Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00304
DEVELOPMENT SERVICES DATE ISSUED: 5/29/03
' A � 'il 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 101 AC -01800
SITE ADDRESS: 07585 SW HUNZIKER ST
ZONING: I -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Lottery sign located behind Artistic Auto.
Installation of (2) new digital display boards; connect phone and power.
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:
MOSTUL, TERRY A + DEBBI C FARNHAM ELECTRICAL CO.
7585 SW HUNZIKER ST 1050 LAFAYETTE AVE
TIGARD, OR 97223 MCMINNVILLE, OR 97223
Phone: Phone: 503 - 472 - 2186
Reg #: ELE 36 - 3C
LIC 1217
FEES SUP 1597S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/29/03 $53.40
[TAX] 8% State Tax 5/29/03 $4.27 Rough -in
Elect'l Final
Total $57.67
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permit Signature: f r9/ - %723
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
RECEIVED
mong
E1ecti6)17 2003 ,G. •,
-, - ' . Electrical
Date/B : -7 7/02 A41: Permit No.: EzeWa3-Do 3a
CITY OF TIGARD . .
City of Tigard Sign
BUILDING iz IVISION D APPrcwal Perrnit No.:
13125 SW Hal Blvd. Plan Review Other
Tigard, Oregon 97223 Datc/B : Permit No.:
Post-Review Lard Use
Phone: 503-639-4171 Fax: 503-598-1960 i ,,., ,, it
Internet; www_citigard.or.us ,,,.-;-1..,
.ii.-14:',/.411iii.4;. Date/B 7
Contact Case No.:
Ili See Page 2 for
:Amu, ....
24-hour Inspection Request: 503-639-4175 - Name/Method: glIWZRBF • ■ionow••"- temente! information.
. ' ' , ',"" "' "" ' jiiii '' ' `'.= 'F'.Y. ;..':...;:,■';
1
;
il,:iil.....1;!;!!!i: ;:,::N•;iV;!;1.-,!"..;:',:j::::■:stirRE.5.0F::010kR::''.::.;•!i:gZ:ji:'.`;;:!•!::!ci!!;',,:!P,' !:‘jiiilieM$:::TIANIZEVIIEW:(01Lease,Icheclain 6PPIRT ....., - -.,....
• New construction El Demolition 0 Service over 225 amps- 0 Health facility
commercial Q Hazardous location
110 Addition/alteration/re .lacement IN Other: 0 Service over 320 amps-rating of ID Building over 10,000 square feet,
,4,..!rtfo-NmE,G011-/vio C O .,: ,:srtucnoN, i I & 2 family dwellings four or more residential units in
0 1 & 2-Parini dwellin 0 Commercial/Industrial n System over 600 volts nominal one structure
0 Building over three stories 0 Feeders, 400 amps or more
0 Accesso Building U Multi-Famil Ei Occupant load over 99 persons 0 Manufactured structures or RV park
• Master Builder Z74 Other: , 0 EgresS/ligliting plar, 0 Other
Submit sets of plans with any of the above.
The above are not a licable to tern orary construction service-
Job site address /7---7 5 u i 4 7., 1:16,
Bid. /A.t #. Number of ins • ections . er 9 ermit allowed
Pro'ebt Name: Description Qty Fee (ea-) Tots!
New residential-single or multi-family per
Cross street/Directions to job, site: dwelling unit. Includes attached srago.
234Ck /Mart cf" A "2-tisk. /Lib Service included:
7?5 Xec../ /7 A./ Z/ //e... 1000 s• . It or less 145.15
2 'ii-I - & v .4 ,._._. L., Each additional 500 sq. it. or portion thereof 33.40
Subdivisio I : 411111111111111 Limited energy, residential 75.00
Lot #:
Limited energy, non residential
75.00
Tax ma ./.arcel #: Each manufactured home or modular dwelling
rvice and/or feeder • 90.90
iji:i;: '.7,rali.' I '.'AIL:TES'._:BlikaWCW.g)Fi'W :r:.,..:-.:: .: ,: , .7 services or feetiers _ installation,
IIIIMfff A/ 1119MitiggrfflrAMM/M1 alteration or relocation:
irm.r 0 d - 1,111ZMUMMENUM 200 anins or less
201 am.: to 400 am • - 80.30
106.85
L 15
. i etf 401 antes to 600 amps 160.60
3 ' 1 "11 . ..t at '7 • ,i'sili :1 .617.,iir; 600,3erani1g050W am amps 240.60
.uo:: yolts 454.65
Name: ii a .
t v. i MIZOTITMOIM. Reconnect only I 66.85
Address: Temporaryservices or feeders - installation,
alteration, or relocation:
Ci /State/Zi : 200 am•s or less 6615
Phone: . Fax: 201 amps to 400 amps .1. 100.30 H ,, , , 401 to 600 amps 133.75
!Man reb-vtIr.:(!.;%:‘.1.: i'lligi '..€0NTA ' ‘T 4-, Branch circuits - new, alteration, or
Name: ex tension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 6.65
Cit /State/Zi : B. Fee for branch circuits without purchase of I
service or feeder fee, first branch circuit 46.85
,
Phone: Fax: Each additional branch circuit 6.65
E-mail: Mise.(Service or feeder not included):
.. .ts" , !:t Each •um • or Mi.. i tion circle 53_40 . II
; Nair t;;L:.;::::571;Zil,7g1,V„3:t.N.(11EMITTMMOIV1A:2.:iit::iigU.`;r ; ;„;.!::..' , 1:111:: Each sign nr outline lighting 111 53.40 t - N
Job No: 0/ Signal circuit(s) or a limited energy panel,
Business Name: .4 c 4. A 1 .14 r
7/Mvi:OMIIII. alteration, or extension
Description: Pag 2
•
II
A. • e : 16 4 . ....iffift! (min
.MIIIMII E AA: inspect ti / _. /
Per inspection per hour ISIMEITEARy g s-ae.. a i over the allowable in any of the above!
e . 1 hour) 62.50
4 Phone .< ._ • ; ,. ,46:-$11,FEE=PAIIII investi. :don fee: ME III
• . Other J
R CCB Lie. . ii larrarellra. ■- ''':-.i:i
Supervising electrician . A. , / „ _ Subtotal 1 $ "5 - 4
si attire re. uired:" 4 "1., Ao!,,,.. .... 1 a--C./ , Plan Review 25% of Permit Fee
Print Name: ; . . L . 1 t. k AMCAPII, 4 State Surchar-e 8% of Pcrmit Fee
. TOTAL PERMIT FEE I S
Authorized , ', / Notice: This permit application expires If a permit is not obtained within
./ .r
., , ., .1 #1. A_ LA.A. Date: _6 180 days after it has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
R.hinict 1
(Please print name)
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location . 75 Suite. MEC
Contact Person ( ) ek PLM
Contractor / — ar'.1,i ?H ' ,� F //S_ 9�S Ph ( ) — : _ SWR
BUILDING Tenant/Owner ELC — )30
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: - SIT
Post & Beam d iA ! ' .ice ,■•• ■r/ '!
Anchors e
Shar An 4 � (�� . � 402- Sh
Shear
Sheath/Shear
An l '` • /mow 7
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 -ln
UG /Slab
Low Voltage
Fir Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SI Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date 473 Inspector • E ��
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL