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Permit I CI CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC2006 -00472 . , DATE ISSUED: 8/23/2006 ' ---�''' ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DC-01400 SITE ADDRESS: 15865 SW 74TH AVE 110 ZONING: I -p SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT : 004 JURISDICTION: TIG Project Description: 10 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 FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 9 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: JDS, LLC & SANTA FE CORP GUILD ELECTRIC INC 17700 SW UPPER BOONES FERRY RD PO BOX 674 PORTLAND, OR 97224 BEAVERTON, OR 97075 Phone: Contact #: PRI 503 - 957 - 1173 FAX 503 - 291 -1532 FEES Description Date Amount Reg #: ELE C21 [ELPRMT] ELC Permit 8/23/2006 $106.70 LIC 109116 [TAX] 8% State Surcharge 8/23/2006 $8.53 SUP 3868S Total $115.23 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 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: iS2 44, 1 1 1 4.6... Permittee Signature: /C , 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. �.o ( �U Electrical Permit Applicat - - 14 -- ` a , "` � t � i o f ici i u5i i ii � a e *.:; -- .. Receive. o : /3 a City of Tigard Date/B _ 13 Permit Nor - " `' 2006 y. " 13125 SW Hall Blvd., Tigard, OR 972 Plan Revie V- 4 fl ®' Phone: 503.639.4171 Fax: 503.98. )960 Date /B . Other Permit: f ne AA 1 rr'' � � Date Ready/By: Juns ® See Page 2 for IrCAR,D Inspection Line: 503.639.4175 �JL v� t j_ B tii �'.'ei`i1k: Internet: www.tigard- or ' ` Notified/Meth Supplemental Information • TYPE OF WORK I " PLAN REVIEW . ❑ New construction ®• Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. • CATEGORY OF CONSTRUCTION. exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 - ", Job no.: Job site address: /C 6d 5 1W 710 ur. k / is or or more. occupancy. A / I ❑ Six or more residential units. ❑ Recreational vehicle parks. City / State/ZIP: I Q y. Olz— 7 z/ ❑ Health -care facilities. ❑ Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: cllp Project name: grit iii d t-to v a o vS ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK , (with above sq. 11.) Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation • 200 amps or less 80.30 2 O. PROPERTY OWNER I ' ' ' ❑ TENANT • - 201 amps to 400 amps 106.85 2 Name: J J, j L 1.. ci z wit C, (� P i I G Seal 1 (� 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 5 el 0 5 W / Y q/ I bbt u5 4 / i f1 ©D v Over 1,000 amps or volts 454.65 2 City /State /ZIP: ili' r ue, oi 0 17--- 1 7OD Temporary services or feeders installation, alteration, and /or. . relocation Phone: (5 ` 3 Fax: SP 3) '20 - 7 /t0 0 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with '0 APPLICANT I CONTACT - PERSON above service or feeder fee, 6.65 2 each branch circuit lb Business name: -�A V L, i I d �1, r` - ' B. Fee for branch circuits / j b without service or feeder fe 11 Contact name: 1 (�VI l '� � K 4) .. j1 first branch circuit 46.85 IV' Address: / s D 7y Each add'I branch circuit 6.65 9 2 Miscellaneous (service or feeder not included) City/State/ZIP: "�� t - /State /ZIP: �j Each manufactured or modular i D� D' j�e v 90.90 2 dwelling, service and/or feeder Phone: ( j ,) 9 �"� -- 1 1 7 3 Fax:: j �') Z��—I�� Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 , • CONTRACTOR Sign or outline lighting 53.40 2 Business name: `( Signal circuit(s) or limited- u l 1 1 A energy panel, alteration, or Address: P' (/ ` J'2 j� px 6 7 ) / extension. Describe: Page 2 2 • City /State/ZIP: � , -e v' 0 K D q 7 0 7 5 - D 6 7 / Each additional inspection over allowable in any of the above b ( ) 2- I _ 1 S 3 Z Investi inspection 62.50 � b Phone: 3) { 57y I I - ' Fax: i Inve tion per hour (I hr min) 62.50 CCB Lie.: j t et I I l Electrical ic.: L 2 Suprv. Lic.: 0,, ,5,5 Industrial plant per hour 73.75 ELECTRICAL' PERMIT FEES • Suprv. Electrician signature, required: �� IS �� „ • „oil/ ,..... %�� Subtotal: /0(0.701 Print name: f� I 6/ el f • /� f/ / Date: - 2, - _0 6 Plan review (25% of permit fee): ot,i u State surc (8% of permit fee): 6 ,5 Authorized signature: )6 TOTAL PERMIT FEE: ( (S: a3 / �/ This permit application expires if a permit is not obtained within 180 Print name: MI6 4 a tE'�/ 1 Nei (5 b I j �� _�� Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PennitApp.doc 05/23/06 440-46 15 T( 1 1 /05/COM/W EB li Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: . Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other I COMMERCAL � ' WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\ Building \Permits\ELC- PermitApp.doc 03/23/06 //I CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006- 004 72 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21V2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/7/2006 TIME: 7:03AM PAGE: 27 SITE ADDRESS: 16866 SW 74TH AVE 110 CLASS OF WORK: SUBDIVISION: CREEKVI EVV I NDUSTRI AL PARK LOT #: 004 TYPE OF USE: PROJECT NAME: BRAND INOVATORS DESCRIPTION: '10 branch circuits. OWNER: JDS, LLC & SANTA FE CORP, PHONE #: CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503-957-1173 Inspection Request Scheduled For: Date: 11/7/2006 Pour Time: Code # Inspection_Description Confirm # Contact # Message 199 Electrical final 039382-01 503-957-1173 • • = tions/Comments-firr CI (i) V), o' -ILL \AJi 11 10, t_)3ta.,4cV(.5 oN LLi 1 1\1\•a c Es- V w■L oN)), - PASS 0 PARTIAL APPROVAL CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C -)1 t\\66 Date: i • ' Phone #: (503) 718- 1-4 • ..,_.._ .__ CITY OF TIGARD BUILDING DIVISION .4 PERMIT #: ELC2006-00472 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 8/23/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5:O7PM PAGE: ' .,..0 SITE ADDRESS: 15865 SW 74TH AVE 110 CLASS OF WORK: SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE: PROJECT NAME: BRAND INOVATORS DESCRIPTION: 10 branch circuits. OWNER: JDS, LLC & SANTA FE CORP, PHONE #: CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503-9FJ7- 1173 Inspection Request Scheduled For: Date: 11/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 039304-01 503-957-1180 lie Corrections/Comments/ Instructions: 0 ._. 7 pib - , c-G osvxt w - iik.t i 4,104 e'" EPA- GI CA) + --cg-c,..bioo c\Pirtc,41.4 , • PA SS I 1 PARTIAL APPROVAL EI CANCEL 1 NO ACCESS A FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: \ \ ' c;f ' '4 0' Phone #: (503) 718- WOO CITY OF TIGARD p_�r BUILDING DIVISION PERMIT #: FLC2006-00472 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2006 Phone: (503) 639 -4171 h il -° , ek i Inspection Requests (24 Hrs.): (503) 639 - 4175 °�II� INSPECTION WORKSHEET FOR DATE: 9/22/2006 TIME: 7:02AM PAGE: 42 SITE ADDRESS: 15065 SW 74TH AVE 110 CLASS OF WORK: SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE: PROJECT NAME: BRAND !NOVATORS DESCRIPTION: 10 branch circuits. OWNER: IDS, LLC & SANTA FE CORP, PHONE #: CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 - - 1173 Inspection Request Scheduled For: Date: 9/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 037027 -01 503 -957 -1180 Y Corrections /Comments /Instructions: W\ lv c r P 1(M RooF °Top 4\ c s (J 9E1 - 11)9;7 95-7 .,173 Q1 PASS 1 I PARTIAL APPROVAL 1 1 CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: L.)4 Dater 2 Phone #: (503) 718 ` CITY OF TIGARD --BUILDING DIVISION 4 _, . PERMIT #: ELC200& 00472 _._.. -_- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2006 Phone: (503) 639 -4171 Os ', � I1It. Inspection Requests (24 Hrs.): (503) 639 -41751 INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 15866 SW 74TH AVE 110 CLASS OF WORK: SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE: PROJECT NAME: BRAND INOVATORS DESCRIPTION: 10 branch circuits. OWNER: JDS, I_LC & SANTA FE CORP, PHONE #: CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503.957-1173 Inspection Request Scheduled For: Date: 9/21i2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceilirn9 cover 036988 -01 503-650-6590 Y Corrections /Comments/ Instructions: • PASS n PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: C3 . , v og LE Date: 9124 ado Phone #: (503) 718- 2.4% \1F TIGARD - , .a DIVISION .42.. — -- , PERMIT #: ELC2006 -00472 Hall Blvd., Tigard, OR 97223 - --f' DATE ISSUED: 8/2312006 ,503) 639 -4171 a l rp "'it ation Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6:59AM PAGE: 40 1 SITE ADDRESS: 15865 SW 74TH AVE 110 CLASS OF WORK: SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE: PROJECT NAME: BRAND INOVATORS DESCRIPTION: 10 branch circuits. i OWNER: J[)S, LLC & SANTA FE CORP, PHONE #: CONTRACTOR: GUILD ELECTRIC INC PHONE #: 50:3,96-7.1173 1 1 Inspection Request Scheduled For: Date: 8/24/2006 Pour Time: Code # pe '• • Description Confirm # Contact # Message 125 Wall cover 035464 -01 503.967-1180 N Corrections /Comments /Instructions: T. '67 v b 1o b ._ AR-r. 33i -1.11g �ji No`s .. GLL PRIV s ■ ocis of igtr 6 534 p• •L 10 N tY 0 6 i 0 ?f (la) ik eov. 6 . A PASS n PARTIAL APPROVAL I 1 CANCEL 1 I NO ACCESS n FAIL 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: & - % k.d. Date: 21 In-t Phone #: (503) 718 Z.