Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00462
4, DEVELOPMENT SERVICES DATE ISSUED: 7/30/03
i l l i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S101 DC -04000
SITE ADDRESS: 07500 SW TECH CENTER DR 130
SUBDIVISION: ZONING: I -L
BLOCK: LOT : JURISDICTION: TIG
Project Description: JOB NO. 75933 replacement of burned electrical panel
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: 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:
SPIEKER PROPERTIES LP OREGON ELECTRIC CONST /GROUP
4380 SW MACADAM AVE STE 100 1010 SE 11TH AVE
PORTLAND, OR 97201 PORTLAND, OR 97214
Phone: Phone: 503 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/30/03 $80.30
[TAX] 8% State Tax 7/30/03 $6.42 Elect'I Service
Elect'I Final
Total $86.72
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: �� / _.
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
JUL -29 -03 08:33AM FROM - Oregon Electric Estimating 5032313587 T -823 P.001 /001 F -736
Ele ctrical Permit Appl catio 1 -
OFFICE USE ONLY
rr, dity of Tigard RE I EIV t received: Permit no.ittRod - y(
13125 SW Hall Blvd , ` Project/2ppl. no.: Expire date:
_1, Phone: 503 6394171, FAX: (503) 598-1960 1 � 9 � O te issued: By: 'Receipt no.:
r
Inteetaddress: www.cl.dgard.or-us U Se file no.: Pa ent t e:
24 -Hour Inspection Re • uest 503-639-4 75 - _
U 152 family dwelling or accessory d' •mmeryt; Irp4=jF . • Multi - family 0 Tenant Improvement
0 New construction ' 17. additio0/-It • al L ..tiv l. 11 N , 0 Other. . ❑ Partial
JOB SITE INFORMATION
Job Address: 7500' SW Tech Center Drive . Bldg. No.: Suite no.: / 0 Tax map/tax lot/account no.:
Lot Block: Subdivision
Pled Namo: H. J. Arnett Industries Description a d location of work on premises: emergency repalcement of burned electrical
Estimated Date of completion/inspection: panel
Will cu call for ins • ection within 24 hours? Yes 2 o 0 Protect Contact Steve Ho • bar; (503) 535 -2631 Phone
CONTRACTOR APPLICATION FEE SCHEDULE
• ax a no.
Job No.: 75933 DeaUipuon Dry Fco kw-) Total boa
• ow rczure t : -acne a Or
multi•tamily per awaiting unit. •
Business name: Oregon Electric Group _ Includes attached garage.
Service Included:
Address: 1010 SE 11th Ave. 1000 ea. ft or less S 145.00 $ - a
City; Portland)State:OR Zip: 97214 Es Addi 500 SF orParEon 5 33.40 $ -
Phone: 503 234 -9900 Fax: (503) 234 -1001 IE-mall: umnan [n_ s .18 2 Family S 76.00 $ - 2
CCB no.: 203 Elec. bus. 1 no.: 26-95C Lrnlled energy. Mwe•Famtl . $ 16.00 $ - 2
C /metro li.v.l IV/ Each manufactured home or
/�� A modular dwelling. Service
,u1,,,,,,■ 1Nn• . c rd edan • .• „111 e - te: I , 12003 and/or feeder. S 90.90 $ _ - 2
Service or Feeders -
Su • . Elect_ Name . tint ark Kenne 4 rvi no: 4460 - Installation, Alteration or
Relocation:
PROPERTY OWNER 200am. sorlees S eo.30 $ 80.30 2
Name (prin): 2otamps • 400amps $ to6.65 $ - 2
Mailing Address: .tot amr4- 600amps S Iso.60 $ - 2
City State: IZIp: 601amps- tp00emps $ 240.60 $ - 2
Phone: Fax: I -mail Over 1000A la $ 454.65 $ - 2
Owner Installation: The installation is being made on property I .vin which is T econnea Onry S ewes $ '
not intended for sale, lease, rent, or exchange according Ins s - 1 S
8 accor t o OR'% 447. Feeders eedeces t allation or,
, - -
479, 670, 701. Alteration or Relocation:
Owner's sir nature: Date: . 200 amps 07 1 055 $ 66.66 $ - 2
ENGINEER mamas - a00amps $ 100.30 $ - a
Name: Over 401arnps• Ill S 133.75. $ - 2
!rant 'renal • • ew,
Alteration or ExtarttiOn Pot '
Address: Panel: A. Fe rot branch
City: State: Zip: circuits wllh purchase of service
or feeder fee. eadr branch
Phone: Fax: E -mail: Girton $ 6.65 $ - 2
8. Fee for branch dnaalls W /Out
Purchase of Service w Fccder.
PLAN REVIEW tat aranencid $ 48.as $ - 2
0 Service over 225 amps -comrr ❑ Healthcare facility Each additional branch circuit 5 e.65 . $ -
❑ Service over 320 amps - rating of ❑ Hazardous location Miscellaneous - (service or
feeder not Included)
182 family dwellings 0 Building over 10.000 square et four Or Each pump or inipatien circle $ 53.40 , $ - 2
0 System over 600 volts nominal more residential units in o a structure Each elan or Outline Wham $ 53.40 $ - 2
0 Building over three stories 0 Feeders, 400 amps or mo Signal Circuits) or Limited Energy
Panel Alteration or Fxdon
❑ Occupant load over 09 person= O Manufactured structures o RV park 5 75.00 ,$ - S
0 Egress/llghting plan ❑ Other. - ption
Submit 2 sets of plans with any of the above. _
The above are not applicable to temporary construction ervice. Each AddvonalInspecson over
Not all ;mull' accept men cards. plane ap9 Inns. car mare eve. rho Allowable In any of fh0
bat-.dl
❑ Notice: this pa ' M app/lr-pflon Above. Per inoppction
® VISA MASTERCARD expires lie p_ tfsnot
S 62.50 $ -
Card No 4246-0400-0977-7063 04/05 oemh.od whhrn 0 days anent Inveativation fee:
White t sores has bean : .. : • as awnpiere. labor
• ,a ca" aderas •j" " quit Permit Fee $80.30
qv p • A r . . r , x Plan review 25% $0.00 i
stare • cardhol • : ��
ouht State Surcharge 8% $6A2 T
Total $86.72
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line:_ (503) 639 -4175
INSPECTION DIVISION I • Business tine: (503) 639 - 4171 MST
BUP
Received ( ( 3�p Date Reques ecl 3'/ AM PM BUP
Location 7 C / La\ .,,/j' Suite 6 MEC
Contact Person DA4--1 Ph ( 4V3 ) g / � !�/� ' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 4 • T. 1-nnc42 Eve rr -1"12. ELC 3— GY)16 , 2_
Footing
ELC
Foundation
Access:
Ftg Drain 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
Other:
Final
PASS PART FAIL
PLUMBING ) i
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
. C:rTf — BICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
SI ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line / I
ADA
Approach/Sidewalk Date O _ A - G, Insp /I � _ 4f —A&A Ext
Other:
Final DO NOT REMOVE this Inspection record fr m the Job = ite.
PASS PART FAIL