Permit `'` CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00116
DEVELOPMENT SERVICES DATE ISSUED: 6/28/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S113AD-01700
SITE ADDRESS: 16940 SW 72ND AVE ZONING: C -G
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT : 030 JURISDICTION: TIG
Project Description: T.I.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: 1 SIGN /OUT LINE LTG: 2
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 1
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: 11 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:
BRIDGEPORT LAND LLC ALL THINGS ELECTRICAL INC
3939 NW ST HELENS RD 10004 NE 7TH ST
PORTLAND, OR 97210 VANCOUVER, WA 98664
Phone: 503 - 241 - 2875 Contact #: PRI 360 604 - 0241
FAX 360- 604 -3025
FEES
Description Date Amount Reg #: ELE 37 -811C
[ELPRMT] ELC Permit 6/28/2006 $435.55 LIC 132095
[TAX] 8% State Surcharge 6/28/2006 $34.84 SUP 46655
Total $470.39 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 50 246 -6699 or
1 -800- 332 -2344.
Issued By: . 2 r Permittee Signature ia/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
n EuEfivED ,
{
Electrical Permit Application FOR OFFICE U5L O \.Ll
City e �>rigard FEB I- L® 1 3 2006 � ° Date /By ^ - /).) 1 Permit No. _ /6 6 - f/L/ / ■
13125 SW Hall Blvd., Tigard, OR 97223 Plan ' .view
Phone: 503.639.4171 Fax: 503.598 196 0 � + ,, 43 � * ^ � I' '' l lii °$ J I f ' Data : y Other Permit:
inspection Line: 503.639.4175 'L° 1 it 1 44 1 �(✓� --a4 e' I Date Ready/By: . J� El See Page 2 for
Internet: www.ci.tigard.or.us Notified/(vletho,, c 2 3 d l ailEi Supplemental information
TYPE OF WORK - PLAN REVIEW' .
❑ New construction [„ Addition/alteration /replacement Please check all that apply:
11 Demolition
ZI.Service over 225 amps, comm'l ['Hazardous location
❑ Other:
❑Service over 320 amps - rating ❑Bulldog over 10,000 sq. ft.,
' CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential r
❑ 1- and 2- family dwelling Rf Commercial /industrial ❑ Accessory building El System over 600 volts nominal units in one structure (d
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other:
❑ Occupant load over 99 persons ❑Manufactured structures or N.
JOB SITE .INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address:14 - � Tee.= NV'
❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: Ti c f (to Oa- i 6 9 9" 0 The above are not applicable to temporary construction service.
Suite/bidg. /apt. no.: Project name:^1't[e (Mt • wCAAN, 4. FEE *' SCHEDULE 1
Description I Qty. I Fee. I Total
Cross street/directions to job site: New residential single - or multi family dwelling unit.
Includes attached garage.
S w iUR Mtn e is FcAi.' 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential I 75.00 )9; a 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 go.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: M4.7 wcRtrrire 601 amps to 1,000 amps 240.60 2
Address: ko4er0 e (�CI o ped tv Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: c ,' t�.? ' CA . 9 k .8 Temporary services or feeders installation, alteration, and /or
Phone: e ) `\�)) Q -O 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 1 100.30 /OA 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 .
ItL APPLICANT .. ❑ CONTACT PERSON A Fee for branch circuits with 1 g ,
service or feeder fee, each 7,9/3---2
6.65
Business name: ('Oyt^M . Ce � jC �vG branch circuit
�+ ► B. Fee for branch circuits
Contact name:
v't6>NA.1 1 C ‘, without service or feeder fee, 46.85 2
Address: %2s- tilkujtml 1 first branch circuit
Each add'I branch circuit 6.65 2
City /State/ZIP: 1 ILaoke C ht Miscellaneous (service or feeder not included)
J Pump or irrigation circle 53.40 2
C((�
Phone: () '- O Fax:: ( ) clot( �Ii 1 Sign or outline lighting 2 53.40 /067.gc 2
E -mail: Signal circuit(s) or limited-
. CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: - - A `( 7 j yS Et
Address: �� /0f `7 T� S fi Each additional inspection over allowable in any of the above
Per inspection 42 62.50
City/State /ZIP: v c u leper k ).4 ' Cgs Investigation per hour (1 hr min) 62.50
Phone: ( ?(, L 9 ) 6, oLf . 024 - 1 I Fax: (6} ) 604 ^ 3001% Industrial plant per hour 73.75
1� ELECTRICAL PERMIT FEES *'
CCB Lic.: II 9 5 Electrical Lic.: e l Suprv. Lic.: iii 5- 5 Subtotal 1 1_5‹,'
Suprv. Electrician signature, required:' G� Plan review (25% of permit fee) r�, r (�
° State surcharge (8% of permit fee) eJ7 " ' /
Print name: oaJv-c-1 t/ y p(AK i t° 15 Date: oZ L":514_, Cli TOTAL PERMIT FEE /7Q '
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.
is \Building\Permi ts\ELC- PermitApp.doc 12/03 440- 4615T(I 0 /02/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:
I COMM1ERCIAL 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 \Permits\ELC- PertnitApp.doc 04/03
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: II,G 2 .00114
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 44 , 9.04
Phone: (503) 639 -4171 .w�d4 i "�
Inspection Requests (24 Hrs.): (503) 639 -4175 JAI I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 t 4 So 1 a Af • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: Ne.1- -0 NUGM L PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
G ��
Inspector: Date: i,'l • 06 Phone #: (503) 718- 2 lo
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2006- 00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2817006
Phone: (503) 639 -4171 0iiui�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �_�.
INSPECTION WORKSHEET FOR DATE: 13/4/2006 TIME: 7 :04AM PAGE: 26
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MEWS WEARHOUSE
DESCRIPTION: T
OWNER: BRIDGEPORT LAND LLC, PHONE #: 603 -241 -2876
CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360 -6t)4 -0241
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final - 034403 -01 503-572-6017 Y
Corrections /Comments /Instructions: A
NeS,7 (t s
I I PASS PARTIAL APPROVAL ►∎4 CANCEL NO ACCESS
I I FAIL fl CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: 1'to L Date: y' l i • 04) Phone #: (503) 718- 214"
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC 00 110115
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2B/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7!25/3006 TIME: 7:04AM PAGE: 61
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: Mc NS WEARHOUSE
DESCRIPTION: T.I.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503.241 -2075
CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360-604-0241
Inspection Request Scheduled For: Date: 7/2512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 033636 -01 503-572-6017 N
Corrections /Comments /Instructions:
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(-Li Q i' rf . / a !e. _/D 1 Cif /0 do
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Al e.
Ouz o `7/49 - zf (74
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ?2g Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2006-00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2812006
Phone: (503) 639 -4171 � esidryln�� �I�
Inspection Requests (24 Hrs.): (503) 639 -4175 4! -
INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MENS WEARHOUSE
DESCRIPTION: T.I.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503.241.2075
CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360. 604.0241
Inspection Request Scheduled For: Date: 7/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 032758-02 503 -572 -6017 N
Corrections /Comments /Instructions:
A DASS ❑ PARTIAL APPROVAL ❑ CANCEL I1 NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 01 '; L Date: / ") -' 6 Phone #: (503) 718- 2 1 •
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2006 -00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/28/2006
Phone: (503) 639-4171 opIp 9 "f i 1 1 `
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7 TIME: : PAGE: 64
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MENS WEARHOUSE
DESCRIPTION: Ti.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503 - 241.2875
CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360 - 604 - 0241
Inspection Request Scheduled For: Date: 7/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 032758-01 503-572-6017 N .
Corrections /Comments /Instructions:
2, PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector NW U 5. Date: 7 06 Phone #: (503) 718- .2 -