10120 SW NIMBUS AVENUE BLDG C STE 5B CS-3 3Ad S11gWIN MS OZIOl
I
PA
�n
U
d
m i 3
W N
O
10120 SW NIMBUS AVE C-513
CITY
��� �� �����® Y_ ELECTRICAL PERMIT
PERMIT#: ELC2001-00150
DEVELOPMENT SERVICES DATE ISSUED: 3/15/01
13125 SW Hall Blvd.,Ticsard,OR 97223 (5031639-4171 PARCEL: 1S134AA-01800
SITE ADDRESS: 10120 SW NIMBUS AVE C-5B
SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P
BLOCK: LOT : 002 JURISDICTION: TIG
Proiect Descrintion: Installation of two 200 amps or less service b,od three branch circuits. Job No. Epitope
R_tSIDENTIAL UNIT _ _ _ TEMP SRVC/FEEDERS MISCC�LLANEOUS
1000 OR LESS: 0 - 200 amp: PI IMP107<1RIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIG.,IOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
IV,ANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 W/SERVICE OR FEEDER: 3 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 AREAISPEC OCC:
Owner: Contractor:
ROBINSON, CONST'Ai E A+ GUILD CONSTRUCTION
ROBINSON, LYNN+ BELL, KAY ET 7959 SW CIRRUS DR
BY INSIGNIA COMMERCIAL GROUP BEAVErTON, OR 97008
BEAVERTON, OR 97008
Phone: Phone: 641-4634
Reg M LIC 109116
SUP 38685
ELE 26-986C
FEES Required Inspections;
Type By Date Amount Receipt
- - Ceiling Cover
PRMT CTR 3/15/01 $180.55 2720010000( Wall Cover
5PCT CTR 3/15/01 $14.44 2720010000( Elect'I Final
._Total $194.99
This Permit is is3ued subject to the regulations contained in the Tigard Municipal Code,State of OR. Spedalty Codes and all other applicable laws.
IL 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 ff work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow r adopte3by-the Oregon Utility Notification Center. Those
Fes.. rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obt ' copies of these rulles or direct questions to OUNC at(503)
W 246-1987.
_ PERLoITTEE'S SIGNATURE IS UED BY:
C7 OWN 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.�EiLEC'N: n� � td`-z.� _ DATE:
LICENSE NO: 'S b 6 o --)
Call 639-4175 by 7:00pm for an Inspection the next business day
Electrical Permit Application-
Qate ver-ivtxl: Permit
City of Tigard Project/appl.no.: Cirpiredate:
City ofTigard Address: 13125 SW Hall 61vd,Tipard,OR 97223 Date issued: By:y�eceiptno.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Caw file no.: Payment type:
Land use approval: _
❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
❑New construction U Addition/alteration/n•.placement U Other. _ U Partial
ob address: It-)I ZG s t'%% P 1 tx Bldg.no.: Suite no.:15 IT&x map/tax lot/account no.: _-
Lot: I Block: Subdivision: _
-Project name: I Description and location of work on premises: ^
Estimated date of coin letion/ins ction:
Job no: Fee I&%
Business name:(.U)LV YLqE57M< C. DewdPATont no.ens
New reatreatld **etmraQ48WNypa
k Address: ' W -t ,,F, dsreWrt udi.Iaelatleaaltacltedraw-
City: AA State: G ZIP: Cl_7CX) > sewombacladed:
Phone - Fax: E-mail: 1000 sq.ft.or less 4
Each additional 500 sq,ft,of portion thereof
CCR no.: �� ! 1 Elec.bus.lic.no: Z ^ Limited energy,rc:idential_ 2
-City/metro i -- Limitedener turedhomeontiel 2
Esch manufactured home or modular dwelling
SignaWrr n,supervising a txtricien( wired) _ T Date Service and/or feeder 2
Sup.elect.name(print): ,e'14 N f(�ti� Lice.tae no: Ser.kes or roe loc--Mctalla4on,
aNeratlon or relocation:
200 amps or less 2
Name(print): 201 amps to 400 amps `Y 2
-- 401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: State: ZIP: Over 1000 amps Or volts 2
Phone: Fax: E-mail: Reconnect only I
owner installation:The installation is being made on property I own 'resn"ryver4cororfeeders-
which is not intended for sale,lease,rent,or exchango according to Installation,alteration,orrelocadon:
200
ORS 447,455,479,670,701. as or 2
201 amps to 40U amps 1
Owner's si nature: Date: 401 to 600 amps 2
Branch circakf-new,alteration,
or extension l Panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: State: ZIP: B. Fe.for t,-snch circuits without purchase
IL of service or feeder fee,first branch cin uit: 2
Phone: Fax: E-mail: Each addiUoral branch circuit:
1�.. Mloc.(Se:dee or feeder not lachtded):
U Service c:•er 225 amps-commercial U Health-care facility Each pump or irritation circle 2
U St wire over 320 amps-rating of 1 fit U Hnrardous location Each sign or outline lighting 2
famitydwellings U Building over 10,(M square fed four or Signal circuit(s)or a limited energy panel,
U System over 600 volts nominal more residential units in one structure alteration,or extension* _ 2
U Building over three stories U Feeders,400 amps or more •Drcrition:
lY U Occupant load over 99 persons U Manufactured structures or RV park Fwch,vddltIonal Inspection over the allowabk In any of the alcove
_l O EgressAightingplan U Other: __V perinspection
Submit_sets of plans with may of the above. Investigation fee
The above are not applicabk to tewpotmry constractles serrlee. Other
Nd an jPaiulktieM Wtflt credit card., lease call Permit fee.....................S I.Le�1
n )ctrdadictdon rix moa irdamatim Notices This permit application
U Visa U MasteK and expires if a permit is not obtained Plan review(at %) $
Credit cad anther - -- — 1—L- within ISO days after it has been State surcharge(8%)....$ �y
--- -- F Expires accepted as complete. TOTAL .......................$ �[ .
-- Name of ca olhr a ehow•n err credit card
S
CardAolder dtDatare ----— --AtnwM — 4YS 1613(64300('oM)
ot��
Ele strical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00
Number of Ins a�ctlons per permit allowed (FOR ALL SYSTEMS)
Service Included: items Cost Total `► Chock Type of Work Involved:
Residential-per unit
1000 sq.R.or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq.R.or
pvrldon thereof $33.40 1 Burglar Alarm
Limited Energy $75.00----
Each
75.00__Each M"nufd Home or Modular ❑ Garage Door Opener'
L'welling Service or Feeder $90.90_ _ 2
RerJces or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,of relocation
200 amps of less _ $80.30 1i lS/' 2 ❑ Vacuum Systems'
201 amps to 400 amps — $106.85 2
401 amps to 600 amps $160.60 2
--�—" Other
601 amps to 1000 amps $240 60_ 2 Other—
Over
----- — -- --
Over 1000 amps or volts $45465 2
Reconnect only $66 85_ _ 2
Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
Fse for each system.......................................................... $75.00
,nstallation alteration,or relocation
200 amps or less $86.85 _ 2 (SEE OAR 918-260-260)
201 amps in 400 amps $100.30 2
401 amps,to 600 amps _ $133.75 — 2 Check Type of Work Involved:
Over 600 a to 1000 volts,
see"b"ah Audio and Stereo Systems
Branch Circuits Boiler Controls
New,alteration tx extension pe nel
a)The fee for branch circuits /
with purchase of service or / Cloc`'Systems
feeder fee. Q ��
Each branch circuli —�— 65 ( _ 2 Data Telecommunication Installation
branch b)The fee for circuits
without purchase of service L� Fire Alarm Installation
or hedor fee. ,�
First branch circuli _ $48.85 F] HVAC
Each additional branch circirlt $8.65
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle _ __ $53.40 n and Paging Systems
Each sign Of outline lighting _ _ _ $53,40_
Signal circ lt(s)or a 11 felled energy Landscape Irrnaxpon Con"*
panel,alteration/above
$75.00_ _Minor Labels(10) $125.00 MedicalEach additional Iverthe allowable In aove Nurse Calls
Per inspection -- $62. _Perhour .50 __In Plant3.75 Outdoor i andscape Lighting`FeeS; / C� Protective Signaling
(( 5Enter total of abov $ 00,/, n Other76 State Surcharg $ 7 � __ -Number of Systems
5%Plan Review No licenses are required Licenses are required for all ottwr instnliatir,�
See"Plan Revk $front of applic/atioi ice F@@3:
77
Total Babffce Due $ 9
Enter total of above fees $—
❑ Trust Account 0 8%State Surcharge
Total Balance Due = --
i:tdstsvexnn\elc-fees.da: 10109/00
y-z
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 .Business Line: 639-4171 —"
BUP
Date Requested_4 `7 AM PM _ BLIP _
Location / b Sw 1 All M GA, Suite ��- Jr B MEC
Contact Person Ph PLM _ _^
Contractor Ph SWR
UILDIN
BG Tenant/Owner r ELCU/—U U/$-U
Retaining Wall r ELR
Footing FInspection
ess.
Foundation FPS
Ftg Drain SGN
Crawl Drain Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear V —
Framing �-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: — —_
Final
PASS FART FAIL -- -- —- -- -_ --
PLUMBING
Post&Beam
Under Slab _
Top Out `--
Water Service
Sanitary Sewer
Rain Drains _
Final ��-
PASS PART FAIL
MECHAI
Post 8 Beo.,7
Rough In
Gas Line -- ------- -- -
Smoke Dampers
Final
PASS PART FAIL
LECT - - - —
IL Seryice
a Rough In
N UG/Slab
Low Voltage
Fire Alarm
F0 RT FAIL(,?SS
I
J UJI
Backfill/Grading - -' -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$-_ required before ne spection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: J Unable to inspect-no amass
ADA
Approach/Sidewalk I -b Z f-1/ Inspector Ext
Other Date L[_-_ _
Final
PASS PART FAIL DO NOT REMOVE thin, Inspection record hom the Job sit*.