Permit dk CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
J��� DEVELOPMENT SERVICES PERMIT #: ELR2006 -00172
' ^°'` =-I DATE ISSUED: 7/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S112AB-02300
SITE ADDRESS: 14150 SW MILTON CT ZONING: I -L
SUBDIVISION: BONITA INDUSTRIAL PARK LOT: 005 JURISDICTION: TIG
Project Description: Data /telecom.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SHEININ - MENDENHALL LLC I CHRISTENSON ELECTRIC, INC.
BY PARROTT PARTNERHIP 111 SW COLUMBIA STREET # 480
12725 SW 66TH AVE #202 PORTLAND, OR 97201
PORTLAND, OR 97223
Phone: Contact #: FAX 503 -419 -3695
PRI 503- 419 -3300
FEES Reg #: ELE 26 -34C
LIC 458
Description Date Amount
[ELPRMT] ELR Permit 7/17/2006 $75.00
[TAX] 8% State Surcha 7/17/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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.
Issued By: iS,,t .„ Permittee Signature: 1 C[) e .-. 04. 4— ..
..�
OWNER INSTALLATION ONLY _ P 4.....7r)
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.
17 -2006 MON 08:19 AM CHRISTENSON VELAGIO FAX NO. 95034193695 P. 01
Electrical Permit Application Felt ()F1:1(1 USL ONLY
City of Tigard ,�G ElV ED
Date/Br. / 1 _ •.% - "'OD /7
Decei e / it
13125 SW Hall Blvd.. Tigard. OR 972 Plan R ''r Other Permit!
Phone: .503.639.4t71 Far.: 503,598. 60 r1 2 "°'s - ';id':' I,` DaWB : .
inspection Line: 503.639.4175 1 •- 1 L � 1i p R JIi El see Paget roe
Internet: www.ci.tigard.or.us .0‘- GA B D Nntifio /Mathud: Supplemental Information
V➢ ^'>i•x '!0.' krlkx Ni x x? : M Z47: � .. l.: .lv::.: :.ig
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❑ New construction %A' . I on/alteration/replacement Please check all that apply:
['Service over 225 amps, cotnnt'l ['Hazardous location
ID Demolition ❑Other
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[Service over 320 amps - rating ❑ Buildng over 10.000 sq. IL,
. t > . : :; :: r.0: :: ;::� + : a: x j `�.y i l A s ° co x ' u'#a: 4 `::t' Vj „s� „ 2-family dwellings 4 or more new residential
.,s L : : � t; < x ; y &.i•. c: , ,. ..... 4 ' !:.. , 4!3,'' ?a `. :.4 � >:.wx �y:x: > s' oft - alld fall Y 68
o:4. : s: .k. .... s.... > �n., . .;., .r<e <rx " ^ ; .; ...�,�+'�
❑ 1 - >: amd 2- family dwelling � CommerciaVindustrinl ❑ Accessory building ❑ System over 600 vohs nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or morn
❑ multi-family ❑ Master builder ❑ Other;
Y. e. <•.sa u• , ^ , rr• Ke, ry DOccupanl load over 99 persons ['Manufactured structures or
^);'�.`!fi':i,r }.� ! a E< 4 4 ''}!0.41.:ti':x:' . •.4r S
>:i:i1 "�: >•: 1 •,NS� "1��; !O `I31�11� :: :s � .� x•x• t:s<�.. [J Egress/IigMingplan park
.,`y':: >:..x.:i <.�.y '; ;r.:f1v• •f � ?'1:��`T:'�,.^•�...u� n, :.r. n 'r��. v >.v.x � $.7 ^' � �'S�t��
Job no.:91 - D I g of Job site address: d (50 SU) 1 ..t- l Y & ['Health-care facility ( Other:
_ Submit 2 sets of plans with any of the above.
City/State/ZIP_rn V.44 P$? [ )j The above are not applicable to temporary construction service.
' 1 L 1� l 1 4- `;� x ' �.. 2 �.,.� 4!;.x� k > . � n -,. � <ii %4 ' { `' ° x '..'
Suite/bldg./apt no.: roj�t name: .
i11e Q�, W A' p r �` OAS :e v. :r. ktCI'x`'.x . ; ' 71 • >.< 1iN ,�.iE3 ?`35 £'x
`V W l eiV la l i� A Y Y S DostelMlon I Qty. I Rea I Total I :•
Cross strect/directionti to job site: Q) eSj3'p �
vls a : "w " II-L l/r-a ( spy New residential single- or multi- family dwelling unit.
_ v' Includes attached garage.
50 3 - (it ck - 3 350 ` 1,000 sq. It. or less 145.15 4
J
Subdivision: Lot no.: Ea, add'I 500 sq. ft. or portion 33.40 1
t..intited energy. residential 75.00 2
Tax map /parcel no.:
Limited energy, non- residential 2
::r. - - :p.r .:::a�s c�::<. {:, •• r >�' + ;: ^ •. RI,<�x: ;;e !: :'::}. + + n� sssE ;
:::i'+ `:'l:i •:s''.i =i xSS' >.x modular
.'� .l(�:g.' •<> %i•a >`� }. Each mono or r`srx : x. >.< r�1. •� . �.s.�''' s'.�.,.s:�, } +.:.>v::es:6..... x..;- x+,:k,x,:x�:.
n ^ ( � L dwelling, service and /or fouler 90.90 2
n '
1 " V ` {�-. Services or reed NV InstaUotion, alteration, and /or relocation
200 amps or less 80.30 2
,«, :,1 x .,., t ., . r: •:<..::t e� »Y, r;'::: ,g,I. r? fi g� r' 'a<;r, „i :. aK�:f <R" :;` x; amp t 106.85 2
.. ee••xx • "- .e s o 400 amps
x: /:� x n�tinw}�3r5:2'0:5 fib >:�:ex: , a�` <it•.4.'.e'� $ ''F . f p},� y,,Y.k : v �: f.i;S!Y„ 201 3� �
:!i:' S; `l : 1:. ;..: . yep / i:i >a:. :.• %t..2/.:•: &,......::: H^ 2, •i >l+ , : , .:. »x .x.e. <2
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:
.n.en .s >: 'x'
<.,,Y.' . «.;.: . .n ......:......:.,.. .. vn..::...,.... ,.�,..,..... 401 amps l0 600 am ps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /Statc/ZIP: 'temporary services or leaders installation, alteration, and/or
Phone: ( ) J Fax: ( ) 200 amp location
200 amps or Ices f 66,85 1
Owner installation: This installation is being made on property that I own which is not 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, nr extension, per panel
::;p. >:. " . $ < < 1„ :$,:.5 ^r.2/ �i:G r :•:'1n+� <. _
%: � :3.+ t %:. 3 i A. Fee for branch circuits With •
• .. ` >.. ; ' } . n ...,.,. + `�'' .. .... •« . �^ service or feeder fee, each
Business name: branch circuit 6.65 - 2
B. Fee for branch circuits
Contact name: wirhour service or feeder fee,
46.05 2
Address: first ttrmtch circuit
Each add'1 branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) rFAX:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 .. 2
E -mail: Signal circuits) or limited -
_^T : :.4, {, ;' :.00 r• :s,: :z:. 'm. < . ;, �c s r ii ':Q:B `arts ; h% ;iii +sx ....t energy , tlorl,
.::i6'.. .t'sx;.:?:E�x:the nr. :,!i. '+ .,.. �i.ek i,. .': •(( 'R; ix : �x ff �a' a' s.a: iSx y , : n sYp anel alteri or
� 2
Not) ' <Y`N.; B': < ,4 .... }` .:....:..:.. :.. ...�St.^c::;`r;. ° °4 •r,'.. ;>r� :. %;x;;.rs x3x:x: .a. xl:x }: extension, Describe; I Paget (JillV
Business name: Christenson Electric, Inc - ((p t C.py>A,_.
Address: 111 SW Columbia Street, Suite 4811 Each additional Inspection over allowoble in any of the above
Per inspection 62.50
City /State/ZIP: Portland, OR 97201 Investigation per hour (I hr nun) 62.50
Phone: (5113) 419 -3300 I Fax: (503) 419 - 3695 Industrial plant per hour 73.75
Sx:Y HRiY #.::x ^S��. i.:.•�r.�'.�+�<' �: .:
..
CCB Lic,: 458 I Electrical Li 26 -34C S t v. Lie.; 199• e. >. :I� �:;.s: +
Subtotal 7 .�
� Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: .� e Re. s . L 1„ o ,,• bate: " i � O / _ o �, State surcharge (8% of permit fee) l
u Alf t TOTAL. PERMIT CBE g I ,
Authorized signature: This permit application aspires if a permit is not obtained within tttu
- - days alter it has been accepted ns complete
Print itame: Date: • Fm methodology set by TO-County Building Industry Service Road
^ •■ Number of inspections per permit allawed.
■
r> Gottee1P .mutstKi.t`.PenmtApp.doe 12/03 440.4d 1ST(1 0/0I/COM/WbB t f ` 5
CITY OF TIGARD Y
BUILDING DIVISION PERMIT #: ELR200G -00172
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 r r i
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I!.
INSPECTION WORKSHEET FOR DATE: 7/25/2006 TIME: 7:04AM PAGE: 66
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: NW MEDICAL TEAMS
DESCRIPTION: Data/telecom.
OWNER: SHEININ - MENDENHALL LLC I, PHONE #:
CONTRACTOR: CI IRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300 .
Inspection Request Scheduled For: Date: 7/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 033625 -01 503-806-9356 N
Corrections /Comments/ Instructions:
i \
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 'U 1 Date: – 7 2 s - 0(o Phone #: (503) 718 -