Permit CITY OF TIGARD ELECTRICAL PERMIT
P ERMIT #: ELC2005 -00328
i �] DEVELOPMENT SERVICES •
DATE ISSUED: 5/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S101 AB - 02100
SITE ADDRESS: 07157 SW BEVELAND RD ZONING: MUE
SUBDIVISION: BEVELAND LOT : 003 JURISDICTION: TIG
Project Description: (5) 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: 4 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:
ANDRUS, MICHAEL RYAN PRAIRIE ELECTRIC INC
7155 SW BEVELAND ST 6000 NE 88TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98665
Phone: Phone: 360 573 - 2750
FEES Reg #: SUP 3562S
Description Date Amount LIC 60178
ELE 37-491C
[ELPRMT] ELC Permit 5/18/2005 $73.45
[TAX] 8% State Surcharge 5/18/2005 $5.88 REQUIRED ITEMS AND REPORTS
Total $79.33
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
05 -17 -05 15:28E :E1 EC R 1- 360 - 573 -9866 T -151 P.01 /01 F -807
{ �: as oar 4. `444 cs. sjrsa+LSeLaval /f
,' Cy 'c
of Tigard q 1 7 2005 Reeclkty u"r� / O - 05 . �L/ ' Pam4 N0 e/ �l I? O& 1
�� Aa ;
1:7s S W Hall alvil , Tigard, 013, 9922_
i Plan Review
{'hone 503:639.4171 Fax 503 5998 1900 /r+' t DardB_
fltt 1'emm
ln. pccnon Line 503 639 417 si OF � ( � 7 f� fi r,,' :� I uatu Kt �ur�
l- j DSV1ryp.,.� } Noirt�cQ/
Internet: /_ S A pI c men[AI LoFornia
Internet: www.ci.ti ard.01' l r M ;fu> t I / Almt[lop
-( levy constr uction D Addiuon /alterationlieplacement Please check ail that apply
(service over 225 arrrp., cumrn•l ❑Hazardous location
Q Denali IAOn ❑ QTher l]Servlce over 320 amps - rating 013uldng Over 10,000 sq. ft .
CATFifAAY Of CA1M$TB 1CTIQI' of (- and 2- family 0wei1ings 4 Or more new re
1- and 2- fairly dwelling Commercial /industrial (] Accessory building QSystem over 600 volts nominal units in one structure
Q Multi famil 12 Master builder Q Other QBurldrng over three >tortc> QFeeacrv, 400 amps or more
IAN
�Q �lf'>< 1 1;MAITIQAi MP '�Qi~A T DOCcupant load over 99 persona ElManoloctured structures or
QEgressllightnig plan RV park
Job no -77 Ci
2 G Job sire address- �S _.. ! Fe b � are facttrr ❑ ❑Health -c _
,,,
W � s - �*+d - A Submit 2 sets of ptuns with any of the above
City /State /ZIP 1 The above are nut applicable w y tempora construction service
Suite/bldg./apt no ` J Project natrlc: F * Sf RIKRT1
r>e,com ign I Qt I re •tbrai
Crusi street/direcnons to job site ! 2 ,'�(• . Nov rrslaeutial siugl . or multi - family deserting unit -
��A -i SL.Z ` ��i ! IneIuars attached garage -
/ �e -�- /US 9: 1.000 sy ft ur lc.,> 145.15 j 4
Subdivision* Lot no.: > a add'l 500 sc ft. or portion _ 33 40 1
Tax map /parcel no Limitc4 energy, re.iCenual 75 00 2
'7 . .___ Limitcd energy, ^ non- reslgcngal 75.00 2
pgscpwrioN O 1 WARN �t acn manufactured or modular
(6. '\ & ,- dwelling, service and /or fecal 90.90 2
ll Services Or feeders igatallation, 4nwur relocation
200 amps ur fess 80.30 2
il. 201 amps to 400 amps 106 85 2
rongT�' N> 111;• • ❑ TENANT 401 amps to 600 amps 100 00 2
Name: e0t amps to 1,000 amps 240 60 2
Addi eSS: Over 1.000 amps or volts 454.65 _ 2
" Reconnect only to 85 2
City /State/ZIP. Temporary services or feeders matatlation,;theration, aI I/ur
Phone ( ) _.__l Fax: ( ) relocation
200 amps or le» 66.85 t
•
Owner installation; This Installation is being made on property that 1 own which is not 201 amps to 400 amps 100 30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps w 000 amp. 133.75 2
Owner atgnature F Date. Hraticn circuits - new, alteration, or cxtenaton- per panel
. Q APt •{CANT Q C,NTgn' PERSON - A Fee for branch circuits will,
service or feeder ftc, rain 0 65
Business name �- n�� -
�" br inert urr
13 Fee for branch circuits
��pp
Contact name- �l of _y � 2
e branch nch service fe eder fee. 46 �S
( & ]y
each branch c,nutt
Address �+-
�f t-� N� __� ggch rid4'1 br$rtcn circuit 4 6.65 p.,‘ . ( 2
City /State/ZIP 1 tmottled) Miscellaneous (service or feeder nut mottled)
I 1.114___,_ �, Pump ur irrigation circle 53 40 2
Phone 6,0D) 573.— i7 Fa Y: _ (?)
Sign or outline trghGng 53 40 2
----- .
E-mail ^T - -_ Signal encuir(n) or limited
CONTRACTOR cerg panel. alteration, or
cxtcn.rnn Descrine Pa 2 2
`'.- business name ids.: E-- ,.-
I Add ress Ellen additional inspection over allowable in any of the above
- _� .._ . Per Inspection o2 50
• Ci1y /Stale r ZIP. n fd�r��e�� 911046 luvesti atiunper hour (r J,rluu) 62.50
Phone ) 112"a� E". ) ' J lnau� trial ptal,t pct nou, T 73 75
�. .... E-L-EC'TKIE AL- PERMIT FEES'
Th =c:c.ri Li. 1,712,1'7 Flccirical l.ic • -i.e/C Suprv. Lic 2 >ribrotul .--15.45 4) Supry Electrician sigmaturc, required • , f _ _ flan Icvicw (25'4 or peiilla fee) �r`��!
-
Shire wiener :;c pm of a mu tee)
Print name. P — - - - • p
L r '�Cf ' " � ale,
` ,fAi,r. - ToT >I. YERmIT FEE 1 2
�\i.11lll,, vcll ?I'l -•1111 u l In ,rn�ra , d1i A,o „rr, �i nvn, i r, ...,, ..1„� ■ion ran ae...4.,,----01,4\st- , , ,
, - 51-7/c- r ..I t /, , , i I I I..c.I „
- I.r . .It. i �I I�. Ir.. r ..., iiI''1 .. . .r I•I 1. ,..,.
... .., . .
CITY OF TIGARD J 1
BUILDING DIVISION PERMIT #: j (e 0g- - 005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 r Inspection Requests (24 Hrs.): (503) 639 -4175 ,_a i
INSPECTION WORKSHEET FOR DATE: /0 - - /4 TIME: PAGE:
SITE ADDRESS: 7/S7 Q Vf /Gr.Yr d_ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: C i t ,
PROJECT NAME:
DESCRIPTION:
OWNER: n PHONE #:
CONTRACTOR: /" n4 ° /` 'e— E PHONE #: 5 _ 42 Q r 6
Inspection Request Scheduled For: Date: / 0- `y - O f Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
h0 1 .6 / o-i. &,4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I , j
Inspector: ` Date: G 0 — "t L C _ & Phone #: (503) 718-
1
CITY OF TIGARD .I
, BUILDING DIVISION PERMIT #: ELC2005 00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2005
Phone: (503) 639 -4171 J eg al i i il` I nspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 125
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ZIMMLER & GRACE
DESCRIPTION: (5) branch circuits.
OWNER: ANDRUS. MICHAEL R PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360- 573 -2750
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 018113 -01 360.573.2750 . N
SO3- -286- Z 0?
Corrections /Comments /Instructions:
0 Q CC_ e-S,S'
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FA LL FOR INSPECTION ` ADDITIONAL FEES ASSESSED
Inspector: L .1� Date: 1 I 0 Phone #: (503) 718-
Q
CITY OF TIGARD ' • '
BUILDING DIVISION .._„. ,
PERMIT #:
ELC2005 -00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSU 5/18/2005
Phone: (503) 639 -4171 . �
Inspection Requests (24 Hrs.): (503) 639 -4175 Ail-
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7 :12AM PAGE: 60
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ZIMMLER & GRACE
•
DESCRIPTION: (5) branch circuits.
OWNER: ANDRUS, MICHAEL RYAN, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360-573-2750
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 007306-01 360.573 -2750 N
Correclipns /Comments /Instructions:
1 9 ,E_L 2 0
''1.- IN I*1 - -S \ .-' VI f \ 1.1.- IN 'cXrio tilt\J •
ci.
•
n PASS] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: // (J Phone #: (503) 718 -