Permit Y h CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00813
�1�� DEVELOPMENT SERVICES DATE ISSUED: 1/25/2005
I
13125 SW Hall Blvd.. Tiaard. OR 97223 (503) 639 - 4171
PARCEL: 2S112AC -00700
SITE ADDRESS: 07440 SW BONITA RD
ZONING: I -P
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Expansion & lighting upgrade. Job # 71623.
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: 1
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: 88 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:
BHK PROPERTIES LLC E C COMPANY
•
14280 SW 72ND AVE PO BOX 10286
TIGARD, OR 97224 PORTLAND, OR 97296
Phone: Phone: 503 - 220 -5377
Reg #: ELE 26 -45C
LIC 49737
FEES SUP 4040S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/22/200' $434.40
[TAX] 8% State Surcharge 12/22/200 $34.75 Ceiling Cover Elect'l Final
[ELPLCK] ELC Pln Rev 12/22/200' $108.60 Ceiling Cover
(additional fees not listed here) Wall Cover
Wall Cover
Total $940.39 Underground Cover
Low Voltage Inspection
Low Voltage Inspection
Elect'l Service
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 -3 2 =2344.
Issued By: � l„ �,�� i'7'JA „6 Permit Signature, 0- _AA
_ OWNER INSTALLATION ON
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 639 -4175 by 7:00pm for an inspection the next business day
12!2.2/2004 03:15 5032205347 PAGE 02
1 : _ -
ht.1t 01 f l�slt t) \ l,1'
E e ' ' 1 Pe ` Et)
Received _ L/ .. j Permit No.: 6 e io 0
. , r
City of Tigard bate./By: : ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan ttevtcH Other Permit:
DateB ere It :,: t By:
Phone: 503. 639,41 Fax: 503.598 it ,T 1 4 � I See Page 7 for
� r
Inspection Line: 503- 639.4175 �+ �oa ° . � .041..",i''''''
'' ;, Notified/Method: Information
Internet: www.ci,tigard -onus _
a 1 /' ni A { d'r)orlti t y , , iq�j
p ( '�( 1, r J� ,;„ r . . MV. o r t l Piiii , Yti I /,..•,f r:iUP'4. i;z7.. rr . 3 ` ,. �2„S,,, .'''''1` � .66'' 2 f;_ .,,a. :"
� t �6 �r 1 .1 ` � ‘ � * en Please c eck all that apply:
❑ New construction B s J =' : " " , . t t ['service over 225 amps, comm'l ❑Hazardous location
❑ S - i over El !0000
❑ Demolition . r ,, ; , ;; ,,,, ; ,, :': , ... •:..' of and 2- family dwellings ng ❑ 4 Of more new reside Gal, f t
, srr.:...;.A. i ts;:: z�' �Y : ,. ;: ..,.,,.., rr.:: - :2;.t:.;y'. .. . ,,..'. ' , 1. Of 1
( ,... '�r� ,. _, .,,•...ea, ..- ..,.: : ",:- •(.`..::.`• ". ._ .. .. .............. ..........,, irsmOrtestructure
12 ;. ,, , I l >,�'t *,,:a1 •- . . ... .. .. , . .... mat
1- and 2 -famil dwelling y � L ottrxrierctal /industrial ' ❑ Accessory building ';'.: >::::. , ::' ,
- t1 . . ... ..... , .... . .. .. , , _.� ".:'..,....... S 600 volts !torn un
y $ utlditt stem over Feeders, 400 amps or more
DBuilding over three stones ❑ Multi - family ❑ Master builder ❑ g ❑Occupant l0 99 persons R rk red structures or
Other: ad ov r 9
actu
e
n
nuf
,....,,...;',• ..,..... ,,.,.,c.,,.,. ..... a •, , , rs, .' 'i. ss/li h tin plan
P
a
' t t d" - d�$a:YV.Y.:o'; -.. . '•: r :'12 Egre g 8
t. ,. , . .. f .. .,..,,..:., .. r: , "'_ ❑ Health - care facility
Job no.: G a� Job site address: r S ....14 ••41 Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
• • • - .,712 r1.1A.1 1 iMR',, Yi• tk4� ,ledr})I.rlTfne }t3f4A}Il.II7i'V F1, , ^tY ti i l 1
Suite/bldg. /apt. no.: Project name: .r ` • �. r 1 tiacriptloa Qtr. F. Total
Cross street/directiort job site: l - Nev residential single- or multi - family dwelling unit.
- �� }�' ' 6 ' a gr. I sr includes attached g ara g e.
: Ti 1,000 sq.Et or less MI _ 4
rook
� Ea. add'l 500 sq, ft. or portion 33.40 . I
Subdivision: Lot no.:
Limited energy, residential 75.00 2
Tax map/parcel no,: Limit energy, 75,00 2
Limited en non-residential en
tial
,t + N M) an S )S r 1
',�'i Ii�f � i tt i ; +! { l( V tj �; ,n � t'.t;^t r.� � r J II i l � ;,,, .,.C r ` 9 . ■r 1 ! � � � ..lc 2 , �' �i .. a (!1! • , w l Y ':'4';1;Y!'‘,.0.4'7‘.'''''''': � 1 r . � Each menu actured or modular
dwellin service and/or feeder III 90.90 11111 2
•' , .} , ai - - ILA , r a a • _ • • - Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
r Y-�
( ;, 201 amps to 400 snips 106.85 2
-, .., 1 r- 'rN tt a a, n v (+ , t Ma io a r, I I ~ f il l <' 1 r at + ` i S ��'9 , � w 7C , i - 7 1 . 61 . ll, i a d'te ^^ I ,T + sl ' t let t t� „ „ t 1,l . , . ! . ,,, _. ^• „a „di h.l,::. w l„ ..,.,:¢ 401 a
. -t• it.. �..xsrrel13i�1 ,.t,,S... 7 „, _,: ,.,..,,., :,, : 1
am to 600 amps 160.60 2
Name: "("f �_ ,! .- t7 601 amps to 1.000 amps 240.60 11111 2
Over 1,000 amps or volts 454.65 2
Address: * .t ` �� ■ ^ • • a Reconnect only 66.85 2
City /State /ZIP: r t'.1 Y4-"fQ.nd 0 __La _- t i a - "emporar Services or feeders installation, alteration, and/or
relocation
Phone: t5t 3 Q 44._ Li 8dn Fax: ( ) zoo amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133.75 2
Owner signature: R ] p / Date: Branch circuits - new, alteration, or extension, per panel
....rt Y"i {{ll ..� im Iy} ttYa1 ; poi5. v � r� l t av,,: 1 taY } rt x, N a�'vi*, i iriil A. Fee for 'branch circuits wit)! W i ,4, J tf.,l:.,i!,,iimi; } e� t i,T $ :r,.bi1Nt6(.F�, t Y. !,.. a FA 1. , tr..; , ; .. t.a,, a,e A ,rtt,. , i'ii, a„t ,`Y . i :1 ,,,,,,1:..:.,' service or feeder fee, each
6.65 2
Business name:
branch circuit
. --- B. Fee for branch circuits
Contact name: without service or feeder tee, 1 46.35 44 2
each branch circuit
Address: _ Each add'l branch circuit 7 6.65 2
City/State/ZIP:. Miscellaneous (Service or feeder net Included) y /L5-
Pump or irrigation circle [ 53.40 2
Phone: ( )
Fax: ' / Sign or outline lighting 53.40 2
x
E-mail: Signal circuits) or limited-
. } v: ;,,i-„ y ,,,.. a:, :,;o ::;.,;"; ; r „ •,:rh �rl;
IMOVE�i tEl v :{ , } pr r t 1 I , . (7 c ,? 1, „ ... ex g
I'� t � l t � t l 1.! , , '� . H. r t ,: I 1 t � v �' ,. :, °'�::. "• r ,. ,7;.. l F ,1r1�� ! ., 1.1�v energy p anel ' alteration or � �� 2
x.. raY.,a..1a, Hl �' tension Describe Page 2
Business name: C / .
Address: r `` 11 Each additional inspection over allowable in any of the above
V o U Per inspection 62.50
City /State /ZIP: 10 \ . \e_ • v -., i,.C'7 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73 75
Phone: (��•�) . .. S . - 17 Fax: ( suj ) aAS - ,. 0 11 o I) I YS�P tF. ' • 1 1 7 7lr� , r1 , •1, Ili` 1'
ink �$ - ea:a,,. - ,laa,,,x,arm+ E °t lnirasrir ti,ar'4sr',esl,n.i,.,.,, Ci rliTr,'ifrtlil'r 1 , f r
CCB Lic.: Electrical Lie,: l Suprv. Lic,: 3 2865 Subtotal //
Suprv. Electrician signature, required: P lan review (25% of permit fee) 1 L] .6e-
Print name: Date: d State surcharge (8% of permit £ee)5• , ? ' 3 '
TOTAL PERMIT FEE r .. 6
Authorized signature: `" This permit application expires if a permit is no o,tained within ISO
- ••- days after it his been accepted as complete
Print name: Date. • Fee methodology set by Tri- County Building industry Service Board
-' Number of inspections per pennit allowed. _3 75-
i:' BuildingTermiu •Ct.C•per 17/03 440461 S't'(I0 /02/COM /W8B /
f ITY OF C O TIGARD
BUILDING DIVISION PERMIT #: ELC2004 -00813
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2006
Phone: (503) 639 -4171 �om�n +u1
Inspection Requests (24 Hrs.): (503) 639 -4175 n __—
INSPECTION WORKSHEET FOR DATE: 5 TIME: PAGE:
5/17/200 7:1' 73
SITE ADDRESS: 07440 SW BONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATED BUSINESS SYSTEMS.
DESCRIPTION: Expansion & lighting upgrade. Job # 71623.
OWNER: BHK PROPERTIES LLC, PHONE #:
CONTRACTOR: E C COMPANY PHONE #: 503-220-5377
Inspection Request Scheduled For: Date: 5/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006965 -01 503. 341 -1152 N
Corrections /Comments /Instructions:
' t
l
? :' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � I Date � 2z-'
L Phone #: (503) 718-
"` CCC__ 5\ 1