Permit CITY O F T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00546
441111 ELECTRICAL
D EVELOPMENT SERVICES DATE ISSUED: SL9/.2272000G�//S / dd
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S110CD -07600
SITE ADDRESS: 15450 SW 116TH AVE
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT : JURISDICTION: KIN
Project Description: Installation of 12 branch circuits.
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: 11 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:
TOBIAS INVESTMENT CO CHRISTENSON ELECTRIC INC
300 SE SPOKANE ST 111 SW COLUMBIA
PORTLAND, OR 97202 STE 480
PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 000458
SUP 3289S
PLM 2468S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt
Ceiling Cover
PRMT CTR 09/15/200C $120.00 2720000000( Wall Cover
5PCT CTR 09/15/200C $9.60 2720000000( Elect'l Final
Total $129.60
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE 6-47 /9-r°f)L i,,`f77,,rj ISSUED BY: Zoe). 0 ,
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:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested A — Z. ' AM PM BLD
Location / 5 et 57) - w // z%( /teG Suite MEC
Contact Person Ph 7c 9 e( G PLM
Contractor Ph SWR _
BUILDING Tenant/Owner / „ ELC Z � —46' V
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 6
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
PASS PART FAIL
�� TRICAL�
rvice
Rough In
UG /Slab
Low Voltage
Fire A
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other AO Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
4 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
Crawl drain Electrical final /a/)76 a
Underfloor insulation _
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 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 -V 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
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' GA R D ELECTRICAL PERMIT
PERMIT #: ELC20!D0- 0:0546
DEVELOPMENT SERVICES DATE ISSUED: 09/22/2000
Fa
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S110CD -07600
SITE ADDRESS: 15450 SW 116TH AVE
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT : JURISDICTION: KIN
Project Description: Installation of 12 branch circuits.
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 HMI 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: 11 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:
TOBIAS INVESTMENT CO CHRISTENSON ELECTRIC INC
300 SE SPOKANE ST 111 SW COLUMBIA
PORTLAND, OR 97202 STE 480
PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 000458
SUP 3289S
PLM 2468S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 09/15/200C $120.00 2720000000( Wall Cover
5PCT CTR 09/15/200C $9.60 2720000000( Elect'! Final
Total $129.60
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ate-/ 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:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00546
4.04 DEVELOPMENT SERVICES DATE ISSUED: 09/15/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
/54/50 PARCEL: 2S110CD -07600
SITE ADDRESS: SW 116TH AVE
SUBDIVISION: 14A#4py Ci ZONING:
BLOCK: LOT : JURISDICTION: KIN
Project Description: Installation of 12 branch circuits.
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: 11 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:
TOBIAS INVESTMENT CO CHRISTENSON ELECTRIC INC
300 SE SPOKANE ST 111 SW COLUMBIA
PORTLAND, OR 97202 STE 480
PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 000458
SUP 3289S
PLM 2468S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt
Ceiling Cover
PRMT CTR 09/15/200C $120.00 2720000000( Wall Cover
5PCT CTR 09/15/200C $9.60 2720000000( Elect'l Final
Total $129.60
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE c A ` m o p z . , e , 9 _ 77 p,/ 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:
Call 639 -4175 by 7:00pm for an inspection the next business day
Sent by: CHRISTENSON ELECTRIC 5032056721 ; / O9 /06 /00 :04AM;JetFax #419;Page 1/1
CITY OF TI GARD Plan Check#
Electrical Permit Application
13125 SW HALL BLVD. Redd By
Date Rec'd ? °/4 d
TIGARD OR 97223 Date to P.E.
Phone (503) 639 -4171, 404 Date to DST
Inspection (503) 639 -4175 Print of Type Permit if rCC Zarr0 - 6 0 -S'/4 ,
Fax (503) 598 -1960 Incomplete or Illegible will not be accepted Called
1. Job Address :B RANCH CIRCUITS FOR VACCUMS - 4. Complete Fee Schedule Below: •
L IGHTS
Name of Development KAADY CAR WASH Number Number of Inspections permit ed
ors per peit allo
Name (or name of business) KAADY CAR WASH Service i ncluded: Items Cost Sum .. Address 15450 SW 116TH AVE 4a Residential per unit
l000 sq. R or less $ 117,75 4
City/State/Zip KING CITY OR Each additional 500 sq. It or
portion thereof S 26.25 1
Commercial at Residential ❑ Limited Energy $ 60.00
QUESTIONS? CONTACT ZEK SUTTER 799 -4168 Each ManuPd Borne or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license db. Services or Feeders
infatuation for COT data base). Installation, alteration, or relocation
Electrical Contactor CHRISTENSON ELECTRIC'.. INC. 200 amps or less $ 64.25 2
Address 111 SW COLUMBIA, SUITE 480 201 amps to 400 amps $ 85.50 2
PORTLAND State OR Z
401 amps to 1000 amps $ 128.50 2
City P 97201 -5886 601 amps to 1000 amps $ 182.50 2
Phone No. 241 - 48 12 Over 1000 amps or volts $ 363.75 2
Job No. 60 -15012 Reconnect only $ 53.50 2
Elec. Corn. Lice. No. 26-34C Exp. Date 10/1/00 _ . 4c. Temporary Services or Feeder
OR State CCB Reg. No. 458 Exp.Date5/ 1 /03 Installation, alteration, or relocation
COT Business Tax or Metro No. 5246 a 12/31 / I D 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
401 amps to 600 amps $ 107.00 2
Signature of Supr. Elec' Over 600 amps to 1000 volts,
see "b" above.
License No. 873S Exp.Date 10 /1/01
Phone No, 241- -4812 44. Branch Circuits
New, alteration or ertension per panel
a) The fee for branch circuits
2b. For owner installations: whir purchase of service or
feeder fee.
Print Owners Name Each branch circuit 5 5,35 2
b) Tne fee for branch circuits
Address without purchase of service R �S
��
City State Zip or fender fee. y 4,, _ 4 .
Phone No � First branch circuit 1 $ ��Stj _
Each additional branch circuit 1 ] $ / 5.33"
The installation is being made on property I own which is not 4a Miscellaneous (e,t4 '7 ' , / .
intended for sale, lease or rent (Service or feeler not included)
Each pump or irrigation circle S 4235
Owners Signature Each sign or outline lighting 5 42.75
Signal circuit(s) or a United energy
panel, alteration or erIension S 60.00
3. Plan Review section (if required):* Minor Labels (10) 5 107,00
Please check appropriate item and enter fee in section 56. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Per inspection 5 50,00
Service and feeder 225 amps or more Per hour $ 50.00
System over 600 volts nominal In Plant 5 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees:
6a_ Enter total at above fees /a ' $ 96.3
* Submit 2 sets of plans with application where any of the above apply. 5% Surcharge (.05 X total fees) / 08% 5 7,-7
Not required for temporary construction Services_ Subtotal $ 104,06
6b. Enter 25% of line ea for P'9� ( O
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUT1iORlZE0
Subforai 104.06
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ��pp��t
i WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS `L� Account 4 ;
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due 't -
* FAX RECEIPT ATTN:BONNIE ( 503 ) 241 - 0519 THANKS
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