Permit I
i CITY A I GAR ELECTRICAL PERMIT
PERMIT #: ELC2006 -00579
24,4r1114 ` 13125 E SW O Ha P II Blvd., Tigard, SERVICES 503 - 639 - 4171 DATE ISSUED: 10/13/2006
PARCEL: 2S 104 BB -07900
SITE ADDRESS: 14350 SW BARROWS RD 002 ZONING: C -C
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT : 002 JURISDICTION: TIG
Project Description: TI - (1) service and (6) branch circuits. Job No. 4891
• 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: 6 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:
ALBERTSON'S INC #576 HILLSBORO ELECTRIC
PO BOX 20 21185 NW EVERGREEN PKWY #110
BOISE, ID 83726 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 439 - 9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 -4399C
[ELPRMT] ELC Permit 10/13/200( $120.20 LIC 134481
[TAX] 8% State Surcharge 10/13/200( $9.62 SUP 4941S
Total $129.82 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 ifwork is
suspende or rnore.than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a set forth in OA - =0010 through OAR 952 - 001 -0100. You may obtain copies of thesties or direct questions to OUNC at
503 - 6-669 or 1 -800 32 -2 { __�
Issu d By itai Permittee S gin ature:___A t Cd r` - -.--_1
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:
{
TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELE (IN: - '' ( / - DATE: / X
LICENSE NO: / 4/./
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.
Ut 12 06 08:51p Hillsboro Electric 503 -601 -3680 p.
- : -j (� , l� E ! kl , � , s 'TOR' Ol •- IC)✓ i1SE O \Ll i 1 I s
El � Permit A pplic at >lo1n� � a'�. ;, ''` ' , { ' ":
City of Tigard Received /0 � d il (/J `¢ Permit N..:E' ,, , .6ij579
13135 SW Hall Blvd., Tigard, OR 97223 t Plan Review 1
Phone: 503.639.4171 Fax: 503 .598.1960 (1`� i .1 �� ,., . i ,'
uL, Uatc(By: Other Pernik:
Line: 503.639.4175 ' .�... ; E l See Page for Effliii A Supplemental Information
Internet: www.ci.tigard.or.us t
- . I. � i '� 't ; - .': -SI
YPEO WO ^ Tc- -i v Ins' . PLAN REVIEW
1 ❑ New construction Addition/5ltentiOli /replacement Please check all that apply:
❑Service over 225 amps. comm ❑Hazardous location
❑ Demolition ❑ Other:
❑Service over 320 amps •- rating ❑ Buildng over 10,000 sq. ft.,
. CATEG RY OF CONSTRUCTION of 1- and 2-family dwellings 4 or mnre new residential
E] 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi -famil ❑Master builder D Other:
❑Occupant load over 99 persons ❑ Manufactured structures or
JOB SiTE .INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.:. I Job site address: //t 1' 1) ` ?L S � <
01 -lea
Submit p' care facility ❑ Other:
_� sets of plans with any of the above.
City /State /ZIP: a/LLY . C. 7, 3 The above are not applicable to temporary construction service.
i FEE" SCHEDULE
uit5'blde.. /apt. no.: 61 I Project name: .4 y ��%`.5 ( / ls�4Lt I Description 1 Q[,. I rear. I Tottd
Cruss strcet/directions to job site: ! New residential single- or multi - family dwelling unit.
Includes attached garage.
I ,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'1 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy. non - residential 75.00 2
DESCRIPTION OF WORK • Each manufactured or modular
T dwelling. service and/or feeder 90.90 2
72 Services or feeders installation, alteration. anti /or relocation
200 amps or less , ' 80.30 SO. 2
❑ PROPERTY OWNER I • ❑ TENANT 301 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Nance: 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, altera tion, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 . I
Owner installation: This installation is being made on property that 1 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, pe r panel
❑ APPLICANT • 1 • • ❑ CONTACT PERSON • . A. Fee for hranch circuits with
service or feeder fee, each 5C) Business name: hranch circuit 6.65 ! /.
B. Fee for branch circuits
Contact namc: wiilrutd service or feeder fee,
46.85
each branch circuit
Address: ' .
Each add'! hranch circuit 6.65 j 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Pinup or irrigation circle 53.40 2
Phone: ) Fax: : ( )
( Sign or outline lighting 53.40 2
E -mail: Siena! circuit(s) or limited-
.
• . CONTRACTOR : • • energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Hillsboro Electric L_L,C.
Address: Each additional inspection over allowable in any of the above
21185 NW Evergreen PKWY Ste #110 Per inspection 62.50
City/State/ZIP: Hillsboro, OR . 97124 Investigation per hour (I hr rain) 62.50
Phonc: (5 0 3) 439-9666 Fax: (5 0 3 ) 6 01 - 3 6 8 0 Industrial plant per hour 73.75 _
ELECTRICAL PERMIT FEES'
CCB Lic.:l 3 4 4 81 Electrical Lic.:3 4 - 4 9 9C Suprv. Lic.: 4941 S Subtotal /'Q - (7
Suprv. Electrician signature, required: I
'V Plan review (25% ol' permit fee)
State surcharge (S% ofpermit fee) #.• ,lpa
Print name: Joey Vitacco Date: to _J
TOTAL PERMIT FEE /Or- 82
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete •
Print name: I Date: • Fee methodology set by Tri- County Building Industry Service Board
•• N umber of inspections per permit allowed
it\ Building \Pcr,s,, ELC- I'vm'IApp.duc 11 44(1-fi ISTIIO /IILCOM'tVEB
�/ OF �± /� Jr,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E_I_t:2006 0E 79
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 J ;_� •
INSPECTION WORKSHEET FOR DATE: 11/27/2006 TIME: 7 :06AM PAGE: 28
SITE ADDRESS: 143S0 SW BARROWS RD 00 2 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC: SPACE
DESCRIPTION: k (1) servic:.e: and (6) branch circuits. Job No. 4891
OWNER: At...BER SON °S INC #576, PHONE #:
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503- 439 -9666
Inspection Request Scheduled For: Date: 11/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040234 -01 971 -219 -0096 N
Corrections /Comments/ Instructions:
p ( � . S I C , - 6 A Y P i -
- Pace
w t■I ��• �l � tL z0 g it vt •
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veof) s e L L L -- 6 F r=
•
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Qr N 4 6 Date: L 7-1 • 0 Phone #: (503) 718-).1146.
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2006-00579
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2006
Phone: (503) 639-4171
‘ ,.:4 6 ,1 1 1 1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1102006 TIME: 7:03AM PAGE: 20
SITE ADDRESS: 14350 SW BARROWS RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI - (1) service and (6) branch circuits, Job No. 4891
OWNER: ALBERTSON'S INC #576, PHONE #:
CONTRACTOR: I-IILLSBORO ELECTRIC PHONE #: 503-439-9666
Inspection Request Scheduled For: Date: 11/8/2006 Pour Time: •
/4014-7
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 039448-01 971-219-0077 Y
P zektp‹
Corrections/Comments/Instructions:
i I
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PASS • PARTIAL APPROVAL 1 I CANCEL I I NO ACCESS
ItooL Pr "ALL FOR INSPECTION ADDITIONAL FEES ASSESSED
■ 1 . ,
Inspector: Date: / i — -6 Phone #: (503) 718-
CITY OF TIGARD "
BUILDING DIVISION PERMIT #: ELC:2006- 00679
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,-444- IL
INSPECTION WORKSHEET FOR DATE: 10/24/2006 TIME: 7: 02A1V1 PAGE:
SITE ADDRESS: 14350 SW BARROW'S RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: 11 - (1) service and (6) branch circuits. Job No. 4891
OWNER: ALBERTSON'S INC #576, PHONE #:
CONTRACTOR: HILLSBORO ELECTRIC Ica PHONE #: 503-439-9666
Inspection Request Scheduled For: Date: 10/24/2006 Pour Time:
Code # ; Inspection Description Confirm # Contact # Message
125 Wall cover 038749-01 360-771-0632
Corrections/Comments/Instructions:
RoK1 j_ P
citi‘ralL, . t6 VisOO Af NUL_
"fd\u_s,
e elect cal 1 tallati • d:fec - no :d,
o this r: sort sh II be •orre■ted nd
an _ Sp: tion re.. est ade it n 20\
cafe , da days pe OA; 918 - 0030
PASS 1 1 PARTIAL APPROVAL fl CANCEL fl NO ACCESS
FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: CY"' • t L Date: I 01 013 Phone #: (503) 718-1•34)