Permit API. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00492
��1� DEVELOPMENT SERVICES DATE ISSUED: 8/31/2006
�- -� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 113AB -00600
SITE ADDRESS: 16125 SW 72ND AVE BLD.B ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: (6) branch circuits for misc. changes & adds in back area business. Job # 6260.
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: SIGNAUPANEL:
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: 5 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:
PACIFIC REALTY ASSOCIATES MILESTONE ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 1800 NW 169TH PL. SUITE B700
PORTLAND, OR 97224 BEAVERTON, OR 97006
Phone: Contact #: PRI 503 - 645 - 5323
FAX 503 - 690 -4843
FEES
Description Date Amount Reg #: ELE 34 -618C
[ELPRMT] ELC Permit 8/31/2006 $80.10 LIC 153480
[TAX] 8% State Surcharge 8/31/2006 $6.41 SUP 21135
Total $86.51 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: ) f z,Z � Permittee Signature: p C. f
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.
Aug. 31. 2006 12 :03PM Milestone Electric No. 3182 P. 1
.E xe 'R•w tI re rant ADUh 1 I 011 OFI ICI: li L U, \'1.1
• Cwt of 'I'�gard >: / D b / 2 Ramat No.:6 (� (",p?0O (� '0 y y�-
Dareigt 13125 SW Ball Blvd, Tigard, OR 97223 AUG 3 1 PiReview S`
Phone: 503.639.4171 Fax 503.598.1960 Dam�a Other Permit
Inspection Line: 503.639.4175 CITY OF TIGA' '_'4: ' , ..IL DateRtea Jwis: la See Page 2for
Internet www.oi agard.or.us BUI LDIN t3 '/ ��
t'' ' s' n DIVISIO Notified/hfetttotl I Supplemental Information y.? or �+ar ' '{-�7E tY 1 f 78�"9`r.� ,..Tn' , s"� , r^
V ;W��7Y` � . •�� � � � h 0 , �7d, @� 0 ..� t �� � f,a'.. � � i � .r �, yc f �c� 5F" -"`1 L � � � .° *�•
"' tl rl at,,,.- •�.v_ - .�d F.GiA rS.�+.�vy..tic i- ,y� ! -iT� iw) -tiv�o�a •.i..�'1J?Sia.x�,., v ��
❑ New construction T.< Addition/alteration/replacement Please cheek all that apply:
❑ Demolition • Other: El Service over 225 amps, comm'l ❑Hazardous location
r t ' .�e.. w TE t F ' �. x° � i "��,�'s'1:;- ��a� Service over 320 amps T rating ❑Buldng over 10,000 sq. 6.,
❑ l- and 2 dwelling � M � t � 5 'NE 1; .+ V o and 2-family dwellings 4 or more new residential
ing RCo n ustrial ❑ Accessory building ❑SYstcm over 600 volts nominal units in one structure
❑ MUM-finally 10111 builder [] Other: over three stories ❑Feeders, 400 amps or more
a =a �9x f ,�v r,•. sou: R „ „.. ,., �.; ❑Occu t load over on ❑Ivlanufa
`. �,` �cuv�, �; �:, q� ,-� ,;,� �-• =- - t,,,'• r ,,� t P� 99 persons Chl>(ed structures or
E '� r t rx 7 h`l e � � c�C�. +,:��Y,`, 2h'J. r w. '�5 -� 4 % "a^y.,
a ' ;%Tt . tiir r axairris:; .� , t1 ' " ,:, a • Zi ❑ Stess/lighting plan RV park
Job no.: . r Job site address: L 12s` S 7 2 .. i El/teeth-care bodily (]Other;
Submit 2 sets of plena with any of the above.
City/State/ZIP: fe J J h tt 9 -7 2-7,4 The above are not applicable to temporary oonstntairm service.
:!' ^ .F •7 ��.Y��^ `::. 1`TaA'�10.'q �G •
Suite/b(dg /apt no.; Project Warne: ,.. ,:. •.f�?: :�i - y � `i[ `�, :, �? S1 .', 7 -L,.
Description Qty. Fee. Told ••
Cross street/directions to job site: New residential alagk- or multi-family dwelling unit.
( .`. A A'Y g „ Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: 1 Lot no.: Ea. add'I 500 an,. It or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
ti T ,t r r �.� „� r. - Lin 'ted energy, non - residential 75.00 2
i1 !EZ �. ,, +y n�"7 1∎ �uZG F 'u71 i:'• :`7! -' ,,'= yaei� Each rna11U -
i __ // A t: ut. .' fHetUred modular ._.t.. et L• t - �a.ast- are.oe_ . dwelling. serviceendlor feeder• 90 2
Services or feeders installation, alteration, and/or relocation
i - ♦ 200 amps or less 80,30 2
• f; e - a a p r, ; � ;��+ rt,t �:.,. M M,a, - , `.�"��j ^p:,�,�sn', 201 amps to 6400 amps 106.85
.:�-� '�' ': A�' L” *���'iw'�`ar_k`X�T7.11Y':fay��, .^'1".-�f:i ^:'i�.i,�.:.F.�SCJ
Name: 'Ai y 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/StateJZIP:
Reconnect oriIy 66.85 2
Temporary services or feeders Installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
Owner installation: This installation is being made on 200 amps or less 66.85 1
1 g proms' that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, ease, 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, alteradon o
%t) R W�'f-•r � l��F 7 xssi -��� ,v � r 1 V �r , 1 . .' " 2Y " H S .^•'- -�-.m� ri, i per panel _
r�r�r�A,�.�y�Uh� +,• �: , T ,�„ _ , , or exhasion r oel
i i r , ::P. -cS c k''. tS`n�a 1 '�iC 4'. i],.; V: -F' { 'r .7'�: .y'[
�'�•3..�y_xYz.:rth a, Y.,.. i o,t �' r o „ c,''s ,a/'ty,� A Fee for branch circuits with
elt
s`..1�i. ?� �� c.n te:.+ -i service or feeder fix., each
Business name: branch circuit 6 2
Contact name: B. Fec for branch circuits
without service or feeder fee, / 46.85 iZ Q 2
Address: each branch circuit , (��
Each add'I brunets circuit , 6.65 3? 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax.: ( ) Pump or irrigation circle v 53.40 2
Sign or outline lighting 53.40 2
E-mail: car v Signal circuit(s) _ ” o- it(s) or limited-
afi Y wQ� i ll b �i energy panel, alteration, or
Business naive: / er►,E' e /,pr,_,[? err extension. Desaibe: Paget 2
Address: �• ini �. AJ - a j1 #4 1 , •• S 1 - I.) A Each additional inspection over allowabk is any of the above
Per inspection 62.50
City /State/ZIP: /J e a/‘„ p z 97 0,06 Investigation per hour (1 tor min) 62.50
Pilate: si ) C o _ 23 Fax (rO3) 6 , ' .. Industrial . lent per hour 73.75
3f" 0 Electrical Lic.: f Suprv. Lie.: � e � :�1' � t;61k ' .. ;� _.� t o t V
Subtota ;t
Suprv. Electrician signature, required: • Z l • Plan review (25% of permit fec)
®, "/ State surcharge (8% of permit fee) ( ((
Print name: / ire o, /J - -- ` rG- n `e 0 a to ' _,
- O TOTAL PICT FEED i'G EL
Authorized signature: _ e This permit application
ezpiYea Ifs permit 19 cot obtained within lac
S Date: .
cloys after it has beta accepted as complete
Print name:
ij r /� er (... 0 4 methodology set by Tri- Colmty %Siding Industry Service Board
"' bb nber of inspections per permit allowed.
iAlaildngWenn $s1II.C•peroitApp.doc 12/03 4444615'r0107/COM/VVP9
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200& -00492
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2006
Phone: (503) 639 -4171 ttll
Inspection Requests (24 Hrs.): (503) 639 -4175 _.. 1.L.
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:01AM PAGE: 45
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: (6) branch circuits for misc. changes & adds in back area business. Job # 6260.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 - 645.5323
Inspection Request Scheduled For: Date: 10/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
139 Electrical final 038909.01 503 - 645.5323 N
Corrections /Comments / Instructs ns:
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
e ctor: C A V� Date: 10 2.1 W Phone #: (503) 718- 141