Permit ,, CITY OF TIGARD • ELECTRICAL PERMIT
PERMIT #: ELC2007 -00554
° COMMUNITY DEVELOPMENT
DATE ISSUED: 8/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112AB - 02300
SITE ADDRESS: 14150 SW MILTON CT ZONING: I -L
SUBDIVISION: BONITA INDUSTRIAL PARK LOT : 005 JURISDICTION: TIG
PROJECT: MEDICAL TEAMS INTERNATIONAL
Project Description: Install (2) 30 amp branch circuits for swamp coolers.
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:
SHEININ - MENDENHALL LLC I E C COMPANY
BY PARROTT PARTNERHIP PO BOX 10286
12725 SW 66TH AVE #202 PORTLAND, OR 97296
PORTLAND, OR 97223
Phone: Contact #: PRI 503 - 220 - 5377 ,
FAX 503 - 295 -3012
FEES
Description Date Amount Reg #: ELE 26 - 45C
[ELPRMT] ELC Permit 8/7/2007 $53.50 LIC 49737
[TAX] 8% State Surcharge 8/7/2007 $4.28 SUP 40405
Total $57.78 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 952-01 e • • rough OAR 952 - 001 -0100. You may obtain copies of these rules or direct ques • OUNC at 503.246.6699 or 1.800.332.2344. •
Issued B • / / / //// / / Permittee Signature: /� % �
OWNER INSTALLATION ONLY
The ins a a ion 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.
08/06/2007 23:57 5032205347 PAGE 01
-..y - -t 'I.' .�, .. ".
Electrical Permit App1 t ERIE® FOR OFFIC'E USE ONLY
ed . • Received / • -- 41414
City of Tigard . L : 200 D € • civ • �0 petrnitNo.:
�"� i Pla Renew / /f �iZ(� ;
13125 SW lull Blvd., Turd, OR 97223 Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 CITY 0 F T G ° " `l i � Pate Rwdy/By See ' age x for
Inspection Lino: 503.639.4175 P at< R dy By Supplemental Information www et hgard or us BUILDING DIV � ,
•, r ,, > i} ' l di { I r� , . a y�: .,47,,,,, ' , , v ✓7 , 4 /J 1 (rii
rrlYj(ti ) 1 " ,, t� r } a,i u i r }: t } . ,, i...-:,..7.1.- 1 ' �S �. :•rl { ,- J ` ))/ I , *c ,,,-•-'.' ' '; ,.'- ,r Y , '' " .,, "'''''''''''L 'eh,. n. •L. • r �. - _. , {; . ., � , , , ,,, �.. � r_,: • r�, .: / ` � Please check all that apply:
171 New construction ddition/alteration/replacezzzeat °S ice over 225 amps, convti 1 ❑Hazardous location
0 Demolition [] Other' ❑Service over 32 Buildng over 10,000 Sq. R,
v U h i / ° I ' ! • • , a I 11. d e Z r , of 1 - and 2- family dws - rating dwellings ❑ 4 or more new residential
al
' d l J .: ' , . , ' ,., v 3 .. '.. QSystem over 60 vo n ominal
.� amts to one structure 1 -and 2- fanttily dwelling omnoerciaUlndastnal ❑ A ccessoty ur g ❑Building over three stories ❑Feeders, d00 amps or more
'Q Mule fata ly Master builder C7 Other ❑Occupant load over 99 persons ❑Map faennzd =venires 0*
t itrli �':. { � c is ,.V' l i� r , ` i l 7 1'Fl r at :' r � \ ., { ' r y✓ : :,' ! :• 1..�,:: . rc , t i �r j ,� r {. . 1 gplan
R ar
r n,...: ❑Iigress/ltghtln C]other
1 ;.; , , I� >_ Job no.:1b . , , , ❑Health -care facility 1 Oy Job site address: 1 ∎mg 6 $ ..\ -• i C A Submit 2 sets of plans with any of the above.
��(( yr The ab are not applicable to tem construction service
City/State/ZIP: -v 1 \ ,,,,...A 6 • , .7 y : � {\ ¢ J i 4 f ' I ` fyM 1 ry.�
Suite/bldg./apt no.: j Project name: 'M �-Oi , r "�' 1�1, iu; �, F ee ceml
New residential single- or multi- family dwelling unit.
Cross street/directions to job site: Includes attached garage.
1,000 sq. ft. or less 145.15 4
Lot no.: i a add') 500 sq. ft. or portion 33.40
Subdivision: Limited enerm residential 75.00
Tax map/parcel no•: Limited energy, non - residential 75.00
� A 15 r 411) , 4 Dy y-. { ,
1 'y{� 1� +I l 1 i ��>. r l u ( b 1 1 h V 4 W r F+ f� �
Bac manufactured or modular
1 ,! i r � 7 Y f r 1 ( r t 1� T /f • n!' { i } ?, ? , .. R . . , 0.90
Ir V:" I• J � ... J 4 .1 �..):, .1,.,., I .A .. .1 �� v ^ .. . .a ,r ......
., . , ,,, dwelling, service and/or feeder 9
ti S \‘ 7J 'I0 Pt"- t ' V �ws Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30
S t 1 e 201 amps to 400 amps 106.85
. , , . f
6 rs 41+ 1 + s " a i ,r ' r °, } _ t . ny I S 1 ' r �'{ } r l I r' e } , ,, r
k1i R i t } ,C ' ''' ''P.1 . + ' 1 4 ,'' ' ' '- ` - `:' '' .0 , ∎ ' , { '' r' 'C,',' h l ( , r l 7 �' .,
I" � , . ''''' r ,^ i I r : . ,r f a� 4 01 am to 600 stri 160.60
Name: 601 amps to 1,000 amps 240.60
Over 1,000 amps or volts 454.65
Address: Reconnect only 66.85
City /State/ZIP: edaporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 l
Owner inst' t ation: This installation is being made on property that Town which is not 201 ar to 400 ar 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 si , fie Date: Branch circuits - new, alteration, or extension, per panel
1 1 / /1 1, ,'l 1 1± 'Irl 1n ,. 1i r - ,4 ti,, •� ,, ), , is /, A. Fee for blanch circuits with
.. Lfu.1l. , _... , Service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for b ranch circuits
Contact name: without service or feeder fee, \ 46.85 , ` 2
each branch circuit _
Address: Each add'1 branch circuit t 6.65 G. Cf 2
City /State/Z1P: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2 •
Phone: ( ) Fax: ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuits) or limited-
n...6 { ]1 } 4 12 <S. , I� Hi ) i Y i ir r ilrryi,} i, in.r tl c /ra / '" Y1 1.' .' ti, i „ 1 energy panel, alteration. or •
,, , -. ,. t . ,, , r . S • extension. Describe: Pagel 2
Business name: c C6 r � (+-
Address: p 0 s , 1 Each additional inspection over allowable in any of the above
Per inspection 62.50 I I
City/State/Z1)P: c) \ , d (1 '- a ( . Investigation per hour (1 br ruin) 62.50
Electrical Lic.:
Phone: (Si 3) (1 , S a.",
Fax: (S8, ) 3°s • 3 0 1 Z Industrial plant per hour 1 E 73 75
CC r U
r � dl ' 1 d ti r z..,t '1 �rl }
S Q
13 yA, 1.1 I Lic.: S C Suprv. Lic_:
S ;.S
Suprv. Electrician Signature, rewired: �J"' Plan review (23% of perm it fee)
�•(�
Print name: te : - State surcharge (8% of permit fee) IA 3 Q ,
�-
c c .s- rf-llA u� r TOT.4.L PERMIT TALE 1 7 g
' Authorized signature: This permit appticadon expires if s permit is not obtained within 180
days after it has been accepted w complete
Print name: Date: • Fee methodology set by Tri-County Btdlding Industry Service Board
'• Number of inspections per permit allowed.
iAEluildina ■Pcmrits\BLC- PamitAvadoe 12/03 440-4613r(10/02/COM/0/13)3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00554
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2007
Phone: (503) 639 -4171 � (?'�
Inspection Requests (24 Hrs.): (503) 639 -4175
•
INSPECTION WORKSHEET FOR DATE: 8/17/2007 TIME: 7:01AM PAGE: 69
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: MEDICAL TEAMS INTERNATIONAL
DESCRIPTION: Install (2) 30 amp branch circuits for swamp coolers.
OWNER: SHEININ- MENDENHALL LLC I, PHONE #:
CONTRACTOR: E C COMPANY PHONE #: 503 -220 -5377
Inspection Request Scheduled For: Date: 8/17/2007 Pour Time:
Code # Inspection Description # Contact # Message
1 99 Electrical final 054159-01 . 503680 -7533 \ Y
Corrections /Comments /Instructions:
iQ0J1 cni L i k e s
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G . N t 6 Date: 8.11.0") Phone #: (503) 718- IA%