Permit CITY OF TIGARD BUILDING INSPECTION DIVISION
14N
24 Inspection Line: 639 - 4175 Business Line: 639 - 4171 MST
BUP
Date Requested 4 AM PM BLD
location_\ J? 0 54,) 7z.y,04 Suite MEC
Contact Person Ph (&SI 2G PLM
Contractor. PA, 0 / c u / �c��67 Ph SWR
BUILDING Tenant/Owner ELC Zolfo —G
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath/Shear
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
PASS PART FAIL
tLECTRICAL
. Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
E OPART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk •
Other Date - �� Ins ��� ` _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
A. CITY OF T ELECTRICAL PERMIT
PERMIT #: ELC2000 -00639
II DEVE SERVICES 639 -4171 DATE ISSUED: 11/17/00
PARCEL: 2S1 13AA -00800
SITE ADDRESS: 16470 SW 72ND AVE B -06
SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I -L
BLOCK: LOT : OOD JURISDICTION: TIG
Proiect Description: Installation of one branch circuit. Job No. 3033 -35
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/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
PACIFIC REALTY ASSOCIATES PHOENIX ELECTRIC CO
15350 SW SEQUOIA PKWY #300 -WMI 7379 SW TECH CENTER DR. •
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 684 -3600
Reg #: LIC 00052288
SUP 4140S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 11/17/00 $46.85 2720000000( Elect'I Final
5PCT CTR 11/17/00 $3.74 2720000000(
Total $50.59
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 ese ru e or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE / ISSUE BY: ( i�I ltd/14-441
OWNER IN TALLATION 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: — sif DATE:
LICENSE NO:
Call 639 -4175 by 7:OOpm for an inspection the next business day
„AV -F17 -2000 FRI 03:01 PM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02
ilik Electrical Permit Application
Date received: // /7.06 Per no.: fL
, ••,)1! City of Tigard Projeet/upph no.: Expire date: .
City nf7?gard Address: 13125 SW Hall Blvd, Tigard, OR 97223 - .
Phone: (503) 639-4171 Date issued: By: rRecciptno_:
Fax: (503) 598 -1960 Case file no.: Payment type:
__
Land use approval:
❑ 1 & 2 family dwelling; or accessory ommcrcial/industrial 0 Multi - family LI Tenant improvement
C] New construction Addition/alteration/replacement O Other: 0 Partial
JOB NULL INFORM Al ION
Job atklress :1 c i • .` , B no.: Suite no.: Tax map/tax lot /account no.:
Lot: _ Block: Sulxlivision:
Project natntf. 4l'1i Description and location of work on premises: wft., 4'MIM, ■ ' 4, \ e ui
Estimated date of corn detion /inspection:
(ON! RA('TOI( AI'PLI(:•A LION I'LL S('IIII)1 J.1;
Job no: '.? C? - -•' 5
Business name: _. v Description Fa. Maur
t ► �
Oty. , (en.) 'Total Ito. insp
Address :r)�� • ( ,) —� Newresdential -dusk orimllli- fam0yper
- c tom. f dwelling aalwched&atvge
Cit
L Service included:
Phone • , Fa rurally, t -mail: louo sq.n.orless 4
CCB no.: ..
' _ 1 Elec. bus. lie. no• ��C�(qc %) •` Each additional 500 sq ft. or portion thereof
�6``��'' Limited energy, residential
City/1110W ic. n .: 1 2
Limited energy, non-residential l 2
r Each manufactured home or modular dwelling
Sit`nattue of supervisini electrician (required) D Service and /or feeder 2
Sup. elect. nano(la'iat); "r,1,,c.11 Fa- t..e j l,itxnseno :3 PC3 Services or faders histallalion — ,
alteration or relocation:
200 amps or less 2
Name (print): 201 amps to 400 amps 2
Mailing address] : -�7 --a. l4ek - 401 amps to 600 amp 2
GOl amps to 1000 amp
City: Ismter . zin Gp'J. Over 1000 amps or volts 2
Phone: Xj U , a . vaWca, 1E-mail: Reconnect only
1
Owner installation: The installation is being made on property I own Temporary services or feeders. ,
which is not intended for sale, lease, rent, or exchange according to Installation, alteration, orrelocation
ORS 447, 455, 479, 670, 701, 20o,mps otiose 2
201 amps to 400 amps 2
Owner's signature: - - .. Date: 401 to G00 amps r
ry 2
IN(.lN1 :17t Branch circuits- new, alteration,
Name: or extensions per panel:
A. Pee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: ZIP; B. Pee for branch circuits w purchase
Phone: Pax: E service feeder fix,fitalbranc J � 5"---2
Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
1 ] Service over 225 tunps •colmnercial 0 Health facility Each pump or irrigati circle 2
O Service over 320 amps - rating of 1&2 0 HdzarJuus location Each signor outline lighting 2
family dwellings 0 Building over 10,000 square feet four or Signal circuir(s) or a limited energy panel,
0 System over (00 t ilts nominal more residential units in one structure alteration, or extension* 2
O Bulb ling over firm slnrics U Feeders, 400 amps ormore *Description: _. _ _
0 Occupant toad oven 99 persons ❑ Manufactured sctures or RV patio Each additional InSpcetiono ►erthe alloweUlelnan orate y '
O I igtcss /lighting plan 0 Other,
" Pcrinapeclion I I _ I
Submit ^ sets of plans with any of Ore above. investigation fee
The above are not applicable to temporary construction service. Other
' Nat all Jiff t''nial nrcept credit cards, please call JmiMlictitm For name information. Notice; This permit application Permit fee $ . t . ). ---- •
O Visa 0 MasterCard expires i f a permit is not obtained Plan review (at _ %) $
Credit cant reindict; . ._` _/, 1 within 180 days after it has been State surcharge (8%) ... $ = -
�.- tiapirts accepted as complete. TOTAL $ �,
Hattie of cardholder as shown on credit card
$
Cardholder riEua i; Amount
440
r
• JAWALAIV__ / ` ` , 1J .�- - 4• ,5D 440-4615 (Gt7(YCOM)