Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00383
4, DEVELOPMENT SERVICES DATE ISSUED: 7/12/2006
_ "II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DC - 04601
SITE ADDRESS: 07409 SW TECH CENTER DR 150 ZONING: I -P
SUBDIVISION: TECH CENTER BUSINESS PARK LOT : 002 JURISDICTION: TIG
Project Description: 10 branch circuit 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 W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 9 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
621 SW MORRISON SUITE 800 16310 SE RHONE
PORTLAND, OR 97205 PORTLAND, OR 97236
Phone: 503 - 223 -3171 Contact #: PRI 503 - 969 -2191
FEES
Description Date Amount Reg #: ELE 26 -506C
[ELPRMT] ELC Permit 7/12/2006 $106.70 LIC 49883
[TAX] 8% State Surcharge 7/12/2006 $8.53 SUP 1691S
Total $115.23 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 question to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permiftee Signature: d r ii .- • /
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.
Electrical Permit Application FOR OFFICE USE ONI..Y
04 of and
Received (/Y` ,6...,50g
I Date/By. y /OG Permit No.:
13125 SW Hall Blvd., Tigard, OR 972 Plan Re ' w
Phone: 503.639.4171 Fax: 503.598.1960 Other VE,, i ,; s . h` D a te/By. Other Permit: t 2 Ob ���
Inspection Line: 503.639.4175 r 1 X1.1 '1 I D ate Read
� yBy. is :' ® See Page 2 for
Internet: www.ci.tigard.or.us JUL L 2 2006 Notified/Method: Supplemental Information
d6IFWIIPAiRD PLAN REVIEW
El New construction Ad ttlOIVAeA M cement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'I 0 Hazardous location
OService over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling Nr Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other:
0 Building over three stories 0 Feeders, 400 amps or more
['Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION //� J� 0 Egress/lighting plan RV park
Job no:: Job site address: 2 q0q S, La !E / %G//�/ (/�i 0 Health-care facility 0 Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: / ,,v
�" ' � Q,,- a The above are not applicable to temporary construction service.
A,� �,� � FEE* SCHEDULE
Suite/bldg. /apt. no./50 name: G �. /Ye l /
Description I Qty. I Fee. I Total I ..
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:. Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
_ ----^ dwelling, service and/or feeder 90.90 2
�� 7��1�//%lil Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
•
. ❑ PROPERTY OWNER ❑ TENANT 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
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or Business name: branch circuit
ceder fee, each 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 ft, 4;6 2
Address: each branch circuit
Each add'l branch circuit q 6.65 59.1m 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
� extension. Describe: Page 2 2
Business name: L o e 5 e �i, 7l7� v l e rU �� �T ' ,
Address: /a 3 / ' 5 �„ /Q4 "wP Each additional inspection over allowable in any of the above
/� ' Per inspection 62.50
J -
. City/ State/ZIP: 9 / f �I�
Phone: OYo % 7 2 ' Investigation per hour (I hr min) 62.50
(,�n3) q' 9 � _ ( _ Industrial plant per hour 73.75
/ � F ax: //��
O 3
G �( p O ( ELECTRICAL PERMIT FEES*
CCB Lic.: Me � Electrical Lic.: ', C Su rv. Lic.: / /9/ S Subtotal /C? . 70
Suprv. Electrician si atilrg, required: ��oo ��,,_�e� 6 Plan review (25% of permit fee)
Print named /� �i1� L o �
o Date: State surcharge (8% of permit fee) F. 55 j
V /!�� � TOTAL PERMIT FEE ?
Authorized signature: /n ���
!'� 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.
is Building \Pennits\ELC- PeanitApp.doc 12/03 440.4615T(10/02/COM/WEB
1 1
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
El Audio and Stereo Systems*
El Burglar Alarm
El Garage Door Opener*
•
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
El Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved: •
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\ BuildingWennits \ELC- PertnitApp.doc 04/03
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELC2o06-00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/7006
Phone: (503) 639 -4171u I`•'
Inspection Requests (24 Hrs.): (503) 639 -4175 .. I �
INSPECTION WORKSHEET FOR DATE: 9/19/2006 TIME: 7 :05AM PAGE: 4
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE: .
PROJECT NAME: SAM MEDICAL
DESCRIPTION: 10 branch circuit TI.
OWNER: WATUMULL PROPERTIES CORP, PHONE #: 503 -223 -3171
CONTRACTOR: REESE + SONS ELECTRIC PHONE #: 503 - 969.2191
Inspection Request Scheduled For: Date: gt19/2006 Pour Time:
Code # Ins Description Confirm # Contact # Message
199 Electrical final 036809-01 503-969-2191 N
Corrections /Comments /Instructions:
•
, •
. .
v PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CD.' IN 0 Date: q 1 I 04 Phone #: (503) 718 - 12-414(0-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006
Phone: (503) 639 -4171 + �
Inspection Requests (24 Hrs.): (503) 639 -4175 ---
INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7 :01AM PAGE: 5`)
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: SAM MEDICAL
DESCRIPTION: 10 branch circuit TI.
OWNER: WATUMULL PROPERTIES CORP. PHONE #: 503. 223.3171
CONTRACTOR: REESE + SONS ELECTRIC PHONE #: 503-969-2191
Inspection Request Scheduled For: Date: 9/18!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 036669-01 503.849 -3406 N
Corrections /Comments /Instructions:
Rewg.t.. it taiev t. 'tgc iN �p J10,�3
M•cX\ ALL rives_ eL4as as maO W* MGE. A'1', ila3
• -$3 Ye-hzv0bli tvca 1 A_ Mi. It ►
u Q rte,. %I0-' <
Qe.z;bQt :6c w4 , bra,
. 1 1 1 22. 3 KO
® vp %/4:be 6 ok p wt?. 4 0€
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AFAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G"'• L Date: 91 1 406 Phone #: (503) 718 -.2.6
CITY OF TIGARD
BUILDING DIVISION • • PERMIT #: ELC200G -00383
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 7/12/2006
Phone: (503) 639 -4171 4,�,k
Inspection Requests (24 Hrs.): (503) 639 -4175 J F ' ' _ ..
INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7:02AM PAGE: 8
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: SAM MEDICAL
DESCRIPTION: 10 branch circuit TI.
OWNER: WATUMULL PROPERTIES CORP. PHONE #: 503 -223 -3171
CONTRACTOR: REESE + SONS ELECTRIC PHONE #: 503-969-2191
Inspection Request Scheduled For: Date: 8/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 034488 -01 503 - 969-2191 Y
Corrections /Comments /Instructions:
CD ' i s lIZAil 01 PRalat 6N -- /L.00/■. c h ( Y\
PA b CPLL bk/v t T ik(V `M CP 1 _ Ng 33t,
CD -SupteA§ s V Ate-- t AN ( 011- pek
. f.•. 330.
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: be) Date: i' /' a Phone #: (503) 718 11Ni
I
CITY OF TIGARD
BUILDING DIVISION � _ ' PERMIT #: ELC2006 -00383
13125 SW Hall Blvd., Tigard, OR 97223 a DATE ISSUED: h/12'2006
Phone: (503) 639 -4171 1 L,F I�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 �!- ..
INSPECTION WORKSHEET FOR DATE: 7/19/2006 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: SAM MEDICAL
DESCRIPTION: 10 branch circuit TI.
OWNER: WATUMULL PROPERTIES CORP, PHONE #: 503-223-3171
CONTRACTOR: REESE + SONS ELECTRIC PHONE #: 503 - 969 - 2191
Inspection Request Scheduled For: Date: 7/19/2006 Pour Time:
Code # . - ': • i escription Confirm # Contact # Message
125 Wall cover 033330 -01 503-969 -2191 Y
Corrections /Comments /Instructions: '3
Y`(� I
'FYI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: --.-' bg l.- Date: 4q 0 Phone #: (503) 718 - 1N 4b
b