Permit CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2004 -00714
19 1 � DEVELOPMENT SERVICES DATE ISSUED: 11/8/2004
I
,1 � 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
PARCEL: 25101 DC -04601
SITE ADDRESS: 07409 SW TECH CENTER DR 135
SUBDIVISION: TECH CENTER BUSINESS PARK ZONING: I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Electrical TI, (12) 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 FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 11 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
C/O NORRIS & STEVENS 16310 SE RHONE
621 SW MORRISON #800 PORTLAND, OR 97236
PORTLAND, OR 972045
Phone: 503 - 223 -3171 Phone: 503 - 969 -2191
Reg #: L1C 49883
SUP 16915
FEES ELE 26 -506C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 11/8/2004 $120.00
[TAX] 8% State Surcharge 11/8/2004 $9.60 Rough -
Elect'l Final
Total $129.60
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
suspe for + e than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules re set forth in e R 952 -1.1 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or : rect questions to OUNC at (503)
246 699 or 1 -800- 332 -'3
Issue By: / Permit Signature:
OWNER INSTALLATION ONL
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• .Ir��r — R6e/g--- DATE: 1�'Ce
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
Electrical Permit Application FOR OFFICE USE ONLY
Ci'd'y of Tigard cve
Date/B : [, ,� 0 Pemrit No.: . ,, .., 7,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960u't'�I I Date/B : Other Permit:
Inspection Line: 503.639.4175 e•� Date Ready/By: Jura,....-:,-; El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: (,p Supplemental Information
• TYPE , OF. WORK - PLAN REVIEW ..
❑ New construction Addition /alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
• CATEGORY 'OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling X'Commerciallindustrial ❑ Accessory building ['System over 600 volts nominal units in one structure
1:1 Multi family ❑Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
' JOB SITE INFORMATION AND LOCATION : ❑E plan RV park
G �' / ❑ Health -care facility ❑Other:
Job no.: I Job site address: 7 9 -I it C: ;a 6' fi r-12/' Sub 2 sets of plans with any of the above.
City/State /ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: /35 I Project name: l G ;IL/ FEE* SCHEDULE • -.
( �� Description 1 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
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I • ❑TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: �,-T N� ` � eo P , ��� . 601 amps to 1,000 amps 240.60 2
'^' Over 1,000 amps or volts 454.65 2
Addresse0 /2/2)5 op �£ 69 *14 ) c
Reconnect only 66.85 2
City/State /ZIP: PTc b o2 97 /Poi Temporary services or feeders installation, alteration, and/or
�3) .9? 31 ? I ( ) — relocation
Phone: Fax: •
200 amps or less 66.85 1
Owner ' t tallation: I. ' - tallation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
inte . • ed t r sale • e, rent, , exc • • - , accor to O 401 amps to 600 amps 133.75 _ 2
Owner signature: Date: Branch circuits— new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, �
Address: each branch circuit 1 46 7G • � 2
Each add'l branch circuit // 6.65 734 . 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I 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: / ee5e •91.--5 E- Z�i/ � j - �IilGi
Address: /� �/y j /� n Each additional inspection over allowable in any of the above
GGJJ Per inspection 62.50
City/State/ZIP: Pe rt- !!,,, o 723‘ Investigation per hour (1 hr min 62.50
Phone: (3 9v g— "2, e?
I F [ ax: (J��3 ) 2i0 7,890 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES* .
CCB Lic.: lfggg 3 I Electrical Lic.. " bic I Suprv. Lice q` $ Subtotal /at, , 00
Suprv. Electrician signature, required: a /2 ,„.„, Plan'review (25% of permit fee)
! A L State surcharge (8% of permit fee) i 40
Print name� L � 005 C o� t o Date://— g ,- ® TOTAL PERMIT FEE g,Lt . 60
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.
is Bui !ding \Pennits\ELC•PemtitApp.doc 12/03 440- 46I5T(10 /02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WO ONLY: _
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
El Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
C0111MERCIAL WORE{ ONLY:
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved: ,
El Audio and Stereo Systems • , •
❑ Boiler Controls •
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
❑ 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:\ Building \PermitAELC- PemtitApp.doc 04/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line:1503) 639 -4175 MST
sc INSPECTION DIVISION Business•Line: (503) 639 -4171
/ BUP
Received /J Date Requested / 2 " — CP AM PM BUP
Location 7_1 O'( C- �, Suite / 32-- MEC
Contact Person ./1/ Ph ( ) qb 9- 2 / `? / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 1--(34111 -/ 73 , 60 r'1_ ELC
Footing ELC wy' 00 7/ Y
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam Anchrs
Ext Sheah /S
tSh ear .IV
Ext eah/h
Int Sheath/Shear MIM-
Framing
Insulation
Drywall Nailing • !M, 40 , R N E
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final l
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
Fi Alarm
PART FAIL
ina
El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line ) ADA Dat / 2-- b D c( Inspector ` /(i t( Ex t
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL