Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00128
DEVELOPMENT SERVICES DATE ISSUED: 3/4/2005
13125 SW Hall Blvd.. Tivard. OR 97223 (503) 639 -4171 PARCEL: 2S112AC - 02700
SITE ADDRESS: 07360 SW BONITA RD 110
SUBDIVISION: EMPIRE BATTERIES MLP2000 -00002 ZONING: I -L
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Installation of (1) service and (15) branch circuits. Job No. C - 05 - 71
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: 1 W /SERVICE OR FEEDER: 15 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:
T -3 ENTERPRISES ABC ELECTRIC
7360 SW BON ITA RD 135 NE 9TH •
TIGARD, OR 97224 PORTLAND, OR 97232
Phone: 503 - 639 -5515 Phone: 503 - 233 -7551
FEES Reg #: LIC 26 -1226C
Description Date Amount SUP 1 6 1 55
ELE ]61501
[ELPRMT] ELC Permit 3/4/2005 $180.05
[TAX] 8% State Surcharge 3/4/2005 $14.41 REQUIRED ITEMS AND REPORTS
Total $194.46
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 0 -23 .
Issued By: & Permittee Signature ,GL_. ��` -%�;—� i,r •�
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 I STALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: /fitL DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next 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.
MAR -02 -2005 04:38 PM P.
., tt� n 1 Foil O1'l l4 .F, l ltilC t /Nl,l �y ;
• L 1 � r er) n11t l �C�t��� Neches t �� ,pigjj Penult No.: FbQ j OB Ids D
City of Tigard Deco ` v
Plan Review Other Permit.
13125 SW Halt Blvd., Tigard, OR 97223 it ,1,,, ;' {i i\ Date/6 Su Pagc 2 for
Phone: 503.639.417 9 503.598.19 - Date Ready/By; P."- � . guppt P a c 2 fnInformation in tern
Inspection tine 503.639.417 Notified/Method:
Internet: www,ci.tigard.or.us , ll + l t' r ,fir }� t {�?(P. r 1 �t P
'a: �>i lilt Iiiiii !i L i ifFI t i ryttsfi`f mi tt' e 1 ' t,,rl t� } �i �IiV�EA ' • `� ;�C r :. ... E „a lti4� thA571471ilarM YV'Itte. •Pi:lill r i.,i111 :elli EMitr ,i • k �(', i f ' � r tS Fil, Sr l{ fiit ire r , : ;n ¢ ,}ir I11 }r r + j t V r t_ ,l • ,.;., ,'_ .. , if
jf r , ti.,, . .... ...: - ■ Please check all that apply'
[] New construction 0 Addition /alteration /replacement pscrvice over 225 amps, comm'l ❑Hazardous location
73 Other' . - .. °Service over 320 as — rating ° Buildng over 10,000 sq. ft„
Demolition 4 or more new residential
:..i f 1 Y 8
1 s 1 lrn f, f ( , n I rµ kt . J n I l r r t t .:';',.1....,:, •and over 60 0 volts n l We nominal s units in one structure
1 o
=.4,' t rC > ,,Ish.I l` `` y ' ,.,'i:: / ..,,,11.1 ._..: 4...... [�gystem Duet 60o
ytlr, { osi1! !,rrr !r...;r'Ir ..l , 1 building
❑Feeders, 400 amps or more
0 1- and 2- family dwelling Coi»ercial/industrial 0 Accessory 8 DBuilding over three stories
EI Multi- family ❑ Master builder (] Other: DOccupant load over 99 persons ❑Manufactured structures or
r RV pa
1
'd{r, N3,r 1 t,i}„ xr l ' i ; 1 ,,1 1 I 1 , ..... Egress/lighting plan c
1 1(4 ;,t,±i r`'i ei rl., rl r ,1 <. 1 .. ,,.. ... , s ,. � ... ,. ❑Hoalth•c G f Ihty ❑Oth r:
Job no.: c_0 Job site address. 0 � IS I ' % - Submit acts of plans with any of the above. •
ff The above are not applicable tot emporary construction service,
� . t { k r { �i 11 r �rl lrt I � �Iil I +w t fir r b1 f "• ii
• — —.'t ,r Iq } l , ,f1 + {+ t i, , f;a ; ilititall thl{�p'11� f E� }g
1 ,, S E I t 1 t.3 f.nr i . 1.1 Y, X f:'� I 4., } II,.v1 Rnb.si�l .it{:`. ,7'ir1 X
Suite/bldg./apt. no,: 0 Project name:' l«I/dfirAjzs ar iituriptlan
Qty Fee. Total in
1 � / ,� New residential single- or muiti-famliy dwelling unit,
Cross street/directions to job site: �' �_ ∎ Includes attached gore' e.
1,000 sq, ft. or less IIIIII 145.15 Q
Ea, add'I 500 sq, ft. or portion IN 33.40
Subdivision: Lot no.: 75,00
Tax
Limited energy, residential $ 0
Map/parcel no,; nt ia 7
... .... ......................... . �.: �:::..-•:: : :. l :. ":':�:>�;: o ormodular
1 United energy, n 0
'.ltl #t t{ t( #Il � fr$1 t t r ,' ({ f i+ g r t r , 1 5 } - ,r ach manufactu„d !1oniior , , ,dt1, dwen. / fL /` /I / a A 1L/ relocation
200 amps e ..,, ... .: . .: .. 160
or less
:" 0 a
u , � : . .. i, .., ....,� , i:• ...... :i:: .... s to 600 amps s MI 106.85 1E1
. x11 ._.,l . ... ... �.. ....•. .,. ,,,,,, _. ,...,.:r ..�: ? „ 401 amps E Name: i .l 1 .r,. , ..,.. . r . . m amps r,._
1 , r � � I/ J, , � � 601 amps to 1,000 amp 240.60
Add Q 4 ! ` / Over 1,000 amps or volts im 454.65 — 2
Address: l am" /� Xl .. ` Reconnect only MO 66,85 2
/ Temporary services or feeders Installatlon,•alteration, and /or
_ ` relocation
Phone: ( ) f Fax: ( ) 200 amps or less 66,85 1
Owner installation: This installation is being made on property that I oWn which is not 201 as to 400 amps 100,30 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 am•s 133.75 2
Owner signature; Date: _ Branch circuits — new, alteration, or extension, per panel
.' ; : : :: ; ,.., ,.,:r,, .... .
°:.,.. :•:: : ..,�: .. • circuits with
fr.q,.hlr,,i,,ir ,i 7 ,,: �, �i .::.:: -, ... •.t. '.t- ....,r;' ,
,i„ ,ii •rfyt +l „ E ,,, �l : ,:. � .. , , I r,; .,, . ��.. :... • service or feeder fee, each 6,65 ri 2
i branch circuit
B, Fee for branch circuits
Contact name: , . � - .. A t / w out service or feeder fee, . 46.85 2
Address: 1 y �r m . Each add'I b ranch circuit
branch circuit ME 6.65 2
IMMEMEIrilli Miscellaneous (service or feeder not included)
S O 4111,4111111 Pump or irrigation circle 53.40 2
phone: ( ) —� Sign or outline lighting 53,40 — 2
Bo y Signal circuit(s) or limited-
r
11 t l� ir tFllli } �ii r takli tl is t�Il 1 { i rg1..,I.:;Y ¢r rl r 1� 1 ' ,. .., ∎•,1 energy S 2 2
tt ,, panel, alteration, lBtl,r, l.. ,di.,t{i , zrUl,,,i,,,, t . -1. ,:r,rf, .. x,r.xar .... , . ,. extension Describe: Page
e
Business name:? .. f1j /
Each additional inspection over allowable In any of the above
Address: A t r :' / i Per inspection MI 62.50
. ' , investigation per hour (I hr tutu) 62.50
� : • _ � industrial plant per hour �� � [[FF
w I a , J � r yl t t t A)4 } 1yx 7yrtil")Ikl.11,.3 "il1i
L ni xt' l Fllei 4: 1131 m „` 3(�'� m..� :;' aledinli.F.�,I�Y ,7Vb , Yi l . r
CCB Lie.: 0 Electrical Lic 1, M _ . , 1 Subtotal /W ' e5
Plan review (25% of permit fee) _
Supty, Electrician signature, required:
surcharge (8% of permit fee) /1/ . '
State surc /
`` ` ` ./ / / ,� r Date: A� TOTAL PERMIT FEE , T
—, Authorized signature: g.--11111111111111 This penult application explree if a permit it not obtained within 180
days after it bat been accepted as complete
Date: • Fee ,methodology set by Tri•County Building Industry Service Board
y / , ♦ • �� e* Number of inspections per porno allowed.
i B, Illd ipy\permlte\ELC- PcrmitApp.d°a l2 /OS 0 44t_4615T(10 /OVCOM/WP9
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00128
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4/2005
Phone: (503) 639 -4171 �h/infd l �d'�I
Inspection Requests (24 Hrs.): (503) 639 -4175 �' . •
INSPECTION WORKSHEET FOR DATE: 3/24/2005 TIME: 7:09AM PAGE: 65
SITE ADDRESS: 07360 SW BONITA RD 110 CLASS OF WORK:
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Installation of (1) service and (15) branch circuits. Job No. C -05.71
OWNER: T -3 ENTERPRISES, PHONE #: 503. 639.5515
CONTRACTOR: ABC ELECTRIC PHONE #: 503 - 233 -7551
Inspection Request Scheduled For: Date: 3/24 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 002639 -01 503- 233 -7551 V
Corrections /Comments/ Instructions:
)(pAss ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L/ �1 it `/ rl// Date: � Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 00128
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4/2005
Phone: (503) 639 -4171 / 0 4 1 „ 9 0
Inspection Requests (24 Hrs.): (503) 639 -4175 41-
INSPECTION WORKSHEET FOR DATE: 3/10/2005 TIME: 7 :30AM PAGE: 39
SITE ADDRESS: 07360 SW BONITA RD 110 CLASS OF WORK:
SUBDIVISION: EMPIRE BATTERIES MLP2000.00002 LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Installation of (1) service and (15) branch circuits. Job No. C-05-71
OWNER: T -3 ENTERPRISES, PHONE #: 503 -639 -5515
CONTRACTOR: ABC ELECTRIC PHONE #: 503 - 233-7551
Inspection Request Scheduled For: Date: 3/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service/reconnect 001169 -01 503 - 233 -7551 h!
Corrections /Comments /Instructions:
•
1)VaZ )D3
14 PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (> Phone #: (503) 718 - ).r/1 /