Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00102
,4 DEVELOPMENT SERVICES DATE ISSUED: 02/16/2001
AU. " .,�� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
, PARCEL: 2S112AC -02400
SITE ADDRESS: 14655 SW 72ND AVE
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: ADD LIGHTING TO PARKING LOT 3 BRANCH CIRCUITS NOTE PLANNING REQUIRES REVIEW IF
PARKING PLACES OR LANDSCAPING ALTERED JOB #30581
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 /OSRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:
ALPHA LIMITED PARTNERSHIP OREGON ELECTRIC CONST /GROUP
14725 SW 72ND 1010 SE 11TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: Phone: 234 -9900
Reg #: LIC 203
SUP 1302S
ELE 26 -95C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 02/16/2001 $60.15 2720010000( Elect'l Final
5PCT CTR 02/16/2001 $4.81 2720010000(
Total $64.96
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'S SIGNATU - -4' � , l rp ISSUED BY: i e
OWNER INSTALLATION ONLY
installation is bein m ad 016 ro ert I own which is not intended for sale, lease, The g p p y rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: e. p 1= DATE:
LICENSE NO:
Call 639 -4175 by 7:OOpm for an inspection the next business day
Z0 ;d 11101
City ojl igard
O 1 & 2 family dwelling or accessory IR Commercial/industrial
O Nev. construction O Addidon/alteration/replacement
lob addttss:
SW 72nd Ave
Lot: Block: Subdivision:
Project flame: 2
Estimated date of completionlmspection:
Name (pint):
Mailing ,address:
City:
Phone:
Name:
Address:
City:
Phone:
Z0 /ti0'd
Electrical PermitApplication
City of Tigard
Address: 13125 SW Hall Blvd, Tigard. OR 97223
Phone: (503) 639 -4171
Fax: (503) 598 -1960
Land use approval:
T11'1:: OF PEI
JOB SITE INFORMATION
Bldg. no.:
Suite no.:
Description and location of work on premises:
(O\ I It, (I OR :V'I'Ll(:11 lON
11:1: x(711 :1)1
Job no: X081
Bus name: _0rP,JQY R1 et". 4 c-
Address: 1910 SE 1 1 th
City:
Phone:
CCB no.: 2A4
City / r ° tp lic. no.:
Portland
1 Fax:
O Service cver225 ampseommercaal
O Service o vet 320 amps rating of 1&:2
family dwellings
0 System over 600 volts nominal
O Building over three stories
O Occupant load over 99 persons
O Egr ssllit :etingptan
NOM Of eaadbolder as maga on credit card
1
(:ramp
State: OR tZIP: 97214
E-mail:
lic. no:
Stare: IZIP:
E-mail:
Owner installation: The installation is being made on property 1 own
which is not intended for sale, lease, rent, or exchange according to
ORS 447, 455, 479, 670, 701.
Owner's signature: Date:
ENGINEER
State: IMP:
E -mail:
PLAN ItI :VIL\1' (Please check all that apply)
D
Health-care facility
O Hazsrdouslocation
O Building over 10,000 Nuare feet fearer
more lesidenrial units in one sttuaure
O Feeders. 400 amps or mote
O Manufactured structures or RV part
D Other.
Submit _ sets Glistens with any of the above.
The above are not applicable to temporary construction service.
'Not all Judaic dons amyl aodlt caret oast rail jtnird'iedea far mate infatuation.
O Visa CI Masts iCard
CFA( cad umber � 1
El
$
Cardbolder signature Amami
Projecuappl. no.:
Date issued:
Case f i l e no.
Daaadptioa
New tesideodal -oh*or hy
dmir. lndaderatmcdedgaisge.
Seivlerladaded:
1000 sq. ft. or less
Each additional 500 sq. ft. or portion thereof
Limited energy. residential
Limited energy. non - residential
each manufactured home or modular dwelling
Service and/or feeder
"Services or feeders pwtaihdoat,
alteration or relocation:
200 amps or less
201 amps re 4100 amps
401 amps to 600 amps
601 crops to 1000 amps
Over 1000 amps or volts
Reconnect only
Temporary ECM= or feeders •
testa0atloo ,alRtatfua,orrelotadott:
200 amps or last
201 amps to 400 amps
401 to 600 amps
Branch checks - new, alteration,
or extension per Fmk
A. Fee for branch circuits with purchase of
service or fender fee, each booth circuit
B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit.
Each additional branch circuie
Mire. (Service or feeder not Included):
_pump or irrigation circle
Each signor outline lighting
Signal circuit(s) or a limited energy panel,
alteration. or extension*
•Description -
Each additiand itaspe ction over the allowable la any of the above
Pet inspection
investigation fee
Other
Notice: This permit application
expires if a permit is not obtained
within 180 days after it has been
accepted as complete.
O Multi family 0 Tenant improvement
O Other. 0 Partial
Tax ma
add_lightinq
lot/account no.:
Qty.
2
Fee
(d)
•
to parking lot
Tend nodal*
•
•
2
ET:ST Z00Z- 91 -133d
ai :
2
2
2
:0.72 7
•
46 485. •
6 6ti
Permit fee S 613- 5
Plan review (at $
States •': )....S 4._
TOTAL $ 64_9
y a 44.
CITY OF TIGARD BUILDING INSPECTION DIVISION 3,
24-Hour Line: 639 -4175 Business Line: 639 -4171 MST � .
- / BUP ~`
Date Requested .3 -, t9 AM PM BLD
Location f c/ (. .7h/ Suite MEC
Contact Person .n { Ph yc/y PLM
Contractor r" /�, Ph SWR
%., BUILDING Tenant/Owner 4/O .. 7 ��h. r / ELC / —G O/O Z t y
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: ptehr Kl / �/`y SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: / 4 S
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
PAS P RT FAIL
LECTRICA
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS ART FAIL
SI
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 for reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other
Date �v - � Inspector C xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.