Permit CIT OF TIGARD� ELECTRICAL PERMIT
PERMIT #: ELC2005 -00943
i DEVELOPMENT SERVICES DATE ISSUED: 12/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 105 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
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+ ampNolt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES CHRISTENSON VELAGIO, INC.
15350 SW SEQUOIA PKWY #300 -WMI 1631 NW THURMAN ST. STE 200
PORTLAND, OR 97224 PORTLAND, OR 97209
Phone: Contact #: PRI 503 - 419 -3600
FAX 503 - 419 -3636
FEES.
Description Date Amount Reg #: LIC 64137
[ELPRMT] ELC Permit 12/7/2005 $66.80 ELE 26-1174C
[TAX] 8% State Surcharge 12/7/2005 $5.34 SUP 1994S
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: - 7) - X . 211z 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.
DEC -07 -2005 WED 01 08 PM CHRISTENSON VELAGIO FAX NO. 95034193695 P. 01
Electrical Permit Application • . 1 , 0 R 0 1 • 1 • 1 ( 1: I ;; t: ()NI.,
City of Tigard SVS° Re -� QS i Pe
F- 9e� J
13125 SW Hall Blvd., Tigard, OR 9722 ■ Plan Review Other permit
V t ,,,,,
Phone: 503.639.4171 Fax: 503.598•19 � �!r - , � Dales • 51 Bee page 2 for
Inspection Line: 503.639.4175 �'•i . Date Ready/By:
pee '� �,, "'`�^
Notified/Method: Supplemental Information
Internet: www cl tigard.ear.us I c", .,� / � H ;�. i L S)
d : ,1 .L
-.7b4 `. V MIA-: : - y � •. ,. -`�. %: :i- *7a1AM: .�'i�'2 .9.' M y''+I�y i �x, +3° '} - . r ..: r r�L -2 . � -z,
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❑ New construction ►'' Additiott�ifeO e . ��//[�4h 4 nt please check all that apply:
C5 ['Service over 225 amps, cormn'l ❑Hazardous location
El Demolition 0 Other: 130 ❑Service over 320 amps - rating ['Bulldog over 10,000 sq. ft.,
,- +'fir" {w7: • y� f� ��'i �; n T t; of 1 -and 2- family dwellings 4 or more new residential
3 'r"`' +KI.h �'..'i°'.t�= /n.� , r? " :' n'��¢x�l" � Y�, '
❑System over 600 volts nominal units in one structure
17i 1 - and 2 dwellingCommercial / industrial El Accessory building ]Building over three stories CI Feeders. 400 amps or more
❑ Multi - family ❑ Master builder El Other �y�t DOccupant load over 99 persons ❑Manufactured structures or
'y'';` ti4`.t„i°' = :�� e,: r 4 T ,:ri e5'S ,'. N �a I a r i 'a 'M ; if' G� ' V.4.;
��� k�., ��' Y u.�a ,.�:;. „ �, ❑Egress/lightingplan RV park
❑Health -care facility ❑Other
Job no.: 61_ : 161 1 Job site address: , , SO Sly) ! - �I i IJ L Submit i sets of plans with any of the above.
City / State/ZIP: a I 1 I 41 g 2a The above � are not applicable
y+i R
� to temporary construction service.
♦ i. ' ' 1!! n..^ .1.4tiN>,T....t ^.1 .. t... i ,'
.,, rJr�l' , Afk.. :Ki,;
Suitc/b1dg. /apt. no.: 19' Project name: (z,XS s v on Qtr. eeb Total .
Cross street/dire ctions to job site: Guitc ` . ' 0,1 A 1 VY13a New residential single- or multi-family dwelling unit.
• Includes attached garage •
. _5D3 (,HQ_3(01,1 _ 1,000 sq. ft.orless 145.15 4
Subdivision: 1 Lot no.: . a. a
_Edd'1 500 sq. ft. or portion 33.40 1
. Limited energy, residential 75.00 a 2
Tax map/parcel no.: • Limited energy, non - residential 75.00 2
: :.A,i. yt nt i ?,¢r" !:r�VitL' ut 0�.;WQ0! - '. , • ,ati 104.4 k'.,,. Each manufactured or modular
• • , � � dwelling, service and /or feeder 90.90 2
/A. o_ . „r 2 ; x A Services or feeders installation, alteration, and/or relocation
200 amps or less 80 2
a • •, 201 amps to 400 amps 106.85 2
'ar {' {"'�,'. t �'� �,, f ~ i' i le ' I'
,�1L.�79.04 ° _ ' 1. :'lit 1 Y 'fit h' '(uv. F.5 mP
�S • �^ _' .r��`i�" � <• . 401 a s to 600 a S 160.60 2
th
Name: 601 amps to 1,000 amps 240.60 2
- Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66.85 2
- City /State/ZIP: _ Temporary services or feeders Installation, alteration. and/or
relocation
Phone: ( ) Fax: ( ) _ 200 amps or tens 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 circuits -- new, alteration, or extension, per panel
'i91R - .).7 • !t, /•�.r it vp4 ':� ' ' : ' I 14 P i �d :i ;5 ' • A. Fee for branch circuits with
ti,'` `2�1• e' ✓' °. tl'r'' MlT4��';`�i.�i' ". ; .. ea ' ' AM'! 'X Td • ' •.- se rvice or f eeder fee. each
- :.... L ' 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, r 46.85 ,bS 2
- - each branch circuit
Addre6S: Eac ad d't branch circuit 3 6.65 qq, 2
City /State/ZIP: MIseenancous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E . Signal circuit(s) or limited- 75.0C
,:, sy ,. , n '� . . � , fir. ",;: ,-�. �. : '. sw. t t? energy panel. alteration, or
r••''a't .. ... � i " 5� . _ . J r.. �r., . ' vSS ,... :ice Page 2 2
,..,:,:, , �• .. • extension. Describe:
Business name: CHRISTENSON VELAGIO, INC. -
1631 NW THURMAN ST 2ND FL Each additional Inspection over allowable in any of the above
Address: Per inspection 62.50
City / State/ZIP: PORTLAND, OR 97209 - 2558 investigation per hour (I hrmin) 62.50 '
Industrial plant per hour 73.75
Phone: (503) 419 -3300 I Fax: (503) 419 -3333 ? ,,,:„ 1:X . : 4, ; ;• M ME C :' e;' ' , .. - ;. : tA0e..ii; : ks4.t
CCB Lie.: 64137 Electrical Lic�� 174C i Suprv. Lie i 1994S : Subtotal G4. ii _
Suptvv. Electrician signature, required: O r `PV - Plan review (25% of permit fce)
• State surcharge (8% of permit fee) 5 3 C F
Print name: ROBERT AXT Date: 1 41/05 C PEE TOTAL PERMI EE A, Authorized signature
This p ermit application expires Ii a permit b not obtained within [tea
days after It hat been accepted as complete
Date: • roe methodology set by Tri- Couoty Building industry Service Board
Print name: •• Number of inspections per permit allowed.
is ltluildingtPciinitstRLC •PennkApp.doc 17/m 440•6615Thoui:/COr,t/WEg.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00943
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7:04AIN PAGE: 58
SITE ADDRESS: 06650 SW . DWOOD LN 105 CLASS OF WORK:
SUBDIVISION: PACIFIC CO • ORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COAXIS
DESCRIPTION: (4) branch circuits.
OWNER: PACIFIC REALTY A , OCIATES, PHONE #:
CONTRACTOR: CHRISTENSON VELA; 0, INC. PHONE #: 503419.3600
Inspection Request Scheduled For: - . Date: 12/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final • 3187 -01 503-720-6287 Y
Corrections /Comments / Instructions:
.PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( Se) Date: 11-( Q Phone #: (503) 718- 2•4410,