Permit Jo\ >� ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2005 -00370
DEVELOPMENT SERVICES DATE ISSUED: 6/1/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S113AC - 00103
SITE ADDRESS: * 'r` "'
i'iiy ni ir " NEWLiaiiivilegui zoo P ZONING: I -P
SUBDIVISION: P)CTRUST 7 �� (9 D LOT: JURISDICTION: TIG
Project Description: 12 branch circuits. There are 2 panel boxes.
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: 2 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:
PACIFIC REALTY ASSOCIATES MILESTONE ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 1800 NW 169TH PL. SUITE B700
PORTLAND, OR 97224 BEAVERTON, OR 97006
Phone: 503 - 624 -6300 Phone: 503 - 645 - 5323
FEES Reg #: ELE 34 -618C
LIC 153480
Description Date Amount SUP 2113S
[TAX] 8% State Surcharge 6/1/2005 $12.82
[ELPRMT] ELC Permit 6/1/2005 $160.20 REQUIRED ITEMS AND REPORTS
Total $173.02
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1- 00 -33 2344.
Issued By: A--7-_• . wT-6._- Permittee Signature: e `Lem
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
� i .
t 0. R o t
Electrical P er it 4 iication t rived FOR mac :l•: [rsl (ONLY`
Electrical •
.�+ � Datc yt/ ' /6 Permit No.: (' -J005 ? 7 00 p
City of
Ti E Planning �pproval `
1 3125 SW Hall Blvd.
Plan Review P `to C15 PL i'
lan Review Other
Tigard, Oregon 97223 I JUN 01 2005 Date/By: Permit No.:
Phone: 503 - 6394171 Pax: 503 -598 -1960 Post - Review Land Use
Internet: www.ei- tigard.o 1 y OF '11 `, Date/B : Case No.:
24 - hour Inspection Re cd L$� TIC7`� = ttt
_, = .. Contact - 1 . s.: t See Page 2 for
j DIVISION Nae/Method: tom,( Supplemental Inform atEUn,
^'Itr�y�ylle Yn �� lCil �IjI,N:'n- a�'•1 d ..,'il M• 1 i i. tr 1. i 1 R' �9�" ^ ,...
EN New construction ,1 F 31 r -ttl, :i; ;, a J + ii �d� .
1 11,1 G..I i11:aMlsF..V'�1,in �� L 1 1IDAi�. -C�.�/ �ir�,bhw.� 1. v I
II Demolition • Service over 225 amps- Ill Health-care facility
1` ddition/alteration / re.lac commercial Ha zardous location
an ent • Other: ❑ 0
pp+ 9 �',6t "��, ^' ��i�" -•'^" s x s;�;'..�� �.. , 1 , 0 Service over 320 amps - rating of ID Building over 10,000 square feel,
raWCtrirg Y'>��"ai t. IF � , : a ' 1 .tP�. 1C1 )r Nii:S 4 + .. p I ^ , kt 1 'y�y:
• y, 1 & 2 family dwellings four or more residential units in
hil 1 & 2- Farnil dweIlin_ IQ ommercial/,lndustrial l7 System over 600 volts nominal one structure
rla Accesso Bulldirl _ mm ❑ Building over three stories ❑Feeders, 400 amps or more
0 Master Builder
0 Occupant load over 90 Ixi sans ❑ Manufactured structures p
�•1 Other: El ge ghtingplan 0 res ar RV park
��� '±� .S G ss/11 Other.
0 „0,1 it i #:Fli:J(ll.,.Li`I ir. ,t` i tll'` gd of `i ^CE ,c, cm j i r V
, :',e Submit acts of plans with any o th
' I, �A. �,1`..l�J�{'. "� P Y the above.
Job site address: 72_I C, 5,4-s/ . • r �^ , The above are not a . , liveable to tern . tits construction service.
suite #: t. • Bld:. /A .t, #: " ... �. _ .':'''.:• ;. ;' . "- .,. •
tom Number of inspections per permit allowed
Pro'ect Name: r` .7 ., �,�Z 'F" — ��� _Reset pi lion
lL:1�_i! _� Qty Fee (ea.) Total
Cross street/Directions to
job site: 1J' New resident i- single or multi- family per
a e l ear ■ � 4 dwelling id Includes attached garage.
J c �e I`f� I Service ncichuded:
1000 so, R or lays 145.15 4
Each additional 500 as. tt or portion thereof 33.40 _ 1
Subdivision: Lot #: Limited et t�y, re sidential 75.00 2
Tax ma. /,arcel - od 75.00 2
"'P,,:;.. ... . , e or modular dwelling
Each manufactured ho
0 x a tai, ` 1 r t ?' ., • r) %.... . r k <�4, Limited . . ';�s: • , _vice and/or feeder 90.90
residential
� ul in
t G /,,Sit, a l
Services teration or or feeders
Lion; laden,
,r - L_..., !,.:/ 4 1 — W =- al relocation:
200 amps or less _ 80.30 2
201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
: +:a 1 i. .v tea rig': ,\:
tamps to 1000 amps 240.60 2
Name:
Over 1000 amps or volts 454.65 L 2
� 1 Reconnect only 66.85 2
Address: Temporary services or feeders - installation,
Cl /State✓Zl ► : alteration, or relocation:
200 amps or less 66.85 1
Phone Fax • 20l amps to 400 amps
Pt 100.70 2
iml ; V; t r
. �”: Z ,a. ,5 •... .:, : jIjt 1 ' L:.1(i r t1Pr1i; yrl 4111 t0 133.75
2
Branch circuits -new, alteration, or -
Name: /1t, 4 A. e j,/ extension per panel:
Address: A. Fee for branch circuits with purchase of
service or feeder fee, each branch circuit 6.65 2
B. Fee for branch circuits without purchase of
Phone service or feeds fee, rust branch circuit 2,,. 4 6 85 7O 2
Fes Each additional branch circuit t0 6,65 _ . 2
E -mail
,,.. Miaa.(Scry ice or feeder not included):
: o. "- •• : .
. i r ciS I I � •�; ( '; ij]„ . . 'w� Each - pump or irrigation circle 2
5340
Faclr sift or outiuto li flog 53.4o
Job No: ...5 2 2
Signal circuit(s) or a limited energy panel,
Business Name: "I. a . ., 1 alteration, or extension Page 2 2
Address: ;Lo A/ /6 - 7r '/• C14: ` Description
'
Cit /State /Zi • : � ,,� 1 •'G Q Each additional inspection over the allowable in any of the above:
Phone: si — 6,* -5 , i� ; �� investigation
n f� r hour (mitt. 1 hour) 62.50
. u
• orbs,':
Supervising s'
electrician r" ° `. _• .
si : store r s uircd: r — Subtotal $ -a•
Plan Review (25% of Permit Fee) $
-Aisr4. ! / �� 5i State Surcharge (8% of Permit Fee) $ /9.... 411?
Authorized TOTAL. PERMIT FEE $ 123 oz
Signature: / I-- �� Notice: This permit application expires if a permit is not obtained within
. �/ D ate: (rte / 180 days after it has been accepted as complete.
1 AOPIIV' *Fee methodology set by Tri- County Building Industry Service Board.
Ad d (Please psi name) ) i,6p
l/
is lusts \Permit Forrns \ElcPcmutApp. 01/03 / .6 g.
l d 9LbLSL l l l9 '0N /E9 : 0 l '1S /E 9 : 0l 9002 l 9 (03M) W0a3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ---
INSPECTION WORKSHEET FOR DATE: 6/16/2005 TIME: 7:10AM PAGE: 82
ras .6
SITE ADDRESS: 4Reati4SW DURHAlvi .200 CLASS OF WORK:
SUBDIVISION: PACTRUST LOT #: TYPE OF USE:
PROJECT NAME: eeTnote .14-TPAZISCX ‘,.\/ fttiNktC/4
DESCRIPTION: 12 branch circuits. There are 2 panel boxes.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-6246300
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503-645-5323
Inspection Request Scheduled For: Date: 6/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 009435-01 503-646-5323
/2. c.
Corrections/Comments/Instructions:
-\\
A
- q , f\ N 95Vni*
e( (1 `="- 10110
cc
)6y2
•
V, PASS n PARTIAL APPROVAL CANCEL El NO ACCESS
fl FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: r Date: 110 ) 3' Phone #: (503) 718
•