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Permit '.1 CITY OF TIGARD ' / ELECTRICAL PERMIT ' PI PERMIT ELC2007 -00539 COMMUNITY DEVELOPMENT DATE ISSUED: #: 8/2/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DD-00900 SITE ADDRESS: 06830 SW ATLANTA ST 100 ZONING: MUE SUBDIVISION: HAINES CROSSING II LOT : JURISDICTION: TIG PROJECT: JERMEY T. VERMILYEA ATTORNEY Project Description: (2) branch circuits for phone board and data, and (1) low voltage data cabling system. 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: 1 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: 1 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: MALCOLM ESLINGER MILESTONE ELECTRIC 11575 SW PACIFIC HWY 1800 NW 169TH PL. SUITE B700 PMB 160 BEAVERTON, OR 97006 TIGARD, OR 97223 Phone: 503 - 997 - 8478 Contact #: PRI 503 - 645 - 5323 • FAX 503 - 690 -4843 FEES Description Date Amount Reg #: ELE 34 -618C [ELPRMT] ELC Permit 8/2/2007 $128.50 LIC 153480 [TAX] 8% State Surcharge 8/2/2007 $10.28 SUP 45745 Total $138.78 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0' 0 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. ■ Issued : •. Permittee Signature: S /4",ii (2/X.,4(Yil OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. „Aug. 1. 2007 2:08PM Milestone Electric No. 7357 P. 1 -,t tie etrical Permit Application b FOR OFFICE USE ONLY • City of Tigard Received Pertoit No•; 13125 SW kiln)) Blvd., Ti d, OR 972 3 !`' R p/B ELG - 0053 Fl , ,.. ! � . ' Plan Review �� `A e;s. .rtpa rc-` Other Permit: Phone: 503.639.4171 Fax: 503.598.1 � 1 •:;.� :� , I '• pate /$y. Inspection Line; 503,639.4175 ' _ „ )pate Ready/By: El See Page 2 for Internet: www.ci.tigard.or,us AUG ® 1 LOt. Notified/Method: / - Suppler eatallaforaaation . ' .TYPE.G * t)i k i g.`: ° c? . '.I%AN`REVIEW . El New construction 4. . Add in/alte Please check all that apply; D `�.. ❑ r_.] Demolition El Other: Service over 225 amps, comm'1 Hazardous location OService over 320 amps - rating ❑ Buildng over 10,000 sq. A., .: . ' •CAT'GORY OF CONSTRUCTION .., of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling A Commerciai/industrial [( Accessory building ❑System over 600 volts nominal units in one structure El Ivlulti farrrily 171 Master builder [.i Other: ❑Building over three stories ❑Feeders, 400 amps or more 0 Occupant load over 99 persons ['Manufactured structures or lOR 'SITi ,. INFORMATION AND LOCATION ' . . UEgress/lighting plan RV park Job no.: 7 3 j j Job site address: 6' 30 S W � -Ho r1-FQk Si- 01ealth -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State/ZIP: T he above a re n ot a pplicable to t emporary construction service, T l aral D � 7�,(q Suite/bldg. /apt. no.: P roject name: ' • )C;'I:E} SCHEDULE t. . . Cross street/directions to job site: QQ (3---6,21,,,\\!. tl Dcecrlp:loa I Q4- I iFon l 'total I n,r',' multi-family dwelling unit. -- - 4 ,� New residential single - or mult 1 � Includes attached garage. 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 75.00 2 • DESCRIPTION' OF. WORK •. Each manufactured or modular � n ��� o � C ��� � K p1, -, dwelling, service and/or feeder 90.90 2 ` (1� a services or feeders installation, alteratiop, and/or relocation l t G t< T 4 b ( r -ce ? f0 Id L.. (+�„ w „ r„ 200 amps or less 80,30 2 ' : ❑ PROPERTY,' OWNER • .. .. `` \\ d . : 1 ' •TENANT `, ' 201 amps to 400 amps 106.85 2 - --- `r 401 amps to 600 amps 160.60 2 Name: `� ferny T V ex I' 1 / c a t(' 601 amps to 1,000 amps 240.60 • 2 Address: (Q %?-)(� J 5 ; -, A L / C L • J Over 1,000 amps or volts 454.65 2 C ` ) J Reconnect only • 66 -55 2 City/State/ZIP; ' d A / • 7 • Temporary services or feeders installation, alteration, and /or Phone: ( ) • Fax: ( ) relocation 200 less 66.85 1 Owner installation; This installation is being made on property that I own which is not - am s o r l 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. l!' N CONTACT PFRSOINi • A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: E . \ 1 Ida 1:� branch circuit ,nn B. Fee for branch circuits Contact name: I l `� ` r; ,� i!1, � 5 I n �(7 wtihour service or feeder fee, 4.6.85 ( 461 5 2 Address: ` ` 1 l / ) / each branch circuit I5 51_0 Pa L i P ( V / 47D Each add'l branch circuit I 6.65 6, 65 2 / City/State/ZIP: T � ( Cit y Miscellaneous (service or feeder not included ) ��� ��f ,,,///� — , ) 9 9 7 t Ii-1 q I � (e ) — 94 Pump irrigation circle 53.40 2 ( Phone: 3 f- Fax: : Sign or r outline e lighting 53.40 2 , E -mail: Signal circuit(s) or limited- . . . . coNTR A cToR energy panel, alteration or -75 DO extension. Describe; Dc -fck Page 2 2 l� 1 f e5i- ©►1 P E lec.+Dl Business name: C_ Ch 5g.. O Each additional inspection over allowable in any of the above Q Address: i UQ� ik f Lo l c 9 tv. ? i (,(, i -{-_ a Per inspection 62.50 j City /State /ZIP: . ic, A 0 R 9 ' ) © 6 Investi per hour (t br afro) 62.50 Phone: (5 03) &1s 5 3 0.3 Fax: (o3) 6 90 e.-f U LL3 Industrial plant per hour 73.75 ELECTRICAL' PERMIT FEES* • CCB Lic_: 3 � 3 L tap Electrical Lic• :3Li _6( cA (, Suprv. Lic.: L 5 7 Li 3 Subtotal i a 3 ° �® Suprv. Electrician si .required: • Plan review (25% of permit fee) p Print name: f Date. z r_ /� State surcharge (8% of permit fee) . t 0 , 8 �~ AI. f� J� li L) TOTAL PERMIT FEE i 3 C7 r 7 U Authorized signature: 'ibis permit applicutioo expires if n permit is not obtained within 180 - i�.. days after It has been accepted as complete Print name: / 41 4 k * . t ate: �-- / Q � ” Fee methodology sot by Th.-County Building Industry Service Board T'' �' `' "Number of lospeolions per permit allowed. is\ Buildin \P ermits\aLC- PcnnitApp.doc 12/03 440-4615T(10/02/COM!wEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00539 5 SW Hall Blvd., Tigard, O 13125 OR 97223 DATE ISSUED: 8/212007 9 , Phone: (503) 639 -4171 i 0W @��n � Inspection Requests (24 Hrs.): (503) 639 -4175 =__ INSPECTION WORKSHEET FOR DATE: 8/8/2007 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 06830 SW ATLANTA ST 100 CLASS OF WORK: SUBDIVISION: HAINES CROSSING II LOT #: TYPE OF USE: PROJECT NAME: JERMEY T. VERIvMILYEA ATTORNEY DESCRIPTION: (2) branch circuits for phone board and data, and (1) low voltage data cabling system. OWNER: ESLINGER, MALCOLM PHONE #: 503-997-8478 CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503-645-5323 Inspection Request Scheduled For: Date: 8/8/2007 Pour Time: Code # Inspection Description - - • . la # Contact # Message 199 Electrical final 053618 -01 503 - 645 -5323 Y Corrections /Comments /Instructions: \ � IN\ W,Gt2 ;1 CAL t J1 }} 6 ikvD UbND vtt ' A , _t_. ka N� ` t 1` 1 __ i - • PASS _ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED ,, . Inspector: 3' N VA Date: 01` 1 Phone #: (503) 718 2-4 b