Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00327
DEVELOPMENT SERVICES DATE ISSUED: 6/6/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S101 DB 00617
SITE ADDRESS: 13360 SW 76TH AVE
SUBDIVISION: ROLLING HILLS ZONING: R
BLOCK: LOT : 025 JURISDICTION: TIG
Project Description: New 200 amp service and 4 branch circuits
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 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 HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 4 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
WILKINSON ABC ELECTRIC CORPORATION
13360 SW 76TH AVENUE 135 NE 9TH
TIGARD, OR 97223 PORTLAND, OR 97232
Phone: Phone: 233 -7551
Reg #: LIC 288
SUP 1241S
FEES ELE 26 -2C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/6/03 $106.90
[TAX] 8% State Tax 6/6/03 $8.55 Rough -in
Elect'I Service
Total $115.45 Elect'I Final
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- Q0.L-Q010 through OAR 2- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 -332- .
Issu d By: � 4 41 144 Permit Signature: ` „6
•
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: , --6 1 DATE:
LICENSE NO:
Call 639 -4175 by 7:OOpm for an inspection the next business day
•
Jun 04 03 02:29p ABC Electric 503 233 7552 p•3
Elec er pp , t r
ell Ir' ta n I n 3 If 1 n - _ __.................
Date received: Pcsr it no.:t C..4 ee.3 .00 7
• A 1 ,.
ij i i �j ; . City of Tigard ll!p 1 n �� Projec✓8ppl.no.; Expire due .
Ci Tig Address: 13125 SW Hail WV.d,, T i g -ai QRJ( 97i223 Date issued: By: Recaps no'
Phone: (503) 639 -4171 • `-
Fax: (503) 598-1960 CITY OF TIGARD Cixe rile no_: Payment type. 1
BUILDING DIVISION
Land use approval: -
f
' A 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
0 Neu construction 0 Additionialteration/replacclnent 0 Other: 0 Partial
r tR
JOB SUC ItiFOfGJ T1ON r n t
lob address: j l , Bldg. no., Suite no.: Tax map/tax lot/account no :
Lit: Block: Subdivision:
Project name: + ' 2.... - 7 Description and location of work on premises:
Estimated date of cornpletion/inspection: 1
OR' PLU(%TION
Job no: ' 4/ J_� 4 Pee 1
C �7 Drsc� lion Qr) foci Tval : no. In.5p I
Business name: , - -- Nev. roickndal• multi-family per
Address: � — 4' Ai dmltinc unit Incladca
Ciry: - A , . ; Si: a(e0 I' Service4xtadetl• '
1000 . ft or Icst °
Ph ,s�,337,S.�-/ F 3I7 , 5 �� ► W l _— 1
&ach additional 500 scl. h. or portion thereof I —�
..+c Elec. bus. lie. no: , .2 C,
CCf) Rtrj� h a -• Lit: al energy. resldenael --",---2----`
Ci,/ •7ic. �i!�TL. .,Q..., Umitrrlcncrgy,non • nuiduuaJ
1 • 1
,,... . g /c/ /.5 Bach manufactured home or module dwelling
it. a "uperyisIna c - S ervice a nd/or fn s' 1 ( Date 1
Sup elect none ec i ,"3 l L icense no S'^i� orreee:n— instxllal, 1
1 . a 1— _ ( altenition or relo cation • } -
°" �n I
�; V ItC'PEJ fl OW,NCR .. 200 amps or Iua GG'., -3;� _ '.
101 imps to 400 amps _ • —
Name (print): i a01 imps io 500 amps
Mailing address: -- —
S t 601 amp! to 1000 apps
State: ZIP: Over IP00►mpsofvoiu — _.
Phoa.e: [ 1E-mail.. Reconnect only
Owner installation: The installation is being made ob property i own 7empoteryrcrrices or feeders
which is roc intended for sale, lease, rent, or exchange according to
Installation, alteration, or relocation:
200 amps or lets
ORS 4 7, 455, 479, 670, 701. 201 amps to too tops
Owners signx[urc Date 401 to 600 amps __ ; .__,
' ;e -rr `•NGIaNLlll•lI� _ . .. ,. _ Branch circuits -new, alteration, 1 T
�..,
or extension per paocl:
Name: A. Fit for branch cirtuiU with putt n..ic of
Addre : service or feeder fee, each branch circuit n,
1 Cif: cu S tale: ZIP: B . F. f o r b circuits without purchase
of acre ice or Perdu (u, Pmt b ar ch cued' t: - .1.__________
Phone Fax: E email' 2acn additional branch circuit:
p ;4N lfV11EW4Plca db.YK:W1_tU$.app10: :_.':: ` M. (Service or feeder aol included):
0 Swra ova 27_5 unps•commadal 0 Heal -carc raciliry Each pomp or ;mguion circ
-4
0 Scrviec over 320 amps-roong or 1,12 0 Haaudous locoUOn (vch rrgn oroutlinc. lighting - t —
falruly 0 , •'Cnings 0 a 1W u in({ov 10.000 square ices (our or Signal eircuit(L)or energy ',Lod. '
0 System oyes 600 yolks nominal rrulfe residentlal oniu in one structure altuiUon, or caleruron' �_,_,�
CD IStowing °vet throe Mario 0 r-«rsera. 400 amps Of more •Opnon: _
0 0supont loaf over 99 pit 0 Manufactured itructUrtcf or RV put - e. cd
Each additional lrtipection over tftu allowable in any of lloe *boao
O Egresy;ighling 0 Other. Per Inspection _____I 1 , 1 —1 _L'
Submit _ sets of plarus with any of the above. Invcsslgaoonfca _ - -. _.
Tlx a bove are not applicable to temporary coauu service. Other -
i 4D
( ,« all p ntdlCI as icau credit cards, plea a call jun,E:cu«t la mon Inlormacoo Notice: This permit applicaliop Permit fee b h CJ �A
0 VILA 0 MuitiCud exprrrs if a permit i not obtained Plan review (al — :6) S ,S.S
f `may cud a�'o / 1 a--ithin 180 days after it has been State surchargt (S4c) 5
O Direr accepted as complete. TOTAL S //b '
er .m,
1 r eras a c.okia an .hewn on crodrr card
$
L .rdu n
. -._ Chold ln,asor a.aL+
Acno.n , G! $ iabi,C0o:I
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested 6 -/ I' AM PM BUP
Location / 3 3(o O �7(, ` Suite MEC
Contact Person Ph ( ) ?3 3 7 5 5 / PLM
Contractor _ ; 6c Ph ( ) SWR 3 BUILDING Tenant/Owner ELC 3 - C 3a
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ) - 1 1 SIT
Post & Beam c lhivr.0-
Shear Anchors Ext Sheath/Shear L. (.L>
Int Sheath/Shear 1
Framing P+ -Co .._:: :__, _.
Insulation
Drywall Nailing
o)
Firewall Fire Sprinkler E�/ � 4 ® �� —
Fire Alarm
Susp'd Ceiling
Roof r s-i/t7o S
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam -
Under Slab
Water
k � 5.5 C ..) ; / ! P ��r _
Water Service
Sanitary Sewer
4y_
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
Fire Alarm
fn 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspection RE: Vnable to inspect – no access
Fire Supply Line /
ADA Date g - 6 / Inspector Air—,*
E�ct
Approach /Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 -
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date quessted 6__/3-63 AM PM BUP
/ Location 3360 7 / Suite MEC
Contact Person Ph ( ) 9'- PLM
Contractor A C Ph ( ) SWR
BUILDING Tenant/Owner ELC 3°-'"09 3(;*
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear .
Int Sheath /Shear
Framing
Insulation
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
Fire Alarm
E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE El Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line %Vas ADA /�, Ins Approach /Sidewalk Dste Inspector _ Ext
Other:
Final DO NOT REMOVE this. inspection record from the job site.
PASS PART FAIL