Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00127
1� DEVELOPMENT SERVICES DATE ISSUED: 3/4/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 112AC -02700
SITE ADDRESS: 07360 SW BONITA RD 120
SUBDIVISION: EMPIRE BATTERIES MLP2000 -00002 ZONING. I -L
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Installation of (2) services and (8) branch circuits. Job No. C - 05 - 71
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: 8 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:
T -3 ENTERPRISES ABC ELECTRIC
7360 SW BON ITA RD 135 NE 9TH
TIGARD, OR 97224 PORTLAND, OR 97232
Phone: 503 - 639 -5515 Phone: 503 - 233 -7551
FEES Reg #: L1C 26 -1226C
SUP 5096S
Description Date Amount ELE 161501
[ELPRMT] ELC Permit 3/4/2005 $213.80
[TAX] 8% State Surcharge 3/4/2005 $17.10 REQUIRED ITEMS AND REPORTS
Total $230.90
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 - an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are ;-t forth in OAR 2 -00 10 ough OAR 952 - 001 -0100. You may obtain copies of thes - . es or direct questions to OUN.0 at (503)
246 -06s9 or 1-800-332-234/.
/ .
Issue • By: k / Permittee Signet e:
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: I ' ' +•%2 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next 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.
MAR -02 -2005 04:37 PM j P. 01
l'l► Jtxirrt c'1: tl!,r. OiVl. ;1' °
. ���leci.k ical PermitA li � �,, �� _� /� ED Received Q.� y Permit /i
City of Tigard DatN3 ` a
Plan Review Other Permit:
13125 SW Hall Blvd., Tigard, 012 97223 /,'.,,•,:d,,i, ' 'r'° Dana : � Sea pace 2 for
Phone: 503.639 Fax: 503 - 598.1 n C� 1 ' Date Reedy/By: / C. Ofi See Page 2 Information
lna action Lite; 503.639.4175 wo" " ` Notified/Method:
Ins met: www.ci,tigard.or - us : Rl ;s: ;'1 ?;wt l } fll ; l"Ir]� � }i ' tr rill'of ''' ; � r y A:7t A i m � 4 = • 1t ' r ' : i;
n , 7� , f t t 1 l a , . , I r! 1 I l i1 c 1 1 f 0 1 SA,n � , , J- ! >3 : f
�+ jq , r
q !' L,' i l ifi t llrr ,1 g' { 1 .47ii i it ' 11 4 t 4 ; I li irirli "F r. V Y ,' t i ., t l ' I r .......ii,, ,r u< : 4,M 1 i, IId,, f,, .e.�dislryh' 2 l u,3
� J i ,Y i { I{ Ili srrs f' r �..,,,,,s 1.:, .,..r.. 1......,.i .11t Please check all that apply:
KIWI n I� {I i;. 111 }.li`` u Rrt, . r,r,t i?�a alln.� f• �• .lia+ , „I.tL,J
❑ New construction ❑ Addition/alteration/replaceme °S srvice over 225 amps, comm'1 ❑Hazardous location
[)Service over 320 amps rating ❑Btlildng over' 10,000 sq. ft.,
❑ Demolition FA Other: , „ ,, srrrs.T' •.r ;; >a a d wellings 4 or more new residential
, a.>,r'ar: , .zHr; , • f �:�st:;.;a " :',1 , i ; _,C:,, ';:,; ; i: , ; ::.'a. , l of] an -f
•gym. 'el;rre: ” ..e,e:;71;'l;(::. . $,. 7 ., I : ' 4It S; .,dl ,'p ". . : ::: ..I. ne structure .�„ .,, sg ,;, onw.l.( S{.,,ril ,,,,h,. •I °`•8f1 .iS'rY.Vi ",t'd¢ +. I „ -- !, � :!it ? ? ":, .,,.,.;!. 4:,..........;- 1;I;Sa.. -. a l unite inU
suput lr2 r¢ ; tilt xl I1# 1 i.. ' -'2: :!.v.
ilf'�i� '� f + � � ,�r�l� , ytr+ ,1,11111 �'t E , ! ua , !r t l r It
❑ 1 and 2 dwelling ( Commercial/industrial r ;' . °Buil i over r th ree stories volts rosin
I, [ �, I :�IJ,ri�t�.�tu�tzs>.I•••• = +u� • Ir, .�+- 4 x "u.:i7f:1�11t.,:lf!cu:>' ustria] [] Accessory building �guilding over three 0 Feeders, 400 amps or more
y g C rcial /ind persons Manufactured structures or
❑
Multi-family Mast builder ❑ RV park
Mulh family ::n it.° : 4;' ",:;•:a';;a; ^EM::; 1 3'
,,.,.,..;,,'r " "...,.. , ,',,.....,.{ ...:..:... .. ,.. Other: ', : ;a':. i a B c ress/lig 6 p L c lee e
�u• - .1 . , ,:L i,s,la ::1�'i -,1 ❑ S htl
. , t o l;a4l +'' ?}9:, ..; ..., i rt??'t .,, . . , .. ,,.�•' •. ;YY, �. ', .'�i P'i _,, �; �- ; i .' .; .�a.; Other:
1 d„ _, �, I.. .,. a9+ 1. ,ilidi._q 1J' $ _t ^.',11Yr!.';lr�. ,I - ,l,:t
i ;} , t 1 # g t , t i r , r 1 . ti . ' ;..., 61;1, ... ; ; ;. "; _.' :',.r w.•' Health -care facility < ��; 1����11>' II�Y:>~ ��C -il;= fli, Ina .ar. ,�,Ut r:i..,ctr<: ;;.u. , f� {1,s., _:;' .,�„ • .,F - � ❑
SFr"
Job no.: C, a':- Job site address: to ''� s ub mit sets ofpl ans with any o the above.
The above are not applicable to temporary constru p se p r g vice,
f ! , — 6 - - - - t ' �Itii)lintol sf.sMi 0 "1,111NSiti�t9 l � 1' �lii
� _ � r ' f+ .., �s.,. ;_iL,�a�i ,171i,a.,.vlt,.a.l..�r „1 •,u i1.,.. �t 1 +., 1 ,_t.lr. , -,t ..
/ + j r,�Ila'%iti,. / � � T~I. Description QtY• Nee. Torel
Suite/bldg./apt. no.: l Project name:
/ , New residential single -or multi - family dwelling unit,
Cross street/directions to job site: � _ � �� ' includes attached garage-
1,000 aq, ft, or less 145.15 4
Ea. add'1500 sq. ft, or portion 33,40 75.00 I
mmmmm Subdivision: Lot no.: Limited energy, residential , 2
Tax map /parcel no.. Limited energy, nonresidential 75,00 2
,.uc,. rg; ,. •jS;r: :,r,:. :'jr!`:;r, ?.i modular
:� :;�• : � ::,,: ;i” :;:' anufactured or
. .,, , , u1..1 ..r.....,. d..,•, ..e,...iI i .. k. .<`°'+fi ,',: -.'. „i1:!i "�Il:,:o:.
r , 3t t d1 f ■r 1 j ' I`. : ( 9;: .,r.
u f1 G. 1 , .l , a6.,.. . i, p . r !:: (,. .,.t•'1 2
; 1 . a ,
ur z I frt ':! i a 90.90
j LL .�� , ,t•{;: I:ri�' y Y.,:k�;• and/or feeder AMEN �Ili'F r6'r1 t r1 lPI�, ? ct: ll: ia, i" riiii i;.,.I.r,a� %ll�'i.l'o-Nl�_: ,.Iar1:A.lnli,lab . lc:l;: dwellin service a _. ,
k "L,.fi {fa,r3 t.,wiiD u::. t(u , tl ;;; i.. : �t
40,4'1 4 L as • / a MNIMIMI Services or feeders Installation, alteration, and/or relocation
200 amps or less 80,30 1(p0 .1,01, 2
106.85 201 amps to 400 amps 2
.._ .,.... set ,,..,1. a.. ,. ,. . ,..,...•,..t 1 } ..... ....... .... ...,`� :`t:a'G 160.60
r r.. , iR ,: . ;f ..:' h ' J , i . i .:� ...., , F . , „ .: :.: . ?L,. ,.i.- +,:. I�• • 1.i'i to s
„ ..; ?l,a , ={t=,ar . „ :1,ti a9,,.t „ 1, .,llx,,, : . : :,A.!..al.I,.• . x.. ,,,::,:; 401 amps amp
SS11 �1 r.,. .Nt tut 1 .,,.,...r { ........ ..,,,_,:� {;..
y l .,,,. i:� ...._ •. YiT - 1�' S' 1''I�� ......: .... ...... .. .;a:,.:,.,:1;:.5,.;a;,' . i::1�Z
,
,., 0 600
�:u rr� „ai- �Iti,E.i,.1..,u,,:, ::. ,. a., ,,,...::.. �:..�,,,.. 1.111 2
601 amps to 1,000 amps 240.60 2
/ 40 � Over 1,000 amps or volts 454.65 2
Address: I . . � I ► Reconnect only 66.85 2
i if i — Temporary services or feeders installation, alteration, and /or
. !. • relocation
1
Phone: ( ) i 0, '1/4 �� / Fax: ( ) 200 amps or less 66.85 ' 1
Owner installation: This installation is being made on property that I own which is not 201 a mps to 400 amps 100.30 133 75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps
Owner signature: Date: ,, _ Branch circuits— new, alters r
o extension, exten panel
ton per a
-,.e 1 . . , c t .. rr. l 1.:. ,. , : . ,. - . . .... .. ...... . ..S . ,. ;'iii; : , .. . .. .. , 1 circuits each t
' f !`ii.,, ... tdh d ,i,l�,.'�. . , .,. ... . . 1 . :,,, , ,...e.; ,.,,,, E1•d . +v rl l.v „ �.� r ,I, ;., . . •„t?. .;,�� ._ T,. L: ,;t ...,..,. , scrviea or feeder f , 2
b 4 : yp' etlikl��� 'I {f��.;: {.r �. .. ... �,., >r ; }., ..... .... 6.b5
,
i.$..rls„p1,A...�lal d i.7lrlarA{:F...a , �,.,{11�1 ..,.. .._...a� . _
branch circuit
Business name: ��i tit./ ('� B- Fee for branch circuits
Contact name: nn CC / 4 - .0 �• r If without service or feeder fee,
each branch circuit 46.85 2
k5 4 , 4
Address: "...° / / 8 ach add '1 branch circuit 6.65 2
* _Miscellaneous (service or feeder not included)
'! i_ = Pump or irrigation circle 53,40 2
Phone: ( ) t2 Sign or outline lighting 53.40 2 Signal
E -mail: , :,arrirl:o ;_,::.':;til 6 panel, alteration, or
- .. , rn r ,. ,.,n: , �,'. - a : • „ „r,, :,:' x...,, rr: :::, rf • ::r.l,':. - , ,.' ..; °,. ,-;z�., �p
F { f , ,,((r sari 1r {1, i "t9t(l11 {1 ,� ulnitl' 7t.- r�cffli�.• . !1. ' ,, p , .. ` ,f, S .r`,.�' ,',,,1, .'J c , y limited- Paget 2
iPT l;'lit,� l{l��f�1�2 iil�lli�1 Tr:3,.11,i.nfd�`hG illi,ll7r�kn ,, 4E I l r;:a I'I,.:° extension. Descri
Business name: J / ( of the above
Each additional Inspection over allowable In any
Address: • * -4 1 i er inspection 62.50 / Investigation per hour (t br nun) 62.50 • i 0 I I —� _ 73.75 50
Industrial plant per hour
( Fa7t:( ) 7 33 / ^ — { t 5 #h 1lli`Ji, , El ip irI TW rIf 1 , 5 � 7 ( n .i! 1 Ij w, ., 'i yi' i 'ti � , Y: ,
Phone: ) � 7 _iR Ut,f:k 1ri1M„ t.(.,.t na .�. t� �85n., :7:1uI.� n r.l� 7. r d,,.�i.lan u,r,4 ,o, tl, l�.t
Electrical LiC , _ 1 Suprv. Lic.: ` ; / '?3 /. Subtotal �/ .
Plan review (254/, of permit fee)
Suprv. Electrician sigrature, required:
Date: r State surcharge (8% of permit fee) 1 , f b
Print name; 1 _ .4 / • : _ f .. 4, r /, /a TOTAL PERMIT FEE � ' 30 40
— Authorized signature: This permit application expires If a permit Is not obtained within lee
- ` days after It has been accepted as complete
Date: 3 ) S e Pee methodology set by Tri•County Building Industry Service Board
• " Number or inspections per permit allowed.
i:\aucdine\Ptr 'shit, \ELC- PertnitApp.dee 12(05 440 - 151 n'(loroarcosAWa9
i
f
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/24/2005 TIME: 7:09AM PAGE: 66
SITE ADDRESS: 07360 SW BONITA RD 120 CLASS OF WORK:
SUBDIVISION: EMPIRE BATTERIES MLP2000 -00002 LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Installation of (2) services and (8) branch circuits. Job No. G- 05-71
OWNER: T -3 ENTERPRISES, PHONE #: 503 - 639 -5515
CONTRACTOR: ABC ELECTRIC PHONE #: 503 -233 -7551
Inspection Request Scheduled For: Date: 3/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 002638 -01 503 -233 -7551 Y
Corrections /Comments /Instructions:
fr3 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 9' 7)' 8/i/ /, Date: r T /� ~ Phone #: (503) 718