Permit __._. CITY OF TIGARD ELECTRICAL PERMIT
.--4- 1.!1. DEVELOPMENT LO PMEN R SERVICES � ES DATE ISSUEDaC078 /�5�98 Hall Blvd., Tigard,
PARCEL: 2S101DC -03703
SITE ADDRESS...:13500 SW 72ND AVE
SUBDIVISION • ZONING:C —P
BLOCK • LOT • JURISDICTION: TIG
f Project Description : Dubai Beck Prop JOB :1045
1 - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP/ IRRIGATION : 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - - - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS - --
- 0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION : 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR. - 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT : 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
ROBERT DUBAL & TOM BECK type amount by date recpt
13500 SW 72ND PRMT $ 35.00 JSD 07/15/98 98- 307371
TIGARD OR 97223 5PCT $ 1.75 JSD 07/15/98 98- 307371
Phone #:
Contract or:
GEORGE MORLAN PLUMBING $ 36.75 TOTAL
12585 SW PACIFIC HWY
REQUIRED INSPECTIONS
PORTLAND OR 97223 Rough —in Elect' 1 Final
Phone #: 771 -1145 Elect'1 Service
Reg #..: 000027
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 188
days of issuance, or if work is suspended for more than 1 days. ATTENTION: Oregon law requires you to follow the r es adopted by
the Oregon Utility Notification Center. Those rules are t forth in OAR 952-081 -0818 through OAR 952 -001 -1987. , u may obtain a copy
ir
o 987. r :�� 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 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
JUL -15 -1998 10 38 GEO MORLAN ACCOUNTING 503 670 0609 P.02
•
CITY OF TIGARD Electrical Permit Application Plan C►►
13125 SW HALL BLVD. Roe d e:
TIGARD OR 97223 /.‘ Date Roc 7 g
Phone (503) 699.4171, x304 1 v C` Q 5- Date to P.E.
Inspection (503) 639-4175
( Print or Type Date to DST
Fax (503) 684-7297 Incomplete or Illegible wilt not be accepted Pe'n1i1' LC y� 03 S
Calle _
1. Job Address: 4. Complete Foe Schedule Below;
Name of Development i.. 1 &k— f/4f4/ ' Number el In
epeellona par permit allowed
Name (or name of business) y� Service Induded: Items Cost Sum II Address 1 S0 0 CL) 7 `^ S-•
I0.. Rwldarttltl - par unit
City/Slate/Zip (Gy(1'.,te ' 9'7 �Z loco nor leas
�I ` Each additional Soo sq. IL or 5110 � — a
Commetzi " Residential ❑ !one Memel 525.00 1
untltad Enemy S25.00
Ed Mental Memo or Modular
2a. Contractor installation only: Dulling fla Fesa.r :e9.00
(Ataadt copy e1 all collide Imam) 4b. Services or Pageant
Electrical C • , , otor r . G . 1 9 g,I a pistellation. altmatIon, or rolocv ion
amps Or Address �,i =�'e i !�� 20 arts to lamps - 160.00 2
Cary 11111M6, d State Zap z� do, amps to 4 0 0 amps - seam 2 —
Phone No. • lq a 4' b 501 amps to 1000 wnpa 5120.00 z
Job No • 55 Over Woo amps or volts - 1140.00 . 694 2
• ° 2
Cont. Liao, No. �~ f �_D�
Ramona any MAO 2
Elec.
OR Stare OCB Reg. No. .--a - (f E*p.Data 4c. To
COT Business Tax or Metro No Exp.Date Inscalla� a�NB,e whets rjaa O/°
2
Signature of Supr. EIec'r1 ' � �� 201 a amps r 400 amps 50,00
��� l c 40, en ": kite loo amps 5100.00 2
1 / Over 600 amps to ,oao volw, 2
License Nc F.�cp.Date / / ace b' grout.
—
Ca-,1 LI 47) R' c3.5" FO1 A 1 1 l CCU-t_
Drench Cur
Now, agerailon or atnenslon parr panel
a) The tea for branch drodits one Q-,
2b. For owner Installations:
y ^ y ,S '
Print Owner's Name Perrol►aae o/aerrfcr or
Address _ feeder foe. COti\ (C 110,0-'' 4 '
Eon branch decal 1,5.00
Cit state Zip - to The fee for branch greufm
Phone No. Be.. "MMus of
The installation Is being made an property I own which is not broom circuit o
2
intended for safe, lease or rant. �--_ 2
40.. IN le br neoua
(service or feeder not Mq
O►Nners Signature pump or)nIgaden clrge 540.00 2
3. Plan Review section )f Each sign or Kailas lighting _ 140.00 2
(' required). Apia! circolgo) or a Limbed energy
Please cheek , allarutdon or ee0ertelan 340.00 �� 2
appropriate Rein a nd enter fee In section 5g, Minor La bels (10) 3100.00
4 or moo residential units in are structure
Swaim and feeder 22S amps or more If. Each athN to al Inspection over
System over 600 volts naming/
allowable In any of the above
ammo arse or Omens containing opeclel occupancy s.o0
as desQtbad In N.E.C. Chapter 5
� e4en s5 5 S.00 '"
In Pram $5s.00
�`
Submit area of plans with a00llralloe where any of the Move apps
owl requiems! y
for twttPoraeonsw tlen services. se, u F lees:
Enter toil Wakens loos s
figligg a (.052 total fees) s �_
'goers BECOME VOID IF WORK OR coNSTAL)CT)ON AUTHORIZED IS Sb. Entor25% or Ane Se for 1 —'-"
roT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Plan 3) 3 _____
5 SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY
f°� 1
!ME AFTER WORK IS COMMENCED,
CI Trwf Accounts j fr(--'
Total balance Ole — P s aeYC:r1
tA
TOTAL P.02
CITY OF TIGARD BUILDING . INSPECTION DIVISION MST
2 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p p BUP
J t'622-Date Requested / - c7 c7 G 7 [ [J AM PM BLD
Location 1 357)0 SSW X 72- Ali) AVE Suite MEC
Contact Person �r- �STA( —Elr Ph V 7 1 11'S PLM
�
Contractor �t 6v ■ // ?» 44. 1 Ph 2 SWR 2
BUILDING Tenant/Owner ei n J � -- 2'8 333 t ELC y O3 7
1
Retaining Wall ELR
Footing Q,(� FPS
Foundation Access: Go lo i�'� zo 5 k (/
Ftg ,Drain
SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing /i _s/L._4.
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
CTRICAt,
Service
Rough b �'� ���111"C���
UG/Slab yl, , J
Low Voltage��1
Fire Alarm 1 •
Fin, PART FAIL
•
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call f• r reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
Other D - Inspector Ext ____i_
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.