Permit Ap.ii ` CITY F TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00560
i, DEVELOPMENT SERVICES DATE ISSUED: 8/31/2004
• ,� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 101 DC -04603
SITE ADDRESS: 07405 SW TECH CENTER DR 100
SUBDIVISION: SW COMMERCE CENTER ZONING. I -
BLOCK: LOT : JURISDICTION: TIG
Project Description: 1 200 serv. and 12 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: 1 W /SERVICE OR FEEDER: 12 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
WATUMULL PROPERTIES CORP REESE+ SONS ELECTRIC
307 LEWERSST#6FLR 16310 SE RHONE
HONOLULU, HI 96815 PORTLAND, OR 97236
Phone: Phone: 503 - 969 - 2191
Reg #: LIC 49883
SUP 1691S
FEES ELE 26 -506C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 8/31/2004 $160.10
[TAX] 8% State Surcharge 8/31/2004 $12.81 Elect'l Service
Rough -in
Total $172.91 Elect'I Final
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 Oreg n 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 o irect questions to OUNC at (503)
246 -6699 or 1 -800 -33. -2344.
Issued By: :4 , 41 0. / - _i;� Permit Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, le se, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELECN: ! DATE:
LICENSE NO: L &4/
3
Call 639 -4175 by 7:00pm for an inspection the next business day
i t ii •,-. ° "� l ,, - ("` te ', - a v t a r At
• Ele , d0c -al Permit Application 7 � 1 i k a r i /
.FOR OFFI ONLY
I 'd- ,�'A =d'� i , x ;
.Y�.r , r .1r_ " ='.'- .k 'WI " N ,.i s�A
City of Tigard RECEIVED Received Date/By: �l/ / Permit No. / 'I % � „O0 4t
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598 960 c� *.iHl ° B
t, Datey: Other Permit
Inspection Line: 503.639.4175 ,Akb J 1 L UU4 A il'.;'4`I 11 Date ReadyBy: Q See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: PM Supplemental Information
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['New construction t `Audi Wm alteratton/replacement Please check all that apply:
El Demolition CI Other: ['Service over 225 amps, comm'I ['Hazardous location
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft ,
rs .,, ; z CATEGORY OF 000N ' . y A 5, of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2 family dwelling Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure
['Building over three stories ❑ Feeders, 400 amps or more
El Multi family ❑ Master builder ❑ Other:
['Occupant load over 99 persons ❑Manufactured structures or
" , JOB sS gIN OR _, TIOVAND irdailiW T IgkiVnliti DEgressnighting plan RV, park
Job no.: Job site address: 7'o /6y (472‹._ 7)" ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: 7 _/; 4 , The above are not applicable to temporary construction service
Suite/bldg. /apt.no.: , t") 0 Project tname:C " y///��� /�PAr
l (J 1 yy Description Qty. Fee Total
Cross street/directions to job site: (� 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
z
Limited energy, non-residential 75.00 2
'l ..;�` "`I)ESC0.0:6 'n`OF WORK.' " '1 �� - gY,
Each manufactured or modular
7 ��n !' `,� dwelling, service and /or feeder 90.90 2
( ?,rte -,,,,, er£9 '[/'Ki � ( Services or feeders installation, alteration, and /or relocation
200 amps or less / 80.30 RIZ 30 2
.6i,uf .,A . _.., " 1 5 1 i _- f-kR N'T :, !-,:v; , 201 amps to 400 amps 106.85 2
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 installation, alteration,- and /or
relocation
Phone: ( ) Fax: ( ) 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
n. ' x. qtr
_- .. s a � 6 A. Fee for branch circuits with
3_..s_ APPLICANT t „,COIYTACT ERSON ;
service or feeder fee, each la 6.65 a 2
Business name: branch circuit 7f
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address:
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I F an:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
a . ' , , ;' A M ,?`t{` _ GOWWO ytOR .� �"''; "''a=' `: I � q ;' e energy panel, alteration, or
� ) extension. Describe: Page 2 2
Business name: /.� c'ei& �� ®� [� f � ✓ 't �
Address: /eg/0 5 E� t� Each additional inspection over allowable in any of the above
`7 Per inspection 62.50
City /State /ZIP:p t f Cr,. v G g l- . 3- Investigation per hour (1 hr nun) 62.50
Phone: (.0.3) 96 9 —2 / q/ I Fax: 3 - 3) 7, t2 — ' _3 Industrial plant per hour 73.75
V M` iracgI ECG"TRtCNLttaMTT,;°FEES ; <; n
CCB Lic.:I 9 g I Electrical Lie.: . 5® ,6GI Suprv. Lic.:/ 9/ f Subtotal / /t a 9
Suprv. Electrician signature, required: / , if _ ,o ! ` Plan review (25% of permit fee)
Print name ' D ate: State surcharge (8% of permit fee) /
_ jetioej TOTAL PERMIT FEE
Authorized signature: 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.\ Building \ Permits \ELC- PernxtApp.doc 12/03 440-461 5T( 10/02/COM/WEB
•
Electrical Permit Application - City of Tigard
Page 2 7 Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ A udio and Stereo Systems
B oiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation -
Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
. ❑ P rotective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\Bu ldingWermits\ELC- PerntitApp doc 04/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line!- (503) 639 -4171
BUP
Received Date Requested AM PM _ BUP
Location Suite `be MEC
Contact Person �i1'YI Ph ( ) � f �a 9' a / / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner c, -T 61(6-1A155-4 -A16 ELC G "/ eve)
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT —
Post & Beam
Shear Anchors
Ext Sheath /Shear MGM
Int Sheath /Shear
Framing
Insulation ?71O ) �f �1J
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
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 - e--1 5
e Alarm
r Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PART FAIL
❑ Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA I I i �-t�D q ■iEx
Approach /Sidewalk Date / Inspector t
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL