Permit a
C ITY OF TIGARD ELECTRICAL PERMIT
III
" PERMIT ELC2006 -00743
COMMUNITY DEVELOPMENT DATE ISSUED: #: 12/29/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-00900
SITE ADDRESS: 06830 SW ATLANTA ST 120 ZONING: MUE
SUBDIVISION: HAINES CROSSING II LOT : JURISDICTION: TIG
Project Description: T.I. (11) branch circuits. Job # 6447.
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: 10 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:
VINCENT, BRADFORD MILESTONE ELECTRIC
6830 SW HAINES RD 1800 NW 169TH PL. SUITE B700
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: Contact #: PRl 503 - 645 - 5323
FAX 503 - 690 -4843
FEES
Description Date Amount Reg #: ELE 34 -618C
[ELPRMT] ELC Permit 12/29/200( $113.35 LIC 153480
[TAX] 8% State Surcharge 12/29/200( $9.07 SUP 2113S
Total $122.42 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: ' � / i .i r _, ' Permittee Signature: �� - c' t,
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.
N
- , t Dec. 29. 2006 7:12AM Milestone El ec_t_ri-c o. 4958 P. 2
..i, Electrical rei AD - c tiOt‘ . .., - .7-1 '.,; '-' I i ()it 01 I WI. 1 st ( F\ 1 N
.. . City of Tigard
Reotived
Date/13 ./. - ° 0 iL/ Permit N° '' ‘
.J
13125 SW Hall Blvd., Tigard, OR 97223 , q i , Plan Rem; .,._
Phone: 503.639.4171 Fax: 503.598.1960 D u 2 't.-v L P l ' i l i . Date/BY: Other Permit:
Inspection Line: 503.639.4175 „I..., '12_ Data Ready/By. runs: 65 See Page 2 for
Internet: wwwci.tigard.or.us iir Nonfied/MeMed: Supplemental Information
Va: tie: .:': Vail idatfaCei:=Wt iikAteliFEargi ZilTMEEE2EEESZEMNNMM ...t"
0 New construction 4 . - 1 i■■ 1 Nai latiOn/replacement Please check all that apply:
0 in
CI Service over 225 amps, eommil °Hazardous location
Demolition Other:
,
n zza to CIService over 320 amps -rating EiBuildng over 10,000 sq. ft.,
:dir ..mmtmalaco m
, lumal of 1- and 2-61mi ly dwellings 4 or more new residential
0 1 - and 2 dwelling !Til Commercial/industrial U Accessory building CISystam over 600 volts nominal units in one structure
I:Building over three stories DFeeders, 400 amps or more
El Multi-family ID Master builder 0 Other:
ME' 7 ';', ,,,i'VEZATINECerfraTIVEMICHEM IP 01 13n P n
c p E Occt e t s pan i t load over 99 persons Olvianuthclured structures or
RV park
Job no.: .,, - „,--;" , - ( ob site address: 6 ,/, 569, 0 Ariimir 6 rf 0Health-eare Agility E:1 Other:
Submit" sets ofplans with any of the above.
City/State/ZIP: 1 7 z a3
The above are not applicable to temporary construction service.
Suite/bldg/apt no,: ... ./.0:1". . ■ Project name: i / vg6 e ..T tiRSEU REESIEDESIMMESMEMEMITC,
DarrIptlee Qty, Rm., Tow ""
Cross street/directions to job site: I 72.4-Al r'• /40/Ne New residential single- or multi-family dwelling unit.
Includes attached garage. ,
1 . fst,Eilx:R +1
Subdivision:
Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no,:
Limited energy, non-residential 75.00 2
tiNAVAMEESIgt Man it:: . 51KREETES Each Inanufkctured or modular
dwelling. service and/or feeder 90.90
6011-t1-F isP4e-6 -0-2-ey,
Servkes or finders Installation a1teradonud/orre(oMtioQ 2
200 amps or le J 80.30 2
' - '' ' 1 ::' IMMENR % KA 21 4 titi 2° ' ' t° 4°°tim" 106.85 2
401 amps to 600 tunps 160.60 2
Name:
-
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 1 2
Reconnect only I 66.85 2
City/State/ZIP:
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 I 1
Owner installation: Thls installation is being made on property that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 1 2
401 amps to 600 amps 133
Owner signature: Date: Branch circuits - new, alteration, or extension, er panel
inEffig A. Fe e for bra o ch c i r au its with
service or Better fee, each
Sio
Business narae: / .5 eVi/ ....e.e.reree1c„,... branch circuit 0 6.65 /0 2
B. Fee for branch circuits
Contact name; 4,4 e...478 4 - 4 16e/1444/
without service or feeder fee, 1
each branch circuit 46.85 04 2
Address: /?%) Nec) 41 _ ,A07•-• .;x:pet.
Each add'I branch circuit 6.65 2
City/State/ZIP: 7 _ V e' enA/ - 7er)40 migeellahrous (service or feeder not included)
Pump or irription circle 53.40 2
Phone: (3) 4 /5 - ,5'25 Fax: : (•W5) 60 9,
Sign or outline lighting 53.40 2
E ite..5-: Ce j , - r e /0/c- e.e, ' Signal circuit(s) or limited-
energy panel, alteration, or
extension. Describe: Page 2 2
Business name: M/1e 7 -i; / ,t, ,... .....,, ,_
..,
) Address: 41 Alitci /be 77( we .,..-- /r . , ees Each additional inspection over atlowabk in any (Write above
Per inspection 62.50
City/State/ZIP: ' ...,,, , ., 0 emf o' 6,44
Investigation per hour (1 hr min) 62.50
t Phone: (•cr!),)64/&745" Z-3 Fax: ( e I7%ee .:.? industrial plant . or hour 73.75
't' Sint0120: '' k ,".' ,,.' , t'lr
EEMlidio Electrical Lic.:.9-/-4...-- Suprv. Lic.: ir . _ • Subtotal /
s ......miruprv. Electrician signature, required: . .- ',1111111M111111.,../ Plan review (259 of permit fee) •- -----
'...E....,G
Print name; NARe..-- . ' piwk Pr ofir
a .At' , ... el State surcharge (8% of permit fee)
TOTAL PERM/T FEE /2Z, qz.
Authorized signature .-- as .,e.':..7--- — • This permit application expires If a permit ls not obtained within It10
days after it has b as bin accepted complete
EZZEMECIMIEPMEMINI Date: /e, 711, c'X., * Fee methodology see by Txi Building Industry Service Board
`• Number of inspections per permit allowed.
1 GulldingworrninUILC.PannitApp,dec 12/03
440-46151X10/02/COMAvEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00743
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006
Phone: (503) 639 -4171 /om�uq�u�itlll�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 06830 SW ATLANTA ST 120 CLASS OF WORK:
SUBDIVISION: HAINES CROSSING II LOT #: TYPE OF USE:
PROJECT NAME: HAINES CROSSING H
DESCRIPTION: T.I. (11) branch circuits. Job # 6447.
OWNER: VINCENT, BRADFORD, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503- 645 -5323
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description ofifirm Contact # Message
199 Electrical final — 045370 -01 503-939-6930 N
Corrections /Comments /Instructions:
\\
c\K X
yo f
C FA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT `' ve L Date: 3 1 2'b) Phone #: (503) 718- 2'1LikQ
. .
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2006 -00743
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2912006
Phone: (503) 639 -4171 �0Ip�ll��9'�I .
Inspection Requests (24 Hrs.): (503) 639 -4175 �.� •
INSPECTION WORKSHEET FOR DATE: 211/2007 TIME: 7 :01AM PAGE: 99
SITE ADDRESS: 06830 SW ATLANTA ST 120 CLASS OF WORK:
SUBDIVISION: HAINES CROSSING H LOT #: TYPE OF USE:
PROJECT NAME: HAINES CROSSING II
DESCRIPTION: LI . (11) branch circuits. Job # 6447.
OWNER: VINCENT, BRADFORD, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 -645 -6323
Inspection Request Scheduled For: Date: 211/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 'Wall cover 042805-01 503- 939.6930 N
c%6` wv\ S C.-
Corrections /Comments/ In structions:
t �a 6 cl\ ;0 to N A Gui)4
PASS a PARTIAL APPROVAL n CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: CT• N - Date: 2/ 1 0 Phone #: (503) 718- Akt_k--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00743
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: //912007 TIME: 7 :03AM PAGE: 6
•
SITE ADDRESS: 06630 SW ATLANTA ST 120 CLASS OF WORK:
SUBDIVISION: HAINES CROSSING H LOT #: TYPE OF USE:
PROJECT NAME: HAINES CROSSING II
DESCRIPTION: T.I. (11) branch circuits. Job # 6447.
OWNER: VINCENT, BRADFORD, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 -645 -5323
Inspection Request Scheduled For: Date: 1/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 041936 -01 971-506-0903 �Q Y
Corrections /Comments /Instructions: qGn A � O
\14\ CSC (1\
Ps N Aw N VIII eth f 6
%\c'--C\ 33� 71zstNIQ
(L L 76 F ACigi
❑ PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL ACALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Iv 1� Date: 0‘ Phone #: (503) 718- A4X_
CITY OF TIGARD .
BUILDING DIVISION < ' PERMIT #: n02006,- 0074;
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/78/2008
Phone: (503) 639 -4171 duiµ+ j llt" l
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 1/3/2007 TIME: 7 :07AM PAGE: 29
SITE ADDRESS: 06830 SW ATLANTA ST 120 CLASS OF WORK:
SUBDIVISION: HAINES CROSSING II LOT #: TYPE OF USE:
PROJECT NAME: HAINES CROSSING II
DESCRIPTION: T.I. (11) branch circuits. Job # 5447.
OWNER: VINCENT, BRADFORD, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503
•
Inspection Request Scheduled For: Date: 1/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 041733-01 971- 506-0803 ¥
Corrections/Comments/Instructions: `1°3 - 97.99 i1
L2) ° E
•
PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: to • Date: + 3 � � � Phone #: (503) 718- 2 •