nO. . ::'}DESCRIPTION _1' . s ;f:'.? :`.;'Y (with above ft.) • 75.00
Limited energy, 75.00 2
_ ,; .... :.. , . �. ,. gY, multi - family
�,- - / if 5 0_4,4Z-01.4 ; 1 'to P9-0 e �-- -4- residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
/ I
iDt{t 0 't 5' r ' Grp „'t'i. - gte001 200 amps or less 80.30 2
_ ': - f u 1 T , E`ER, - ,,,A �, • ,: >_ ' TENNT?1:, 4:Y:: 201 amps to 4
R # PROR.E Yi " , ; �: � A � - :� �,. p o 00 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 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
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
? .0-A PLICA11l'G' . ' ' ❑ CONTACT PERSON: , • • above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee, I 46.85 i ll 8�
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 24, (pb 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) 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: Shaw West Co. . energy panel, alteration, or
Address: P.O. Box 1427 extension. Describe: Page 2 2
City/State/ZIP: Tualatin, OR 97062 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 682 -3939 Fax: (503) 682 -3723 Investigation per hour (1 hr min) 62.50
,,
CCB Lic.: 63142 Electrical Lic.: 34 -70C Suprv. Lic.: 53165 Industrial plant per hour 73.75
�-- ELECTRICAL - PER MIT. FEES ` ,
.
Suprv. Electrician signature, required: ocQ / 6, Subtotal: 7 3. 4
Print name: Dale T. Blake Date: 8120JeS Plan review (25% of permit fee):
/ 2..' State surcharge (p6 /o of permit fee): A - R
Authorized signature: CDec..4.r -*ierZ 7 TOTAL PERMIT FEE: 8 2 . 24
Print name: David L. Selby Date: �120fd $ 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:\ Building \Permits'ELC- PermiIApp.doe 05/23/06 440-4615T(11/05/COM/WEB
I
CITY OF TIGARD -
BUILDING DIVISION - `/ ` PERMIT #: ELC2008.00490
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2008
Phone: (503) 639 -4171 moo.
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ' I L.
INSPECTION WORKSHEET FOR DATE: 9/18/2008 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SCHOLLS BUSINESS CENTER
DESCRIPTION: TI.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: SHAW WEST COMPANY PHONE #: 503 -682 -3939
Inspection Request Scheduled For: Date: 9/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075644 -01 503.710.6689 N
•
Corrections /Comments /Instructions:
•
•
N: \
, Q,, , 74
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • 1,) W l_... Date: 911 Phone #: (503) 718- i_441-,