Permit • CI . OF TIGARD ELECTRICAL PERMIT
• �, '' PERMIT #: ELC2006 -00108
411 DEVELOPMENT SERVICES DATE ISSUED: 2/9/2006
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: (1) 200 amp. (20) branch for office & (1) temp 200 amp for trailer.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 1 W /SERVICE OR FEEDER: 20 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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: Contact #: FAX 503 - 786 -6005
PRI (503)786 -4499
FEES
Description Date Amount Reg #: LIC 85896
[ELPRMT] ELC Permit 2/9/2006 $280.15 SUP 4541S
[TAX] 8% State Surcharge 2/9/2006 $22.41 ELE 3 -428C
Total $302.56 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: .� 2,6 u 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 INSTALLATIO ■ • •
SIGNATURE OF SUP: =0 C'N: DATE: — r)(6,
LICENSE NO:
•
.1 503- 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.
R
Electrical Permit App cation FoR OFFICE IJSI.: ONLY
City of Tigard FEB 09 2006
' tee -4M I� Permit No.: L t, - 4 0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.59 . OF TIGARD ..,,,:iii , i
.,.. D . Other Permit:
Inspection Line: 503.639.4175 �t l .j . i Date ReadyBy El See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notised/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
❑Service 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 ❑ Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other; ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lightingplan RV park
Job no.: Job site address:
/ s S �� 1 L ❑Health -care facility ❑ er
Submit 2 sets of plans with any of the above.
City/State/ZIP: — 7 /5 P V ` The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE
Description I Qty. I Fee I Total I ••
Cross street/directions to job site: 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'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
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 j 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
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit "• 6.65 j U 0 2
City/ State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) F ( ) 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
Business name � extension. Describe: Page 2 2
� - ", - .t=Lire -Title //t/ C._
Address: /7� S,F 2:):57 Each additional inspection over allowable in any of the above
�/-'�"� Per inspection 62.50
City/ State/ZIP: Oi47/e. Old Investigation per hour (l hr min) 62.50
'7/rCU'` „r."--e.--_
Phone: Cl'-c S - z 2_5 I Fax: ( )
Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic. :x"96 Electrical Lic.: 3, (feeRf Suprv. Lic.:' / Subtotal ,, Q . /5
Suprv. Electrician signature, required". Plan review (25% of permit fee)
Date: �j M /�, State surcharge (8% of permit fee) �2 _
Print name: 0 �" ����� «'��— / v "' TOTAL PERMIT FEE
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.
1:\ Building \Permits\ELC- PemiitApp.doc 17J03 440-4615T(111'07/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information •
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
' ❑ Heating, Ventilation and Air Conditioning •
System* •
❑ Vacuum Systems*
•
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system. $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 Systems
❑ Landscape Irrigation Control* •
❑ Medical
❑ Nurse 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 \Penmits\ELC- PamitApp.doc 04/03 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #:;_(��(o OQ / D $'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
I
SITE ADDRESS: ) s7 Q Q CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 —3 O - O ( Pour Time:
Code # Inspection Des iption Confirm # Contact # Message
1 II • 3C� - S��C P
Corrections /Comments /Instructions:
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y s i FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr ii\Rt N 61 Date: I V W Phone #: (503) 718 -73141
CITY OF TIGARD _ , A _, EZ--`
BUILDING DIVISION PERMIT #: 2O 6 — 00 /08
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / ,s 700 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 2 e --6 Pour Time: 6 0..
Code # Inspection Description Confirm # Contact # Message fuzite
q 36 Corrections /Comments /Instructions:
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FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 9 N68 Date: 3 r 2 -1 VD Phone #: (503) 718 Z 1 i 4 '
J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I -i 200S 00 iUt3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 219)2006
Phone: (503) 639 -4171 7A t } IIII
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 2/23/2006 TIME: 7:01AM PAGE: 2a
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: (1) 200 amp. ( 20) branch for office & (1) temp 200 amp for tr
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: P 6 ELECTRIC INC PHONE #: (503)/86%4499
Inspection Request Scheduled For: Date: 2/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical setvic :e 027427 -01 503.936 -5226 N
Corrections/Comments/Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: u&--)
' Dat 2' b Phone #: (503) 718- ZIL 1" `
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FL C2006 08108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J9/20i16
Phone: (503) 639- 4171:- r�
Inspection Requests (24 Hrs.): (503) 639 -4175 . -_' e7 I
INSPECTION WORKSHEET FOR DATE 2/23/2006 TIME: 7 :01AM PAGE: 24
SITE ADDRESS: 16700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE: '
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: (1) 200 amp. (20) branch for office & (1) temp 200 amp for trailer. ,
OWNER: SSG PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: P B ELECTRIC INC PHONE #: (503)786 -44$8
Inspection Request Scheduled For: Date 2/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
`rte- L.1.=4.1,k.u1 iu4rir 027427 -02 503-936-5226 N
135 Cc I LIWA R.ovq(p •' j
Corrections /Comments / Ir( ruct
i 25"' v4/1\ L.L Go to 'GIL
Itt. 1
• 4.8 WALE, coves A■14)• ON. .
jg PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��Q V ^' 68 Le Da Z 6 6 Phone #: (503) 718- 241% .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: yi6 , .
Ll_C7.Ct,:, t,.l i r►B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 219/2006
Phone: (503) 639 -4171 ta*Iy,6 h" I
Inspection Requests (24 Hrs.): (503) 639 -4175 I I..
INSPECTION WORKSHEET FOR DATE: 2!21 /2006 TIME: 7:02AM PAGE: 26
SITE ADDRESS: 16700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: (1) 200 amp. (20) branch For office & (1) temp 200 amp for trailer.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: P U ELECTRIC INC PHONE #: (503)7864199
Inspection Request Scheduled For: Date: 2121/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 IS Electrical service 027235 - 01 503.936.6226 N
Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL X C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: AVI7 / . Date: 2-1 0 4 Phone #: (503) 718- 4.4_____
CITY OF TIGARD • --
BUILDING DIVISION PERMIT #: EI_c12(105 0 ?l10
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4 /700€
Phone: (503) 639 -4171 i °qrw� �'f�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' I I�
INSPECTION WORKSHEET FOR DATE 2/21/2006 TIME: 7:02AM PAGE: 24
SITE ADDRESS: 1 6700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: (1) 200 amp (20) branch for office & (1) temp 200 amp for frailer.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: P B ELECTRIC INC PHONE #: (
Inspection Request Scheduled For: Date 2/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 027235.02 603 - 936.522€; N
Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gl et N vb Date: 1-1' Phone #: (503) 718- 1114_
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: El. C200a.G1100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/200G Phone: (503) 639 -4171 Az , a .e i I,�� I A 'i
Inspection Requests (24 Hrs.): (503) 639 -4175 AL'
INSPECTION WORKSHEET FOR DATE: : - .14 TIME: 2:22PM PAGE: I
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: (1) 100 amp. (20) branch for office & (1) temp 200 amp for trailer.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: P B ELECTRIC INC PHONE #: (503)706.4499
Inspection Request Scheduled For: Date 2/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rauah-in 026870.01 503 -936 522C Y
Corrections /Comments/ Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL J CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 CX"' ," 6 B 1 % Date: 2. I 7 6 licl Phone #: (503) 718- Z44
F.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200€ 00 i08
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J90006
Phone: (503) 639 -4171 1, aAil, n�,7
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 4f 14/2006 TIME: 7 :07AM PAGE: 18
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SI STORAGE
DESCRIPTION: (1) 200 amp. (20) branch for office & (1) temp 200 amp for trailer.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: P B ELECTRIC INC PHONE #: (503)786-4499
Inspection Request Scheduled For: Date: 4/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 028082-01 503-936-5226 N
Corrections /Comments /Instructions:
b kW; pg I.a S`t i Flkt IN At.) &fp Riau
Lo.Bivga 4•4 0 1)1 cubv K Fesa-
tA I o s h1 NA at vs6( I N ,A
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: elgt ' V v€ LC Date: 41 Hinio Phone #: (503) 718- 2)4'4 4)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•00tui3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2006
Phone: (503) 639 -4171 em u, r,�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' `'� I ..
I
INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 3
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: W LLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: (1) 200 amp. (20) branch for office & (1) temp 200 amp for !.railer.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: P B ELE_C - ERIC INC PHONE #: (503)786-4499
Inspection Request Scheduled For: Date: 5/31/2006 Pour Time:
• - - # Inspection Description Confirm # Contact # Message
199 Electrical final 030864 -01 503- 936 -522G Y
Corrections /Comments /Instructions: ) ( f
►j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONALFEES ASSESSED
Inspector: \ Date: g Phone #: (503) 718-2 /N
_ . ..0