Permit CITY OF T I G i R
DEVELOPMENT SERVICES MIT
AL ELECTRIC PER
PERMIT T CAL PERMIT
0
'� JIII 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 1/10/2005
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Add (3) branch circuits in 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: 2 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 REALTY ASSOCIATES NEWTECH ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 20811 NW CORNELL ROAD
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Phone: 503 - 648 - 1900
Reg #: LIC 41868
SUP 3849S
FEES ELE 26 -418c
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1/10/2005 $60.15
[TAX] 8% State Surcharge 1/10/2005 $4.81 Rough -in
Elect'l Final
Total $64.96
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: Permit Signature: ,L2.42-- afp
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 639 -4175 by 7:00pm for an inspection the next business day
/10/05 0:22 FAX 503 648 3131 NEW TECH ELEC
IFP
M al 001
E1e mit Application
I'Olt OFFICE IJSV, ONEI'
City of Tig Hall Blvd., D ECEIVED Received � ''``
13125 SW Hall Olt 9 Dere/B : - / A-j v7 Permit N o.: A "O DO V
Phone: 503.639.4171 Fax: 503.596. Plea Review -
2005 : 1>ape/B . OtherPerrnie iivpil Inspection Line: 503.639.4175 1 0 2UU5 ��!:y,. � '�_� � �
Internet www.ci-tigand.or.us N ote 65 See toga 2 tor
SaPPlemeolpl lntaematioa
CI New construction r 119 v e 1+4� . ... rte ' , .,
. i�l i lu
+ • 1 eplacement Please check all
El Demolition that apply:
❑Other ❑Servi over 225 amps, comm'l ❑Hazardous location
r'..' } i it;Yy:il:rii "iii _ amps rating
I:1 1 - and 2 dwelling _..__..__
, rii n ;; � ` ervtce over ❑Buildagovtr 10,000 s . ft.,
S � - arg0 dwellings 4 or more new rmsidenti:il
r amercial/industrial
CI Multi- family ❑ Accessory building I]ystCm over 600 volts nominal units in one structure
- ❑Mesta builder C7 Other.
['Building over three atones ['Feeders, 400 amps or more
= i;' t nrl II a c min - - ['occupant load over 99 persons ❑Manufactu ed structures or
❑Bgreas/iilthting plan RV park
Job no.: 7( Job site address: ❑graltb.cate ter ry ❑O�er.
City/StateiZlP: '�1 � Submit 3. secs of plans with any of the above.
/535 , The above are not applicable to temporary contraction service.
Suite/bldg /apt n _ -
o Project name. 1 6 IIfSt' is Q tl`iii {ll` e '
N w residential single- or multi
Cross street/directions to job site: Qtr. s� Total
Include/ attached garage multi-family dwelling unit.
- 1,000 sq. ft or less
Subdivision: 11_0[ no.: Ea add'l 500 sq. ft or portion 1 33.40 4
1
Tax map/parcel mo.: limited energy. residential 75.00 2
...... .... . _
. ._..._._ s' re`e'fs :: 75.00 2
n l(1 c 'l I / +rf s ti7 l ' Iirmtt d energy naa.res d eat i a l
Bach a®nufacnured or modHiar
�b � -- 30 AMP T►J Prs I dwelling, service and/or feeder 90.90 2
• �V F� r — installation, relocation or
�� feeders " on , al teration and/or 'oa
- ii�I I,'_t:i; "is :1 }',.C'rii;,:,..,„,',c.,.1-1, :. - . - :. � r, ��p$ol 80.30 2
, .... I : :ID I 1 amp
201 $ to 400 s
, � �. ,.... amp 106.85 _ 2
Name: L 1' amps to 600 amps 160.60 2
t / N L t 601 amps to 1.000 amps 240.60 2
Address: t5�5n S / SE.�I not A MR-4014, Ay t StB ZSev Over 1,000 amps or volts 454.65 2
City/State/ZIP: Q � Np, o � iZ Temporary R only 66
lte " 2
services or feeders installation, alteration, and%or
Phone: (So%) 3.1.a5 , Z ,11 I Fax: ( ) relocation
Owner Installation: This installation is being made on property that I own which is not 201 20 amps or l 0 s 66.85 1
intended for sale, lease, rem[, or exchange, according to ORS 447, 449, 670, and 701. amps to 400 amps 00 2
Owner signature 401 Date: 401 amps to 600 amps 133 2
Branch dreuits - nor , alters tion, or extension, per panel
II
.. -1 .5_11, , , 1.11,1 l' ' i_, v .... dl ,:,, 1E1 :rf},Ir.t•Plr, f Ii I !_ /',il A. Fee for branch circuits with - --
Business name: service or feeder tee. each
branch Circuit 6.65 2
Contact name: B. Fee for branch circuits
_ without service or feeder fee.
Address: each branch circuit I 46.85 4 2
City /State/ZIP: • Each add'1 branch circuit 2- 6.65 1 S. 2
Miacellaaeous (service or feeder not included)
Phone: ( ) I Fax:: ( ) Pump or iruigatioa circle 53.40
2
E -mail: Sign or outline lighting 53.40 340 2
e e gnal r circuit(s) , al[Crdtlon, or
Business name: Nt extension. Describe: Page 2 2
tPt si112-4e—
Address: 2.0841 NW N t� e G • e G _ Each additional inspection over allowable in any of the above
City/State/ZIP: Per inspection 62.50
N It_ L S6etFe ! q (�'-� Investigation per hoar (1 hr rain) 62.50
Phone: (Sips) ` � , Pq0 "ax: (SC$) 13. $ 131 _ f } IndustrialpLwtperhoar 73.75
p C L ( . +: i.� i " � u ,i : l '
CCB Lic.: Elcctncal Lic.: Su ('
Suprv. Lie. 3 l " J 1 _ ,
'� y Su btotal I S
Suprv. Electrician signature, required: y -1 9/0_,A,,,,..— -
1 P15a review (25% of permit fee)
Print name:
1 ■ I t p 4 h S v k I Date: ' .- 10 - O- State surcharge (8% of permit fee) 44. $1
Authorized signature: TOTAL PERMIT FEE Lo, T• IL.
This permit application expires ire permit is Doi obtatttcd within 180
Print maitre: Date: days aver It has been accepted as complete
�. " Pee methodology set by Tri -County Building Industry Service Board
l ABu110 msPemtiu121.C.PematApp.ace 1V03 •• Number of inspections per permit allowed.
4404615T(10/D2/CONINSE
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 •,
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / - (3 AM PM BUP
Location / - 3Sb Suite 15O MEC
Contact Person n ) O`t Ph ( ) 5 N 9 - (S 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC agbOS /
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof C.
Other:
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 �[�L Q
F e Alarm
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date ^ 0 " Inspector d1 . LA& OrLti''V Ext
Other:
Final DO NOT REMOVE this inspection record fro the job site.
PASS PART FAIL