Permit .t ' :.; CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00350
L,;��i DEVELOPMENT SERVICES DATE ISSUED: 7/3/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AC
SITE ADDRESS: 14650 SW 97TH AVE
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R-4.5
BLOCK: LOT : 037 JURISDICTION: TIG
Project Description: Lighting upgrade. (13) 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: 12 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:
TIGARD/TUALATIN SCHOOL DIST #23J ATLAS ELECTRICAL CONTRACTORS
6960 SW SANDBURG ST 4403 SE ROETHE RD
TIGARD, OR 97223 MILWAUKIE, OR 97267
Phone: 503 - 437 -4048 Phone: F- 659 -4944
Reg #: "9 -2212 2581S
LIC 1532
FEES ELE 3 -2C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/3/03 $126.65
[TAX] 8% State Tax 7/3/03 $10.13 Rough -in
Elect'l Final
Total $136.78
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.
Issued By: ��, G .„c_4 , Z,e.,., Permit Signature: �� �. A
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
,
06f19f2003 09:17 5036594944 ATLAS ELECTRICAL PAGE 01
: 5 AO- „u'"3 01 :39p PAR TECH CONSTRUCTION 503 557 S3+•'-5 p. 3
FOR OFFICE. ISE ONLY
Permit �17�1 ^ 1 111w: IrICA � n �- � ' / ] /��f �
Electrical Pee f Application ppli.ca` ion ll D f p . Pfrt l ieril �J iV �(�35
� \ Punit Approval s '
pn1dI3Y; _ Iron nit No.:
City o T9gard. �/ Plan i t cv i ew ()tN a - -_.
13125 RW Hull Blvd. \ . ,,, Ma - p nit Nn.:
'` / Post !iCw 1 1r I tic
'Tigard. Oregon 97223 AO nQ Cat c Nu,S
Phone: 503 ^b3 171 Fax: 503,5?-3 1 t, „ $., 4, I N inatC/Ity: jut =‘'42 l'■ z for .tiigard•or,us`q O`er O \\J \S el I, Internet: www.ci Datel mtlPta Information,
4 ..--. Name/Method;
24- 11(ttlt Inspection Itcqu�V \ �503 °;G:i 9.4175 ,.—.
_ ° __ PLAN REVIEW (Plea: ee cheek all that ley)
�r1sG, Qtr WORK PLAN ! icalthstrr Roily
❑ Service over 22) ram ❑ Its�nr(ktus ltx atipe
ID New construction �mtnWre t Iluildin over 111.000 sytrvre rcpt,
.Q,ddationfalteralion / ceplacc ONS IW �1 Sc 2 Malay dwelline„o four or morn residential units in
CA'1 CORY ()K CPiSTRlJt;1'1ON service over 320 amps- rating or ❑ 1V ❑ !Syskni over 600 volts nominal one Structure
1=1 1 & 2-Family dwc 11infy �.ltfllt /Industrial 0 Betiding over three stories [] I'ct Jets, 400 amps or nNlre
0 Occupant load over 99 flacons ❑ Manufactured structures or kV park
A,cccs,soly BinIciing _- ❑ Multi- yin:nay
❑outer
II Egress/lighting plus
Master Builder _ Submit .., sets of p1a is with nos of the above.
_ .1013 sl i'_- IN1 +U1 _ I�1A _... and _ •ATIOIV _ The are n t u Geablc to lent nea.ty conrtla,ctinnz esvlce.
' " . � t �G �'I !_ ___ -U1 ennit allowed _ Job site address: (4/ W s'��— — �— —
} lldA. /Aptil: — Numb !r of ins Alt sections r
Suite #: Qty l+,o..) Total a
Project NaYCte : r.....-- Now residential-sMgk or uluttF[ataity Di r
dwelling unit.1neltrder attached garage.
Cross street/Directions to job st
. Service rnctuded: 145,0 4
f� i R � OOO s ddirme tars 36.40 1
r H; tcnaddloomd 5 f><) sq. 14nr portion ttlera'l'� 75,(NL_ 2 _
_ j,jfiituJ en •Y, residential 75,00 J
r� - i L #' rt nwidentu 1
,J �UlX1iV1510I1- _ l t �� i.imne!el enerFry. ncm
tsach mannfiu urcd harm or modulor does in1 90.tN1 2
Tax tria�:lrCC1 #: 'Z.S I l G^ Norville and/or ICUdeT
DESCRIPTIOPI O +UYUlt1C services or feeders -installation,
alteration o.' relocation: 15030 2
/ A 200 amps or less — II
106.85 z
_ - 2A I amps to 400 amps ,
401 am its _ 2
1-.— t 0 0 a r, — 2
n ' •- 240.60
TLS 1VAI�1'l' _<1(. amps 1: 1000 atn — 240. 2
PRQl;1t t'Y t)V�1d 1R Owe 1000 tomtit' volts 66 -Sti ?
Na>71s' , .�s p - .33 J Re tinrtnet one
�� U Temporary Set or feeders - Ind, Ration,
Address: (� �pO� nller5tion, or rclOtatioat 66.85 1
C� /Sta tC /%i 33.&•112,7 ,P., Q7+�,,0 z00 antes or kw 100,3t) 2
r 2AI samtiµ
p3 O 1: ax : a01 t0 6 U U amts 137,75
Phone [ StlN
APpL ICAr4T Cplv'CA(: r Y alt.. Ifr� „ ttew, aI(erAtio „ , or
Na — r eatenatOn per panel:
t — : F AVe _ A, co on brunch net: circuits with purchase If w p ' T Dines addi_ionil b 6(i5 2
Address: ?, — pi 5 service or faller (le, each branch clrc sit
}).) �t for branch Comae without tenth: re of •
C,ty /smote /zip: � 7 Zf finis brush cite dt afr.85 p 2
scry ioe or branch Co 6.65 ' ; r ?
Phone: gyp) .+ Z +05 1 SQ� +— mvc5+cu_cuit Mg
Mise,(`k+rviee or W eer not included): `3.40 2
E-mail. j — 1 — ll ,nip or irriya_inn circle 53.40 2
C,:ON TRA t�TOR lam nr,outtinc lighting!
yy 7L.,, yiy,J eI clrcuit(s) or o limited man n/ pant fit, Page 2 2
I ikleriptiooi
Address:
Business Name: t,1 n c�f 1
te y yj / r ?,i r , , "� F�CII additional i1taD�tlOn_OVSIr the nllowufi54:tt any of the above.:
M 1 h mitt 1 hour - i 6250
Cit +d %ip: I r l i I f l! i ' o e 4 �• P AY i n 7+4et5art pc,' u( 1
(� InYCtt1_Vtitiiirt tee: -
Phone: / '. k'A,' : '� .- + Invest:
C C :13 L ic. tl: \ I ,ic. L Made 0 Permit btot� 1 1p . (r�,C
Supervising electrician - P lum Review (2S% Permit Fca) S
tli afore re ■ aired: r ' W •11 i - � State Review ( of Permit Fee $ in,
_ Pt1ltk Name: r c.. ri .1!�i/ iC #: �. TOTAL PERMIT FEE $
1 V /��J — Nonce t This permit application enplren If • permit :s net obtained within
Signature: •
z ? no days after It has been meow cd as complete
Signature. 1' '� V /fl ' / • etc' 4, 1 ) -v methodology rat by Tri•Ce arty Building Industry Service Soiled.
(Please pont name)
I: \ihls errnit Purvns\I0ePcrmitApp.doe 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection'-Line: (503) 639 -4175 `
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received / (ASV Requested AM PM BUP
Location l L (ASV � Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) s 7 ^ 2'7-I � SWR
BUILDING Tenant/Owner ELC 3 ` de)356
Footing ELC 2/421ZeYkrn
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
Fir- . larm
in-
, RT FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call •r reinsp= tion RE: El Unable to inspect — no access
Fire Supply Line
ADA Date • b 0 Inspector �� i Ext
Other:
Final DO NOT REMOVE this inspection record f om job site.
PASS PART FAIL
•
CITY OF TIGARD 24- Hour
•
BUILDING Inspection Line: (503) 639 -4175
. INSPECTION DIVISION .ti Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 17 3 AM PM BUP •
Location 1 4- (6. SD 9 7 Suite MEC
Contact Persons Ph (s) _ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 3
-oa 3Sa
Footing 1 —
ELC
Foundation Access.
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam )—i CpH i f \ C 0,0 u'
Shear Anchors
Ext Sheath/Shear
1nt Sheath/Shear
Framing
Insulation
Drywall Nailing ^,
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof dB
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
U� /Slab
Low Voltage
r Fire Alarm
PART FAIL ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: 3 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Insp arr: a
Other:
Final DO NOT REMOVE this inspection record from the job sit •
' PASS PART FAIL
CITY OF TIGARD 24 -Hou'r
BUILDING • Inspection : 503) 639 -4175
INSPECTION DIVISION - Business L : • (503) 639 -4171 MST
J BUP
Received � Date Requested / AM PM BUP
Location / b 513 7uJ '/7 Suite MEC
Contact Person Ph ( ) PLM
Contractor ad Ph ( 3) U/ 5 , .- / SWR
BUILDING . Tenant/Owner 7LCa AA 5 ELC '3 � 57) Footing /
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain .
Slab Inspection Notes: SIT
Post & Beam .
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear •
Framing • r f
Insulation -? /(� /�
Drywall Nailing �� S ��.�Q�s r'"" 1� �� V i 1�
Firewall - L___1—„,
Fire Sprinkler
Fire Alarm
• Susp'd Ceiling ( / - l
Roof' �' `fV , s `V I lJ Qv _ �� C 1 " L`G V (rS
Other: I I
Final 1 q,,,e) L ti In. Ill $ C v )L 1
PASS PART FAIL
PLUMBING ' • .
Post & Beam
p_
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
C , r
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
fr
•
MECHANICAL
Post & Beam .
Rough -In
Gas Line
Smoke Dampers
Final .
PASS PART FAIL
. Ift &RIC
Service c
. -n
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
%Mr: 'ART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date ?' /' °_,..3 Inspector w`"'" 7 cam Ext
Other:
Final DO NOT REMOVE this inspection record from th ob 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 Requested 7'2 AM PM BUP
Location I t (a (5 7 7 s""-' Suite MEC
Contact Person Ph ( ) PLM
Contractor Q- Ph ( ) .7`f ` 2- ZI 2 SWR
, BUILDING Tenant/Owner 7'r t �,� ELC 3 -che:) 35
- Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: � j 1 , I SIT
Post & Beam ' 7 k / �" C i (�� L -1 -1h4 L
Shear Anchors
Ext Sheath/Shear �1 GM)-t
Int
F am9
hn ath/Shear /.7 /S 3 CI — 6 , 9
Insulation
Drywall Nailing
Fire Sprinkler i i ` / .v _,
Fire Alarm C
Susp'd Ceiling
Roof
Other:
F
o
inal 4r
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
ELECTRICA
Service d,
Rough -In exL erd
UG/Slab ��
Low Voltage " , �—e"_,
Fire Alarm
Final • Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
1:%Hs PART FAIL
❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
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
7 BUP
Received Date Requeste�d7 ( y1 -3 6 AM PM BUP
Location 14-1424-C6 [ ' AvL- Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) 6 - z Z1 SWR
BUILDING Tenant/Owner ELC 3 -v 63 S'c
Footing
Foundation ELC
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
Fin
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date 7 Inspector Ext
Other: cJ
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
lA _
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested � c . -03 AM PM BUP
Location ) -4 kS ' S e r ) {v _ Suite MEC
Contact Person Ph ( ) PLM
Contractor ,S Ph ( ) SWR
BUILDING Tenant/Owner ELC 3 ' o (;
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation 141A s - �� �� < P-JVt-11
Drywall Nailing J
Firewall %pa S
Fire Sprinkler
Fire Alarm 1
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab -
Water S
Water Service
Sanitary Sewer
Rain Drains Oj
Catch Basin / Manhole `'
Storm Drain (' . 7e
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL 1V ? Post & Beam v J
Rough -In
Gas Line
Smoke Dampers
Final
FAIL
E TCAL-
Service
g
a•
Low Voltage
Fire Alarm
PASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA a _ _
Approach /Sidewalk Date � ` Inspect -i-T. Ext
Other:
Final DO NOT REMOVE this inspection record from the, b site.
PASS . PART FAIL