Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00949
DEVELOPMENT SERVICES DATE ISSUED: 12/12/2005
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S 101 AA -06400
SITE ADDRESS: 12323 SW 66TH AVE ZONING: C -G
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 024 JURISDICTION: TIG
Project Description: (30) branch circuits. Job #5442.
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: 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:
TING, ELON + SYLVIA MILESTONE ELECTRIC
BY WILLIAM R SOUTHARD 1800 NW 169TH PL. SUITE B700
603 SE VICTORY AVE STE 100 BEAVERTON, OR 97006
VANCOUVER, WA 98661
Phone: Contact #: PRI 503 - 645 - 5323
FAX 503 - 690 -4843
FEES
Description Date Amount Reg #: ELE 34 -618C
[ELPRMT] ELC Permit 12/12/200: $239.70 LIC 153480
[TAX] 8% State Surcharge 12/12/200: $19.18 SUP 2l 13S
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. ,, ���ii
Issued By: l�1.�iCi(C Permittee Signature: vP.- -e- c
OWNER INSTALLATION ONLY V
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.
. -
Electt ` q wcal Permit,ApP:� �..5 i'', r • 1()I; ()1 i is 1: 1 '1 >\i.)
City of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223 n r DtcelB ,, - - 0 U PctmitAio' .,� �/ 0 i f ye
Phone: 503.639.4171 Fax: 503.598,1960) L.0 Q 5 Plan 801101" •
Inspection Lino: 503.639.4175 teL .(J ` DerNBec "l'
Internet www. u.tigenLor us CI . Y () i i�� r Notified/Method: r j � See Page 2 mf
A ) ; A t:- 't "^ 4 i `Y17,7x - - xs , ,7, .... . Supplements! Interaf�trp0
❑ New construction
Addition/alteration/replacement Please cheese all that apply:
❑ Demolition ❑ Off ❑Service over 225
G
ervi e v 3 20 amps - Ps, comm'1 Hazardous location
L , , .. ❑S rating QBwldrtg over 10,000 aq. 1
of 1 - 2-family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling NI Cvrnmercial/mdustrial ❑ Accessory building ❑System over 600 vol in one structure
❑ MOW-family � nominal �� -
m
Y Master builder ❑Buil over three stories ❑Feeders. 400 amp or o
❑Ocatpsot load over 99 persons ❑M4nufacturzd strrtcn,rm
❑ B•' t8�8 Plan RV perk
Job no.: Itey L Job site address: / 2 313 sr & 4, 4 t l4 0 Heatth -care facility ❑Other:
City/State/ZIP: r l &A Submit],, sets of plans with soy of the above. .
ft_ D 0 , f 7 Z / The above are not applicable to tcmpormy construction service.
Suite/bldg /apt. no.: 1 Project name: 64, E S ,'. vS vRXN(;
Cross :r kt /iiraationa to o " tr �" •• go. sea era
job tote: New residential single- or meld - family dwelling milt.
• Includes attached garage.
•
1,000 sq. g or lass ' - -
Subdivision: -
Lot no.: Ea add'1500 sq, B or portion .
on 33.40
Tax map/parcel no.: i - Limited energy, residential 75.00
Lmited energy, noa- esideatiai ,
................... . � 700
$acb amatttaoebed or tll0dtrlar "
0 J2eM 0 DEG W D R l E; ST All o •V d 8 ervice sailor se eder - 90,90
• Services or feeders htstalbgou, alteration, and/or relocation
R EP c A e M ENT 200 sums or less
80.30 ;
I amps m 400
106,85 2
Name. 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 • 2
Address: Over 1,000 amps or 454.65 2
City/StaidZlP: '�— Reconnect only, 6645 .2
— Temporary services or feeders iosta lation, alteration, and/or H Phone: ( ) j Fax: ( ) relocation
Owner installation: This installation is being trade on properly that I own which tit is not 201 201 t leas 66.85 66.85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. amps to 400 am 1 2
Owner signature; 401 to 600 amps 1 33 . 75 2
Own
... , : pion r el
, oa pan
.ew, r, or e zte
ee or ctrcu with
Busines ttmne: , M l ` � f �lL l Q �'. l C branch circuit feeder 6.65 2
service or Canted name: 1'11�U G� �•l .1. i l• d — Pee for' branch circuits
_ l� .... wtlhoae service or tbedQ fen, 1 46,85 r 4.4r 2
Address: g �
' O ' Q O each branch dir t
Each add'! branch circuit XI 6.65 (Ji LIT 2
C i t y / S t a t e / Z I P : t 4a) ,i• r n 11,b2.71._:‘
• ""t 1 It Q L, Mlecepaseoas (service or feeder rot included)
Phone: (503) 61.4G-- S 3 . Fax: : ( CP) p �� O Aunt' or irrigation circle 53.40 2
E-mail: Ge C Plrl. t ( C. -11-- t C- • t= _ Sign or outline lighting 53.40 2
Signsl circuit(s) or limited-
energy panel, alteration, or
Business name: 4.4 tii.S �ql/Q extension. Describe: Page 2 2
Address: Eieh addltionel inspection over allowable In as of the above
City/State/ZIP:
Per ' inspection 62.50
Investigation per boor (1 hr ends) 62.50
Phone: ( ) Fax; ( ) Industrial plant per hour • 73.75
CCB1,ic:.: 153 880
Electrical Lit: ,
� -6tBc � su p r v . ut:.: � Z . Subtotal - 9. 7p
Suprv. Electrician signature, required: Plan review % of
- Print Dame: 90 ` • Date: 2 O S state lurch rge (8% of plrntit fee) ,q, i 8'
Authorized signature: TOTAL PERMIT FEE 2 Ss • 80
min Pena ■ppacabaa s no
expires ifs penult not oatassd within no ../ name: PAUL ¢ • E[ [,/ S Date: - CJ - Or • days after it bas been accepted ss complete
Fee methodology set by Tri- County Building Industry Service Board
i:WuildinvW.n..:r.,t, ; • .-_...__ ,_ ..,,,,,. " Number of ineoemima o�r rm n,ir en .,....4
3 d 69£L£Lll1.9'ON /£0 :91'1S /£0:91 9003 6 31.(IbJ) WOa�
CITY OF TIGARD 'ez_C
BUILDING DIVISION PERMIT #: c) g
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: 3 3 ® CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - ' - 0 Co Pour Time:
Code # Inspec i• ' .cription Coif m # Contact # Message - D
r - Correct i` ments /Instructions:
rA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V a V L8 Date: 3 j o "O • Phone #: (503) 718 - 2 -"1'f1
•
CITY OF TIGARD ` F.
A , BUILDING DIVISION PERMIT #: - , 5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 1- 2 f20, 6
Phone: (503) 639 -4171 '/0"�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' "'I �� •
INSPECTION WORKSHEET FOR DATE: 2./22/20 06 E; TIME: 7:02Atvt PAGE: 0
SITE ADDRESS: 12323 sw 6TH AVE CLASS OF WORK:
SUBDIVISION: CST PORTLAND FIEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: FARMER'S INSURANCE
DESCRIPTION: (30) branch circuits. Job #'x442.
OWNER: TING, EL( >N + SYLVIA, PHONE #:
CONTRACTOR: MILLSTONE ELECTRIC PHONE #: 6034 ,•?:, t.%r
Inspection Request Scheduled For: Date: 2/2/2005 Pour Time:
Code # • I section Description Confirm # Contact # Message
'126 llillallb 027302 O1 /i3O3 3 N
Corrections/
' Illilliaffh .
j,21 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V N% % ` C Date? 11- ( St Phone #: (503) 718 - 1.940
CITY OF TIGARD
BUILDING DIVISION PERMIT #: CLC200 .00949
13125 SW Hall Blvd., Tigard, OR 97223 + DATE ISSUED: 1 211; ? /;200; :
Phone: (503) 639 -4171 dap °` ,1 °'.
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: ' /13j2(}f5 TIME: 7:03AM PAGE:
SITE ADDRESS: 12323 SW 66TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: FARMER'S INSURANCE
DESCRIPTION: (A) branch circuits_ Job 10
OWNER: TINC, ELON i- SYLVIA, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: ; (j t- 6,15 -?,; 2'
Inspection Request Scheduled For: Date: 2/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Coiling cover 026771 - 01 971 - .606.0903 1'
Corrections /Comments/ Instructions:
cSti\--;itt i 6 hq
❑ PASS ❑ PARTIAL APPROVAL CANCEL Q NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: f Date: Si 1 tfb Phone #: (503) 718 W t
1
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: F_LC2005-0u :349
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J1.2J2005
Phone: (503) 639 -4171 Atopi , ,;]A i
Inspection Requests (24 Hrs.): (503) 639 -4175 '`'' �..
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 71
SITE ADDRESS: 12.323 SW 66TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: FARMER'S INSURANCE
DESCRIPTION: (30) branch circuits. Job #!
OWNER: TING, El_ON + SYLVIA, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503.646.6323
•
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # - - _ - • - scription Confirm # Contact # Message
130 Ceiling cover 024747-01 971-506-0M3 N
Corrections /Comments ns ruc ions:
cue
PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Al Date: ti 14 v Phone #: (503) 718 - 1 4Lj4 _
I). CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005"00949
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/12/2005
Phone: (503) 639 -4171 4000 i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/15/2005 TIME: 7:04AM PAGE: 79
SITE ADDRESS: 12323 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 0 TYPE OF USE:
PROJECT NAME: FARMER'S INSURANCE
DESCRIPTION: (30) branch circuits. Job #5442.
OWNER: TING, ELON + SYLVIA, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503.645 - 5323
Inspection Request Scheduled For: Date: 12/1512005 Pour Time:
Code # '- • ' escription Confirm # Contact # Message
125 Wall cover 023505"01 971 -506 -0903 N
Corrections /Comm- ctions:
1'� Rib Pt 8 es ` . WIN LS Cawita. Lv3
•
•
1 PASS KPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: v �(� 0 V vv � `'' Date:' Phone #: (503) 718 - )