Permit A ~CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2003 -00335
rl DEVELOPMENT SERVICES DATE ISSUED: 6/9/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171
PARCEL: 2S112AC-02400
SITE ADDRESS: 14655 SW 72ND AVE
ZONING: I -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Job #75334 Install (1) branch circuit or connection to hoist.
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: 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: 503 - 234 -9900
Reg #: LIC • 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/9/03 $46.85
[TAX] 8% State Tax 6/9/03 $3.75 Rough -in
Elect'l Final
Total $50.60
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.
�, L ' '7% . ✓�f�,L,D,�. Per Si CI C�
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: ' S
Call 639 -4175 by 7:OOpm for an inspection the next business day
JUN -06 -03 03:40PM FROM - Oregon Electric Estimating 5032313587 T -154 P.001 /002 F -133
TE lectrical Eerir .,
� � � OFFICE USE ONLY
A ..
rli� `�U �l
City of Tigard Date received:
( O Permit no.:�l- C -4.003 -oo' ,;5
13125 SW Hall Blvd M-11
Project/appl. no.: Expire date:
r s1,1 _:. , `i 1! ; Phone: (503)639-4171. FAX: (503)591] -1960 i ' Date issued: By: .6b (Receipt no.:
Internet address: www.ci.tlgar �p�s Case file no.: Payment type:
24 -Hour Inspection RequiE"st"5O
❑ 182 .family dwelling or accessory ib{pi(I Uiddi l U i ❑ Muni -family ❑ Tenant Improvement
❑ New construction • • 19 addition/alteration/replacement • 0 Other. ❑ Partial
JOB SITE INFORMATION
Job Address: 14655 SW 72nd Ave, Tigard Bldg. No.: Suite no.: Tax map/tax lot/account no.:
Lot Block: Subdivision
Project Name: PGE Fleet Major Maintenance Description and location of work on premises: Connect a Hoist
Estimated Date of comation/iinspection:
Will ou call for In • : ction within 24 hours? Yes ❑ NO El Pro'6Gt Contact John Dawson 503.849 - 2433 cell ph
CONTRi+CTOR APPLICATION FEE SCHEDJLE
Job No.: =faii3 7 —. 3C 7 Qty Fee(ea.) Total Insp
J New restdentveheIngle or
multi-family per dwelling unit
Business name: Oregon Electric Group Includes attached garage.
Service Included:
Address: 1010 SE 11th Ave. 10oo sa.tarteas _ $ 145.00 $ - a
City: PortiandlState: OR Zip: 97214 Ea Mal 600 SF or Person $ 3140 $ -
Phone: 503 234 -9900 Fax 503 234-1001 E -mail: Lirnitce Eno ., ,1 a 2 Fowl $ 75.00 $ - 2
CCB no.: 203 Elec. bus. tic. no.: 26-95C (Brach, Energy, Muld.Famly _ $ 75.00 $ - 2
City /metro tic. •.:
Each manufactured home or
/ modular dwelling. Service
S ..ma / i'• ,_!: y0 , . D4/461: .. 612003 anarorfeeder. $ 90.90 . $ - z
SeMeo or Rotors •
Su • . E ct. Name • ;j t :M Kenne /� License no: 4460S Installation, Alteration or
Relocation:
PROPERTY OWNER 200ampeortesa S 80,30 $
Name (print): 201amps • 400amps s 106.65 $ - 2
Mailing Address: 4olamps - ao0amps $ 160.60 $ - 2
City State: IZI : 6elamps 1000amps 5 240.60 $ • 2
Phone: Fax: E-mail Over 1000A or Volt. 3 454.66 $ - 2
ect Owner Installation: The installation is being made on property I own which is R cOn" Only $ solo $ - 1
a according to ORS 447, 455, F - y services or
not intended for sale, lease, rent, or exchan
g 9 Feeders iRSteIISGOn,
479, 670, 701. Alteration or Relocation:
Owner's s' nature: Date: 200 am or less $ seas S z
2olamps•400omps $ 100.30 $ - z
Name: Over defames • 600amps $ 133.75 $ 2
Branch circuits Now,
Address: Altorotwn or Extension Per
City: State: Zip: Panel: A, Foo for branch
tYrmils with purchase of service
orfeederfee, each branch
Phone: Fax E circuit 5 6.65 $ - 2
B. Fee for branch sic salS W/Out
Purchase of Service Of Feeder.
tat Branch Oct 1 s 46.85 $ 46.85
❑ Service over 225 amps ❑ Health - care facility Each additional branch ereu t 5 6,65 $
❑ Service over 320 amps-rating of ❑ Hazardous location Miscellaneous - (eervlce or
feeder not Included)
182 family dwellings ❑ Building over 10,000 square feet four or Each pump or irrioafron drete 5 53.40 $ - 2
❑ System over 600 volts nominal more residential units In one structure Each sign or Outline Lighting $ 53.40 $ - 2
0 Building over three stories 0 Feeders, 400 amps or more Sire) Cirtadt(s) or limited Energy
Paned Alteration or Extension'
O Occupant load over 99 persons O Manufactured structures or RV park $ 72.00 S - 2
O Egress/lighting plan 0 Other:
'Description;
Each Additionallnspacrlon over
the Alld Webb in any Of th0
Above. Perinspection
_ S 92.50 S -
Submlt 2 seft of plans with any of the above. lrnoofipotion loo: -
The above are not applicable to temporary construction service. Other
Permit Fee 546.85
Notice: mie permitapplieaaen Plan review 25% $0.00 4
expires h a permit la not 53.75 X 13
obtained wltliln 180 days after It State Surcharge 8% 9
has been aeeepeedos complete. Total 550.60
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: 1503) 639 -4171 MST
BUP
Received 11 Date Requested — / g AM PM BUP
Location 1 ' �p , 5 �� -ri Suite MEC
Contact Person s Ph ( ) , 53 5 = a.60 7 a-- PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner f 6- . ELC 3 00
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain •
Slab Inspection Notes: R SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation "t (1
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
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 fi D �V
Fire Alarm
I S — SDPART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line / /
ADA Date 6 •: inspect. �- -�� - Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection recor rom the job site.
PASS PART FAIL