Permit CITY OF T ELECTRICAL PERMIT
PERMIT #: ELC2002 -00181
DEVELOPMENT SERVICES DATE ISSUED: 4/23/02
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S112AA -00300
SITE ADDRESS: 14200 SW 72ND AVE
SUBDIVISION: ZONING: I -H
BLOCK: LOT : JURISDICTION: TIG
Project Description: (9) branch circuits, sub -panel and wiring for misc equipment.
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 W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 8 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:
ASGARD L L C BECK ELECTRIC INC
c/o GERBER LEGENDARY BLADES 9318 SE CHURCH ST
14200 SW 72ND AVE CLACKAMAS, OR 97015
PORTLAND, OR 97223
Phone: Phone: 656 -7396
Reg #: SUP 1326S
LIC 00002629
ELE 3 -5C
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 4/23/02 $100.05 2720020000( Elect'I Final
5PCT CTR 4/23/02 $8.00 2720020000(
Total $108.05
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 -008 u may obtainopies of these rules or direct questions to
\ l
Permit Signature: � j sued By: r #,/ o f of / /(..
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: L & . � �/ �'1'� ��—� DATE:
LICENSE NO: / 32
Call 639 -4175 by 7:OOpm for an inspection the next business day
Apr 23 02 10:49a beck electric 503 - 656 -4397 p.l
.
i ElectricalPermitApplication
Date received: Permit no.: Ett. „,_._Oa/ &/
_> ,'I 1!' City of Tigard Project/appl. no Expire date:
City 0! Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPI? OF 19[1011
O 1 & 2 family dwelling or accessory OCommercial/industrial O Multi - family 0 Tenant improvement
O New construction 0 Addition/alteration/replacement Cl Other: O Partial
JOB S1 IL INFORMATION
Job address: l4iaU0 FLU 72'— Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: 'Block: 'Subdivision: ,
Project name: !Description and location of work on premises: 5 Lt o_pulp/ t : . U J trt Vlo ev I . C .
Estimated date of completion/inspection: 1 . ,
CON 1 RAC "[Olt APPLICATION FEE. SCH1:Dh, L
Job no: Fee Mme
Business name: j e G lit 1k.. Description Qty. (ea) Total no. imp
Address: ` 318' SE Clues .
New resklendal le ormuld-tamilyper
dweBinganit. Wades steadied garage.
City: Clak,tswr‘c.S I State: 041 ZIP: 91'1015 Serviceincloded:
Phone: (D S tP -131 b I Fax: (05,0-(13q1 E -mail: 1000 sq. ft. or less 4
CCB no.: (p ,a9 I Elec. bus. lit. no: ,3 Each additional 500 sq. ft or portion thereof
Limited energy, residential 2
C'ty /metro lic. no.: 0? Limited energy, non- residential 2
V./
4.. 4 73 - 02_, Each manufactured home or modular dwelling
Signature of s hng electrician (required) Date Service and/or feeder , 2
Sup. elect. e (print): W:4_1 r J ._ License no: 13 j Services or feeders installation,
alteration or relocation: .
200 amps or less 2
Name (print): p B\c cLe _ 201 amps w 400 amps 2
Mailing address: 401 amps to 600 amps 2
601 amps to 1000 amps _ 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: ( u j(pj IFax: E - mail: Reconnect only 1 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 insmUetiem,atiesatian , orreiocatien:
ORS 447, 455, 479, 670, 701. 200 amps or toss 2
201 amps to 400 amps • 2
Owner's signature: Date: 401 to 600 am s 2
Branch circuits - new, alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: 'State: 'ZIP: B. Fee for branch circuits without purohase
Phone Fax E of service or feeder fee, rust branch circuit / rf l p 5 2
. Each additional branch circuit. g if.t.s I Si .40
1'LAN 1(1.1'1E11' (Please check all that appl) ') Ml sc .(Serviesorfeedesnotincluded):
O Service over 225 amps - commercial ' O Health -care facility Each pump or irrigation circle 2
0 Service over 320 amps-rating of 1&2 0 Hazardous location Each signor outline lighting 2
family dwellings 0 Building over 10,000 square feet four or Signal circuits) or a limited energy panel,
O System over600 volts nominal more residential units in one structure alteration, or extension* • • 2
0 Building over t stories 0 Feeders, 400 amps or mote *Description:
0 Occupant load over 99 persons 0 Manufactured structures or RV pails Each additioual inspection over the allowable is any of the above:
0 Egress/lightingplan 0 Other. Per inspection 1 1 1 1
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jwisdicliom accept aunt cards, please call jurisdiction for mote information. Notice: This permit application Pemut fee $ /00.05
OVisa 0 MasterCard expires if a permit is not obtained PISn review (er — %) $
Credit card number: 1 / within 180 days after it has been State surcharge (8%) ...• $ � '
Name of cardholder as shown on credit card accepted as complete. TOTAL $ / D d U�
$
Cardholder signature Amount 440.4615 (6i00/COM)
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 7_a % AM PM BUP
Location f �o� �� �� ��U"� Suite MEC
Contact Person Ph ( ) PLM
Contractor _ Ph ( ) 7 3 fk SWR
J
BUILDING Tenant/Owner 0 '5 J7$' ELC a Doc ad 67)1
Footing
Foundation ELC
Ft Drain Access:
Crawl Drain C,4) 111- 2 f a� ELR \�
Slab Inspection Notes: SIT �\
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation P r 1 Drywall Nailing 1 � � A
Firewall C (►�tl m71.,
Fire Sprinkler
Fire Alarm . C( �L 1)1S
Susp'd Ceiling
Roof .P■s g.
Other: {�
Final ,�� 4d>>N C k\K N\
PASS PART FAIL ���
PLUMBING LA t "'� � C .I 2 (*AA,
Post & Beam 1)c)S�
Under Slab
Rough -In _ ` � _ ; , ,
Water Service -- - = -
Sanitary Sewer aL4 O o�
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage � /A' 0- ova
F= :lar
- J. PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIT ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line j /
ADA Date '" - 1"-- 4 7 1 7` ' " C3 Z Inspect A, I. / Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL