Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00462
DEVELOPMENT SERVICES DATE ISSUED: 8/17/2006
' j l l l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 102 CC - 00500
SITE ADDRESS: 13500 SW PACIFIC HWY 86 ZONING: C - G
SUBDIVISION: TIGARD MARKETPLACE LOT : JURISDICTION: TIG
Project Description: 6 branch circuits for 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 WIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: /5 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:
PACIFIC CORP /ELLIOTT ASSOCIATES HILLSBORO ELECTRIC
200 SW PINE ST, SUITE 200 21185 NW EVERGREEN PKWY #110
PORTLAND, OR 97204 HILLSBORO, OR 97124
Phone: 503 - 224 -6791 Contact #: PRI 503- 439 -9666
FAX 503- 601 -3680
•
FEES
Description Date Amount Reg #: ELE 34 -4399C
[ELPRMT] ELC Permit 8/17/2006 $80.10 LIC 134481
[TAX] 8% State Surcharge 8/17/2006 $6.41 SUP 49415
Total $86.51 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: dr1
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.
•
. 08- 17 -'06 08:05 FROM- Hillsboro Electric 503 - 601 -3680 T -955 P001/002 F -949
jtca:at atria I el 11111 ItIJI.111144IIOfi l i )It 01.1' ICI: l St: l) \I.1y
City of Tigard R E C E I V ROceived /� I lo -
�
13125 SW Hall Blvd.. Tigard, OR 97223 Plen Rev' A U G 1 7 / r
Phone: 503.639.4171 Fax: 503.598. 1960 • , � :,.,; � s i. DpatefB : atetBv: tJ Other PenPermit: Inspection Line: 503.639.4175 �' y�' � s I I Data Ready/ey: Jana: a See Page 2 for
Internet www.ci.tigard.ar,us CITY OF TIGARD Notifiodltdethod: Suppicme Information
P = �H-t cDlVISION ::
• - , •.... ... , .. • • • .. • :.. ... .PLAN .REVIEW ..:
❑ New construction Addition/alteration/replacement Please check all that apply:
❑Demolition ❑Other: OService over 225 amps, comm'I ❑Hazardous location
❑Service over 320 amps - rating ❑Boiling over 10,000 sq. ft.,
.. • ' CATE Or CONSTRUCTION . . . ' • '. ....• of 1- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family ❑Master builder ❑ Other: ; ❑Building over three stories ❑Feeders, 400 amps or more
'.. '•• • J011•SITE INFORMATION :kka.toCATIOPi .r...:'::. > ;: Egeu carload over persons f red structures or
Pa o 99 Menu ac[u ' • . :. . . . . ..� � .. ❑Egress/lighdng plan RV park
Job no.: Job site address: � � 4,7 • ' / [Wealth-care facility ❑01her.
�'7:812 Submit sets of plans with any of the above.
City/ State/ZIP: _ The above are not applicable to temporary construction service.
•urt Id /a t. n (project // :::....,:.,.�• p name: ®�I�OLr oseriptioa Qty. Pee Total ."
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1.000 sq. ft. or lass 145.15 4
Subdivision: . I LOt no.: Fa. sdd'1500 sq. ft. or portion 33.40 - _ I
—
Tax map/parcel no.: Limited energy, residential 75.00 2
•.;: ;; ; l,:. ,.
: • .. .:• • ,,. Limited ene , non- residential 75.00
:a: �; : ,., .� ., � ;, :•-.•:••i' DESCRI y • i i:: ;r: ••:::r, :l' i :, r6Y
::.. .. . .. . .. ON OP WORK;D. ; .,...: `"X• ' "•e
....... ,. ... .. � .::.�'�:� - ?':, ..: Each manufactured or modular •
T z . • dwelling, service and/or feeder .90.90 2
Services or feeders installation, alteration, and/or relocation _
200 amps or less 80.30 2
PROPERTY•'O ER •:
, �� :. � � �• r .• , �o1::Rr.:.s. ''.;.r:'_ +: - =ir• "
,�, �;g.• ry a „• 20I em
Ps 006.$5 2
• A 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 i nstallation, alteration, and /or
Phone: ( ) Fax: ( ) relocation
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: • • -
,;.._, •V;,:;` ^.�.....: • ^,.: :..,. n .. , Branch chciroules - alteration, or panel
Bra new, elterati n o extension, per
.:1•• .;i ®- .A'PP.LICA9V;I� ' : f` .,s',? , , ` 'C :•GOP(TACt » gi : ';:.: A. Fee for branch circuits with
Service or feeder fee, each
Business name: branch circuit 6. 2
Contact name: B. Fee for branch circuits
•
without service or feeder fee.J 46,85 /4, 2
A each branch circuit '
Each addl branch circuit 6.65 33,
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax :: ( ) Pump or irrigation circle 53.40 2
• E -mail: Signor outline lighting 53.40 2
Signal circuit(s) or limited- •
C.ONTRACIgR f x c E : , ; - ;., ,, data energy panel, alteration, or
Business name: Hi I Y sbOro extension. Describe: • Page 2 2
Electric L.L.C. i _
Address: 21185 NW Ever • teen PR Y S - #110
Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Hilisboro, OR, 97124 Investigation per hour (1 hr min) 62.50
Phone: (5 0 3) 439-9666 I Fax: (503 ) 6O1 - 3 6 8 0 Industrial plant per hour 73.75
x!• ' ELECTRiCAI; "P__ 'FEES'•': •"" ".=
CCB Lic.:1 3 4 4 81 I Electrical Lic.:3 4 — 4 9 9 C . I Suprv. Lie.: 4941 S — Subtotal I .' 0 s . 10
Suprv. Electrician signature, required: / � � ` .e Plan review (25%ofpermit fee)
Print name: Joey V ] t CO Date: gDatc: 1�� State surcharge (8% of permit fee) [D r
TOTAL PERMIT FEE V.0.51 • Authorized signature: . This permit application expires if a permit Is not obtained within Ina
days after it has been accepted as complete
Print name:
Date: • sec methodology sal by rri- county Building Industry Service Board
•• Number of inspections per permit allowed.
Building \Pmniw1ELC- PcrmilApp.doc 1un:+ 440.4615T11osarCOMWEB
_
CITY OF TIGARD ,.
BUILDING DIVISION f PERMIT #: ELC200G-00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639 -4171 ' '4i � �n
Inspection Requests (24 Hrs.): (503) 639 -4175 F:_—
INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7 :03AM PAGE: 49
SITE ADDRESS: 13500 SW PACIFIC HWY 86 CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: GO WIRELESS
DESCRIPTION: 6 branch circuits for TI
OWNER: PACIFIC CORP /ELLIOTT ASSOCIATES, PHONE #: 503 - 224-6791
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439
Inspection Request Scheduled For: Date: 10116/2006 Pour Time:
Code # Ins. - . Description Confirm # Contact # Message
125 Wall cover 038223- ' 503-439-9666 N
Corrections /Comments /Instructions:
No R.4 mg-NA Lt4 rUr- -ouosi ;N t 1:013
%(q 33ik •
6 v t 4 .< < mt. A bal6 cu I 0 ■•1 ` ti % (`(1M6w1,-
6 11115 Fb& n 20 S�2`
•ONO Ng 3
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL • XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G.', 66 Date:' 6 O 6 t Phone #: (503) 718 - .24_416___
CITY OF TIGARD _ •
BUILDING DIVISION PERMIT #: ELC200 &00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17 /2006
Phone: (503) 639- 4171a -���
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' W
INSPECTION WORKSHEET FOR DATE: 10/10/2006 TIME: 7 :06AM PAGE: 22
SITE ADDRESS: 13500 SW PACIFIC HWY 66 CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: GO WIRELESS
DESCRIPTION: 6 branch circuits for TI
OWNER: PACIFIC CORP/ELLIOTT ASSOCIATES, PHONE #: 503 - 224 -6791
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 - 439-9666
Inspection Request Scheduled For: Date: 10/18/2006 Pour Time:
Code # Inspection Description • • 1 # Contact # Message
125 Wall cover QN L.NO 1 038413 -01 503-439-9666 N
Corrections /Comments /Instructions:
eiriArN d�: biAl-t VIA- sag - 04,4tL . e ctriuk.
- - - 0 b t€ tL.I Is co L 70S ,6N--..
•
•
) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &' 1 1.16Q)1_. Date: V Phone #: (503) 71 8- 1-4*
CITY OF TIGARD
r �.
BUILDING DIVISION PERMIT #: ELC2006 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639 -4171 3tjP lili
Inspection Requests (24 Hrs.): (503) 639 -4175 -_..
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7 :01AM PAGE: 52
SITE ADDRESS: 13500 SW PACIFIC HWY 86 CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: GO WIRELESS
DESCRIPTION: 6 branch circuits for TI. 10/26/06, adding (10) additional circuits.
OWNER: PACIFIC CORP /ELLIOTT ASSOCIATES, PHONE #: 503 -224 -6791
CONTRACTOR: HILLSBORO ELECTRIC KO, e PHONE #: 503 439-9666
Inspection Request Scheduled For: Date: 11/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 039270.01 971 - 219 -8708 Y
Corrections /Comments /Instructions:
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bo N0T (ox e L:► Vv I`F 6
A LL, 1-o vo Vo rl C► (-:10 ' 4�� Pik) 41Lai j
1
It
"g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v ' Vv 6 ? Date: it I' ' 3' v(Z) Phone #: (503) 718 -'A •
CITY OF TIGARD _
BUILDING DIVISION J PERMIT #: ELC2006.00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639- 4171U
Inspection Requests (24 Hrs.): (503) 639 -4175 L.
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7:01AM PAGE: 20
SITE ADDRESS: 13500 SW PACIFIC HW1` 86 CLASS OF WORK:
SUBDIVISION: TIGARD MARKFTPLACE LOT #: TYPE OF USE:
PROJECT NAME: GO 1MRELESS
DESCRIPTION: 6 branch circuits for TI. 10/26/06, adding (10) additional circuits.
OWNER: PACIFIC CORP /ELLIOTT ASSOCIATES, PHONE #: 503-224 -6791
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503439•96G6
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039976 -01 971- 219 -8708 Y
Corrections /Comments /Instructions:
(j &) p
'1
. w NI i cy6 i act • •
K ., (-
►1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ A ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (T • IV $Y3 L Date: 11111 W Phone #: (503) 718 - *0