Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00494
DEVELOPMENT SERVICES DATE ISSUED: 8/31/2006
s sy' •_I I_. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112A6 - 02300
SITE ADDRESS: 14150 SW MILTON CT ZONING: I -
SUBDIVISION: BONITA INDUSTRIAL PARK LOT : 005 JURISDICTION: TIG
Project Description: (30) branch circuits: connecting existing circuits to new light track. Job # 1293.
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: SIGNAUPANEL:
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: 29 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:
SHEININ - MENDENHALL LLC I TEAM ELECTRIC CO
BY PARROTT PARTNERHIP 9400 SE CLACKAMAS RD
12725 SW 66TH AVE #202 CLACKAMAS, OR 97015
PORTLAND, OR 97223
Phone: Contact #: PRI 557 -7180
FAX 503 - 557 -8201
FEES
Description Date Amount Reg #: ELE 3 - 225C
[ELPRMT] ELC Permit 8/31/2006 $239.70 LIC 47336
•
[TAX] 8% State Surcharge 8/31/2006 $19.18 SUP 44165
Total $258,88 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 or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: -)2.-Z 4 7 Permittee Signature: A \c-Nt
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.
•
AUG .31.2006 12:28PM TEAM ELECTRIC NO.989 P.2
•
u electrical permit Anu1 EIV ED i O IC u i ' ' ( i I , i (1;\ 1 1
City of Tigard - •Nf • / Pernik No.: L -- /1, -, A 9
Nerd, OR 9'7223
Phone:�503�639.4171 Pans 503598.1960 AUG 3 1 200 o ak „. ;n; . : ; . Yevieov t l
Inspection egivitz
3.639.4175 CI OF TIG _, I , r�r
d.or us Nenfad/Method: 1(V 1 agile Page l for
Supplemental
RIIIL9 NG DIVISION
® New construction ❑ , Addition/alteration/replaceRie Please check all that apply:
❑ Demolition [] Other: ❑Ser sic c ovcr 225 amps, creme' ❑ gazdous location
• • ['Service over 320 amps — rating D13adog over 10,000 sq. S,
of 1- and 2- family dwellings 4 or more new residential
1 and 2 - family dwelling ® Cormnertialfmdustritil 0 Accessory building ❑ System ova 600 volts nominal units in one structure
['Building over three stories ❑ Feeders, 400 amps or more
❑ Mohr - fAm y ❑ Master builder ❑ Other:
�O
• , M , ' 1 ' , . t, ' •�$' I An9EQ • erupant load over 99 persons D or • ❑ dig Plan RV park
Job no.: 1293 Job site address: Mon D> rare fheility ❑Other:
Submah 2 acts ofplans with any of the above.
My/State/ZIP: Ti_ Oman, 1 The above are not applicable to temporary construction advice.
, -b d_ ap 10 Project n e: NW Medical Teams Exhiliitions •., •''', , ' '• '' . .
street/directions
> }�`� �. 1 g«. j T om' I ” .
Cross
1 job Y - New resid :ad ` A o - mu1zi dwelling
Includes attached gangs.
1,000 sq. ft or less 145.15 4 '
Subdivision: Lot no.: Ea. add'l 500 aq. R. or portion 33.40 1
Tax no.: limited energy, residential 75.00 2
■ ° � 4 OF � `K . , . ' Limited energy, non- rn7de�a1 75.00 2
' Each mannfaaured or modular
• dwelling. service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
■ 046r411LTY r t t r UMW 201 amps to 400 amps 10615 2
Name: NW Medical Teams .
401 amps to 600 amps 160.60 2
601 amps to 1,000 amps _ 240.60 2
• • d Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
r at _ i • Temporary services or feeders installation, alteration, and/or '
Phone: ( ) Fax ( ) relocation •
200 amps or leas 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 ernes to 400 tops _ .
100.30 2
intended for sale, lease, teat, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 _ 2
Owner signature: - Date: Ersmdh &colts — new, alteration, or extension. per panel
• In A C ' ' . ` .. I . • , d COATACf A Fee far branch circuits with
service or feeder fib, each 6.65 2
Business name: Team Electric branch circuit
Contact name: John L Doran B. Foe for branch circuits
withou service or f eeder fbe, I 46.85 i e 5- 2
Sat branch circuit
Each add'! branch :rent V7 6.65 / q LAW 2
City/State/71P: MIsedlautvas (eke or feeder not indudedd -
Phone: ( ) Fax : ( ) Pump or irrigation circle 53.40 2
E Sign or outline lighting 53.40 2
Signal circuits) or limited-
,
CON`i AIi . eae:gy panel, alteration, or
,,, , . ewe nsion. Describe: Page 2 2
Address: 94i 1 SE Clackamas Rd. Farb addtelonal over allowable In atiy ofthc above
Per inspection 62.50
City/Stater/JP: Clackamas, OR. 97015 Investigation par boor A br ®) 62.50
i 557-'7180 i Industrial plant per hour 73.75
CCB Lie.: 47336 Electrical L Subtotal Z39 , 7 0
"' ' Electrician signature, ' 4 / ` Plan review (25% of permit fee) 9'
1, L-44 Date: 11/3V(16 State surcharge (8% orpertnit fee) / 1,1
/ � � TOTAL P P . l i l I T FEE' - g g a
Authorized signature)/ /I� /6 _ / / / This permit ■pplientlea aspires It a permit o Mein obtained ein 180
bS�/ days after it has beau accepted as complete
Print name: A A l Date: 8/31/06 • foe methodology act by TA- Comity nuildieg iadusiry Service Board
(' it Aet-Touts ilG1w., --
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00494
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 813.1/2006
Phone: (503) 639 -4171 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 '1 —
INSPECTION WORKSHEET FOR DATE: 9/6/2046 TIME: 7 :10AM PAGE: 19
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: Q05 TYPE OF USE:
PROJECT NAME: NW MEDICAL TEAMS
DESCRIPTION: (30) branch circuits: connecting existing circuits to new light track. Job # 1293.
OWNER: SHEININ - MENDENHALL LLC I, PHONE #:
CONTRACTOR: TEAM ELECTRIC CO PHONE #: 503.557 -7180
Inspection Request Scheduled For: Date: 9/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 035970 -01 503 -312 -8009 N
Corrections /Comments /Instructions:
C f%
V
711 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Clict, I v o e Date: C lc . 6 - 66 Phone #: (503) 718- 14116'