Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00690
III DEVELOPMENT SERVICES DATE ISSUED: 12/18/00
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 25101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY 200
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: C -P
BLOCK: LOT : 003 JURISDICTION: TIG
Project Description: Add Outlets For Monitors & Receivers
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 WIO 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: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SCHNITZER INVESTMENT CORP PHOENIX ELECTRIC CO
PO BOX 10047 7379 SW TECH CENTER DR.
PORTLAND, OR 97296 TIGARD, OR 97223
Phone: Phone: 684 -3600
Reg #: LIC 00052288
SUP 4140S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 12/18/00 $73.45 2720000000( Elect'l Final
5PCT CTR 12/18/00 $5.87 2720000000(
Total $79,32
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE SIGNATURE a(M ISSUED BY:
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 639 -4175 by 7:OOpm for an inspection the next business day
J ._il-2000 MON 04:11 11 PM PHOENIX ELECTRIC CO FAX N0, 15036843611 P. 02
Electrical Permit Application
4 Date received: Permi no ,2 6 G
„, �f ?1111 City of Tigard Projcctiappl.no.: Expire date:
city q /ngard Address: 13125 SW Hall 131vd, Tigard, OR 97223 Date issued: By: Re ei pt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
❑ I & 2 family dwelling or accessory Commercial/industrial Li Multi - family 0 Tenant improvement
V New constnlction 0 Addition /alteration/replacement 0 Other. U Partial
.1 OH 51 f1'. [MAMMA-110N
Job address: =+�( L) 4 Bldg. no.: Suite no.: • E• , pO Tax map/tax lot/account no.:
Lot: _ Block: Subdivision:
Project name. e •j' Dcscitiption and location of work on premises: j`j --),(d, f , Q 1,stitnated date of completion/inspection: j P D.
Job no: )7 � .,- .
Business name: ' t , , n \�/ ••\. ( \ -v /+ . l rcri non (jay. (t p
\ \ Nee residential -single or multi Tamil �
c' I total oo, Ilse
Address: T� =, ff \
o . . ∎� K dwellinganit ,Includcsattaebtvlgarage.
City. el. ` Slag` ,_ ,.. . Servistmcloded:
Phone In --F , comma E -mail: 1000 sq. fi or less 4
- CCB no.: S '°, ie Elec. bus. lie. no: ) / #) (`i R . addilianal5oosq. 11. or portion thereof � -- 1.4miloti energy, residential • 2
City /metro lc, ono.: l Limited energy.non- rcridential 2
-y / / "�' t'�l L Each manufactured home oi'modular dwelling +
_Signature of supervising electrician (required) Crate ... Service and/or feeder 2
-
Sup. elect. name (pi int): il 1„„ a,1, Fr +, I .iceuse no: 3P6 3s; services or feeders- installation,
alteration or relocation:
200 amps Or /CRS 2
Name (print); -_*. Yc1cA0 - _ � 201 amps to 400 amps 2. '
Mailing ad dress: \� \CC) ) ,.� •) 3l 401 ampsla600ampa .m 2
601 amps to 1000 amps 2
Cit . o St ate: L ZIP: Over 1000 amps or volts 2
Phone: • Fax: E -mail: Reconnect only 1 '
Owner installation: The installation is being made on property I own Temporary services orfeedcra -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
ORS 447, 455, 479, 670, 701. 200 amps or les 2
201 amps to 400 amps 2
Owner's signature: _ Date: _ 401 to 600 amps 2
I•.N(. I N font Branch circuits - new, alteration,
or extension per panel:
Name: A. Pee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State; ZIP: B. Fee for branch circuits without purchase ��
Phone: �
— of Pa E -mail service or feeder fee, first branch circuit: 1 2
- Each additional branch circuit: -' W.)
PLAN II INII.w (Please check, all that apply) Mbar. (Service or feeder not Included):
U Service over 225 amps-commercial 0 Health care facility Each pump or irnigotion circle 2
O Service over 320 amps - rating of l &2 U ilaiardous location Each signor outline lip Kling 2
family dwellings 0 Building ov ar10.000 square foot four or Signal circnit (s)oralimited energy panel, '�' —
U Syatcm over 600 volts no rninal more residential units in one structure alteration, or extensions 2
D 13uildini over three stories U Feeders. 400 In ups or more *Description:
CJ Occupant Iuad over 99 pur.uns 0 Manufactured structures or k V park Each additional Inspection over the allowable In any of the above:
U rigrss/lightingplan 0 Other; Per inspection
Submit _ sds of plane with any of the above. Inv fet
'1Le above are not applicable to temporary construction service. _ Other '"
Ndt all jurisdirtinns leapt credi' cal*, please can iurirdictia, for Tore InGm Notice; This permit application Permit fee $ ,4/5
O Viso U MasterCard expires if e permit is not obtained Plan review (at %) $ •
credit curd number: _ . — — _I. 1 within 180 days after it has been State surcharge (8%) .... $ , � {r['
E:t acce as com TOT AL $
Nano or o,rdlwldor as Irov. on crest card
S - \% / /fy p /1
L_ C.udlroldcr signature Amount /70 /4/ `'� _ �i9 4404615 (MOO/CON)
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24- Moutr_Insp ction•Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / 7 AM PM BLD
Location / 3/ c 5 I 6 X fse--a " y Suite Z 00 MEC
Contact Person ,x-44 i r 5 / Ph PLM
Contractor 01, J6 cl y Ph 6 aS 3100 SWR
BUILDING Tenant/Owner SZ7 ELC Qv 1' & - f U
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam /�
Ext Sheath /Shear i 6 s colt / 1 4 9 A - f�
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - = / • _ _:!_ _
Fire Alarm
Susp'd Ceiling
Roof
Misc: •
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
•
Rough In
Gas Line
Smoke Dampers
Final
P RT FAIL
EL
ervice
Rough In •
UG /Slab
Low Voltage
ira arm
Fina
ASS PART A
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at,City Hall, 13125 SW Hall Blvd
Catch Basin [ 1 Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other D /2 - ' (9 Inspector L - - / Ext
! -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.