Permit CITY OF TIGARD ELECTRICAL PERMIT
._ Ill 9 ° PERMIT #: ELC2008 -00304
COMMUNITY DEVELOPMENT DATE ISSUED: 5/30/2008
TIGARD 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: NORTHWEST MEDICAL TEAMS
Project Description: Installing (4) branch circuits.
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: 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: 3 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:
SHEININ - MENDENHALL LLC I TEAM ELECTRIC CO
BY PARROTT PARTNERHIP 9400 SE CLACKAMAS RD
12725 SW 66TH AVE #202 CLACKAMAS, OR 97015
PORTLAND, OR 97223
Phone: Contact #: PRI 503 - 557 -7180
FAX 503 - 557 -8201
FEES
Description Date Amount Reg #: ELE 3 -225C
[ELPRMT] ELC Permit 5/30/2008 $66.80 LIC 173043
[TAX] 12% State Surchar 5/30/2008 $8.02 SUP 44165
Total $74.82 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 503.246.6699 or 1.800.332.2344.
Issued By: -- Permittee Signature: , �i / e 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 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.
I r
it.' / MAY. 29.2008 2:43PM TEAM ELECTRIC NO.190 P.2 /2'
• _ m e t r i c a l ] P e r m Anu licarioRE CEIVED Wit () I I I( I I NI u ) \ I 1 i
City of Tigard Received ' - ■ 1�i.1 '
13125 SW Hall Blvd., Tigard, OR 9722MAY 2 9 2008 Plan Review
Phone: 503.639.4171 Pax: 503.59111960 Datem , Other. Parrett
r t Inspection Lint: 503.639.4175 CITY OF TIGARD DMa Ready/Ely: ® See Page 2 for
Internet wWw.tigard- or.gnv , r I a • ■ Notified/Method; /! Supplemental lnformalian
TYPE Or" :I:7 - .. PLAN REVIEW
❑ New construction A Addition /alteration/replacement plena c all that apply (submit z ems ofplai* w/Ireins checked below):
[I Demolition ■ • „ en Cl Service or feeder 400 amps or more ❑ Bulding over dam arenas.
where the avmlable fault curtest Cl Marinas and boatyards.
CATECTORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or Cl Floating buildings.
Q 1 - and 2 - family dwellin �tnmercial /industrial less to ground, or exceeds 14.000 ❑ Ctmm a�twlhaal
_/ ' o
_ 0 Accessory building mops for au oilier �nen�. buildings.
❑ Multi family ❑ Master builder ❑ Other O Frepamp. Cl Mutilation of 75 KVA or
JOB SITE INFORMATION AND LOCATION El Sntmgetrcy syrtam. larger separately derived system.
❑ Addition anew motorloadof Q "A ", '°ah, "t- 2 ", "1,3 ",
Job no.: 2489 I Job site address: 14150 SW MILTON CT 100HP ormore. eroempaaay,
OS
ic m more residential Mite, ❑ Recreadenal vehicle parts.
City/State/ZIP: TI GARD , OR 97207 ❑ He -c re theilities, O Supply voltage fer more mm
D Hazadous locations. 600 volts nominal.
Suite/bldgJapt. no.: I Project name: MEDICAL TEAMS I NT r L l Ve o
icr reader wo amps err more. _
FEE SCHEDULE
Cross street/directions to job site: /V rl iart3, -- Pted wry, neetetl Ob Fee •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision; I Lot no,: 1,000 sq. 8.' or leas ' 145,15 4
J Ba. add`1500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above se. P.) 75.00 2
Limited energy, multi-family 75.00 2
POWER CORD . DROPS residentirtywith above sq. ft)
Services or feeders installation alteration, and /or relocation
200 snips or less 80,30 2
Q prop iRTY OWNER; I ❑ T ENANT 201 amps to 400 amps - 106,85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address' ` _ Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary serves or feeders installndon, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 1 66.85 1, 1 1
Owner installation: This installation is being made oaf 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 m 599 amps 133.75 2
Branch circuits —new, alteration, or extension, upanel
Owner signature: Date: A.. Foe for brands circuits with
El APpLICgNT L 1:3 CONTACT PER$ON above service or feeder fee,
each branch circuit 6.65 2
Business name: Team Electric B. Fee for branch circuits
Contact name: wirhoul service or feeder fee, 1 46,85 46.8 2
first branch circuit
Address: Each add'I branch circuit 6.65 Lj G1 2 -
City/State/ZIP: M us ser
isceeo (
llan vice or fee der not secluded)
ty Each manufactured or modular
Phone dwelling. service and /or feeder 90.90 2
( ) I Fax' : ( ) Becormnet only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
, CONT'RAC1'OR Sign or outline lighting 53.40 2
Business name: Team circuit(s) or limited -
Te am Electric energy panel, alteration, or
Address: 9400 SE Clackamas Rd. extension_ Describe: Paget 2
City /State/ZIP: Cl ackamas , OR 97015 Each ndditMnai hwnectton over a in any of the above
Per inspection 62.50
Phone: ( 503 ) .557-7180 I Fax-:(503) 557-8201 Investigation per hour (1 hr twin) 62.50
CCO Lie.: 173 04 3 Electrical Lice.: 3 - 2 2 5 C 1 Suprv. Lie.: 4416-S , Industrial plant per hour 73.75 ,
ELECTRICAL PERMIT FF..ES
Suprv. Electrician signature, required: Subtotal; 66.80
Print name: Da te: Plan r eview erm it fee):
Mic Trusheim 5/29/08- State surcharge (12% of permit fee): a.0
Authorised signature: 77.7,,)„,,,, p ..../ ^"rte TOTAL PERMIT FEE: 74 .
5/29/08 e permit application capita ifs permit i not obtainedwithinl
Pnattlaale: Michael Trusheim Date'
days atter It has been accepted as complete.
• CtBmtdin 5Henniml�.GPefetjIAppoee 05/29/06 440.461 Num6orofhtapot�onsaIlawodperpt�i[
35'(11/os�OM/tVBa
CITY OF TIGARD '
• BUILDING DIVISION PERMIT #: F_LC2008- 00304
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I30/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/2/2008 TIME: 7:02AM PAGE: 22
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: E3ONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: NORTHWEST MEDICAL TEAMS
DESCRIPTION: Installing (4) branch circuits.
OWNER: SHEININ MENDENHALL LLC I, PHONE #:
CONTRACTOR: TEAM ELECTRIC CO PHONE #: 503 - 557 - 7180
Inspection Request Scheduled For: Date: 6/2!2008 Pour Time:
Code # Inspection Description C.. • am # Contact # Message
199 Electrical final 070626 -01 971-219-6754
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eglord
Corrections /Comments /Instructions: n
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The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 81b- zit - UUSW
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (T ', N b 6 1. Date: Cr Z 41 Phone #: (503) 718- 1-4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 Of1304
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/30/20011
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/3/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: NORTHWEST MEDICAL TEAMS
DESCRIPTION: Installing (4) branch circuits.
OWNER: SHEININ- MENDF_NHALL LLC I, PHONE #:
CONTRACTOR: TEAM ELECTRIC CO PHONE #: 5503557 -7180
Inspection Request Scheduled For: Date: 6/3/2008 Pour Time:
Code # Inspection Description onfir # Contact # Message
199 Electrical final 070735 -01\ 971 - 219.6754 \ Y
13 21
Corrections /Comments /Instructions:
�N
? Lexitet.O NO at Ott • -
3w -;a ^RS ? N c.,140,Nle\ .
Rf - ;t`I sk i 6N C wILe.. 81i 40S sib
aN NEltI w bl yea , 6N Ito I�� tAOSMgr , •
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • 8'0 Date: b' 01) Phone #: (503) 718- 214k
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008- 00304
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/200t1
Phone: (503) 639 -4171 1111
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 61512008 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: NORTHWEST MEDICAL TEAMS
DESCRIPTION: Installing (4) branch circuits.
OWNER: SHEININ - MENDENHALL LLC I, PHONE #:
CONTRACTOR: TEAM ELECTRIC CO PHONE #: 503 - 557 - 7180
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description ' onfirm Contact # Message
199 Electrical final 070908-01 971 - 219 -6754 \ Y
Corrections /Comments /Instructions:
BRAS" ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
MI - ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr) V L- Date: 6' 0' QO Phone #: (503) 718- 1'TTL