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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00918 AIL DEVELOPMENT SERVICES DATE ISSUED: 11/28/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S110DC - 00300 SITE ADDRESS: 15700 SW PACIFIC HWY ZONING: C -G SUBDIVISION: WILLOW BROOK FARM LOT : 016 JURISDICTION: TIG Project Description: Install (7) branch circuits for security lighting. 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: 0 PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 6 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: SSC PROPERTY HOLDINGS INC P B ELECTRIC INC BY SHURGARD OF KING CITY/TIGAR 1108 SE DOGWOOD LN ATTN:38004 OAK GROVE, OR 97267 SEATTLE, WA 98109 Phone: Phone: (503)786 -4499 FEES Reg #: LIC 85896 tion Date Amount SUP 3- 41 S Description ELE 3 -428C [ELPRMT] ELC Permit 11/28/200: $86.75 [TAX] 8% State Surcharge - 11/28/200: $6.94 REQUIRED ITEMS AND REPORTS Total $93.69 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 suspe • - • or more - .n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rule - are set forth in OA - 15 :01 -401 • hrough OAR 952 - 001 -0100. You may obtain copies of these rules o •'rect questions to OU at 503 246 -6699 or 1- 800 -33 , y 344 Iss ed By: / 1 tic" V i PermitteeSignatur- • ifs 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: - • CTOR INSTALLATIO • • ' SIGNATURE OF SUP : 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 Application I:oli oiF ici [til: o\l., City of Tigard Datem . , ., i Permit No.: Ez.& -i -D0 /g 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 D . Other Permit: Inspection Line: 503.639.4175 . _ I 'I �� Date Ready/By.. MI ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other; ❑Service over 225 amps, comm'l ['Hazardous location CATEGORY OF CONSTRUCTION ❑Service over 320 amps- rating ❑Bulldog over 10,000 sq. R, of I- and 2- family dwellings 4 or more new residential ❑ I- and 2- family dwellin ❑ Accessory building OSystem over 600 volts nominal units in one structure ['Building over three stories [Weeders, 400 amps or more ❑ Multi - family 0 Master builder 0 Other: ❑ JOB SITE INFORMATION AND LOCATION rant load over 99 persons ❑RVufactured structures or ❑EgEgressess/lighting plan park Job no.: Job site address: /� ❑Health-care facility ❑Other: /S70p S w f � xI GN'AJ -\ Submit 2 sets of plans with any of the above. City/State/ZIP: �� ®T�` / The above are not applicable to temporary construction service. Suite/bldg. /apt no.: I Project name: FEE* SCHEDULE Description I Qty. I Pee. I Tall I •• 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: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I Limited energy, residential 75.00 2 Tax map /parcel no.: Limited ever DESCRIPTION OF WORK energy, non - residential 75.00 2 Each manufactured or modular /c3 5 f-7, U,ra 7� 2_, S dwelling, service and/or feeder 90.90 2 ��'� Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER 1 ❑ 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 Business name: `� L € c - /4/� / �C.J branch circuit l9 6.65 • 2 B. Fee for branch circuits Contact name: — , L J , 4 / 75 £ ,Ec 4 / rr/ without service or feeder fee, 1 , / \ each branch circuit 46.85 6 ,Y' 2 Address: j / /'� 1 7a) t� A /V - T � Each add'I branch circuit 6.65 _ 2 City/State/ZIP: Q I. , 9'7Z �'- 7 Miscellaneous (service or feeder not included) �5�� % 3 b _ 5 CZ_ Fax: : ( ) Pump or irrigation circle 53.40 2 Phone: Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: extension. Describe: Page 2 2 Address: Each additional inspection over allowable in any of the above Per inspection I 62.50 City/State/ZIP: Investigation per hour (I hr min) 62.50 Phone: ( ) I Fax: ( ) Industrial plant per hour 73.75 3r p m ELECTRICAL PERMIT FEES* CCB Lic.: �� ~ Electrical Lic.: Su rv. Lic.: Subtotal 86, 75 Suprv. Electrician signature, required: ' -- Plan review (25% of permit fee) V Print nan t.. c 7 -1 ,.. / e. -- c- / /�„,,,_,Qate: J / Q State surcharge (8% of permit fee) C r / � / / U TOTAL PERMIT FEE 93.6.? Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: days after it has been accepted as complete Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed i :\ Building \Permin\ELC- PvmitApp.doc 12/03 4404615T(I0/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information IMITED ENERGY PERMIT FEES: ' IDENTIAL WORK ONLY: • - Fee t r all residential systems combined........ $75.00 Check ype of Work Involved: ❑ Au. io and Stereo Systems* S ❑ Burgl • Alarm • • ❑ Garage D • . r Opener* • ❑ Heating, Ven.lation and A Conditioning System* ❑ Vacuum Systems* ❑ Other: • r CONIlVIERC]lAL WORK Or' Y: 1 • Fee for each commercial sy: tem. ........ ».... $75.00 t (SEE OAR 918- 260 -260) • Check Type of Work Inv t Ived: ❑ Audio and Stere. Systems • ❑ Boiler Control ❑ dock Syste r s • ❑ Data Telec • munication Installation ❑ Fire Ala nstallation • ❑ HVAC . ❑ Instrum: tation . • ❑ Interc. and Paging Systems ❑ Landscape Irrigation Control* ❑ NC" ical ❑ urse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling • ❑ Other .Total number of commercial systems: • *No licenses are required. Licenses are required for all other installations i:\ Building \Penniu\ELC- PermitApp.doc 04/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00918 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2005 Phone: (503) 639 -4171 /g soya i { Inspection Requests (24 Hrs.): (503) 639 -4175 `'ll i 1, WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 79 SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE: PROJECT NAME: SHURGARD DESCRIPTION: Install (7) branch circuits for security lighting. OWNER: SSC PROPERTY HOLDINGS INC, PHONE #: CONTRACTOR: P B ELECTRIC INC PHONE #: (503)786 -4499 Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 02251902 503 - 936 -5226 N Corrections/Comments/Instructions: *112369 * 44, cRokitO Lib tta.t LAI •O s Silkcsvi 1 J c.,-.1)-\ N,"./ IA kg 1:10 ( Kk Pm.twit via, t 6 Wra _.4,,..,. wi-E 1..c.Nb et.L- ❑ PASS APARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: NGlib lx Date: i 1 2 31 06 Phone #: (503) 718 - tillS % ,.OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00918 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2005 Phone: (503) 639 -4171 /u f'r Inspection Requests (24 Hrs.): (503) 639 -4175 : . II INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7 :05AM PAGE: 81 SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE: PROJECT NAME: SHURGARD DESCRIPTION: Install (7) branch circuits for security lighting. OWNER: SSC PROPERTY HOLDINGS INC, PHONE #: CONTRACTOR: P B ELECTRIC INC PHONE #: (503)786-4499 Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 022519-01 503 - 936 -5226 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 111Z9(66 Phone #: (503) 718 - 2.114) ac as _009 /Y • P PIE. .B. Electric, inc. V 1000 SE Dogwood Ln. APR Oak Grove, OR 97267 <' 8 Zoos (503)936 -5226 C/T • CCB 85896 e Ul�p� NG �� SR Extenor,Lighting Total Number 3 110 330 /pN Total 992.5 first 12,500 @ 100% 992.5 1 992.5 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 992.5 120 8.270833333 Storage Spaces Bldg F Circuit #4 NE width length sq footage square footage 20 170 3400 Hallways 0 110 0 sq footage watts/per total wattts lit area/ storage 3400 0.25 850 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 1180 first 12,500 @ 100% 1180 1 1180 Remainder @ 50% 0 . 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1180 120 9.833333333 King City SureGuard Load calculations 4 -26-06 TOOCA S00999L£OS %V3 £0:£Z 9002/LZ/V0 P.B. Electric, Inc. 1000 SE Dogwood Ln. Oak Grove, OR 97267 (503)936 -5226 CCB 85896 Storage with Exterior lights 1180 120 9.833333333 Storage Spaces Bldg D Circuit #4 NE width length sq footage square footage 20 170 3400 Hallways 0 110 0 sq footage watts /per total wattts lit area/ storage 3400 0.25 850 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 1180 first 12,500 ( 100% 1180 1 . 1180 Remainder 0 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1180 120 9.833333333 Storage Spaces Bldg F Circuit #1 SW width length sq footage square footage 20 170 3400 Hallways 5 150 750 sq footage watts/per total wattts lit area/ storage 2650 0.25 662.5 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 992 first 12,500 @ 100% 992.5 1 992.5 Remainder a 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 992.5 120 8.270833333 Storage Spaces Bldg F Circuit #2 SE width length sq footage square footage 20 170 3400 Hallways 0 110 0 sq footage watts/per total wattts lit area/ storage 3400 0.25 850 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total • 1180 first 12,500 0 100% 1180 1 1180 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1180 120 9.833333333 ` Storage Spaces Bldg F Circuit #3 NW width length sq footage square footage 20 170 3400 Hallways 5 150 750 sq footage watts /per total wattts lit area/ storage 2650 0.25 662.5 Hallways 0 0.5 0 ling City SureGuard Load calculations 4 -26-06 Z000 900999LC09 %V3 CO:CZ 900Z /LZ /I'0 • P.B. Electric, Inc. 1000 SE Dogwood Ln. Oak Grove, OR 97267 (503)936 -5226 CCB 85896 sq footage watts /per total wattts lit area/ storage 3400 0.25 850 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 1180 first 12,500 @ 100% 1180 1 1180 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1180 120 9.833333333 Storage Spaces Bldg D Circuit #1 SW width length sq footage square footage 20 170 3400 Hallways 5 110 550 sq footage watts/per total wars lit area/ storage 2850 0.25 712.5 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 1042.5 first 12,500 @ 100% 1042.5 1 1042.5 Remainder © 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1042.5 120 8.6875 Storage Spaces Bldg D Circuit #2 SE width length sq footage square footage 20 170 3400 Hallways 5 110 550 sq footage . watts/per total wattts lit area/ storage 2850 0.25 712.5 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 1042.5 ' first 12,500 @ 100% 1042.5 1 1042.5 Remainder CD 50% 0 0.5 0 Volt lamps Voltage Amps Storage with Exterior lights 1042.5 120 8.8875 Storage Spaces Bldg D Circuit #3 NW width length sq footage square footage 20 • 170 3400 Hallways 0 110 0 sq footage watts/per total wattts . lit area/ storage 3400 0.25 850 Hallways 0 0.5 0 Exterior Lighting Total Number - 3 110 330 Total 1180 first 12,500 CO 100% 1180 1 1180 Remainder CI 50% 0 0.5 0 Volt /amps Voltage Amps King City SureGuard Load calculations 4 -26-06 C000 900999LC09 %V3 CO :CZ 9002 /LZ /i'0 • I • P.B. Electric, Inc. 1000 SE Dogwood Ln. Oak Grove, OR 97267 (503)936 -5226 CCB 85896 first 12,500 © 100% 1042.5 1 1042.5 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1042.5 120 8.6875 • Storage Spaces Bldg C Circuit #1 NW width length sq footage square footage 20 170 3400 Hallways 0 110 0 sq footage watts/per total wattts lit area/ storage 3400 0.25 850 Hallways 0 0.5 ' 0 Exterior Lighting Total Number 3 110 .330 kc Total 1180 first 12,500 @ 100% 1180 1 1180 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps - Storage with Exterior lights 1180 120 9.833333333 k- Storage Spaces Bldg C Circuit #2 SW width length sq footage square footage 20 170 3400 Hallways 0 110 0 sq footage watts/per total wattts lit area/ storage 3400 0.25 850 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 k . Total 1180 first 12,500 @ 100% 1180 1 1180 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1180 120 9.833333333 4 Storage Spaces Bldg C Circuit #3 NE width length sq footage square footage 20 170 3400 Hallways 0 110 0 • sq footage watts/per total wattts lit area/ storage 3400 0.25 850 • Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 t Total 1180 first 12,500 @ 100% 1180 1 1180 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1180 120 9.833333333<- Storage Spaces Bldg C Circuit #4 NW width length sq footage • square footage 20 170 3400 Hallways 0 110 0 King City SureGuard Load calculations 4 -26-06 170021 500999LCOS rid CO:CZ 9002 /LZ /i'0 P.B. Electric, Inc. - 1000 SE Dogwood Ln. Oak Grove, OR 97267 . (503)936 -5226 CCB 85896 Storage Spaces Bldg A Circuit #1 NW width length sq footage square footage 20 170 3400 Hallways 5 110 550 sq footage watts/per total wants lit area/ storage 2850 0.25 712.5 Hallways o 0.5 0 Exterior Lighting Total Number 6 110 660 Total 1372.5 first 12,500 @ 100% . 1372.5 1 1372.5 Remainder (d 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1372.5 120 11.4375 � - Storage Spaces Bldg A Circuit #2 SW width length sq footage square footage 20 170 3400 Hallways 5 110 550 sq footage watts/per total wattts lit area/ storage 2850 0.25 712.5 Hallways 0 0.5 • 0 Exterior Lighting Total Number 2 110 220 Total 932.5 first 12,500 0 100% 932.5 1 932.5 Remainder @ 50% ' 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 932.5 120 7.770833333 C Storage Spaces Bldg A Circuit #3 NE width length sq footage square footage 20 170 3400 Hallways 5 110 550 sq footage watts /per total wants lit area/ storage 2850 0.25 712.5 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 1042.5 first 12,500 @ 100% 1042.5 1 1042.5 Remainder @ 50% 0 0.5 0 Volt /amps Voltage Amps Storage with Exterior lights 1042.5 120 8.6875 Storage Spaces Bldg A Circuit #4 SE width length sq footage square footage 20 170 3400 Hallways 5 110 550 • sq footage watts/per total wattts lit area/ storage 2850 0.25 712.5 Hallways 0 0.5 0 Exterior Lighting Total Number 3 110 330 Total 1042.5 King City SureGuard Load calculations 4 -26 -06 20021 200999LC09 %V3 £0:£Z 900Z/LZ/I0 CITY OF TIGARD - BUILDING DIVISION PERMIT #: 1.1.L200f, 00918 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 /280.0 15 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/27/2.006 TIME: 1: 11-1AM PAGE: 24 SITE ADDRESS: Vi100 SW PACIFIC IWY CLASS OF WORK: SUBDIVISION: WILT. OW BROOK FARM LOT #: 1316 TYPE OF USE: PROJECT NAME: SI MI;CAR() DESCRIPTION: (7) hranch circuit; for £r..iurity lighting. OWNER: OC PROPERTY I DINGS INC, PHONE #: CONTRACTOR: P ft L.l_ECTRIC INC PHONE #: (503)1f30-4499 Inspection Request Scheduled For: Date: 4/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elect lent Fh I 028842 -01 iO3-936•5220 Corrections/Comments/Instructions: 7141E Lt cA l- cA) L AT and 6 v8 vnh1' 61 ItsQ12,t , 21 Dew N beta \--ONN 1 el tc Lt vL.A`T i 6 q>IJ • N AE •l`7 R.1` Q v )�.�'�� . ti\) TA (1/41stct-tt PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS tt CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 1 V `J7 Date: 1 2 1 Ot Phone #: (503) 718- 24