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Permit / /u : 441,4 2D- Io v C-teCAAl 4 CITY O F TIGARD TIGARD "IV 11 ���� ELECTRICAL PERMIT PERMIT #: ELC2007 -00745 1 ° COMMUNITY DEVELOPMENT DATE ISSUED: 11/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DA -00100 SITE ADDRESS: 13010 SW 68TH PKWY 140 ZONING: C -P SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 007 JURISDICTION: TIG PROJECT: PACIFIC SOURCE HEALTH Project Description: 20 branch circuits. 2/15/08 ADDED (22) branch circuits and (1) sign 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: 1 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 /Q.SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 41 IN PLANT: 601 - 1000 amp: FLA FttVl SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SCHNITZER INVESTMENT CORP BOONES FERRY ELECTRIC INC PO BOX 10047 PO BOX 628 PORTLAND, OR 97296 WILSONVILLE, OR 97070 Phone: Contact #: PRI 503 - 682 -4936 FAX 503 - 682 -7946 FEES Description Date Amount Reg #: ELE 3 -223C [ELPRMT] ELC Permit 11/5/2007 $173.20 LIC 88482 [TAX] 8% State Surcharge 11/5/2007 $13.86 SUP 4918S Total $187.06 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. Issued By: � Permittee Signature: �e' 59// CP /Ji > /1./ rJ 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. ..Feb. 15. 2008. 2: BOONES FERRY ELECTRIC No. 2358 P. 1 . - _, __ - •• �IC�It UU FOR OFFICE IJSE ONLY City of T' and Ree�ived � ° 13125 SW He Blvd., Tigard, .j ar E I V E D rkwB ��Li(�l Pemrit N f t ( 2 07 ^ 746- C Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Duds : Other Permit: l �,, a �, Inspection Line; 503.639.4175 FEB 1 5 2 0 0 8 Internet: wwwti d-or Du e Re a B www.tigard-or.gov June: �� Notified/Method: See Page 2 for fl _^ tiw1.7,r . - „ 6 _ ; .: -.;,. „ Supplemental rnformatloo • �;�, ) ,,,�,£t it �_ti r1 ii l 1 , : . ❑ New construction _ .., m� t� i� y :J t ,ili s % �, l / Y � j ���`r I t , > r f � Addtt l � q� I (r Plea check all that ,.__ i • 2 sets of p art w /items checked below): ms z ` 0 Demolition , ` ' `� QS ION N apply (submit 2 sets o leas _ 0 ❑ Service or feeder 400 amps or more El Building over three stones. r- �h,a ; "' " "3`! / -Yg - e, °_• : r _ where the available bolt • ; t_:.,. y : L :4: . ,_. h ) r r t e} n , r r r r , m --, : = current volts ❑Marinas and boatyards. + .,''�'-• =,..: . •• - '1' .•!•._ .. .� l'? a . ,;n<l.�. i ; . ; _ . . t . ; `� exceeds 10 ,000 amp at 150 molt o r CI buildings ».:... -- T g gs. ❑ 1- and 2- family dwelling j Q Accessory building less to ground e r exceeds 14,000 ❑ Commercial agricultural ❑ Multi-far amps for all other insratlations, build' Y ❑ Master builder ❑ Fire puen sags. ;'�' I'°;eG°:'��-;''r�, �' `. ";r''= : "r`- -' - -':� �::�K ,.'❑ Other: P. ❑Installation of 75 KVA or c):3 „r 7 1. 1 a , ;.k k:i &TI: ? t ;; 17 ta;; - :':4 t fr::; ?( , .7f.fi_'`:.= ii::,;cr.- .?,_.: ❑Emer a st . - �..�c,_ .:,,.n...: J - J !. i � t ,_- 1 , : a n o sy em larger separately ", -1-2 "13 stem, L ❑ Addition of new motor load of s_ Jobno.: /2 3 `f 0 7 Job site address: /340 / MS aJ 63 ' f^ parkt✓a lwix7ormore ❑ , -", " City /State /ZIP: 7 \ //-11 :T✓ ❑ Six or more rosidentisl units. Q Recreational vehicle parks. O R ❑ Health -care facilities, ❑ Supply voltage for more than Suite/bldg. /apt. no.: Project name: . (-I( - ❑ Hazardous locations. 600 volts nominal. Pck c i sou,. C ❑ Service or fader 600 amps or more. Cross street/direction ` ` ' r,',t;= "' � �r4, S to job site: 2aff.c l c i.. r ` .:�a 47. "- J 2 y p ' t, 471 (� . � � , r-:• _DlaenOteon Qty. Fes Tobl =. • _ i New residential single- or multi- family dwelling unit. Subdivision: Includes attached garage. Lot no.: 1,000 sq. ft. or less Tax map /parcel no.: 145.15 4 Ea addl 500 sq. ft. or portion 33.40 ' i .. -, .,, I t ��t:r- ; o ° - � � Iy 5� �. � ! , i 9 7 ( 1 9r - r' Lr, , 3 Limited energy, residential �st4 .'.' k . 75.00 r: ,._ �. r,,,u .__i will' above s 2 Limited energy, multi - family residential (with above sq. ft) 15 2 l; ; e a _ services or feeders installation, and/or rep 200 amps or less relocation 'L'I,.F':,rl! _,' ,i;,t"� ley i.,.^ 1:s{� � 'r ` r i _.j t•Fl: r :ll '�A��; i9 p s 80.30 2 L � C . .... _,- � 201 amps to 400 turps 106.85 2 • _ / / • _ .- % / 14L.:4 CC ,/ O 401 amps to 600 amps 160.60 2 ldress: d ` .0 CI") / 601 amps to 1,000 amps 240.60 _ 2 Over 1,000 amps or volts 414.65 2 "City/State/ZIP; ci - f v _l Temporary services or feeders installation, alteration, and /or " relocation Phone: ( ) Fax: ( ) 200 amps or less _ 66.85 1 Owner installa This installation is being made on property that I own which is not 201 amps to 400 amps 100 .30 m s 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 a Owner 133. 75 Signature: 2 Date Branch circuits - new alteration or extension, +r s� m- s- ' _ w e t4 pr pan „ -t t, ¢.e y , , 1 17 , A Fee for branch r feeder rfee, ., i .nr rr c ,;;L:. frr......i� , - 1 i:E..,. . .,.n , •13r.:a., -,P a 1 a 1 91, '.^!`•,,i; above service . Iceotfeederfee, Business name: each branch circuit 6.65 2 B. Fee for branch circuits Contact name: - rouhour service or feeder fee, first branch circuit 46.85 2 Address: Each add'I branch circuit 14_ 6.65 /'tE. 2 City /State/ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular Phone: ( ) 1 Fax:: ( ) dwallin service andlor feede 90 •� 2 I Reconnect only r: r E-mail: a il: i'. t R � i:.�23,- ^ 4 ",_• - ,:.•,<- ..,... _ Pump or irrigation circle 66.85 2 - ' ;',:N r�...v�;r. aE:,�t .IN.:,,' F7: a ti: ,:,'" = ` r_ r` v l iT. 53.40 2 ' •- • ., .,,,,_.; , ,,, -1 ;_, r�„ Sign or outline lighting 1 53.40 S 3, 4 t: 2 Business name: Boones Ferry Electric Signal circuit(s) or limited - energy panel, alteration, or Address: P.O. Box 628 extension. Describe: P age 2 2 City /$tate/Zlp: Wilsonville OR 97070 Each additional inspection over allowab in any of the above - Phone: (503) 682 -4936 Fax: (503) 682 -7946 Per inspection 62.50 CCB Lic.: 88482 Investigation per hour (I hr min) 62.50 Electrical Lic.: 3 , 2 C Suprv. Lic.: ii.9/ C S Industrial plant per_ hour 73.75 Suprv. Electrician signature, required: % '''G`ii ,) a� 1.1' :; , . si ,T `;s�.' 7 1l ,4,,. '' �1 ` '? ;�.�°,:: +, _-,;. Subtotal; / y y a ,i t name: S'fd r+ i l G r o Plan review (25% of permit fee): _ - f Date: / t p • Authorized Signature; State surcharge (12% of permit fee): .. 3 . 76 _ This TOTAL PERMIT' FEE: _.Z3 , „ Print name: Dace: Pe rm;t a pplication expires if a permit is not obtained within 180 -�� days alter it has been accepted as complet lukiidinglpermiL\EI.C- Permit ag doc 01/17/05 • Numhor of inspections allowed per permit 404 6 I 5T(11 PoS /COhy W Eg CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC7007.00745 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/512007 Phone: (503) 639 -4171 .va.o� Inspection Requests (24 Hrs.): (503) 639 -4175 °__.. INSPECTION WORKSHEET FOR DATE: 2/1912008 TIME: 7 :01AM PAGE: 14 SITE ADDRESS: 13(111) SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: 20 branch circuits. 2/15/08 ADDED (22) branch circuits and (1) sign lighting. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682 -4936 Inspection Request Scheduled For: Date: 2/19/2008 Pour Time: Code # Inspection Description Col ' as # Contact # Message 199 Eiectiical final 065203 -01 503682 -4936 N Corrections /Comments /Instructions: A \ \ ) W \ J C ti ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 6Z `-' Date: 1..-- Phone #: (503) 718- IALK' CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007.00745 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007 Phone: (503) 639 -4171 Avirooli Inspection Requests (24 Hrs.): (503) 639 -4175 4 INSPECTION WORKSHEET FOR DATE: 2/14/2008 TIME: 7 :01AM PAGE: 8 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE f'ARK LOT #: 007 TYPE OF USE: PROJECT NAME: PA IFIC SOURCE HEALTH DESCRIPTION: 20 branch circuits. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: E3OONE S FERRY ELECTRIC INC PHONE #: 503.682 -4936 Inspection Request Scheduled For: Date: 211412008 Pour Time: Code # Inspection Description Confirm_ ## Contact # Message 199 Electrical final Q65045 -0 1 \ 503.682 -7936 N Corrections /Comments / Instructions: 0.ov o� �ow - �Q T o All.. �7J 1 =�C1 . IV) 3 (A ati . boS'. b 605.i PkoN iaG rnGAIJs 16 b s ca utIRAon1saD e .AV aNl s �ACt1�T�6��5 , �cio��t�at , . o c y . qis Few. kw y . A L %2.3 ( ) 6•) c cA6t.� ■t.1 ct a Va Al 6esisa. ■Lk Q om.. Ntr.3 30•3© • �— Q Omilbc hthifi The electrical installation defects rMOfed on this reportshall be corrected and an inspection request made within 20 calendar days per OAR 918. 271.0030 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,FAIL $,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �.7� -, 1� � Date: 2-•q V 0 Phone #: (503) 718- .'IALik) CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00745 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007 Phone: (503) 639- 4171viIl Inspection Requests (24 Hrs.): (503) 639 -4175 :4- i__ INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7 :01AM PAGE: 57 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: 20 branch circuits. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503- 682 -4936 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 061143.01 503.682 -4936 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G" K 4Q) L.G Date: 1 ?AO Y1 Phone #: (503) 718- 2-4q1)- CITY OF TIGARD BUILDING DIVISION . ' PERMIT #: ELC2007 -00745 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/512007 Phone: (503) 639 -4171 w ,1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7 :06AM PAGE: 27 SITE ADDRESS: 13010 SW 69TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE F'ARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: 20 branch circuits. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: F3OONES FERRY ELECTRIC INC PHONE #: 503 -6B2 -4936 Inspection Request Scheduled For: Date: 12/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Undorground /slat cover 60ff 301 '\ 503 -6B2 -4936 N Corrections /Comments / Instructions: �/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL 0 ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , N va0 Date: 1 61 di Phone #: (503) 718- Lt-16 - CITY OF TIGARD BUILDING DIVISION PERMIT #: EL_C2007 00745 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007 . Phone: (503) 639 -4171 4 '1441 �I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1213/2007 TIME: 7 :00AM PAGE: 32 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: 20 branch circuits. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503 -682-4936 Inspection Request Scheduled For: Date: 1213/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground /slab cover C 060645 -01 503 -4936 N Corrections/Comments/Instructions: fl tiC a PO .tR le a) r AU.. Rn�srn i r.� (i 60 it • '`().61 C-lba ithra_ 6 i%) (eotaf a V R. &ON 6I 1` 1 -06(L4 kaizsw\ 14 k) tAExt... 13,t_ ta...11b • b bUit c. • ( 00 114 8 s '! T^ ❑ PASS 1,g1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N bg LE Date: 1I4 3 O ) Phone #: (503) 718 - llob CITY OF TIGARD BUILDING DIVISION PERMIT #: E1.C2007.00745 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007 Phone: (503) 639 -4171 kft Inspection Requests (24 Hrs.): (503) 639 -4175 _..-1J�+i INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 90 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: 20 branch circuits. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: E300NES FERRY ELECTRIC INC PHONE #: 503-682 -4936 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description fi trm # Contact # Message 125 Wall cover 0669480 -01 503682-4936 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 5€ LC* Date: tt 1 I n1) Phone #: (503) 718 - 1.1.1% %