Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00287
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/21/2008
:- 'tcAUtJ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 109AC -02500
SITE ADDRESS: 13001 SW BULL MOUNTAIN RD ZONING: R -7
SUBDIVISION: LOT : 002 JURISDICTION: TIG
PROJECT: 550 ZONE RESERVOIR 2 /PRICE PK
Project Description: Installing (1) service, (3) branch circuits and (1) low voltage instrumentation system for water reservoir.
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: 1
MANF HM/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 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 AREA/SPEC OCC:
Owner: Contractor:
CITY OF TIGARD HASKIN ELECTRIC INC
13125 SW HALL BLVD. 6307 -B NE ST JOHNS RD
TIGARD, OR 97223 VANCOUVER, WA 98661
Phone: 503 - 639 - 4171 Contact #: PRI 360 - 735 -0898
FAX 360 - 735 -1196
FEES
Description Date Amount Reg #: ELE 37 -400C
[ELPRMT] ELC Permit 5/21/2008 $175.25 LIC 64312
[TAX] 12% State Surchar 5/21/2008 $21.03 SUP 3490S
Total $196.28 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: Permittee Signature: ==';' c Gfls / / �yl1
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.
MAY -20 -2008 16:50 HASKIN ELECTRIC, Inc 3607351196 P.01
Electrical Permit Application ,K �, � a ll 1 " �cr .. 4 � ,, ;;
RE .. tr .tom 1 fgitu Zj.V cn ..-, aft+` te!ii -:t�"3 +gi4 ot.,ai 'i10.4 lY i'..,Y',x.��` t t11. �1
C of Tigard •• Permit No,: t+
• 6.,.: 4 13125 SW Hall Blvd,, Tigard. OR 97223 • -
G Phone: 503.639.4171 Fax: 503.598.1960 MAY 2 0 2008 Other Permit I. L a' . '�
TIt� Inspection Line 503,039.4175 t Date Ready /By: Wm. ® See Puke 2 fur
_. ,,, ∎∎ I www.tigard•or,goy CITY OF TIGA' ' Nottfied/Method: 7,Z('6 Supplemental Information
TYPE OF W RJILDING DIVISION PLAN REVIEW
ro!- New construction ❑ Addit /alteration /replacement Please check all that apply (submit 1 sets of plans Iv/items checked ben.
❑ Service or fccdcr 400 amps or more ❑ Building over three . res.
Demolition 111 Other: u bere the a‘a 1.tble f cnrreul ❑ Maria ;io and b ' ,Ards.
CATEGORY OF CONSTRUCTION rxrxeda 10,000 amps nt 150 rolls or ❑ Floatin, • dings.
less to ground, or exceeds 14,000 ❑ C. crcial -use agricultural
❑ I- and 2- family dwelling II Commercial /industrial ❑ Accessory building amps for all other installations. )m Idmg.A.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installariun of 75 KVAor
JUR SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived sy :rem,
❑Addition moto •.d of ❑ °A" °E" °I -2" °I -Y
Job no.: / y 9 PP Job sitc address: 30o AO I S Rd I inHP or more. occupancy
e /V �+tr► ❑ Six ur mu idnntial units. ❑ Recreational %elide parks,
City /State /ZIP: " / / d , / ❑ Healt re facilities. ❑ Supply voltage for more than
ID - dots locations. 600 rolls nominal.
SUitc/bldg. /apt. no.: l'roject name :V��,I/ , 1 cit r e 4 Service or feeder 600 amps or more,
FEE SCHEDULE
Cross street/directions to site: .4 i / /� � n � , y q DercnpIlun 1 On, 1 Fee. 1 iota! 1 •
Yr "' ■
`.'' ` / W / Ne " residenti singl - or multi - family dwelling unit.
1 .1 (I I� s Include attached garage. id i
Subdivision: Lot no.: 1.000 sq. ft, or Icss 145.15 4
Tae map /parcel no.: - - Ea. add'I 500 sy. 11. or portion 33.40 I
Limited energy. residential
75.00 2
DESCRIPTION OF WORK (with above sq. a.) -
1":1 ¢ Limited energy, multi-family
75.00 2
Q S ' r u tC R CCI p IS Car O4i.I r ( x , ( / residential (with above sq. ft.)
LL Services or feeders installation, alteration, and /or relocation
t T'f rC v.rvo Le 200 amps or less 1 t ` 80.30 [F 30 2
I PROPERTY OWNER ❑ TENANT _.---"..' 201 amps to 400 amps 106.85 2
Name: ./' 401 amps to 600 amps 160.60 2
Address ,1 - 601 amps to 1.000 amps 240.60 2
{ Z 4- S(/V ,A,:,_ A .. Jr Over 1,000 amps or volts 454.65
City /State /ZIP: �. L $ !mit 7 f' y Z 'I services or feeders installation, alteration. and /or
. 4L�� relocation
Phone: ( ► Fax: ( ) 200 amps or less 66.85 I
Owner instnllntio - ' s installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended fn _. e, lease, rent, or exchange. according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 133.75 1 2
0 r signature: Date: Branch circuits- new, alteration. or extension. per panel
A. Fce for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or fccdcr fee, 6.65 I� q5 each branch circuit -
Business name:
13. IFee for branch circuits
without service or fccdcr t'cc.
Contact name: 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not Included) -
City /State /ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax:: ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53,40 2
44514;y1 CON'TRAC'LOR Sign or outline lighting 53.40 2
Business name: / 2_ S ciretnt(s) or limited-
// 7777--ffff r IC. 3 C� ener panel, aitcration, or J
L$
Address: ! - 13 N ,,. S • a . , extension. Describe: Page 2 2
City/State/ZIP: Q ,,, 4 � 91 ��}}" Each addit inspection over allowable in any of the above
735 Pcr inspection 62.50
Phone: (3 ) 735 - 0 cp 70 Fax: (360) 735-'194
Investigation per hour (1 hr min) 62.80
CCB Lic.: b 43 i 2 Electrical Lie.: 3 - 0, Suprv. Lic.:341/0 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: / -1-t; 45 Print name: l 1 � LaaL. . f permit fee):
l 1 State surcharge 'o of permit feel: p�.I , 03-- Authorized signature: I' TOTAL PERMIT FEE: I p (& 0 ' 1
• � �-�'' 5 yy '1'1118 permit Application expires if a permit in not obtained within 180
Print name: f I Wti � Date: V 13 o bi
/ duye ufter it hue been accepted ux complete.
• Number of inspections allowed per permit
1Iluilding \PermiuuELC- Perm.IApp. 0Ct/06 440 481S'r(r t/nyCUMM11b8
CITY OF TIGARD
BUILDING DIVISION PERMIT #:E
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 6) TIME: PAGE:
SITE ADDRESS: 13®0 1 S W ®%,)LL VQ A �� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6 (J24 Pour Time:
Code # Inspection Description Con#irrn # Contact Message
Corrections /Comments /Instructions:
•
' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NO6 V Date: Phone #: (503) 718- 21/46
CITY-OF TIGARD
BUILDING DIVISION A PERMIT #:EAS. Z00% -60
13125 SW Hall Tigard, OR 97223 DATE ISSUED:
Phone: (503).639-4171 - iireo, .61 k
.14
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6 J It! 09 TIME: PAGE:
SITE ADDRESS: - 00 5 L1/4) mouATTAIN CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: \ • Date: 6 ( 21001 Pour Time:
Code # Inspection Description Confirm # Contact #/ Message
Corrections/Comments/ Instructions: •
C \ 6 14 ., 13PASS PARTIAL APPROVAL E] CANCEL NO ACCESS • Ei FAIL flCALL FOR INSPECTION El ADDITIONAL FEES ASSESSED •
Inspector: . NO8 Date: 6 it 01 Phone #: (503j 718- 2- 111.
CITY OF TIGARD Ce-C 2U0k -Oo�P- 7
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A gJA
Inspection Requests (24 Hrs.): (503) 639 -4175 ' I..
INSPECTION WORKSHEET FOR DATE: Li /40 /a q TIME: PAGE:
SITE ADDRESS: / DO / u /J Iii-Ai • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: / 4 VI r ;Silizf ei 4 G / y 6 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact #es"sag
&/i U' . . 7 -f, , ;L _ 4 V • : - -
Corrections /Comments /Instructions:
O Uft G 6 / 04 eel w, ca
re f
P tfec
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
c
CITY OF TIGARD
if
!WILDING DIVISION PERMIT #: ac2008 002E37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: tif210008
Phone: (503) 639-4171 ' A
.
Inspection Requests (24 Hrs.): (503) 639-4175 ,,, -....
INSPECTION WORKSHEET FOR PAGE
TIME: :
DATE 10/21/2008 7:00Alvl 46
SITE ADDRESS: i :0 SW BULL MOUNTAIN F2D CLASS OF WORK:
SUBDIVISION: LOT #: 002 TYPE OF USE:
PROJECT NAME: 550 zot RESERVOIR 2/PRICE PK
DESCRIPTION: Installing (1) servic:e, (3) branch circuits and (1) low voltage instrumentation system for water reseivoir.
OWNER: CllY OF TIGARD PUBLIC WORKS, PHONE #: 503-639-4171
CONTRACTOR: HASKIN ELECTRIC INC PHONE #: 360_735_0898
Inspection Request Scheduled For: Date 10/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076942-01 360:135-0898 Y
3° ‘ LI'S I
Corrections/Comments/Instructions:
The electrical installRtion defeats noted
on this report shall be corrected and CALLIS) _ Al' 1: SO _.
an invention request made within 20 PI NO ELEc--TKI-C , vAti
calendar days per OAR 918=271-0030 wiLL St 61 Sil'S .
1) Va.c)Qt iNkIsItAL ?ROI Et11 ft(t-
c,e•N 1.1T RIoltzontv tf
rn'aq fl\NI)J st Ff.) 4-0 s vItE' 4 WIT, 113-3(9
1 p LL 7.74..rmi NI AT 1 oN 5
Nct.. i 0 6 ,,,,,) a Iva. I to. 3 (e%).
fl PASS I I PARTIAL APPROVAL D CANCEL n NO ACCESS
FAIL /(CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
1424 /143 11)440
Inspector: C9° , N 615 Lg Date. .ii.iiii " Phone #: (503) 718-
, ,
��N~��� ������H��
CITY OF mn��ARD~
BUILDING DIVISION
ill PERMIT ~=~"~~�°"""~= ~�"°"~°"~~"~ � ELC2008'00287
13126SVV Hall Blvd, Tigard, OR&7223 ^
DE ISSUED: 6121/208
Phone: (503) 639-4171
Inspection Requests (24Hnoj:(5O3)G3Q'4175 ~�Ii °t
INSPECTION WORKSHEET FOR DATE: � llME� PAGE:
10y912008 TIME: 7:O1/\K8 � 30
SITE ADDRESS: CLASSOFVVORK�
� 13001 SW BULL. �
SUBDIVISION: LOT TYPEOFUSE�
� � 002
�
PROJECT NAME: � 5GOZ0NE RESERVOIR 2/PR|CEPK
DESCRIPTION:
Installing (1) service, (3) branch circuits and (1) low voltage instrumentation system for water reservoir.
OWNER: PHONE ft:
� CITY OF 503- 639-4171
CONTRACTOR: PHONE #:
� HASNlN ELECTRIC INC � 360-735-0898
Inspection Request For: Date: Pour Time:
- � ' 10V9V3008
�
Code # Inspection Description Contact # Message
`
106 Underground/slab 360,735-0898 36O7���98 . `� Y
` _-__----__
Corrections/Comments/Instructions:
Am
� \ /'
� ^^ '
.
0 PASS [11 PARTIAL APPROVAL [I] CANCEL 0 NO ACCESS
n FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
� u [��� / �~~ k
|n v�v~� ���«�� Date: " ` Ot Phone #: (503) 718- ' 1(2____
. ' ''.
CITY OF TIGAREL a.
BUILDING DIVISION
•. , PERMIT #: ELC2008-00287
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: bi- 21/200R
Phone. (503) 639-4171 ' _.ZIDIV
Inspection Requests (24 Hrs.): (503) 639-4175 ; 1 ...„..„.. ---..
INSPECTION WORKSHEET FOR DATE: TIME: • PAGE:
.• 10/8/2008 7:00AIVI 21
SITE ADDRESS: CLASS OF WORK:
13001 SW BULL MOUNTAIN RD
SUBDIVISION: LOT #: TYPE OF USE:
002
PROJECT NAME: .
550 ZONE RESERVOIR 2/PRICE. PK
DESCRIPTION:
Installing (1) service, (3) branch circuits and (1) low voltage instrumentation system for water reservoir.
OWNER:
CITY OF TIGARD PUBLIC WORKS, PHONE #: 603 171 .
CONTRACTOR:
HASKIN ELECT INC PHONE #: 360..
Inspection Request Scheduled For: Date: 10/8/2008 Pour Time------_
Code # Inspection Description Confirm # Contact # Message,
'10'th Undergroundlslab cover 07(5361-0 360.735-0898 ---..,...
Corrections/Comments/Instructions:
f 41
— 1 - t Me i 01 . 2..o
N 6 w(Vt.,14.. boN)C,.
--_,
to Q1-0 N-10 IN5e .
t.-44LL - t;(1-- (LE - 7WSre-liOP
V./ t tes ..L11 A t f■ ■ biT41
El PASS 0 PARTIAL APPROVAL 0 CANCEL 1 ---- 1 NO ACCESS
A FAIL 1: CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
J.
Inspector: Cr N6e) L.6 Date: 1 4 7) Phone #: (503) 718-
, ,,
CITY OF TIGARD
1111•
BUILDING DIVISION PERMIT #: ELC2008•00287
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2000
. A
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 Ami; 111.
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00A1v1 PAGE: 16
SITE ADDRESS: 13001 SW BULL. MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: 002 TYPE OF USE:
PROJECT NAME: 650 ZONE 2/PRICE-PK
DESCRIPTION: Installing (1) service, (3) branch circuits and (1) low voltage instrumentation systern for water reservoir.
OWNER: CITY OF 11GARD PUBLIC WORKS, PHONE #: 503-639-4171
CONTRACTOR: HASKIN ELECTRIC INC PHONE #: 360-735-0898
- 7-ft-o
Inspection Request Scheduled For: Date: --7114/-2008- Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 072523-01 360-735-0898 N
Corrections/Comments/Instructions:
--X<A Ei PARTIAL APPROVAL CANCEL 11] NO ACCESS
Eli FAIL CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
oz.vi
Inspector: Date: 7 2 - t d Phone #: (503) 718-
CITY OF TIGARI/ it ili
131JILDING DIVISION PERMIT #: ELC2000-00207
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 5/21/2000
• 1 , 4 ,„- ,
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
.......„,- _.....
INSPECTION WORKSHEET FOR DATE: 5/22/2008 TIME: 6:59AiVi PAGE: 29
SITE ADDRESS: 13001 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: 002 TYPE OF USE:
PROJECT NAME: 550 ZONE RESERVOIR 2/PRICE PK
DESCRIPTION: Installing (1) service, (3) branch circuits and (1) low voltage instrumentation system for water reservoir.
• OWNER: CITY OF TIGARD PUBLIC WORKS, PHONE #: 503-639-4171
CONTRACTOR: HASKIN ELECTRIC INC PHONE #: 360-735-0898
Inspection Request Scheduled For: Date: 5/22/2008 Pour Time:
Code # Inspection Description \ CI:r7rifirrn # Contact # Message
( Underground/slab cover , 070259-01 \ 360.735-0898 N
Corrections/Comments/Instructions: )
3160 go4..tEc I
7 (Ovel .
S..vi (_ uoc41) 61•) -
e - ----- --------__________
fl PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: .1 N be:11-c Date: Phone #: (503) 718- 1-q1-16