Permit A C ITY OF TIGARD ELECTRICAL PERMIT
� �• PERMIT #: ELC2005 -00908
V1111' DEVELOPMENT SERVICES DATE ISSUED: 11/21/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1S134BC - 00300
SITE ADDRESS: 12244 SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
Project Description: TI
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: 2.
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: . 5 — 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:
BPP RETAIL LLC MOUNTAIN VIEW ELECTRIC INC
BY BURNHAM PACIFIC PROPERTIES 1314 NE 45TH ST
ATTN: JOHN WATERS • VANCOUVER, WA 98663
SAN DIEGO, CA 92101
Phone: Phone: 360 - 695 -8439
FEES Reg #: LIC 159093
Description Date Amount
[TAX] 8% State Surcharge 11/21/200' $11.73
[ELPRMT] ELC Permit 11/21/200' $146.60 REQUIRED ITEMS AND REPORTS
Total $158.33
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 wil • _ - - • - in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspe : - d for more tha 80 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificati. Center. Those
rule - re set forth in OAR 9 - t 1 -101 t rough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questi •. s toy b U at
50 -246-6699 1- 800 -332 , 344.
Is.ued By: \ / % Permittee Signature:_, 1 ;��
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or r. - ffl 11111. —
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.
•
Electrical Permit Application l OR of iicl:: Liss ONLY
,e C
City o i'tgard D B // Ai o O PermitNo.: G „ /ac-�9dg
13125 SW Hall Blvd., Tigard, OR 97223 plan Review
Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 /N . . ,, i , DateB .
-1.� _ '
Inspection Line: 503.639.4175 'j„ Date Ready/By: � " ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method �P Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction RAddition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: El Service over 225 amps, comm'I ❑Hazardous location
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. fl.,
CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling R Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑Other; ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION RV
❑Egress/lightingp1an park
Job no.: I Job site address: 122,4 y 60 51.0)1s Ctrl ZP ❑Health -care facility ❑der.
Submit 2 sets of plans with any of the above.
City/ State/ZIP: 01 cor X / D Q 9 7ZZ 5 The above are not applicable to temporary construction service.
'\ 9 FEE* SCHEDULE
L/ Suite/bldg. /apt. no.: Project name: DO\Gt. ' 1 ` - -e.,
Description I Qty. I Fee. Total 1 ••
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 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
‘---1 -� dwelling, service and/or feeder 90.90 2
� s `n��� mil. y\? e- me 4\\ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 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/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 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 • 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 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
Business name: _ ' - branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address: qq
each branch circuit ) 46.85 �� �� 2
Each add'I branch circuit ' 6.65 I I .15 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: Pump or irrigation circle 53.40 2
( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name:
IMo 0d‘\' , \1 J ‘ \r t c -De C IA C
Address: 3 U C,� V1 6,�e e } Each additional inspection over allowable in any of the above
1 t Per inspection 62.50
City / State/ZIP: ` ct y\ u\ve f kr, A 9 166) Investigation per hour (I hr min) 62.50
Phone: (�) (9 T . g9 3 q I Fax 3)) ?3S— g' - 3 �I Industrial plant per hour 73.75 -
1 v ELECTRICAL PERMIT FEES*
CCB Lic.: i sclui 3 Electrical Lic.:371 ,6 IC Suprv. Lic.: 36'37 Subtotal I 1 b •C )
Suprv. Electrician signature, - • ired: � Plan review (25% of permit fee)
Print name: -----re �j IL% Date: / Pi j ..0 5- State surcharge (8% of permit fee) j 1 . 73
TOTAL PERMIT FEE ig 3I
Authorized signature: This permit application expires if a permit is not obtained within
i days after it has been accepted as complete
Print name: I Date: • Fee methodology set by Tri -County Building Industry Service Board
•• Number of inspections per permit allowed.
is\ Building \PennitsELC- PermitApp.doe 12/03 410- 4615T(INO2/%1WWEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LI ITED ENERGY PERMIT FEES:
RRES ENTIAL WORK ONLY: �1
Fee fo all residential systems combined........ $75.00
Check pe of Work Involved:
❑ A • io and Stereo Systems*
❑ Bur: ar Alarm
❑ Garage oor Opener*
❑ Heating, entilation and Air Conditioning
System*
❑ Vacuum Syste ' s*
❑ Other:
COMMERCIAL WORK O Y:
Fee for each commercial syste l l , $75.00
(SEE OAR 918 260 - 260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommu • ation Installation
❑ Fire Alarm I t tallation
❑
•
HVAC
•
❑ Ins . mentation
Lj Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ • Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
1:1 Other •
Total-number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
is Bwlding\Pertnits \ELC- PamitApp.doc 04/03
CITY OF TIGARD .. IF.
BUILDING DIVISION PERMIT #: ELC200S -00908
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 g� ;P'� � ��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 28
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: IINIMININNO
DESCRIPTION:
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360-695-8439
Inspection Request Scheduled For: Date: 11/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 022257 -01 360-695-8439
Corrections /Comments /Instructions:
-9 S V Ma cs vs Vsl 1 a a Ll6....
❑ PASS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7 7 , -z----
/, Date: /17 Phone #: (503) 718-7A
CITY OF TIGARD - r
BUILDING DIVISION PERMIT #: ELC2005-00908
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 �rsioal�i�
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 61
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: TI
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 695 -8439
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 022549 -01 360 -601 -7940 N
Corrections /Comments /Instructions:
W &u-- &NV& p (In) °
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- 41;
CITY OF TIGARD ._
ZING DIVISION PERMIT #: ELC2005.00908
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 74
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: TI
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 695.8439
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 022534 -01 360 - 695 -8439 N
Corrections /Comments /Instructions:
t1. rStIol. 1 6 U__ \Aj LL C ) •
IN A
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD • ,
BUILDING DIVISION #: ELC2005-00909
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 emu P rig
Inspection Requests (24 Hrs.): (503) 639- 4175
INSPECTION WORKSHEET FOR DATE: 12/13/2005 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Sign - chanel letters.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503-620-8205
Inspection Request Scheduled For: Date: 12/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13. Ceiling cover 023368 -01 - 360 -501 -7940 Y
Corrections /Comments /Instructions: .
L`).-vb 5 - 009t$ C t,LtNC c,cvia_ pi,) 7 ,
W) f O w \f 01 (li ) ^( CA Pi-U)) ff i N 4\ 1.-1 .
cA.)■-( 1,V) V l' ') ci r 0 M E \ ‘0 P■ 1- .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: ��.�` .- 2 P "� � Date: f /� fr Phone #: (503) 718-
• CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2005 -00908
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2006
Phone: (503) 639 -4171 aW l'r�
Inspection Requests (24 Hrs.): (503) 639 -4175 • I
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 30
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLNR TREE
DESCRIPTION: TI
OWNER: BPP RETAIL \LLC, PHONE #:
CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 695 -8439
Inspection Request Scheduled For: \ Date: 12/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage \ 023766 -01 360 - 695 -8439 N
Corrections /Comments /Instructions:
N� el 'p iNi4S
z__., ‘0•1 A'ir'N
1KLPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr N6E Date: IL,WI Cr Phone #: (503) 718- V'1It' b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200500908
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 �ma��lha
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 29
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: TI
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 695 -8439
Inspection Request Scheduled For: Date: 12/20/2005 Pour Time:
Code # . - ! - cription Confirm # Contact # Message
199 Electrical final 023766-02 360.695 -8439 N
Corrections /Comments/ Instructions:
•
/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1`"6 Date: )2 so I Q Phone #: (503) 718- Z-li`il1
w
CITY OF TIGARD . , 1 ;
BUILDING DIVISION PERMIT #: ELC2005-00908
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 or 1�
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' 1 L
INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7 :01AM PAGE: 24
SITE ADDRESS: 12244 SW SCFIOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: TI
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 695 -8439
Inspection Request Scheduled For: Date: 12/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 023696 -01 360 - 601 -7940 N
Corrections /Comments/ Instructions:
476 TAoAc I 4Xi
SI Cetkl---. io A— . 1:16 teetSicta-- (No\)f44
) V.110 0 f c.54 ik c7/ tIk Z b 1&;:t ...
s - -.=.-. i l_cl- \ANItcs t.ol ttlt) ilpatr.
1_Jw.c.. \10A
c,l ter` c* -
1) BC.A0L c_fz. 1 N\ tS■Cmve tw s‘ )( c-
t4 P rt,-e•Ab 1
❑ PASS IX PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL '4, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G.1kIZ+ t\liel Lt Date: 1 2 -\ 14 1( (Z Phone #: (503) 718- ZA410