Permit C ITY OF TIGARD ELECTRICAL PERMIT
" PERMIT #: ELC2004 -00686
-14. DEVELOPMENT SERVICES DATE ISSUED: 10/27/2004
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
PARCEL: 2 S 110 D C - 02300
SITE ADDRESS: 11515 SW DURHAM RD tylit E
SUBDIVISION: PARTITION PLAT 1998 -128 ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Circuit for sign.
Job # 24 - 1516.
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: 1
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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
DURHAM /99 ASSOCIATES LTD PTNSH CAPITOL ELECTRIC CO INC
BY CRIIMI MAE SERVICES LP 11401 NE MARX ST
ATTN: LOAN SERVICING PORTLAND, OR 97220 -1041
ROCKVILLE, MD 20852
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3I32S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/27/200' $53.40
[TAX] 8% State Surcharge 10/27/200' $4.27 Elect'I Final
Total $57.67
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 N otification 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: _ / Permit Signature: IQ .e, T's ,A0
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
FOR OFFICE USE ONLY
Electrical Permit Application Receive.
City of Tigard ivy .., .1 -IA/
77 ,. /CI 0 / v / P - 8,' no.:6,...z „.„,,./..._,
4r, Date/By: [ _i
ir 11 .0
Plan Re r:7.
---;,-, 6 - '
13125 SW HALL BLVD.. TIGARD, OR 97223 Ar Ale' Date/By:
Phone: (503) 639-4171 Fax (503) 598-1960 CITY OF TIGARD Date Ready/BA,...,. n 6 See Page 2 for
Inspection Line: 503-639-4175 Notified/Met M 1 4, Supplemental Information
Internet: www.ci.tigard.or.us
iSt:MAMSWil1WWZASSAVELOVVhrt -ittr:Ntaglikalg. PnrtelartOVTIGAMNMWiiie*;KqiSi-gdt%Mig.t.1
H New construction H Addition/alteration/replacement PleasiaMOMMINIMINti -
El Demolition CI Other: 111 Service over 225 amps, comm'l 0 Hazardous location
01100,:i..fM•riMiltO CI Service over 320 amps - rating 0 Building over 10,000 sq.ft.
U 1- and 2-family dwelling H Commercial/industrial li Accessory building of 1- and 2-family dwellings 4 or more new residential
CI Multi-family El Master Builder ID Other D System over 600 volts nominal units in one structure
P CI Building over three stories 0 Feeders, 400 amps or more
111 Occupant load over 99 persons II] Manufactured structures or
Job no.: 24-1516 Job site address://fi3 „ ,..1-1-511 - SW DURHAM
0 Egress/lighting plan RV park
Cl Health-care facility CI Other:
City/State/ZIP: TIGARD, OREGON 97224
Submit 2 sets cf plans with any of the above.
The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: CURVES FOR WOMEN
E.ZkrlZt212MS1 tadktp ',s-yFt ',
Cross Street/Directions to.job site: Description I Qty I Fee. Total I **
New residential - single or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.:
1000 sq. ft. or less $ 145.15 4
Tax map/parcel no.: Ea. Add] 500 sq. ft or portion $ 33.40 1
wi1,,Ewgsw:*VATMI)ES'.c-RIPTIOSI:iOtwoRKwmmoioIWR,-,a Limited energy residential $ 75.00 2
CIRCUIT FOR SIGN Limited energy, non-residential $ 75.00 2
Each manufactured home or modular
.. I j,:z$170,4 v,agmz,., 010,vo dwelling, Service and/or feeder $ 90.90 2
Service or feeders installation, alteration, and/or relocation
Name:
HARSCH INVESTMENTS 200 amps or less $ 80.30 2
Address: PO BOX 2708
201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160.60 2
City/State/ZIP: PORTLAND, OREGON 97208 601 amps to 1000 amps $ 240.60 2
Over 1000 amps or volts $ 454.65 I 2
Reconnect only $ 66.85 _ 2
Phone: Fax:
503-242-2900 Temporary services or feeders installation, alteration, and/or
Owner installation: This installation is being made on property that 1 own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 I 1
Owner signature: Date: 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps $ 133.75 I 2
Ll.PT,lalfalANIMMAI7tItrik7'cl;g:iel.eipl ,j,:,,,,Aqp:NT Branch.circuits - new, alteration, or extension, per panel _
A. Fee for branch circuits with
Business Name:
service or feeder fee, each
branch circuit $ 6.65 2
Contact name:
B. Fee for branch circuits
without service or feeder fee,
Address:
each branch circuit $ 46.85 2
Each additional branch circuit: _ $ 6.65 2
City/State/ZIP:
Miscellaneous (service or feeder not included)
Phone: Fax: Pump or irrigation circle $ 53.40 2
Sign or outline lighting 1 $ 53.40 53.40 2
E-mail: Signal circuits(s) or limited-
lekariarre4E,,Z,Z.:..,,Iiiii$^:',,,WONAIMAREM7,7 Ara-W,,P,‘‘,V energy panel, alteration, or ,.
extension. Describe: Page 2 2
Business Name: CAPITOL ELECTRIC CO., INC.
Each additional inspection over allowable in any of the above
Contact name: GARY STEIERT
Per inspection . $ 62.50
Address: 11401 NE MARX ST. Investigation per hour (1 hr min) $ 62.50
industrial plant per hour I $ 73.75 I
VIVTAIFSSIAliais
City/State/ZIP: PORTLAND, OR 97220-1041
Subtotal 53.40
Phone: 503-255-9488 4 I n Fax: 503-255-1966 Plan review (25% of permit fee;
1 ' I State surcharge ( 8% of permit fee) 4.27
CCB Lic.: 48748 lElecaical Lic.: 26-496C Suprv. Lic.: 28 -S-- TOTAL PERMIT FEE 57.67
This permit application expires if a permit is not obtained within 180
Suprv. Electrician signature, required: .
days after ii has been accepted as complete
Print Name: ' RICHARD MARTIN Date: 1 1/04 * Fee methodology set by Tri-County Building Industry Service Board
Authorized signature: ' - - '1/ ' **Number of inspections per permit allowed.
'1
Print Name: RICHARD MARTIN
CITY OF TIGARD 24 -Hour ,
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
• BUP
Received `A R /Oa.— Date Requested / / 7- AM PM BUP
Location //6-7 S 4 P Suite ET 7 MEC
Contact Person A-74 Ph (�) �7 ' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC ,O 1/- 9 /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
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 G vyf - Uv 55
PA RT FAIL
-Et RI . L _
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
411111;;ART Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
FAIL
SI ❑ Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line ! / ? ��
ADA Approach /Sidewalk Date /1/) '7` Inspector l - �l - Ext
Other:
Final DO NOT REMOVE this inspection record from the job te.
PASS PART FAIL