Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00609
COMMUNITY DEVELOPMENT DATE ISSUED: 6/30/2007
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AD-01700
SITE ADDRESS: 16850 SW 72ND AVE ZONING: C -G
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT : 030 JURISDICTION: TIG
PROJECT: HAMILTON PROPERTIES INC
Project Description: Reconnect only.
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: SIGNAUPANEL:
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
HAMILTON PROPERTIES INC.
3939 NW ST. HELENS RD.
PORTLAND, OR 97210
Phone: 503 - 224 - 2676 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 8/30/2007 $66.85
[TAX] 8% State Surcharge 8/30/2007 $5.35
Total $72.20 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 -. $10 thro gh OAR 952 -001 -0 44. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Iss = �� ��J j / �� // Permittee Signature: ;V )Q,C,.., /� (A.f d31
OWNER INSTALLATION ONLY / /2/2
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.
08/29/2007 11:58 5032242679 BINGHAM CONST PAGE 01
IeCtr7Cal Permit A 11 ED FOR OFFICE (SE ()NIA
Of Tigard d »ateJB L
Pormit No.: E% r C0 --ez ,•-
City $ d S
13126 5w I i p 1 1 IIlvd.. Tigard. OR ®p� 2 9 2007 Plan Review
Phone: 03.6:19.4171 Fax 503 1 60 pawn : Other Permit:
I' I C All CA
,
, D Inspection Line: 503.639.4175 , Y OF 11QAND Date Rcady/Ay: 111MI HI See Page 2 f fafOmta6nn
tar
or
tnnel: www,tigatrd-or.gov BU Notified/Method: Supplemental
. TYPE 'OF... WORK • • ; `.: • • . : • . • PLAN PEVIEW • •
Pleas Cheek all that apply (submit 2 acts of plans wliteme checked below):
❑ New construction ❑ Addition /Alteration /replacement 0 service or feeder 400 amps or mare i] Building over three stories.
0 UemolitiOn ® Other: Rei unmo at When: tha available fnult ourront CI Mariners end bouty wit
• ••. CATEGORY OF` •CONST,RUCTION . • ' • ' .. : . esceed 10,000 oohs at 150 voles or 0 Floating buildings,
icsa to ground- or exceeds 14,0110 ❑ Commercial.ao agrioultnral
❑ 1- and 2.- family dwelling Igl Commercial /industrial 0 Accessory building am f all other installations. buildings.
❑ Multi- family 0 Master builder 0 Other. ❑ Vim pomp. LJ installation of 75 KVA nr
. T rrlergency aystcln larger separately derived system •
J O B , S I T E I N F O R M A T I O N . AND OCA 1 O N :. 0 Addition of new rnolor toad of Q"A" "E" -" 1 -2_, °1 -
Job no.: J Job site address: 16850 SW 72nd tcotm or 1noro• occupancy.
❑ Six or more residential units. ['Recreational vehicle parks.
Q Health-care facilities. ❑ Supply voltage for more than
City/State/ZIP: Tigard, Oregon 97223 ❑ Hazardous locations. 600 volts nominaL
Suite/bldg./apt. no.: 1 project name: in Service or feeder 600 amps or more.
- •)Fti+'>r. SCJIED�II,E
Coss street/directions to job site: rimeriparth I Ow. 1 Fee. f Tow, 1
New residential single or multi•famtly dwelling non_
Includes attached garage. _
Subdivision: I Lot no.: 1.000 sq. ft or less I , 145.15 4
Ea. add'1 500 sq. It, or portion 33.40 1
Tax neap /parcel no.: Limited energy. residential
75.00 2
• . . • OLSCRI OF WORK • ' • • (wi th shove sq. R. 1
' Limas' energy. uwut- family 75.00 2
Reconnect residential (with above to
Services or feeders instaltation and/or relocation
200 amps or 1t c RA lft 2
.. . 0 :PRO) t'7Y OWNER • . • I • • . . n TENANT • • . ao1 a to 400 amps _ 106,85 2
401 amps to 600 amps 160.60 2
Name: Hamilton Prnftr'rKP¢ Inc. 240.60 2
6U1 amps to 1,000 amps
Address: 3939 NW St. Helens Road Over 1.000 amps or volts 454.65 2
City/Stale/VP: Purdaud, Orman 97210 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)224 -2676 1 Fax: (503)224 -2679 200 amps or less 66.85 1
Owner Installation: Tbin installation is being made on property that I awn which is not 20I amps to 400 amps 100.30 2
intended for stele, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps _ 133.75 2
Branch circuits -- new alterntto or extension. , er . nel
Owner signature: ,. Date: A. Foe for branch circuits with
above service or feeler fee.
A1'R!GICANT 21 CONTACT PEIiSOAI each branch circuit 6,65 2
_ .-
Business name: Hamilton Properties Inc. B. Fee for branch circus
without serv'1cc ter foxier fee;, 46.85 2
Contact name: Joyce Moffitt fast branch circuit ,
Address: 3939 NW St. Helens Road F.ach edd'l branch circuit I 6.65 _ , 2
MtecdIuc. uus (+,.erviee or heder not included)
Ciry/State/ZIP:.Portland, Oregon 97210 each manufactured or modular ` 90 I 2
dwelling, service and /or feeder
Phone: (5(13) 224 2676 I Pax:: (BAR) 224 -2679 Reconnect only 1 66.85 66.85 2
E -mail: sbingham@att.net Pump or irrigation circle 53.40 _ 2
• . CONTRACTOR , . ' • Sign or Olttlinc lighting 53.40 2
Signal eirwtt(s) or limited -.
Business name: energy panel. alteration, or
extension. Describe: Page 2 2
Address:
City /State2IP: Each additional inspection over allowable in an alb. above
Per inspection 62.50
Phone- ( ) I Fax: ( ) rnvestieation tux hour a hr tin) 62.50
^ CCB Lic.: I Electrical Lic,: I Suprv. Lic.: Industrial plant per how 73.75 -
• • ELECTRICAL PERMIT: FEW
Suprv. Elm signature. required: Subtotal: 66.85
Plan review (25% of penult fee):
' Print name: —iDate: state surcharge (8% of permit fee): . 535
Authorized signature: TOTAL F15RMIT PEE: 72.20
_, ThIs permit appnentinn expires if n permit La not nhtaioed width! I SA
Print name: Date: days after it has been accepted so cnmpkte.
�� • N. mbar of inapoctinna allowed Dr? p rmil
1: 1ThrildioalwrnitnEt .C4'.nmtAPp.doc 05I23It $ 4411- 4615T(11 /0V MIWED
' CITY OF TIGARD
BUILDING DIVISION
,-
PERMIT #: ELC2007- 00609
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2007
Phone: (503) 639 -4171 Ao qc n
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I /..
INSPECTION WORKSHEET FOR DATE: 9/0/2007 TIME: 7:00AM PAGE: 77
SITE ADDRESS: 16850 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: HAMILTON PROPERTIES INC
DESCRIPTION: Reconnect only.
OWNER: HAMILTON PROPERTIES INC., PHONE #: 503- 224-2676
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9/6/2007 Pour Time:
°Pi/ Code # Inspection Description Confirm # Contact # Message .�f
115 Electrical service 055112 -01/ ( ---971-57 9567 Y pi 5 C,
Corrections /Comments /Instructions: I /^
•
Nilk
,PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .- • 1,e,„1.----
,V Date: 9( biro Phone #: (503) 718- 2,41 -k