Permit " ; CITY OF TIGARD ,; ELECTRICAL PERMIT
PERMIT #: ELC2004 -00549
M;(7 DEVELOPMENT SERVICES DATE ISSUED: 8/26/2004
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 - 4171
PARCEL: 1 S136AD -06503
SITE ADDRESS: 10900 SW 69TH AVE
SUBDIVISION: WAY LEE ZONING. C -G
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Addition of bar.
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: SIGNAUPANEL:
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:
WAY W LEE GENERAL MIKES ELECTRIC
CONTRACTOR 11070 SWALLEN BLVD
5210 SE 26TH BEAVERTON, OR 97005
PORTLAND, OR 97202
Phone: Phone: 503 - 649 - 6991
Reg #: LIC 50209
SUP 4230S
FEES ELE 34 -18c
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 8/26/2004 $66.80
[TAX] 8% State Surcharge 8/26/2004 $5.34 Rough -in
Elect'I Final
Total $72.14
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: Permit Signature: JZ-e
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
Sent By:. NrIKE'S ELECTRIC; 591 7847; Aug -26 -04 6:10; Page 1/2
•0 3/31/;1003 12:25 FAX 5035981960 CITY, OF TIGARD 1002
. ,
I�OIZitE•'1• \f I�: USE Util.
Electrical Permit ,l 1 l.;v , , _ _ - E, >a `' �/ �n 5 `!! //
Dst� _ ■ , Permit Nao.6 L C.,2gV / GO 7 q ,
DateBY � ppnoval Sign No.:
City W Tigard AUG 2004 Plan Roview Wither
Tigard, (hew= 97223 Daub ?emit No.:
Phone: 503 - 639-4171 Fax: 5030inageTIGA '• Post- -Review Land Use
Inoernex www.eLt!gard.or.us BUILDING DIV i i Date Ju rjL:
, . ■,Rl- ,'� �� Conant 7u ill. SecPapetfor
24-h0112 Inspection Request; 503-639-4175 Name/method: _ T / If , SOpplaemtat loforemtloe.
:'k:•'e1`. -. , ' +3:6vtiii:a ,ATIVlP.�'',.�IVON6 � : :'11;9:r, = }��° ,L;: — . +ata'r�t��p. , �(!'°'�: � .: •f,: y:
-8 New construction D Demolition —trg
Addition/alteration/ 1laoement . Other: ^
ii .•3;.'i :r: ':� •Yti� • :i. f ot. , lyi��_ C,. • .f "i:'r t�I 5 ; '7/'' 0/ in
ir! G+? �.,�- fe!
■ 1 & 2-Family dwellin 1 V. CommerczaUlndustnal
• Accessory Building Multi -Famil p I �c' , 1... /;-.;. w park
• Master Builder I ■ Other D / - ; - —
, l'y 1: • ,;. 1 _ : N ra; a k _ �2'r ir7•, 0 ; J 5 uF.1.� .. t :1'? ......i.:.:::?::; ^i 4,:,..-
Job site address: 10 900 S W 6 9_t:1LP.a r k w a v :1, • LLC YUY r , wt '. I e
Suite #: J B1d ✓ t. #: W 1
g Ap _ l'iltl a! lnlspegi0n! per permit aliened
•
Project Name: D ldOI J Qtr I PR. /fel Tem I i
Cross street/Directions to job site: Nov s pr it tau der � per
Pacific Hwy Semi= included:
1000 up. ft. or bas 145.15 4
Each additional 500 sq. IL portion thereof 3300 1
SilbdlV IS1011: Lot #' ' Limited enerd% evidential 75.00 2
Limbed eilet. non residential 7100 2
Tax /parcel #: Each manufactereilitorne or modular dwdlmg
;11e;1'. r;. , ;: ri ' l 1 s a :0M ef 1I, I t ; r,'3:::.7:..!.• • r.t r ratios and/or f. idsr 90. • ' 2
�. -' �l+ f �tCr.: l :'7�: 1
:IV i� r :d •r1.1�
Semites or faders - Intnttatloa
Adding. bar alteradon or retecetisa
200 =Pa or Iran 80.30 2
- 201 amps to 400 amps 106.85 2
:,.;.,.
401 amps to 600 amps _ 160.60 a
-I�:�, R , : ,, ;F %r' �,��:E�'. �••! ".,: • i r::■,- s'tt:. �„ M�'�!'! ; 601 WO m WS atnp9 � I40.00
Over 1000 amps or volts 454,65 2 •
Name: - Recoenetxonly 66.85 3
Address: Temporary services or feeders - installadou,
Ci /StSte/Z : 200 ha los, or rdoeaelone
tY 200 amps or less 66.85 1
Phone: Fax: 201 amps to 400 amps - 100.30 2
IJAPirit ;I :f LA14 s` _"'a ,3 4 - .0 7 . 01YEi' • t ,` 401to600ampa 133.75 2
- Branch ell-colts • nea alteration, or
Name: attnnsba per panel.
Address: . A. Pa for branch circuits wt ds panel=s of
`
service or feeder foe, each eh circuit 6.65 2
City /State /Zip: 8. Fe for brooch emits without purchase of
--- rules or rtmder &c. rast'brarch circuit 46 86 4 6 _ 8 5 2
Phone: _ l Fax: _ Path additional branch cheek 645 1 9 Q 2
E- mail: r r� lQ[11 :� j� Mae.(Servica or feeder ant intended):
` } .�'h 'xtf "14 i,..i-n y.;;'.? ;ielik y � : •'� I Ri1, d [''.;tp•
:.. ,,...ci.:•... Each r no orirrinstiencirele _ . 53.40 2
si:• aeee9in.li: 53.40
Job No: C,i, r rows 5 ..... c h t e i t ( s ) or a lim iced energy panel,
Business Name: M i Ice s Electric alteration or woe on 2
tkteeiption: • Address: 11070 S W Allen Blvd, . _
C" /State/Zi : Beaverton 0 R 9 7 0 0 5 e aets additional rmpectlon over the allowable In of the absent
P _ " Per Emend= pas boor (mar 1 hoer) 6.250
13 Phone: 64 c) JO 91 Fax:5 0,1.6 41.1902
CCB Lie. #: C 5 0 209 . Lic• #: 3 4 —1 8 C O
Supervising eleronic :', : . i,41fd saaiif * ' y w;. ; : °;; Y ;
signature required: l - ....8 0
! 4 _ /���' f"� " ^' • Plan Review (25 % of Penuit Subtotal $ A 6 Fee) S
Print Name: ka3e e 1 a a t, ' wt- ` : s State Surcharge x,8% of Permit Fee) $ 5 _ .4 &
TOTAL PERmiT FEE $
Authorized Notice: This permit application empires if a permit is not obt he within
Sigua tine: Date: 1110 days alter it has bean accepted= complete.
'Fee mdttodolOgy sat by Tti- County Building Industry Service Board.
(Pkaso grim neuw)
Mine \PermitPonadElc?ermltnpp .doe 01103
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2004 -00549
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2004
Phone: (503) 639 -4171 // yAih
Inspection Requests (24 Hrs.): (503) 639 -4175 " -
INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7 :11AM PAGE: 97
SITE ADDRESS: 10900 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: WAY LEE LOT #: 002 TYPE OF USE:
PROJECT NAME: CARROWS RESTAURANT ,i
DESCRIPTION: Addition of bar.
OWNER: WAY W LEE GENERAL, ). PHONE #:
CONTRACTOR: MIKES ELECTRIC PHONE #: 503 - 649 -6991
Inspection Request Scheduled For: Date: 3/16/ 2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 001827 -01 503-649-6991 N
Corrections /Comments /Instructions:
1
c (/
\i-N'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: AA...L..4,1 a`' Date: �6 - Os Phone #: (503) 718 -