Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00730
4 �'C!'Ill l ■ w
DEVELOPMENT SERVICES DATE ISSUED: 11/15/2004
13125 SW Hall Blvd., Tisiard, OR 97223 (503) 639 -4171
PARCEL: 2S101 DD -00100
SITE ADDRESS: 07000 SW SANDBURG ST
SUBDIVISION: ZONING. I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: (2) branch circuits for server room.
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: 1 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:
PAPE' PROPERTIES + FRAHLER ELECTRIC CO
PAPE', TERRANCE/TOOKE, DIAN + 11860 SW GREEN BURG RD
PAPE', SHIRLEY N TIGARD, OR 97223
EUGENE, OR 97440
Phone: Phone: FX 639 - 4673
Reg #: 60 -4627 37410
SUP 1816S
FEES ELE 34 -13C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 11/15/200' $53.50
[TAX] 8% State Surcharge 11/15/200' $4.28 Rough -in
Elect'l Final
Total $57.78
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 -0699 or 1 -800- 332 -2344.
Issued By: a, , A p� . Permit Signature: Thh (4....-(3 �'�,�-- £ v�
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: -214 _ L 3
Call 639 -4175 by 7:00pm for an inspection the next business day
' Electrical Permit AppliC &t1A)l �',�� FOR OFFICE USE ONLY
City of Tigard i'r \� L _ Received
DateB : it / 0 i r 1=frif , 00 -Oil •
11125 SW Mall Blvd., Tigard, OR 97223. - n Plan Review
Phone: 503.639.4171 Fax: 503.598.1960,V . - 'v kev ✓i y � .A Date/B : - Other Permit: /� . 0074/
Inspection Line: 503.639.4175 '_ 1, Date Ready/By: H See Page 2 for
Internet www.ci.tigard.or.us `�,�I�Py,Oi:TY Atl 0 . Notified/Method: M Supplemental Information
( 4 }�,. yp.. •,i� . �•lt� �'�'Xi - (.' C ':fF � '.,�S1. TT � Y.Y .: r 9 .. S ; � � h" r � -Y!
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❑ -New construction ] Addition/alteration/replacement Please check ail that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location
-„ y „� ,. ,, , mow ,;, ; ,) �, ^, _ � ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
H , Il. -.. �.iN ' O 1� .w t ' 4 4 °.'., . ,
' , ,, w, (4.4„•,; its ::, ,, -5� -, . I , � , '- (- ` W of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Other:
(; {� , , . �, t , , .,, •, , � , :Occupant load over 99 persons ['Manufactured structures or
Il 1 ', e , ` : t e. ; ` i . iii • : b. - � b, 4 *'3 lr `' + r #r ❑ RV
t ... , ti , ,,-4�: :, ' p ° Egress/lightingpl P
Job no.: Job site address: 7000 SW SANDBURG STREET ❑Health -care facility ['Other:
Submit 2 sets of plans with any of the above.
City/ State/ZIP: TIGARD , OREGON 97223 The above are not applicable to temporary construction service. •
Suite/bldg. /apt. no.: I Project name: PAPE MATERIAL HANDLING '` ''' "'� " "' ' "- ; r' w � 4 A L D' w'1 ' "'�`'` `' = "` �'- ` . 1
Deseipticn I Qty. I F•e ) Tots!
Cross street/directions to job site: SW 72nd, EAST ON SANDBURG New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no. Limited energy, residential 75.00 2
$, ,aa y:_i; r » �.a . rv, r ,, a �. ,� .). N . , ti ,- �� r Limited energy, non - residential 75.00 • 2
f ,�.t' 1 r '1° Tif ' Q -,.� x `.- ` !: :4 ,!; ;.�: •. ..K:1; 1 �T • ",' :• Each manufactured or modular
dwelling, service and /or feeder 90.90 2
CIRCUIT TO NEW HVAC UNIT FOR SERVER ROOM
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
;o 3+r ,y: ,.,. x g ;, •o ,, . 1...,_.1.. .; �p >m -;. • ;,;. „/, 201 amps to 400 amps 106.85 2
£k ] �Q. • r o ] " I' IU1 ANT= .lF:,K"
.- x r. ► € .1 � . . Is.i : 10. f r li <r . . ..� .K � . , ?� . :'. -. t, 401 amps to 600 amps 160.60 2
Name: N L- paois ten l e 6 601 amps to 1,000 amps 240.60 2
Address: i l0 407 Over 1,000 amps or volts 454.65 2
't'L Reconnect only 66.85 2
City/ State/ZIP: Eta, 6,..) f., t 6 a. 9 7 «44) Temporary services or feeders installation, alteration, and/or
Phone: ( 5 ` I1) 4 61.. 63 g'.,, I 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: Branch circuits - new, alteration, or extension, per panel
M ' " ' ` t';-. r+ < 1 ,64, j ' "
i M 7 - ..,, „ :i' ' � . _i: ,, d13., , �fC'i 4 M1 .. r 0 - ` 4�su - , a"",L' .': s
- , ' L " °: ` A. Fee for branch circuits with
F • •
�, service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
•Address: each branch circuit
Each add'l branch circuit 1 6.65 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax:: ( )
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited- .
1, :? :,''' '1 , p. M ke ti (ri " >" ` "'e'!; " G energy panel, alteration, or
extension. Describe: Page 2 2
Business name: FRAILER Fi .F,CTRIC COMPANY
Address: 11860 SW GREIIVBURG ROAD Each additional Inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: TIGARD, OR 97223 Investigation per hour (1 hr min) 62.50
Phone: (503)639-4627 Fax: (503) 639 -4673 Industrial plant per hour 73.75
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CCB Lic.: 37410 Electrical Lic.: 4 -13C Suprv. Lic.: 2334S Subtotal 53.50 •
Suprv. Electrician signature, required: W Plan review (25% of permit fee)
State surcharge (8% of permit fee) 4.28
Print name: MIKE WAGNER Date: 11/10/04
TOTAL PERMIT FEE 57.78
Authorized signature: 97/ 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.
i:\ Buildmg\PemutstELC- PermiiApp.doe 12103 440- 4615T(IO /02/COM/WEB
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requeste. / ( — ( 7 AM PM BUP
Location • • �t _ ' � _ - � Suite (� MEC
Contact Person 1l.! Ph ( ) (2 - 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC adb '"007 36
Footing
ELC
Foundation Access: l ��
Ftg Drain Drain
y\,� ELR
Crawl Drain , ' 1
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors h ( �
Ext Sheath/Shear V Y C
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Pthr:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In }
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Alarm
PART FAIL D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
4144. 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA /)// ( Approach/Sidewalk Date 2 d Inspector Ext
Other:
Final DO NOT REMOVE this inspection record rom the fob site.
PASS PART FAIL