Permit CITY OF TIGARD ELECTRICAL PERMIT
•■ PERMIT #: ELC2005 -00636
i�4 DEVELOPMENT SERVICES DATE ISSUED: 8/30/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112 DC -01400
SITE ADDRESS: 15865 SW 74TH AVE 105 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT : 004 JURISDICTION: TIG
Project Description: Installation of sub panel & (7) 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: 1 W /SERVICE OR FEEDER: 7 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 COMPANIES MILESTONE ELECTRIC
8905 SW NIMBUS #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
Description Date Amount LIP 153480
SUP 21 13S
[ELPRMT] ELC Permit 8/30/2005 $126.85
[TAX] 8% State Surcharge 8/30/2005 $10.15 REQUIRED ITEMS AND REPORTS
Total $137.00
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: . 112 . 7
Permittee Signature: '(
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.
Go6rAvE‘c v Ps
I!Iectrical Permit A lic,ationl
C'iiyofTigard e` EVE 1(,ltili•l!(I..t•51'.(>,1,y
13125 SW Hall Blvd., Tigard, OR 97223 lteodved / /)� y /
>idB . _ 7, _ Permit No.: r✓� t ' e � `,D J b
Phone: 503,639 4171 Fax: 503.598.1960 AU
City
20 Plan Review
Inspection Line: 503.639.4175 . ' Ix ta/H . Other Permit;
Internet. www,ci.tigard or. us Ready/By:
Ifin x .� t^IT1/ C Ttn Notified/Method:
Sae Paga2 for
;�C; . t`{� M"+Fai ^? � Y � „ y -� p a nv r nR r supplemental' Information
New - +�Jttcx4lurik . rs lit ;4., ;te .. '
1,,,.,. _, a.. h r a v
❑ construction ►a Addition/alteration/re .. " ` check ...
p ment Please check ail that . � .. ' . , :. .1"`. .: ` `.,,...
❑ Demolition I'] Other: fly
gty; ,uv, tl�,r�� ��,�;; a�` ❑Service over 225 amps, comrn I ❑H�dous Location
fA' "M';,�c ` ' ' '`.sYi.�. wp �'Ng .,^r hje •�t7J� o- ".w '�° `k.� ,X,f ,r .r rt t �, ❑Saviee over 320 amps -
u4{.,r :.ti.,.11;4. :! et>•nt✓t:.,4,'; P retina ❑B1,ildng over 20,000 sq. i
,V b t . ;''.ere .... , t. '; y dwellings 4 or more new residential.
0 1 - and 2- family dwelling P2 Commercial /industrial ID Access � ' , � ' ' " `er a of t end a 60 0 ils n on
❑ Multi - family ❑ Mo stcr cry building ❑System over 600 volts n
ear builder nominal units in one structure l ° �h : ;,'( "�; u•:z , ,x., c ❑ Other:
°Bu over throe s
s i � r r ; ti - ;� r;,. ;/E. ;• -. , ❑ ca► stories [IFeed factur amps or ma
tl W:L t t �,u ^.:.,A " ' r ,. 1 1. „N�� i� '., , .w,.: ;. _ ., , , , . 2 ,; ;: p IIi la ngPla 99 persons ❑Martutach,
�`�" �� �.? :7.t:t� .:� t• ,..� . ,, / . _ ens redsttuctures <
JOb no.: Job site taddress: ❑SO tsrlighting plan RV perk
/ i 5 v (e 5 SW 1 4 ❑Health -care facility ❑Other:
City/State/ZIP: Submit seta of plans with any of the above.
The above are not applicable to
Suite/bldg./apt. no.: — temporary construction servi PrO1CCt naltlC: . '` .... ..':—..•,.%.''C;41:1:1: . A Cross street/directions to job Sitc: Description
O '- , i -• ••1t.
' m1 F. Tarr
•�� L..4 New residential single- or milti.lamlly dwelling unit.
Includes attached .,Ira, e.
Subdivision: 1,000 &I. tt or less r I45,15 _
Ea_ add'150 sq. ft or p ortion d
Tax reel Lot n0.. L H energy, residential 33.40 1
Limited
map /pa no,: _
., ,lf.M f ! %'t~ t ` ° '.�Y." ;1 "s' y'��afY r a.sen qw?:n ;�.. :': ;r_t..; �,T ,y,>'A.,•:.7 Limited crier 75.00 2
k t9{XA?i�w+' e „i `:: �-� :ne»°, :.ici T 12,, : : 4 - S u1,.' Each S non-residential modular 11111 75.00 2
L tlQ (/r n • (>S' manufactured a modttlar
- 4 _� _ r d 1 / ` . wellin : service and/or feeds MIN 90.90
'
t "'Xi`"r "'MV. ;r , x. ,..:., L 'Lt t,� C� S l tatladon 2
Services Or feeders pa , alteration.
1 'f x ( A wv . A A 200 or less on and/or relocation
R e . , ..e ' 4 : t' 'i��`�i 1 s rr e. a i i S 80.30 8C �Q 2
.;,,. :: , . u ,, " :t-k, le s.,z .,.r 201: imps to 600 to 400 am (06.$$
"`" 401 imps a amps 2
11l / L _ is 160.60 2
Address: : • , s - 601. ,s to 1 ,000 am, : r 240.60 • 2
J ,lt • S rQ r Over 1.000 amps or volts 454.65
2
City/State/ZIP: : n� Reoonneot only
./..,/, 1 4 o/ 4 *1 9 66.85 2
Phone: (S _ Temporary scrvkea or feeders ioat�tllatiou, alteration, sad/or
0� (o'Z Q RQ Fax: ( ) relocation
Owner Installation: This installation is being made on property that I own which is not 200 a or leas 66.85
intended for sale, lease, rent, Or exchange, according to ORS 447, 449, 670, and 701. 20 t amps to 40p amps 1
Owner signature:
100 2
�; griature
Date:
y 401 amps to 600 amps r 133.75 2
O '�ft� r
_�� V .! o," ,F'''„;.:' i ^a extension,
SSSu ,.aaa:. .,. �.• .L. , yyr{tiy, : .%∎ r r„ fa, ,� : : + ash
....:. .:ri ;N... x : , - ;. ; ;.: \ A Fee for circuits -sew alteration, or ercte o. Per net
rru
^ •. ?, � .. _._ . � branch circuits
w
' /� S • �i( ®� acrvioe or feeder fee, each
Business name:
as branch circuit 6,65 Ng 2
Contact tt$mc: B. Fee for branch circvita
Address: each b ranch cIn ut�tr foe' 46.85 2
City/State/ZIT': Each add'I branch circuit 111.1 6.65
li'Iiscellaneoas (service or feeder not included 2
Pump or irrigation circle II. 53.40 2
Phone: ( ) Fax: : ( )
E - mail:
Sign or outline lighting —
�`F�+ {�1 =' � i�kt; ...,. r 53.4 0
l'..4 °'X'SN{ ��E: -k h "�a , Signal c 2
>✓.1• .._� .a;.,:_,,., '.;',.7.,-.... $ ircgtit(s) orlimlled-
;t.e, ., ,: ,..i9:'A a. , rar
Business mime: l .;R e8Y Panel, alteration nr
! (� 1. t ottension. Describe: Paget
- 2
me: * '
E
Address: l /.` l , 0 ,4$ �'
Each additions) ins . dice over allowable in as of the above
I �, •
City/State/ZIP: OQ Per ins.. - on
Investigation per hour (1 br 62.50 �� ,
(S(1 �' �` rain) - 62.50 — S 3a3 Fax: ( 03) ( S r
Phone:
.. R Q - U� N3 Industrial plant per En 73 75 �-
'
CCB Lie.: f 5 31_1 ; G Electrical Lk.: 3 , Suprv. Lic.. 2,/,/3 C s ,4' " 1 ".• : . ., . _ • ,'...•;;;;',', r I ,' • a�
Suprv. Electrician signature, r /� y Subtotal /2. , 8S
� Plan review (2390 of permit fee)
Print name: /� A. 61,)69 4� Date; State surcharge
A . �S 8e (13% of permit fee) /D • Is
Authorized signature:: TOTAI, PERMIT PEE 3
This O O
permit r lppltegtim czplres if a perm)) o not oMsined within 180
accepted
Print name: Date:
• days after it has been ted as
FCC eenrhodolo p Complete
•• gy set by Tri -County Flitilding Industry Service hoard
i' \owldswerrnits\ELC_p itApp.dne 17101 • •. Number of jttgpeCll OOS per camel) NIIn„m.e
£ d 6L£L l l l9 '0N /b l: l '13/9 l :9l 9002 6? 8 (NOW) WOd
CIW OF TIGARD
BUILDING DIVISION PERMIT #: ELC200& -00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2005
Phone: (503) 639 -4171 � de i
Inspection Requests (24 Hrs.): (503) 639 -4175 „Al :_..
INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7:07AM PAGE: 68
SITE ADDRESS: 15865 SW 74TH AVE ' CLASS OF WORK:
SUBDIVISION: CREEKVIEVV INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: CODNEX EXPANSION
DESCRIPTION: In tallation of sub panel & (7) branch circuits.
OWNER: CIFIC COMPANIES, PHONE #: 503-670-9300
CONTRACTOR: MI STONE ELECTRIC PHONE #: 503- 645 -5323
Inspection Request Schedd For: Date: 9/92005 Pour Time:
Code # Inspection Desc tion Confirm # Contact # Message
199 Electrical final -----
503-645-5323 N
Corrections /Comments /Instructions: ;,i 31A 6111
p . l , ∎t & 1(1..
ON
P %
a s_ 1� no ' A
ft • h telt .M M ff 101 II I MA •
ru C1 a Ea
1 t • "a
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•
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
.y� � A L • • R - s TIO ❑ ADDITIONAL FEES ASSESSED
Inspector: CTIa.t N €B L Date: 1 110 � Phone #: (503) 718- .1}i4t•