Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00554
DEVE PMENT 639 -4171 DATE ISSUED: 09/20/2000 rd PARCEL: 2S110AB -00400
SITE ADDRESS: 14402 SW 112TH AVE VA 7
SUBDIVISION: THE COLONIES APARTMENTS ZONING: R -12
BLOCK: LOT : 1 -5 JURISDICTION: TIG
Project Description: Reconnect.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
IRVING CORP OWNER
4620 E CLEARWATER PKWY
PARADISE VALLEY, AZ 85253
Phone: Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 09/20/200C $66.85 2720000000(
5PCT CTR 09/20/200C $5.35 2720000000(
Total $72.20
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 SIGNATURE u � - . ‘5, ‘_ ) ISSUED BY: _�
OWNER I TALLATION 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 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check # � G
13125 SW HALL BLVD. Rec'd By
DDate ate Rec
to P.E. d 9/2a fp
TIGARD OR 97223
P of Type
/
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # L=GC 2000 'GOSSy
Fax (503) 598 -1960 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development
#1--s Number of Inspections per permit allowed
Name (or name of busines) I f} Service included: Items Cost Total
Address ) ff : >'• 1 1 0 4 a. Residential - per unit
� 1000 sq. ft. or less $147.15 4
City/State /Zip ; C 1 , /\c , M q ,- Each additional 500 sq. ft. or
portion thereof $33.40 1
Commercial El Residential' Limited Energy $75.00
Each Manufd Home or Modular
Dwelling Service or Feeder $90.90 2
2a. Contractor installation only:
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT data base). Installation, alteration, or relocation
200 amps or less $80.30 2
Electrical Contractor 201 amps to 400 amps $106.85 2
Address 401 amps to 600 amps $160.60 2
City State Zip 601 amps to 1000 amps $240.60 2
Phone No. Over 1000 amps or volts $454.65 2
Reconnect only / $66.85 6 C , PS 2
Job No.
Elec. Cont. Lice. No. Exp.Date 4c. Temporary Services or Feeders
OR State CCB Reg. No. Exp.Date Installation, alteration, or relocation
200 amps or less $66.85 2
COT Business Tax or Metro No. Exp.Date 201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2
Signature of Supr. Elec'n Over 600 amps to 1000 volts,
see "b" above.
License No. Exp.Date 4d. Branch Circuits
Phone No. New, alteration or extension per panel
?,, a) The fee for branch circuits
TJ&
2b. For owner ins allations: UIMG co with purchase of service or
feeder fee.
I/ , / Each branch circuit $6.65 2
Print Owner's • Name 1 -r _ 1 b) The fee for branch circuits
Address s _ without purchase of service
City . tate �• Zip • - • or feeder fee.
First branch circuit $46.85
Phone No. ( j -' L-1 Each additional branch circuit $6.65
The installation is being made on property I own which io not 4e. Miscellaneous
(Service or feeder not included)
intended for sale, lease o rent.
Each pump or irrigation circle $53.40
0_45-.?" signor outline lighting $53.40
Owner's Signature �c Q Signal circuit(s) or a s) or a limited energy
panel, alteration or extension $75.00
3. Plan Review section (if equi Minor Labels (10) $125.00
item and enter fee in section 5B. 4f. Each additional inspection over
Please check appropriate the allowable in any of the above
4 or more residential units in one structure Per inspection $62.50
Service and feeder 225 amps or more Per hour $62.50
System over 600 volts nominal In Plant $73.75
Classified area or structure containing special occupancy as 5. Fees:
described in N.E.C. Chapter 5 5a. Enter total of above fees $ lv {.. R5
* Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ S. 35
Not required for temporary construction services. Subtotal $
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ❑ Trust Account #
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 2A c
is \dsts \forms \electric rev.doc - 8/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST • r,
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ( ° 2_0 AM PM BLD
Location - 74 Z �'(,t) //Z . Suite Apt MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC . eo " f0O,j,sy
Retaining Wall ELR
Footing Access:
Foundation �' FPS
Ftg Drain Vir 7/AJ,A r �� `�" SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall �� c % � 2 �
Fire Sprinkler fi Q
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
PAR FAIL
ECTRICAL
Rough b /w �, _ _ /
UG /Slab („� / ---
Low Voltage
Fire Alarm
Fig
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 for reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk n�
Other Date 7.D 9'V Inspector xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site..
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST -
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested G - a AM PM BLD
Location /9 Z 1/7 /WC Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant /Owner ELC 2E)&O i tyjny
Retaining Wall ELR
Footing N,r-- r- •`�lYat�.z "�' s��;vi1 �3.��{�7�tita'•••ri��`b'�.i�
Foundation ; �;+ ^ 's`'� 6 % !'` �� ►> � x .�y �`f� J " ' ' r ' : %\fAA. FPS
Ftg Drain ii f•
SGN
Crawl Drain Inspection Notes:'
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
C
Fire Sprinkler `f
Fire Alarm Y
Susp'd Ceiling
Roof
Misc: •
Final
PASS PART FAIL
-PLUMBING
• 'Post & Beam
Under Slab Ca-14--"D
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
FAIL
T
e
Rough In
UG /Slab •
Low Voltage
Fire Alarm
/PASS \ PART FAIL
IT
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinfee of$ require before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin - "'
Fire Supply Line [ ] Please call for r€tnspecat _ ] Unable to inspect - no access
ADA
Approach /Sidewalk 1 ; L7(t
Other Date ;; � _
Final
PASS PART FAIL D • NOT RiMOVE t is inspection record from the job site.
CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00554
;n ;� � ; DEVELOPMENT SERVICES DATE ISSUED: 09/20/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 10AB-00400
SITE ADDRESS: 14402 SW 112TH AVE VA 7 (A > ' // / a X31
SUBDIVISION: THE COLONIES APARTMENTS / ZONING: R -12
BLOCK: LOT : 1 -5 JURISDICTION: TIG
Project Description: Reconnect.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
IRVING CORP OWNER
4620 E CLEARWATER PKWY
PARADISE VALLEY, AZ 85253
Phone: Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 09/20/200C $66.85 2720000000(
5PCT CTR 09/20/200C $5.35 2720000000(
Total $72.20
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 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 SIGNATURE J � ISSUED BY:_di
OWNER I TALLATION ONLY J
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 7:00pm for an inspection the next business day
BUT - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By I Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service q - u -
Crawl drain Electrical final ?
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
11 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 =00554
- .Ait,, DEVELOPMENT SERVICES DATE ISSUED: 09/20/2000
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AB 00400
SITE ADDRESS: 14402 SW 112TH AVE VA 7
SUBDIVISION: THE COLONIES APARTMENTS ZONING: R -12
BLOCK: LOT : 1 - JURISDICTION: TIG
Project Description: Reconnect.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
IRVING CORP OWNER
4620 E CLEARWATER PKWY
PARADISE VALLEY, AZ 85253
Phone: Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 09/20/200C $66.85 2720000000(
5PCT CTR 09/20/200C $5.35 2720000000(
Total $72.20
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 ire ll
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.
SU
PERMITTEE'S SIGNATURE ` Q l .� 1 r � ISSUED BY: �� D
\OWNE I TALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE: t
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
Nit