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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00978 DEVELOPMENT SERVICES ' DATE ISSUED: 12/27/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BA -05900 SITE ADDRESS: 14058 SW MILTON CT ZONING: I -L SUBDIVISION: BONITA INDUSTRIAL PARK LOT : 007 JURISDICTION: TIG Project Description: 12 branch circuits. 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: IN PLANT: 601 - 1000 amp: PLAN RE SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GOODHEAD, DAVID + JAN M TIMBERLINE ELECTRICAL CONTRACTORS 14058 SW M ILTON COURT PO BOX 298 TIGARD, OR 97224 LAKE OSWEGO, OR 97034 Phone: 503 - 598 -8700 Contact #: PRI 503 - 969 -8488 FAX 503 - 254 -4227 FEES Description Date Amount Reg #: LIC 160037 [ELPRMT] ELC Permit 12/27/200' $120.00 ELE 26-1211C [TAX] 8% State Surcharge 12/27/200' $9.60 SUP 49575 Total $129.60 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 o direct questions to OUNC at 503 - 246 -6699 or 1 332 -2 . Issued By: Permittee Signature: 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. • Electrical Permit A i `, II GEIN 10R OFFICE USE ON City of Tigard n� Y 1, ,' 05 � � � Permit Nog 06 , 979 © EC 13125 SW Hall Blvd., Tigard, OR 97223 2005 Plan Review tr Phone: 503.639.4171 Fax: 503.598.1960 '� " * % "r.� ' 1 I Date/By. Other Peryit: Inspection Line: 503.639.4175 CITY OF TIGAR Jl .� �� p Ready/By ® See Page i for Internet: www.ci.tigard.or.us BUILDING DIVISI' Notified/Method: � 5 Supplemental Information TYPE O F WO PLAN REVIEW ❑ New construction _ddition/alteration/replacement Please check all that apply: ❑Demolition ❑ Other: ['Service ['Hazardous over 225 amps, com'l Hazardous location OService over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I - and 2 - family dwellings 4 or more new residential ❑ 1 - and 2 family dwelling ti t.;ommercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder El Other: ['Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑ Manufactured structures or • JOB SITE INFORMATION AND LOCATION RV ❑Egress/lighting plan park Job no.: - jk 1 2 Job site address: } DS ) l.7 t L4 Lin L-1- ❑Health -care facility ❑der S I ► y 7 Submit 2 sets of plans with any of the above. City/State/ZIP: - 9 • rya q The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: w c-_,51-4/14.). Description Qty. Fee TTotal r �, Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 -- r , - z • Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 • Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) I Fax:( ) relocation 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 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: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, Address: first branch circuit I 46.85 �k .$5 2 Each add'I branch circuit _ 11 6.65 '73./. 2 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: - 1 _Inc t�1..14 44-t... C LS Address: pp ,&,)6 18 Each additional inspection over allowable in any of the above ��r t� Per inspection 62.50 Cit L ici QUO )f, '7 3( .J Investigation per hour (I hr min) 62.50 Phone: (SD Li69. (/O8 I Fax: (S ) d _ y'.d-7 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: how3 - ? I Electrical Lic.: • - (2.11 L I Suprv. Lic.: Ls g • S Subtotal 1 Suprv. Electrician signature, required: Plan review (25 % of permit fee) Q State surcharge (8% of permit fee) 9 . ( Print name: I� `'( D ate: /Z . g . p5 TOTAL PERMIT FEE `'► lr2`}. Loo Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board •• Number of inspections per permit allowed i:\ BuildingTennits \ELC- PermitApp.doc 12103 440-4615T(10/02/COM/WEB , l- _ Electrical Permit Application -, City of Tigard ,Page .2 - Supplemental Information , LIMITED ENERGY PERMIT FEES: r RESIDENTIAL ORK ONLY: Fee for all residen 'al systems combined $75.00 Check Type of Wor Involved: ❑ Audio and Ster- . Systems* ❑ Burglar Alarm • ❑ Garage Door Opener ❑ Heating, Ventilation an'. Air Conditioning s System* ❑ Vacuum Systems* ❑ Other: 1 COMMERCIAL WORK ONLY: J Fee for each commercial system V $75.00 • (SEE OAR 918- 260 -260) Check Type of Work Involved: •• ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems • ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC . ❑ Instrumentation • ❑ Intercom and Paging ' ystems • ❑ Landscape Irrigation ontrol* • ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Li , hting* .protective Signaling ❑ Other Total number of commercial systems: • - . . *No licenses are required. Licenses are required for all other installations i:\ Building \Pennits\ELC- PermitApp.doc 04/03 CITY OF TIGARD ELL BUILDING DIVISION PERMIT #: 2_005--0C)47 7t 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 L' °__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / L( 0 g- O CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3__ IC-- 6 C Pour Time: Code # Inspectis Descyyption Confirm # Contact # Message rr—)L--eL-J ?(,0 ffg Corrections /Comments /Instructions: 3 /3 G33 . -�1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 - 4 ti6e4Ls Date: *3 0 t Phone #: (503) 718 - 2•`1`It a CITY OF TIGARD BUILDING DIVISION '-, ' ' PERMIT #: ELC2006_00978 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17J2112075 Phone: (503) 639 -4171 'i l Inspection Requests (24 Hrs.): (503) 639 -4175 6 1 1., INSPECTION WORKSHEET FOR DATE: 12/3012005 TIME: 6 :59AM PAGE: 58 SITE ADDRESS: 14058 SW MILTON CT CLASS OF WORK: SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 007 TYPE OF USE: PROJECT NAME: WESTCON DESCRIPTION: 12 branch circuits. OWNER: GOODHEAD, DAVID + JAN M, PHONE #: 503 - 598 -OWQ CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503-969- 84E38 Inspection Request Scheduled For: Date: 12/3012005 Pour Time: Code # Inspecti• • II - cription Confirm # Contact # Message 125 Wall cover 024202 -01 503-849 8804 N Corrections • - s nstructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: il Date: It -3 0 j" Phone #: (503) 718- 4 CITY OF TIGARD BUILDING DIVISION +/\ ' 41 PERMIT #: ELC2005•00978 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2005 Phone: (503) 639 -4171 oio Inspection Requests (24 Hrs.): (503) 639 -4175 "_ I.. INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 14058 SW MILTON CT CLASS OF WORK: SUBDIVISION: BBONITA INDUSTRIAL PARK LOT #: 007 TYPE OF USE: PROJECT NAME: WFSTCON DESCRIPTION: 12 branch circuits. OWNER: GOODHEAD, DAVID + JAN M, PHONE #: 503-598-8700 CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503.969 - 8-188 Inspection Request Scheduled For: Date: 1111/2006 Pour Time: Code # Inspection Description Confirm # lie - # Message 130 Ceiling cover 024757-01 503.313.033" Y • Corrections /Comments /Instructions: bo7 C\-----k?.5 -J • N o Pfd b W eiz to - 4 3 K0A E' 1 -ocg. v.) an` ' wow-C. (Yo AcN.c3S> ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL AN10 ACCESS ❑ FAIL n CALL FOR INSPEC ION ❑ ADDITIONAL FEES ASSESSED Ai" Inspector: / -r /1/ • Date: 0 Phone #: (503) 718-241/6 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2005 Phone: (503) 639- 4171e Inspection Requests (24 Hrs.): (503) 639 -4175 �+l- INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 14058 SW MILTON CT CLASS OF WORK: SUBDIVISION: 13ONIT'A INDUSTRIAL PARK LOT #: 007 TYPE OF USE: PROJECT NAME: WESTCON DESCRIPTION: 12 branch circuits. OWNER: UOODHF_AD, DAVID + JAN M, PHONE #: 503 CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503969 -t488 • Inspection Request Scheduled For: Date: 1/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 024873 -01 503-313 -0331 N Corrections/Comments/Instructions: 't•M0 0 me.- boat\ 1051kL14\114z.k_ (ZAv fkGc_V Fa i08 �Gl.. \ILE -\%) Z1 I 1■AlNot vfqpikg ()N ‘N IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �_,‘me Date d� Phone #: (503) 718 - I* CITY OF TIGARD BUILDING DIVISION '^'` PERMIT #: ELC_2005 00978 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121211)036 Phone: (503) 639 -4171 40, 4�l l i Inspection Requests (24 Hrs.): (503) 639 -4175 � !,� "'I 1. INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7 :03AM PAGE: 17 • SITE ADDRESS: 14058 SW MILTON CT CLASS OF WORK: SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 007 TYPE OF USE: PROJECT NAME: WES f CON DESCRIPTION: 12 branch circuits. OWNER: GOODHEAD, DAVID + JAN M, PHONE #: 5036 %ti -$700 CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503.9e19 Inspection Request Scheduled For: Date: 1/26/2006 Pour Time: Code # Inspection Description ' = Contact # Message 195 Misc. inspection 025790.01 503.313.0331 Y Corrections /Comments /Instructions: v OC. .O d Polk/ R.t cE r GALS 8 (A's 6 w ►`a 1{ 93 o1, ' 5 pvL, Utz ever lAkil o Uf 1114 c c v hl ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA L FOR INSPECTIO ❑ ADDITIONAL FEES ASSESSED ^' Inspector: � Date: Its 6 4 Phone #: (503) 718- 2ot CITY OF TIGARD • BUILDING DIVISION ` ' . PERMIT #: Fl .C2005.00978 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12; Phone: (503) 639 -4171 . q 1 . lV i lil Inspection Requests (24 Hrs.): (503) 639 -4175 ___!# �: ... INSPECTION WORKSHEET FOR DATE: 2/10/2006 TIME: 7 :04AM PAGE: 42 SITE ADDRESS: 14050 SW MILTON CT CLASS OF WORK: SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 007 TYPE OF USE: PROJECT NAME: WESTCON DESCRIPTION: 12 branch circuits. OWNER: GOODHEAD, DAVID + JAN M, PHONE #: 603-598-8700 -0700 CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503-96943488 8 Inspection Request Scheduled For: Date: 2/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message "fie- -tternitml-tvcreyris. 026670 -01 503- 313 -0331 N I ZS V ALL cONea. Corrections /Comments /Instructions: o BCAI 0 1N 6pr..71as AA0 tel)(3 arzsOi-- '' FCML vo1 c. ItA Eirf ' eiziN1aNiau (z w NUS CrAt MleLa ------...„........,..,,,...) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL NI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 3 A 2, IV 68 L Date: 24 I go 6 Phone #: (503) 718- LTA CITY OF TIGARD BUILDING DIVISION PERMIT #: !~I t; ?OOt ?4g7#� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /21270005 Phone: (503) 639 -4171 fit Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE 2/23/2006 TIME: 7:01AM PAGE: 23 SITE ADDRESS: 14058 SW MILTON CT CLASS OF SUBDIVISION: FBONITA INDUSTRIAL PARK LOT #: 047 TYPE OF USE: PROJECT NAME: WESTCON DESCRIPTION: 12 branch circuits. OWNER: GOODHEAD, DAVID + JAN M, PHONE #: 503,598 -8700 CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503_969 Inspection Request Scheduled For: Date: 2/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 027429 -01 503-313.0331 N Corrections /Comments /Instructions: •It ' ■, '' 1 '∎A .% 4.— 100 . \,1(1\A s tt7ti titqa \ P Z)Clata_lt \NI A A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N Date: 2/-0 6 Phone #: (503) 718- CITY OF TIGARD . EZ-C BUILDING DIVISION PERMIT #: 7.06.S -oc) < 7 g' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Atertovot 'AI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / �Q�g u! CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- 7 -0 Pour Time: Code # Inspection Description Confirm # Contact # Message .-2 ec ions /Comments /Instructions: P , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: qik aito, 11\1663 Date: S 7 6, Phone #: (503) 718- VOL '