Permit ELECTRICAL PERMIT
t.r�,!TY OF TIGARD
PERMIT #: ELC2005 -00008
�I
DEVELOPMENT SERVICES DATE ISSUED: 1/6/2005
)
.1.. 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 - 4171
PARCEL: 25101 AB -01501
SITE ADDRESS: 07555 SW HERMOSO WAY4r1 0b
SUBDIVISION: HERMOSO PARK ZONING: MUE
BLOCK: LOT : 021 JURISDICTION: TIG
Project Description: Installation of (2) branch circuits. Job No. Minute
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: 1 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:
MINUTEMAN PRESS MIKES ELECTRIC
7555 SW HERMOSO WAY 11070 SW ALLEN BLVD
TIGARD, OR 97223 BEAVERTON, OR 97005
Phone: 503 - 620 -5203 Phone: 503 - 649 -6991
Reg #: LIC 50209
SUP 4230S
FEES ELE 34 -18c
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1/6/2005 $60.15
[TAX] 8% State Surcharge 1/6/2005 $4.81 Rough -in
Elect'I Final
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 - - •AR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -661• or 1-800-332- 44.^ � •
Issu : • By: /AY
Signaturee' �_ �;l ,, 4:
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 639 -4175 by 7:00pm for an inspection the next business day
Sent By: / ,MIKE'S ELECTRIC; 591 7847; Jan -6 -05 2:47; Page 1/2
,
Electrical Pent Aulolicatioar,
FOk OFFu ::f•: USE () LY
�-•
City of Tigard EGENEP Received T
13123 SW Haii Bivd., Tigard, OR 97223 Date/fi : (� D I� Permit No.; �S r g
Phone: 503.639.4171 Fax: 503 J98,1960
JAN plan Roviovr
Inspection Line: 503.639,4175 jHIV 0 6 2,0� • '�L ` Date/By; _ OtherPerrrrit:
Da te Read,.. it 2 f or
Interact ly ww ci tiltaJd or ua " °� yin Ju See on •
Notuled/Method: /�
•• to • Supplemental Information
❑New construction �af'`ddih''�rUil fat v t :.i.: , r ..V � rd.�; > " i? � , ,, . i �i ?�, , � t ` � " L:i" `„ uh`• r''t°i• ^ ira�' - • r a replacement apply;
molition Please check all that
Ot her ❑Service over 225 amps,
❑ De comm'i
[['Hazardous location
•
t'' a "t ' t- i i 7 rlu x i.s t t ,..,:;;,.,:,....,•: •, •: It i° t n Mk l o r i,t,i DService over 320 amps - rating ❑ Buildng over 10.000 sq. ft.,
. _ f, ± "Y it a; of 1- and 2-family dwellings 4 or more new residential
o I and 2 family dwelling 42 Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family 0 Master builder ❑ Other; ['Building over three stories ['Feeders, 400 amps or more
I UY , . i t r t 1 r , `y , s , , • F • Occupant load Over 99 persons ❑Manufactured structures or
1 r
. _� a. .�., ... . ,;R ,.t. , r , �• ` 4, , :, ❑ Sre ghti ngp l an RV park
Tob no.: Minute -lob site address: 7555 S W li e r m o s o Way ❑ Hcaith -care facility [lather: ,
City/State/ZIP: Suit 2 sets oPplans with any of the above.
Tigard Ta OR 9722 The aboe sic not applicable to temporary construction service.
Suitelbldg. /a t. no.. f?� p
p I Project name: t, " t `'. 2; f i.i k � i �131 i.,1 t ' r f li .4.,:.:..,:i.7.:-. +
,._ -h {+G. ?1nt,.r,,y + a..,. .F , „• .
'.
Cross street/directions to job site: Minuteman Description Qty. R1e. ^ TOW �+
Press New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq, R or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I
Tax map/parcel no.: f Di *6 - / 50/ " " Limited energy, residential 75,00 z
Limited energy,
`'r r , t #- i t ...,.,n.,:-.• ) •.,a.r .,...:7,.7:.,;‘ t ,,,., . , ergy, on-residential 75.00 • 2
- ion' ‘ ; ?- �` ' ' ,:, 1 . . ....Lt n Y, _ . , r... N ..' Each manufactured or modular
N+r w '2 O amp for l i Y1 C i n R 2 0 amp for outlets dwellin:, service and/or feeder 90,90 2
S erv i ces or feeders installation, alteration, and/or relocation
switches 200 _
amps or less 80.30 2
r ,. a - :;.k ,,i1 .i roc t +7 , ..g ', o i 1 :: r� v tti 7�r s' }t ' '�, 201 amps to 400 amps _ 11111 10685 2
�.f , t.<_.a r:.. , tl.d : rr.t.C,t , r 1t !i ', 401 amps to 600 amps 160.60 2
Name- MINUTEMAN PRE 601 amps to 1,000 amps 240.60 2
Address: 7 5 5 4 S W TIP r m n a n - l hri y Over 1,000 amps or volts Reconnect only 454.65
— 66.85 2
City /State/ZIP:
2
T1.a 7 2 2 3 _ Temporary services or feeders installation, alteration, and/or
Phane; relocation
X03 ) 620.5203 P ":(503�620.55U3 200 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 1 1 100.30 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: titre:
Date:
Branch circuits -
new,
• • • ,•w , •. orb, or extension, per panel
, :
• • . y:: (: l as ;t: Fee for branch circuits with
Business name: service or feeder fen, each 6.65 2
branch circuit
---------------
Contact name: E. Fee for branch circuits
without service or feeder fee, 1 46.85 46.85 2
Address: each branch circuit
Each add'I branch circuit 6 2
City /State/ZIP: Miscellaneous (service or feeder not included)
3 n
Phone- ( ) F es; : ( Pump or irrigation circle 53.40 1111 2
E
Sign or outline lighting 53.40 2
T
Signal circuit(s) or limited-
.' ` ,...... ,£ .... . } -.„, *. ; .- ,; ,V .. ., :� j S . ,.. ,17 y f � , }1 7t r r gy p, aers
�' ... i * � ,:,..._. k+ r..:�diiG:�lr7,?lkr:r' ^ energy panel, lion, or
Business name, 7 extension. Describe: Page 2 2
,D MILLER CONSTRUCTTON CO --M.I KE' S E:LECTR _
—
Address: 11070 S W Allen $1 v d * Each additional inspection over allowable in any of the above
Per inspection 62,50 MI
City/State/ZIP: P, as v
ei r o n OR 9 70 0 Ltvestigation psi houi (t hr min) 62.50 -
1'houe: (5 U 3) 649-6991 Fax; t603 .) 641-1902 Industrial plant er hour 73.75
CCB 1.1C.: 050 Electrical "U;''';txt,..YYT,�trti iL. :4 . y 5(4 i! yl S :I,w i, T O,'-. - fI %e . +.
.a�.,,�fxw,l�r 1.d ,1f ,x�,1�n,.�i.�.l: 1 .
05020 tncalLic.: 34 -180 S uprv.Li c.: 4230$/ Subtotal
•
Suprv. Electrician signature, required , j 7/t (D , /d /i b 7 Plan review (25% of permit fee) e
Print name;: Douglas J Mi - 1. I e r - �P U ate: 1 - 6,_n 5 State surcharge (8% of permit fee) 4, t31
Authorized signature: W 'TOTAL PERMIT FEE 64
This permit application expires if permit Is not obtained within 180
Prins name; Date: days atter tt has been accepted as complete
F ee methodology set by Tri- County Building Industry Service Hoard
•. Number of inspections per permit allowed.
:\Danriinelczn t n.C- PermitApp. oe ta/Cu 440 I OM/CO iNvinn
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested ' 7 AM PM BUP
•
Location 7 5,S Suite A) MEC
Contact Person Ph ( ) PLM
Contractor.c� Ph ( ) (oci cil SWR �)
BUILDING Tenant/Owner /LrA . _ .1 ELC R,cas-on 66 l�
Footing ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
C Susp'd Ceiling
'
Roof
Other:
Final
PASS PART FAIL
PLUMBING: °;` ;P: "Ay,
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole T
Storm Drain F
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Beam
Rough -In
Gas Line
Smoke Dampers
Final
9S" PART FAIL
ECTRICAL . F
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'ASS PART FAIL
SITE. 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA q v V r- 5 t'i b �1✓
Approach/Sidewalk Date �. q Inspector �, Ext
Other:
Final DO NOT REMOVE this inspection record f om the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
MST
I(y CTION DIVISION Business Line: (503) 639 -4171
st) BUP
Received c7 1 Date Re ested AM PM BUP
Location C l 5S 1 �` O5`D W 'Suite MEC
II
Contact Person \/1M L - Ph ( ) ( et'"I -r 1 2 �'f 9 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 4111. d -d a 5"- -6066r
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath /Shear ���,�C w , °l � W
Framing �' 4-�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler I
Fire Alarm Re M 1 04 W�1, \1Z
Susp'd Ceiling
Roof C1 -\ 0 P
Other:
Final j -- L ' r' 1—P/ L \(.\ t) \/ 11,1) p tI I l ?v\� \ \
PASS PART FAIL k f
PLUMBING. (� \ ' W \ L. L bV . 1 - v4 \Ai k Ww L& -
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
P RT FAIL
Se•
ough-
ab
- "'ow ol..rts-
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'AS PART FAIL
SITE Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA ` _ �� Inspector 17 Ext
Approach/Sidewalk Date ector p
Other:
Final DO NOT REMOVE this inspection record from the Jo site.
PASS PART FAIL
•
A. PERMIT *PLAN i `,_ ` .— 151 1 X I • ... .., +!'ate .. R y l',-
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' Electrical Permit -- ELC2005-' i - I ❑ I xl
-
Name:MINUTEMAN PRESS Updated: 1/11/2005 BLD -ener '
Address:07555 SW HERMOSO WY 100 Jur: ITIO
Description: Master # IEL2006 -00008 Project: (MEYER APPRAISAL Service
Feeder
Installation of (2) branch circuits. Job No. Minute
Misc.
Residential Unit Plan -
1000 SF or Less: I Review
Each Additional 600 SF: I Dates
Limited Energy: I Received: ( 1/6/2006
Manufacured Home /Feeder /Service: I Target:
Issued: ( 1/6/2006
Expired: 716/2006
Finaled: (
LtULUU -UUI L U(4.MD bVW! Fit FlMUbU WAT MAN LtT MAN Lt T, MA
CE 02001-00337 C 07435 SW HERMOSO WAY MANLEY MANLEY, MA ,
I ►
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f Start 1 PERMIT *PLAN « 0 . 8:18 AM