Permit CITY OF T ELECTRICAL PERMIT
TIGARD PERMIT #: ELC2005 -00410
DEVELOPMENT f $ ERR 9 DATE ISSUED: 6/15/2005 Hall - 13125 97223 503 - 639 -4171
PARCEL: 2S112DC - 01400
SITE ADDRESS: 15865 SW 74TH AVE 110 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT : 004 JURISDICTION: TIG
Project Description: Re - route warehouse lighting & unit heater circuit to different panel. 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: 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: 2 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
LIC 153480
Description Date Amount SUP 2113S
[ELPRMT] ELC Permit 6/15/2005 $60.15
[TAX] 8% State Surcharge 6/15/2005 $4.81 REQUIRED ITEMS AND REPORTS
Total $64.96
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1 -800- 332 -2344.
Issued By: //. /4 Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
s- • /
Ek oriel l Permit_Applica
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City of Tigard � o t., (.�,2 / 5 0 /
13125 SW Hall Blvd., Tigard, OR 97223 �j Plate/B K 7) � ,}� --p- >'ertmt No.; D
Phone: 503.639.417I Fax: 503;598:196 0 20 A /s `1e"
inspection Line: 503.639.4175 JO' 41:.. �'
Other Permit:
Internet: tvtvw ct h rd,or ug `' r A� i Date Ready/By: �.
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. ,rk u S 5 t� d � �,�
` Notified/Method: : f / f ® ace P Z for
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h .::.S +., r51�1., �nla .ts....neL,.,aYuAU',1':5r•.aebS .. ,...�_: .:.:a:..... „,.,,t e:: E k .f., ., . ; .. ; d,.A, : i., „ ,.1`0 ...r �; , .. t n,
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❑ construction ® Addition/alteration/replacement Please check ;i , p lY,„•, „' ' " " "' ` ' ' °a; i 1<i +';: Vii• „ : t,$'
�] Demolition .. k au that apply; :,,, '.::;.. . > �: • ,
❑ Other; ❑ Service over 225 cotnm'I
n• q. ;V'x:. 'tr`�L "'.,;1., r } tn C t k +wm:wrzr. nca;wa 1r � s
m 'lY; rw, <1 ra:;.r,s::. ,,rnx:yre : ev :a s 01-I'.ardous location
1: , ' �,' . '•t' +d .„ . a �::.. v '' ., �iV, .! d ;Jg.: �� "8 , .r Y�':¢.§S )C"1 R' ':∎ + r "' p:z'. r. v :. Q.S' Crvier over 320 ar - rating
as .li :i tty''r iTi' ,zei..tg.f xa,1.',r :, rrs; ?:.,aFe:1.. .v., x ` ,:,: ,.5q.. ' „.. A ,; , ,,'; ,, ,,,.:;...; ;„, ,, Y ❑ or mom over residential
, l
❑ 1 - and 2 -f ,, ::.. ? + :.. :.... . .. ..... i',, . .: ��`;';:;'�,,, .... :' :, ',� of 1_ and 2-family ttiei �
y dwellings 4 4r mote new detit
2 dwelling ® Commercial/industrial 0 S st v
❑ Multi - famil s building structum
;.,,.. , a:; more
: ,v::.,' :.: t amps o
Accessory
,.,���.. . , ,.,, )C' e1 1: Yt n ^ Vf',ipiY R "' ; NY' " �, f , ..., Master M build ❑ Other: ❑B Building over
builder m volts stori nominal ❑Feeders, 4 one
1
'
. : ,,, : ,, • ,_ .. ,, . , 1 ,.. • .: ,,z�l. r :, ; , ,1 .. , , . ,, .. . ', ,, . tloado ver99 persona ❑Manufactttrods
,,.,..m ...........: .........:.... r..., t7c, t, .., M .:..,:.::. '. :. P � ttucturesor
. ❑Eg<•css/hghtutg Plan RV pant
Job no.: 5207 Job site address: 15865 SW 74th ❑Healthcare facility OOthcr;
City/State/ZIP: Tigard Submit sets of plans with any of the above.
Tito above are not applicable to temporary construction service
Suite/bldg./apt. I
g. pt. no.: 110 Project name: Brand Innovators ,;:�''.''•` '': •'
Cross street/directions to job site: Durham Rd. & 74th Deecsbum Qty. F°` z
-
New reddeadal single- or multi- family dwelling unit
_ Includes attached garage.
1,000 sq_ ft, or less 145.15
Subdivision: 4
Lot no,: Ea, add 7 1500 sq, ft. or portion 33,40 !
Tax map/parcel no.: - Limited energy,
w,m{ xS :r, , , ...
r t ., rtes . r ,. I:;1 r.. ) : 1 w " r: rs[
-.:*:.,; v,. : fF1.1:;::'.:,.�'r`- .��..' ik� .:,t::.,r, ��t a, ';;Y.. i rn,.a.; �, r:;;; :r +c ?aa Lltni
,;:;,:� • .. +�. .....� ,. f -,., On 500 2
t: . � ,.,.. :'1 ::, • .....tP.eaa.,,.,,.. r ,. ::. ..::.... ... ..:.: . i ?.i 75.00 2
n
. Each manufactured or nodular
Re -route warehouse lighting and unit heater circuit to different panel dive service and/or feeder t 00,90 2
. Services Or feeders installation, alteration, And/or relocation
200 amps or less
p.w. tY .r u,r4 ' : l .-- ., -,., 80.30
... , f. , . .;, .. ., :..: , . 20 amps to 400 am p
... .... .. . ....:: s 106 5 2
Name: Pad& Companies 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 8905 SW Nimbus, Suite #400 Over 1,000 amps or volts 454.65
2
City /State/ZIP; Beaverton, OR 97008 Reconnect onl 66.85 2
Temporary services or feeders Installation, alteration, and/or
Phone: (503)670.9300 f p ax: ( ) relocation
_, Owner Installation: This installation is being de on I 1
ri property that t own which is not 201 to 400 amps
100.30 200 amps or leas 66.85
intended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701. - 2
401 amps to 600 amps 133,75 2
Owner signature:
-.��,,: ..r :n
w,1Y• ,. ",: naa:,- ,?�:. �r , Yy ^ : r w.,o Branch circuits - new, �
,. ...., , r • . ....; .:.. : r ,;;'art ''�'!� „ : or extension, n, Pte' anel
• ., �' 'i;. ': :.... .. �, r A. Fee for branch circuits with
servico or f
Business name: .5 >is ( rlbcrr e ou.) foe, e�c6 6,6s
_ branch circuuit jt
2
Contact name: 4 6,85 B. Fee for branch eueuits
without service or feeder fee, i V y •
Address: each branch circuit 2
Each add'l branch circuit L 6.65 f 3.30 2
City/State/ZIP:
Miscellaneous (eervlce or feeder not Included)
-
Phone; ( ) l F es:: ( ) Pump or irrigation circle 53.40 2
E -mail: J - Sign or outline lighting 53.40 2
',;t }. ?rct .9:;, `�.�,. .r. ...1��..lni r .Y.. y'•: h'. "} "`::d•1rr? •'Fnr�s.a^ y ^r � ^A,idtNUw °A .�.:•' , Signal circuit(s) or limited-
C ? ..: ^°,.u..5:,.1�,n. 'i',i.'..:i,: 1'. , .1 1 +.� '. 1;; 6Yf fi , . . .,'t a 'rC . _. . ..,a. : .r�' ':
Jl Ii :'i ?v,t.. S ;'1yv) '.,: M ' 1 , f nr, �.'[W Pan. �t�ah� or
Business name: Milestone Electric extension. Desc n3e: Page 2 2
Address: 1800 NW 169 Place, Suite B700 _ Each additional Inspection over allowable in any of the above
City /Statc/Z1P: Beaverton, OR 97006 Per inspection 62.50
Investigation per hour 0 hr min) 62,50
Phone: (503) 645.5323 I Fax: (503) 690.4843 Industrial plant per hour 73,75
, CCB Lic -: 153480 I Electrical Li iff, `ia�rl,�", . 1 a, . 1 a.. ,.,.,, y :a..: 61 v e,„
53480 Elec e.: 34 -618C ! >n. ,tW. , { ',uPa4:�a
Suprv. Lic,: 4574
Subtotal i 4o./ s
Suprv. Electrician signature, required: _ r ""
n / n plan review (25% of permit fee) -
Print name: / 7~ t / _
e - State surcha
-e: ' l rge (8% of permit feC) 4. Authorized signature: 4 V . �L � Tt)'1'gl PERMIT FEE % 9 (r
This permit application expire' If a permit is not obtained within 180
.
Print name: days after It has been accepted as complete
�� Ar Date: 6, _ /( ^- tn
• Fee cthodnlogy net by Tri - County Building industry service Huard "' Number of inspections per permit Allowed.
i Term es1ELC -Na r=utApp.ni,: 12,03 •.^ ... - . / - Ll
WOa3
Z d 9Z9LSLl [1.9 'ON /9S:9l '1S/L:91 900? H. 9 (3f11)
`CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005- 004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 i�mndilp
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 76
SITE ADDRESS: 15866 SW 74TH AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INNOVATORS
DESCRIPTION: Re- route warehouse lighting & unit heater circuit to different panel. Job #5207.
OWNER: PACIFIC AMERICAN PROPERTY EXCHAN, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 - 645 -5323
Inspection Request Scheduled For: Date: 7/11/2005 Pour Time:
Code # Inspection Description Confirim # Contact # Message
199 Electrical final 0 1133 -01 503 -6465323 Y
Corrections /Comments /Instructions:
c'tiL� btaV E 3 \� b \1.1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 00 Date: 11, 0 Phone #: (503) 718-