Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00733
DEVELOPMENT SERVICES DATE ISSUED: 9/28/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: CASCADE BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: (2) 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 INSPECTION
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: 1 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:
AMB PROPERTY L P BOONES FERRY ELECTRIC INC
BY TRAMELL CROW NW INC PO BOX 628
8930 SWGEMINI DR WILSONVILLE, OR 97070
B EAVE RTON , OR 97008
Phone: Phone: 503 - 682 -4936
FEES Reg #: SUP 49I8S
LIC 88482
Description Date Amount ELE 3 - 223C
[ELPRMT] ELC Permit 9/28/2005 $53.50
[TAX] 8% State Surcharge 9/28/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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 a re 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 -8 33 .� %i✓ " ' 2� \
Issued By: Permittee 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 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 Applic ;;; FOR OFFICE USE ONLY
City of Tigard (1 _ Plan Received / 4 &5 _ 00 .-00 7 _
13125 SW Hall Blvd., Tigard, OR 97223 SEP I 1 a Rev Permit No .
Phone: 503.639.4171 Fax: 503 598 1960 b_ .4 l Date/By:
Revie • ��Z O' ' i 'f
. , h' I DBy:
Other Permit. eid
Inspection Line. 503 639.4175 / _ R A C ,� Dat Ready/By J urs
- iternet: www.ci.tigard or.us CITY OF TI r ° - I S See g 2 for
Nf� IIIVIR,ON Notified/IvIethod
a Supplemental Information
R JII III
YF t '' :s 1 -, � Y' .11 "�t' . zr' r�°1a�J" �°��i(a � t �ry ;,y's� t f •a "f••' ��;' X �� '�- ",x , r�. . a :.�,u. .•s� ,
r -. ` <t. rr -. ' g n; g tninr tc ��t%t l : ./ +n�.'aa Zat 3�.' ` X • :" ?' f +' q., ,�d ' diT i• 1 n n ,, ,; .,�9 s,
' '.�. r3t.��a= I;F.;.iti :,1�. '�w "er;i'vi ia€ a:«:a;ew• w'+s::r ,. K�'.�.��.�: °�' , S,'`M �
❑ New construction 2 Addition/alteration /replacement ; Please check all that apply'
❑Service over 225 amps, comm'l 0 location
El Demolition ❑ Other:
Y t *' d *�� r Ir+ .ss R � } �,� - u , i , - „_,;, ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
"F ”' ' " :, '' t' m ral �i �-.itl ,t ieiR ,; s ;,�- ;F,� ;; s . dy ? " of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling a ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑
Other:
{y , +u "i,' �, �},� q ` �a (� Q• , {- ,.+S�,Ii�J. ,,, , i' ❑Occupant load over 99 persons ❑Manufactured structures or
&• :'r `1 "" M pfi ' a:' u,�� r i s.;n a + r�O �J @�' f. P �� IA y��G S'
�d�,.�.x•. , >� +R,..:�rk�x:.i:� 7; � ,..� �t.��;: ❑ Egress /lighting plan RV park
Job no.: 13 , 9 , 7 Job site address:ip 575 SW catfc4riv /9
❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above
City /State /ZIP: 73y o,^
R The above are not applicable to temporary construction service.
l, ld ./a t. no.: �� � , ,�uz,r,, ;n , . .- :, '.,..,
g P J 3 d Project name: a ark :r a'. "....- .,- .3,._.�...,r,...-.. -. e. t _
Description I Qty. I Fee. I 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: Lot no.: Ea. add'l 500 sq. ft or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
74,x$ r at • '' m a } Limited energy, non-residential
' x ,' 7 ,,,. r ,V '�R r. , •V L imit non -re 75.00 2
%R "'. ' - i ^ t.* �„ i ;. Each manufactured or modular
2 — C r + S5 - (fir /5,4hyc1 e rey.1 Od ei dwelling, service and/or feeder 90.90 2
g Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30
'�' .+ ° " , "" ' " 201 amps to 400 amp 106. 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
ddress: Over 1,000 amps or volts 454 -65 2
City/State /ZIP: Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and /or
Phone: ( ) I Fax: ( ) relocation
or Owner installation: This installation is being made on property that I own which is not 20 amps to l 0 s 00.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100.30 2
401 amps to 600 amps 133.75 2
Owner signature: Date:
Branch circuits — new, alteration, or extension, per panel
Y r rk` 's 3 a -t, �m C" ,,4�. a + ,., ft A. Fe
�I ����� -t• ,�, ,�. I �r,� ,i i r• ,��,,b�A 1` �ii e for branch circuits with
Business name: service or feeder fee, each
branch circuit 6.65 2
Contact name: B Fee for branch circuits
without service or feeder fee,
Address: each branch circuit II 46.85 2
Each add'I branch circuit ) 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
E -mail: Sign or outline lighting 53 40 2
..� 'l �� r, , Signal circuit(s) or limited -
'f:.x t 4 ka tS a la {:I M Fa a 4 s x ,4 1; energy panel, alteration, or
Business name: extension. Describe: Page 2 2
Boones Ferry Electric
Address: P.O. liox 628 Each additional inspection over allowable in any of the above
City /State /ZIP: WI Wilsonitille OR 97070 Per inspection 62 50
Investigation per hour (1 hr min) 62.50
Phone: 682 -4936 I Fa x : (503) 682 -7946 Industrial plant per hour 73.75
CCB Lic.: 88482 Electrical Lic.: 3 23 I Suprv. y,7� 8 s 45;MiM �b O4141 Subtotal +1 r ' '': i
Lic.•
Subtotal 5•'3 , TO
- Suprv. Electrician signature, required: Plan review (25% of permit fee)
not name: 5-} e I Date: 9 / ...1.7/435
State surcharge (8% of permit fee) I Z g
^ l Htilston
Authorized signature: TOTAL PERMIT FEE S 7 � ? 9
This permit application expires If a permit is not obtained within 180
Print name: days after it has been accepted as complete
Date: Fee methodology set by Tn -County Building Industry Service Board
°' Number of inspections per permit allowed.
i \Bu PerrtutApp doc 12/03 440- 4615T(10 /02/COtvUWEB
CITY OF TIGARD
BUILDING DIVISION ( PERMIT #:
ELC2005-00733
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2005
Phone: (503) 639 -4171 MP
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I_L.
INSPECTION WORKSHEET FOR DATE: 9,29/2005 TIME: 7 :08AM PAGE: 33
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON
DESCRIPTION: (2) branch circuits.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #• 503 - 682 -4936
Inspection Request Scheduled For: Date: 9!29/7005 Pour Time:
• Code # Inspection Description Confirm # Contact # Message
125 X11 Wall cover 016999 -01 503-682-4936 N
' Corrections /Comments /Instructions:
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Ti FAIL ❑ CALL FOR INSPECTION ❑.ADDITIONAL FEES ASSESSED
,� 0
Inspector: Gr�t G"�' Date: z _ Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005"00733
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2005 •
Phone: (503) 639 -4171 p I l l
Inspection Requests (24 Hrs.): (503) 639 -4175 � ^_
INSPECTION WORKSHEET FOR DATE: 10120/2005 TIME: 7:09AM PAGE: 96
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON
DESCRIPTION: (2) branch circuits.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682 -4936
Inspection Request Scheduled For: Date: 10120/2005 Pour Time:
Co e # Inspection Description Confirm # Contact # Message
199 ' Electrical final 01878901 503-407 -4755 Y
Corrections /Comments /Instructions:
A
cc.
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J) C.� -�-�` `�'` Date: �� f Phone #: (503) 718 -