Permit CITY OF TIGARD ELECTRICAL PERMIT
f r PERMIT #: ELC2004 -00588
1 F I,=; DEVELOPMENT SERVICES DATE ISSUED: 9/16/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S109AA -00800
SITE ADDRESS: 14335 SW 125TH AVE
ZONING: R -7
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: (1) SERVICE AND (2) BRANCH CIRCUITS.
JOB NO. R67 -53
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: 1 W /SERVICE OR FEEDER: 2 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:
CHRISTIAN DELKE ABC ELECTRIC CORPORATION
14335 SW 125TH AVE 135 NE 9TH
TIGARD, OR 97223 PORTLAND, OR 97232
Phone: 503 - 579 -5188 Phone: 233 -7551
Reg #: LIC 288
SUP 1241S
FEES ELE 26 -2C
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 9/16/2004 $93.60
[TAX] 8% State Surcharge 9/16/2004 $7,49 Rough -
Elect'l Service
Total $101.09 Elect'l 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 - • .. OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-66• or 1 -800 -3 -2344.
•
Issue • = : • ` ajet-op Signature* /
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: ' ` `�z� DATE:
LICENSE NO: /RW.`5
Call 639 -4175 by 7:00pm for an inspection the next business day
01 :41 PM P.01
IRS-2004
ectrx Perlanit Applicati FOR 011 ulC ai �>,• i.�
- Received 9 1 t5' O Electrical C � O S8 , r /
R EC Date/B : � �I Permit No.; cL — Ob `6
City of Tigard E I VED Planning Approval Sign
f?au/B : Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 SEP 16 2004 Date/B : Permit No.:
Phone: 503- 639 -4171 Fax' 0 Post - Review Land Use
C. Y {I AR r , a i ` , Case N Internet: u{�
Internet: www.ci.tigard.or.:�� a �1 l
contact t1 contact ,1.4 See Page 2 far
24 - hour Inspection Request° Mho S . • ' � Name/Method: O. Supplemental Information,
. • TYPEOF WORK' - , ' .. ' REVIEW' 'teltsdcbeck.all thgt.s . •
,III New construction M■ Demolition ■ Service over 225 amps- • Healthcare facility
commercial r Hazardous location
IN Addition/alteration/r • lacement IN Other: Cl Service over 320 amps- rating of ❑ Building over 10.000 square feel,
'' ' _ "":C 'TEGORY a VC a NS. +1 UCTION • •. 1 & 2 family dwellings four or more residential units in
•1 ?1 1 & 2 -Famil dwellin: '■ Commercial/Industrial ❑ System over 600 volts nominal one structure
,r Accesso Buildin: ,o ❑
❑ Building over three stories ❑ Feeders, 400 amps or more
Occupant load over 99 persons ❑ Manufactured structures or RV park
IN Master Builder IN Other: ❑ Egress/lighting plan ❑ Other:
, JOEs1T1£ . 1 7 1 Ri ATIONlind L o.C,, ''L°IO Submit — seta of plans with any of the. above.
The a are not a plicable to tem porary construction service,
Job site address: ' 2� � . FEE sCHEbTLEi'` ' • ' -
Bld l ./A • t. #: Number of ins • ectiona • er • ernalt allowed
Pro'ect Name rib li D escription Qty Ree (ea.) Total
New residential-114e or multi - family per
Cross street/Directions to job site: dwelling unit. Includes attached garage.
Service included'
1000 e.. R or less 145,15
Each additional 500 s•, ti or • •rtion thereof 33.40
Subdivision: Lot #: Limited energy, residential 75.00
Limitedener•% non residential 75.00
■ • : Each manufactured home or modular dwelling III
AP:SCRIYTlON Oh WORK • ... ' • . • . • service and/or feeder 90.90
• � p Services or feede, - Installation,
/ W alteration or relocation:
II '1111111MINIMINIMINEMINE 200 am. or less 80, 30 i a i
201 tm�s W 400 amps 106.85
401 Amos to 600 amps 160.60
11'PROPERTYOWNER • • ' ..: tompmnialommeosi 601 am-- to 1000 am • 240.60
11i. ____/ 'ilAIs1�1 R eco nett am •• or volts 466.85
Recanneetont Eli/ 66.85 am
Address: - , • Temporary ca or feeders - installation, Mill
alteration, or r relocation:
. ■ 200 am • or less 66.85
Phone: SIZMWA Fax: 201 ante to 400 amps 100.10
401 to 600 amps 133.75
IDI UI6I `CONTAC'I' PERSON •' Branch circuits • new, alteration, or
Name: extension per panel;
Address: A service or�feeder fee, each h with branch circuit 6.65 /3
■ S. Fee fbr branch circuits without purchase of
serviotr or feeder fee, first branch circuit • 46,85
Phone: Fax: Each additional branch circuit 6,65
E - mail: Misc,(Servioe or feeder not included):
i ' ;.CODtI'F ' . a OR; ,:. Each pump or irrigation circle 53,40 • Each si o outline li htin 53.40
Job No: r Signal circuit (s) or a limited energy panel, � �
•
Business Name ' a, D teration or extension
1A� �' A_ D I.
Address:
a>r Each additional Inspection over the allowable In any of the above:
s / `. Par ins tint • - hour min I ho ur 62.50
Phone: , • liTIVEENZOIAMI investigation fee:
Other:
• w f L � Ele trlcat.pe 1 - - +t ., •' ; - • %
Supervising elec ■N Subtotal S V A��et
si_ attire re ■ '� 4 . . pm/pi/ Plan Review (25% of Permit Fee) S _ 7 M
Print Name: />r (1VIV T�l.�}-'� OVRAM 1'�►/a�1 State S ( of Permit Fee) S [�gz/ y
> ac TOTAL PERMIT FEE S
Authorized / a N � Notice Tbls permit application expires if a permit is no obtained wit�In
Sign • r ' / Date:SL C L 180 days after It bas been accepted as complete, �Q�4� 7
�J���" •
*pee methodology set by Trl- County Bu ilding Industry Servlce`Soard.
(Please pri • a •
i: \Dsts\Pcrrnit Forms\ElcPermitApp,d• • 03
CITY OF TIGARD 24 -Hour
BUILDING - • Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
4 5 �e s: a I P' BUP
Recei ed Date Requested AM PM BUP
Location y 33 /,9-c Suite MEC
Contact Person Ph ( ) al- .3 - ?S� PLM
Contractor Ph ( ) X33 - 75 SWR
BUILDING Tenant/Owner ELC O Li-00 C
ee
Footing
Foundation Access: ELC
Ftg Drain E
Crawl Drain
Ina
Slab Inspection Notes: SIT
Post & Beam 1117C
Ext Sheath/Shear
E
Ully
xt Sheath/Shh
ear
Int Sheath/Shear NIIIIIIV
Framing
Insulation 0 , liM idit t 1 ' IA-6 w c - -- 4-7177 -D)/D1/ 7.---
Drywall Nailing
Firewall C /1 tj � o 13& - r62 � � 1)50/6-•
Fire Sprinkler t'
Fire Alarm ¢7Rop& c,, 7v //Ill — t Cerra D (
Susp'd Ceiling
Roof CD 73 L TE w LA8 u " Jo 1 a f/le!C— M.- a tht1.4 COPPEA-
Other: n �p
Final Q f�'(� 36 72- Pl w tnK f f _ cu 1/41-1_ I
PASS PART FAIL
PLUMBING ca11J01/ GT'0/ - ,
Under Slab 501 N ev r - 24-1,5 /ICJ/ 6,4_0UXiI0 w / Le5 AILE Le F
Rough -In rM SL
Water Service �� -
Sanitary Sewer Ggl j jj Gt�li. -M 2 O/ wf „ p1 Pe o& GQ WO 1/V6-- Rain Drains V
Catch Basin / Manhole C-1-ex-7 c w Ur--7,) 15 1.005& A-7\41D 7716 1
Storm Drain
Shower Pan MA - cL'p,D a2 Pi PE 4 /L PLz& an 77.[ 154455
Other: i
Final l3 Z z-- 1L cpr L� 4 Z-- CL- 14, 1 f
PASS PART FAIL
MECHANICAL 3 SULKS M2 ' t /4G- ery PA-N5 c 't5L ---
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
� - O 41 AL (Wet' %? L�c) 2 33 - 755 2-
-
UG /Slab
Low Voltage
arm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PAR 0
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
j
ADA D ate C `2") d Vwt hnetce �� Ext
Ot her:
Approach/Sidewalk � Inspector ril/ 111
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL