Permit CITY OF TIGARD ELECTRICAL PERMIT
P ERMIT #: ELC2005 -00412
44
DEVELOPMENT SERVICES' DATE ISSUED: 6/15/2005
° •I 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112DC -01400
SITE ADDRESS: 15865 SW 74TH AVE 105 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT : 004 JURISDICTION: TIG
Project Description: Relocate panels & build -out office space. Job #5207.
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: 2 W /SERVICE OR FEEDER: 24 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:
PACIFIC AMERICAN PROPERTY EXCHAN MILESTONE ELECTRIC
PACIFIC SANTA FE CORP 1800 NW 169TH PL. SUITE B700
17700 SW UPPER BOONES FERRY RD BEAVERTON, OR 97006
PORTLAND, OR 97224
Phone: Phone: 503 - 645 - 5323
FEES Reg #: ELE 34 -618C
Description Date Amount LIC 153480
SUP 2113S
[ELPRMT] ELC Permit 6/15/2005 $320.20
[TAX] 8% State Surcharge 6/15/2005 $25.62 REQUIRED ITEMS AND REPORTS
Total $345.82
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: ' -,Z)11..e... Permittee Signature: _ Le 7c, Q) ,c v
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.
Y
Electrical Permit Appliicat�on� V E
W I.�AL+9 I'OIttil'I'I( 1: t 1I't) \l.1
City of Tigard 1te0pivpd /
13125 SW Hall Blvd.; Tigard, OR 97223 q � 9 �" a �� _� (!; �/ Pennit No. ..Z a65---,0 42,, Phone: 503.639.4171 Fax: 503.598.1960 JUN .i4 2005 i Da '�"� OherPemut.
Inspection Line: 503,639.4175
(pud.orus CITY OF TIGAri o t� cd/Metho: ®& knw n tal for
Y u p Notifiod/Method: supplemental in
, � f4�� �"'�`!Z� e M '� p r iEs1� "�{ �'yz +"+ $ r 5'"iF•r � Jni2ar.t7' �+ y,,.n . s v.- �lt�u•t,v, 75�` � i PP Information
t, !Yi , r .aO s i i'Yt 1 c u F { 1 c 1 i er ; ,S 4 4jz ;iMV, 7. 11, s, C. ,f' g a ;.t«' l pc •- pB uz ,
e a .+d z :ae,r ya l S,ua(,., :� l .0, i,. i „n .'. ,,, ,...e .,a - -. i 4E - ,: , ( .., ,.%d:: 1� IL , . a . ;�".„ .. .... !. .., , , , i
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t:::, ; ;::�1- R4.,.!: f''. : �, r . : - .,. . . ..��.... . ;..•.... -r . �,,, >.z •{.:..�i. '.:!4 " ,,;;5 ; if ldr: ,:
a�.r ;: .. ., . :,�, :r•�•IC dyx, _ ,;t; ' d ? �fµt
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n ® Addition/alteration/replacement apply: a1M1:.ai.. ;. w ^''t5W4:;
❑ New constructtn
ep tu.eme t Pleas checY all that
5g Demolttron ❑ Other; ❑Smite over 225 arnps cornm'l ❑Hazardous location
i4' l' Y ' 5 fs v:�{� ' It 4l r, 1 G . 1 . , � . >,.: d ', d d qr nV' rr; ['Service ov
.,rf5w: �Y: t } i,', r H ?( ° r a t "l j� "x �9�{ 2i,ti(m °.r�:•.,,r over 320 amps - rating ❑Btul over
t , .uv h Y. � ..� »_, .'D: ;,o, t z ! t i r t' i ', „ °` a. 8 1 resid sq. 1L,
rt iT, t ,i! rr -... .0 y 5 , � y_a v r t . .! " *tgi5 '„- ?tfl::r� l��i31e'lw:�Su Of 1 -and 2- family dwellia� 4 or atpre new residential
El 1 - and 2- family dwelling (l Commercial /industrial 0 Accessory building ❑3ystcm over 600 volts nominal units in one sttveture
Q Multi - family Muster
::::a ;... . t.fix. • 1�&NPlc..7r, �: ,r.S ^l °1"•'+ Occu or
.:. . .. .. v' . . :. . .� .....; ' , ; ;� . ,. land over 99
c . , per so ns S
, or too
,r,,:: '.1';',' ' , i Manit� structures • ..::. °.u; , :. ,. ElEgreaSilighting pian RV park
Job no.: 5207 Job site address: 15865 SW 74th ❑Filth -cats facility ❑Other:
City /State/ZIP: Tigard Submit 2 sets of plans with any of the above.
The above are not
Suite/bldg./apt. no,: 105 -
applicable temporary construction service
Project name: COC; NEX
aetcriptb
Cross street/directions to job site: Durham ltd. & 74th Qty. SW. Twat
New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. R, or less 145.15 4
Subdivision: I Lot no Ea. add'l 500 sq.11. or portion 33.40 1
Tax map /parcel no,. - Limited , residential
..,,.,.: .;:,;,; :.y
., fix: : ., .
.: c� . ,, ...; a )... .. ?:•.ro(� _
s)
.. v::,:. .._, :.: ::. . .. • . 5 ;7:: r J1'i� •1-; • Limited ..,... .' ; ' • • ;;;'; „ tea
°` :::` Each manufactured or modular
Tenant Improvement work: relocate panels and build - out remodeled office space, dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
including new fixtures and receptacles. — -
'r:':;xl • �:F rr :,: ,,.
::.. ,5-: :,
•. ::,:,,. + 200 amps Or less 1 GO
400 amps 106,85 2
Name: Pacific Companies 401 amps to 600 err is 160,60 2
601 amps to 1,000 amps 7,40 2
Address: 8905 SW Nimbus, Suite #400 Ovcr 1,000 amps or volts 454.65 2
City/State/ZIP: Beaverton, OR 97008 Reconnect only 66.85 2
Temporary services or feeders Installation, alteration, and/or
Phone: (503 )670.9300 I Fax: ( ) relocation
Owner installation: This installation is being roads on property that I own whi is not 201 — 200 a or less 66.85 1
intended for sale, lease, rent, or exchange, 44 amps to 400 amp t 00,30
ge according to ORS 447, 449, 670, and 701. 2
401 amps to 600 amps 133,75 2
Owner signature:
-.. __trr w.sig signature:
I . ,.i� a ::It - . ,%- .� :: "• +Aunt- CM,1iJi" • yf; v [ for i new, alteration, or siren
1..1 e - , . ;. •, ,,,..1...r.;‘ ,.: . �:'. ;d'' .: ''''''',F, : ;�,t „��1 „ ; , lion, per panel
:;c9a:Cv1 i, .- ... ,. ,....r; - •, .,.,.: � V ; ,). •:'. °':: ;, ; ;:'; ' ., . , • ••,: • !, :.: ' s, ? ?: . Pee for branch circuits with
Business name: L e 4.S i• Ll p scrvioe e or feeder fee. each
_ bra 2.4, 6.65 /S14,0 2
Contact name: — B. Fee for branch circuits
without service or feeder foe,
Address: each breach circuit 46.85 2
. Each add'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) I FaX :: ( ) Pump or irrigation circle 53.40 2
E - mail: Sign or outline lighting 53,40 2
u;' ?, ; . �': ;� �''i ^'i.(. tf ; , 1!y; , ...•, - :arn, w'��- Signal ctreuit(s
a .. - .... :.: ,;:.. K t: r,,,. ;. � ''4:; z �:; .:,,1' -: ::�`, , r,:.:.,. : r,,r: ,,.. ) or limited-
H
n ,� r „ 15 ..e:a,;.za1, ,.,.5, ; ;Su.. ..., ',;a "' ti
.t.. .wwNka ,,.,rd:ii +^nr , :ii ^ ^ iti:� � . •,1,tpi" `T,..
.nrE . d4.. , %G , ;i „f. `'~',�� .. , BatJ.'gY panel, altereti0u, or
Business name: Milestone Electric
extension, Deseribc: Page 2 2
Address; 1800 NW 169” Place, Suite B700 Each additional Inspection over allowable hi any of the above
City/State/ZIP: Beaverton, OR 97006 Per inspection 62,30
Investigation per hour ( 1 hr min) 62.50
Phone: (503) 645.5323 I Fax: (503) 690A843 Industrial .lent per hour ' 73,75
C CB Lic_ :v'' '>iex••",li: ° ".4 , .:;xr
153480 { {ri1� -;'! i. ; .ai./ " z Y .... . ,
... .....a..n ., , n, ,: rv ” ,, , _. ;? q , t; 11��ms.fi;;ic
_ E lectrical Lie._ 34.618C Suprv. 45745 �.. r �'�,, , " r; 1 w� "i',r. ; ;r:.,, ;:. ; y ;�1> ~ .ti : �
v. Lic,:
subtowl 3 Z 0. 2 0
Suprv, Electrician signature, required
Plan review , (23 %ofpermit foe)
Print [name: /A4f1, / ' r &� � /( , 6/14/05 State surcharge (8% Of permit fCC) (AS, , 2
Authorized signature : / n0
- TOTAL PERINTI ys . Z
This permit applicatfoa a :plre� (f a permit Is FEE not obtgiacd 3 witl�lo 180
8
Print name: //� I dys noes It An aecte,r cvmtC
si Date: 6, 'r— :. Fee methtldnl0 silt by Trirutmbeety Ruepilding a Itndu:try ple $t',•lvt; 1trQ
Nu of irtspec(ions per pe rmi allowed
i: lauilflipl {U'mn1(n1CLC- Yn,ndt App.dnc 17101 •tarr.4, tiTn r,�',,-.....,,,,..,,
£
WOa3
d 9Z9L£L l l l9 '0N /9£ : 9 l '1S /L£ : 9l 9002 b l 9 (301)
CITY OF TIGARD - - --
BUILDING DIVISION PERMIT #: ELC2005.00412
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &1612005
Phone: (503) 639 -4171 u �� a �lln�u�61� "1'�
Inspection Requests (24 Hrs.): (503) 639 -4175 M '' I..
INSPECTION WORKSHEET FOR DATE: 13/23/2005 TIME: 7 :06Am PAGE: 43
SITE ADDRESS: 151365 SW 74Tt1 AVE 105 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INIUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: COGNEX EXPANSON
DESCRIPTION: Relocate panels & band -out office space. Job #5207.
\,.
OWNER: PACIFIC AMERICAN PROPERTY EXCHAN. PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503.645.5323
Inspection Request Scheduled For: Date: BJ23/2005 Pour Time:
Code # Inspection Description Cetl m # Contact # Message
125 / '$141'01-01 503 -314 -6171 Y
C 1 L N r t L-- � ' . _ -
Corrections /Comments /Iuctions:
lel ci F1040— 'E t-rE tl: * cP /'
‘,6------ s--..,,,Ae.--/-E-L-R-e17• '.,,.:. \
w
\
1
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
p v ' dkS Lam ,. Da � (P6 . Phone #: (503) 718- 2L49b •
Inspector: 111