Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00765
ell! DEVELOPMENT SERVICES DATE ISSUED: 10/10/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S112DC
SITE ADDRESS: 15865 SW 74TH AVE 105 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT : 004 JURISDICTION: TIG
Project Description: Job #5207 (2) branch circuits. Circuit & air compressor.
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):
•' A SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
e;
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: 1 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 COMPANIES MILESTONE ELECTRIC
8905 SW NIMBUS, STE. #400 1800 NW 169TH PL. SUITE B700
: BEAVERTON, OR 97008 BEAVERTON, OR 97006
. Phone: 503 - 670 -9300 Phone: 503 - 645 -5323
FEES Reg #: ELE 34 -618C
LIC 153480
Description Date Amount SUP 2113S
[ELPRMT] ELC Permit 10/10/200` $53.50
[TAX] 8% State Surcharge 10/10/200` $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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- 2 -
Issued By: ,cam / _ij1,l2J Permittee Signature: ,�" i / , rez-4_ y-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.
1,7- 4,
Electrical Permit A► • i
1OI:01 t�I'()\I.1
• City of Tigard Redrea �
13125 SW Hell Blvd, Tigard, OR 97223 Dateo/B • Gv % Pamit -•LC ,c07 Phone: 503.639.4171 Fare 503.598,196 Plan Review �(�5
Inspection Line 5 03.639.4175 111.1 1 0 ZDOS '
�� { na(e R • a - Permit:
Internet: www.ci,tigard.ot.us _ - .. Rd Me hod ® See Para
; ! , i . - ..k, . Supplements! information
:, .
.
Nodti
r
aV.,:: :.:.tr,•kr ';:.,.:_r y- s: t \ "' . s ``r
O New construction ► =: ►; , �r ., _
_ t ,
❑ Demolition ❑ Other: y :�n' f t�� e : • i• e:n P1Ca50l.hCdC all that ;
apply:
DService over 225 a mps, comm'l
_ ❑Haardous location
a;:;' .. ; cF;`:i`: ;� DSavice over 320 arts -
'. ,v ; ,.. v amps rating � O r m g over 1
S s .. of 1- and 2 -until d I 0.000 sq, ft
Commercialfmdustrial A ; • -. y we lingo 4 i moo new residential
0 1 - and 2 family dwelling
❑ Accessory building is System over 600 volts nominal units in (Inc SnUcture
❑ Multi - family ❑ Master builder ['Building ov
❑Other: 8 er three stories OFecde� 400 amps or mor. • _ ..';:,-I.' ... El occupant load over 99 persons ❑Manul3etured structures o
Job no 52.07 : J o b Set add : ' ❑Egrcu/1lghtitrg plan RV pant
no.;
S' e w 7 °Health -care facility ❑Other
City/State/ZIP: n a ► 4 D Submit g sets of plans with any of the above.
The above are not applicable to try construction service.
Suite/bldg. /apt no,: Proje name:
lQ Co a ,, i , 6v _
Cross sacet/directions to job site: P(,i 4 M 4m x D , 1 144 N macron=
dential sla - Qty. Yr& ells . ^' ltle- or maltifimlly dweDieg atilt.
Includes attached garage.
1.000 sq. ft. or less 145.15 4
Subdivision:
Lot no.: Ea add'I 500 sq. It or portion 33.40
Tax map/parcel no.:
Limited ever 1
energy, residential 75.00 2
_ i s non - residential
'?zd ..,' :::. ' •: , � Limited energy, 75.00 2
�lrfLGU /T ; _.... ,,_:: "<::: ;ti, ?. ;., - Each manufactured or modular •
i Ie/NFiC. kg Qn ��E dwelling, service and/or feed. • 90.90 2
Services or feeders iastallatlon, aeration, and/or relocation
;.:::,., •� -.;�.....,... 200 amps or less 8030
2
106.85 2
Name; PA G t f1C non t 2S : , ..... _.. _ :. 401 amps to 600 amps 160.60 2
�. • u� • amps to 1,000 amps 240.60 2
Address: Sq OS
-
lJtnllooS r SU vt L( Over 1,000 amps or volts 454,63 2
City/StateJZIP; 13ec�ve r tOY 0 /� o02.) `' - _ Reeonneot Doty �' 66.85 2
Temporary services or !ceders Installation, alteratbn, mad/or
Phone: (503) 1 o - Gj 300 I Fax: ( ) relocation
Owner installation: This installation is being made on pm ty that I own which is not 200 ads or loss 66.85 I
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 antes to 400 amps 10030 2
Owner signature: 401 amps to 600 amps 133.75 2
Date: limns clrenits - new, -
. ' , . A. ea Ixahl ch cirwitu wltlh per paiel
Business name: Sim e Q be� service or feeder fee, cacti
branch drw it 6.65 2
Contact name: •- - B. Fee for branch circuits
without service or feeder foe L! ,
Address:
�— each branch circuit 46.85 - , B� 2
City /State/ZIP: Each add•1 branch circuit [' 663 2 -
Mlseelbraeous (service or feeder not Included)
Phone: ( ) 1 pax :: ( ) Pump or irn lino circle 53.40 2
E Sign or outline lighting 53.40 2
Signal oircuit(s) or limited-
Business name: " : ; "t energy panel alteration, or
rn1�QS ...IQGI`Y1C =tension. Describe: Paget 2
Address:
g 00 W GI 41., ( • . 1 R DO E.c1h addlteoaal lospectloa over atbwabk
10 say of the shore
City/State/ZIP; "' - 0 ver W O te- ci7(a per ill
6.0
Investigation pax hour (t fermis) 62.50
Phone; 64 - S 3 �3 Pax: (`POS) •I 0. Li gLI 3 Industrial plant per hour 93.75
CCB Lic.: 153 $O $leotrical Lia • : ' - .. - :. :•; .
• •i .-(al S C Suprv. Lia• _
��'`� ; Subtotal 5 3 S
Suprv. Electrician signature. r
Printname: //� Plan review (25% of permit live)
/ K , CiD // I D � �'� �, Or State surcharge (8% of permit fee) . (f 24
r ,
Authorized signature: • / / r TOIALPERMITNI�E 5� �'8
c / 7d This permit appllcatiao expires If a permit la uet obtained within 180
Prin_ " � . Ar / _ days tiler It hes been socepted as complete
n Date; — (a - t��_ .. " Fee methodology set b 'rci-Cour bw7ding Industry Service Board
i: \BuddingWamivWS.('- PennitIvp dx 12/03 � Number of inapeetioua yet dlo wod.
d ZIIL£LlllS•ON / Z 0 :6 •1S /170 :6 S003 Ol Ol(NOW) WOaH
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: EL-C2005 -00755
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 Al M����l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,
INSPECTION WORKSHEET FOR DATE: 1219/2005 TIME: 7:04AM PAGE: 56
SITE ADDRESS: 15865 SW 74TH AVE 05 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INDUSTR ' L PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: COGNEX EXPANSION
DESCRIPTION: Job #5207 (2) branch circuit. Circuit & air compressor.
OWNER: PACIFIC COMPANIES, PHONE #: 503 67U00
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503-645 -5323
Inspection Request Scheduled For: Date: 1219/2005 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 023190 -01 971 - 505.0903 N
Corrections /Comments/ Instructions:
30q 3 P 4$0v,
Q PC4gSki Gv14) eVS k, `r S p:6
A L L, Y1Au L-1 - 14,N ®C-K o of b LsL ie.)
bi,Gazi\mv-Z
P`ioleteL Pub66 cst)rtst :Ti •f\i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n C i L OR INSPE ION ` ADDITIONAL FEES ASSESSED
Inspector: / Date: 1 1 Phone #: (503) 718 - VILA