Permit rp!-: CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00655
COMMUNITY DEVELOPMENT DATE ISSUED: 11/14/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102AB - 04500
SITE ADDRESS: 12436 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 200amp service, (10) branch circuits, (1)wire for future sign.
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: SIGNAUPANEL:
MANF HMI SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 10 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:
CACH, GERALD C + JOAN L WINNER ELECTRIC INC
12525 SW MAIN 5950 SW PROSPERITY PK
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503- 638 -5028
FAX 503 - 638 -4242
FEES
Description Date Amount Reg #: ELE 34 -150C
[ELPRMT] ELC Permit 11/14/200( $200.20 LIC 14794
[TAX] 8% State Surcharge 11/14/200( $16.02 SUP 2825S
Total $216.22 REQUIRED ITEMS AND REPORTS
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: eati t Permittee Signature: k, U )c ?
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.
us./zu/ZUU4 U9:38 FAX 5035981980
, • . h. CITY OF TIGARD Z001
Electrical Permit ADDIR@OEIVED FOR OFFICE USE ONLY
City of Tigard Received
Duos . i C& Rh ■ I=IN ... A, -°b)
13125 SW Hall Blvd., Tigard, OR 97223 NOV 1 4 200 Plan Ravi aw
Phone: 503.639.4171 Fax: 503.598.1960 Other Pernik:
,,,. .;. 1 .1, Date/13 !
Inspection Line: 503.639.4175 CITY OF TI G ' ,.,-2. Al2. Date ReadYiBv: - - 65 See Page 2 for
Internet: www.ci.tigardor.us BUIL,DING DIVISION Notirieduethott Su. ',mental Information
lili I i iik 1/ . 1:5 . 111.11. ir ..;1 : 11 $ 1* 1 4 ***Allia+Ti ? ..Y.4.441 1 Mitir . ; ..:..:1. [1.i.i!Z::ii.jdll :17:7771111:Ui.Vj.:::4.1?4401#110.8Yigi!l':.';..
0 New construction Ag Addidon/alteration/replacement Please check all that apply:
0 Demolition 0 Other: OSenrice over 225 amps, comm'l 0Hazardous location
Dgervice over 320 amps - rating 0Buildng over 10.000 sq. ft,
;I:JfilAtilitgifi?il.'9.:10!irg.1;.:T:i.:, ,C40 A 0 MOM , g f,ri&E *,00 71 :::. 1!'. of 1- and 2-f am i ly dwellings 4 or more new residential
ID I and 2 dwelling ;153 Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
°Building over three stories ['Feeders, 400 amps or more
0 Multi 0 Master builder 0 Other:
DO pant load over 99 persons Manufactured structures or
tilflitif a 1 ' ' .N:::1 ' P 2 W*4i,t:i;to*fO4.*..r r fo:;: ' .. ,P . , .T.Itt1 11 ;!iwi : DEgr pl RV park
Job no.: 1 Job site address: /2 q,36 SCJ /n/rp't/ sr OHealth-eare facility ['Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP; 1 C, if- 4 7 -F The above are not applicable to temporary construction service.
Suite/bldg./apt no.: 1 Project name: Uitel 111 10 114 ... ..e!!.. 1 : : »:. ' "J■1:..i' i,::
Oceertpden I Qty. I Fen. j . Total i ..
Cross-street/directions to job Site: o4) To New residential single- or multi-family dwelling unit.
— includes attached garage.
_ 1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ed eddll 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.:
. Limited energy, non-residential 75.00 2
i!.$f -: ' 'i Each manufactured or modular '
dwelling, service and/or feeder 90.90 2
C„..A 4 A.r P f e.-1.— A
5,.c .4 A. 41 /gel Services or feeders installation, alteration, and/or relocation
200 amps or less / 80.30 . Aixp I 2
;;;;IIV.I.irl::5:..: 6 : 1 50 : 10..MIO.W10*B4 il : : ... :,. ! h11114 v lil
..• • • ... ;v..- 201 amps to 400 amps . 106.85 2
401 amps to 600 s 160.60 2
Name:
601 amps to 1,000 amps 240.60 2
.
Address: • Over 1,000 amps or volts - 454.65 2
Reconnect only 66.85 2
City/State/ZIP:
Temporary services or feeders installation, alteration, antUor •
Phone: ( ) I Fax: ( ) . relocation
200 amps or less -
66.85 1
Owner installation: This installation is being made on property that I 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 to 600 amps 133.75 2
- ,
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
i1: :illignAr 4 VMOS . O . k .4 . : ANS. ' llj!friirigi ' k ' n,'1:1:110.01titt : :#00.0.0;:i; ; .,;'*".:-.F., A. ! bra"ch circuits w"h
sennce or feeder fee, each g6.,-
Business name: branch circuit / A
/v 6.05 0 2
B. Pee for branch circuits '
Contact name:
without service or feeder fee,
46.85 2
each branch circuit
Address:
Each addl branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
- Pump or irrigation circle ' 53,40 2
Phone: ( ) I Fax: • ( )
Sign or outline lighting 53,40 53. go 2
13-mail:
Signal circuit(s) or limited-
iillY1!: r.' ::::: G .:;;) • '."...; i .'.'Y'. energ:ilosnuel. alteration, or
Page 2 2
Business narnc: (A) : d weft te.eig.../e_
Each additional inspection over allowable in any of thc above
Address: 4.9 5 S 4.) PRoS Pen. 11 i (:)4 1 at< R.3
_ ---- Per inspection 62.50
City/State/ZIP: 77; 4 4 -1.,. 0 a__ 9 766 Z investigation per hour (1 hr min) , 62.50
Industrial plant per hour 73.75 ,
Phone: (1 ) 4 . To zre j Fu: (db3 ) 435 442 gf Lyiipol:!::: :IT '•: - .':
CCB Lie.: hi ze I Electrical Lic.: 34-/spe Suprv. Lie,: g g 2 6 - S
Subtotal
-
Suprv. Electrician signature, re 00,A,_ (,jagt Plan review (25% of permit fee)
-----
State surcharge (8% of permit fee) 1 6 . ,1,-2 _
Print name: ACK 1.4) A U Date: /i_ # 0 6
TOTAL PERMIT FEE 'cl/6/Ag
Authorized signature: .
Thin permit application expire' if a permit is not obtained within 180
days after it btu been accepted u complete
Print name: Date: • Fee methodology set by Tri-Couaty Building Industry Service Board
"Number of inspections Berm-mit allowed.
CITY OF TIGARD A BUILDING DIVISION PERMIT #: ELG200&.00s 5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006
Phone: (503) 639 -4171 Aa ar�
Inspection Requests (24 Hrs.): (503) 639 -4175 .� P 'I I..
INSPECTION WORKSHEET FOR DATE: 1/3/2007 TIME: 7:07AM PAGE: 51
SITE ADDRESS: 12436 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: 200amp service, (10) branch circuits, (1)wire for future sign.
OWNER: CACH, GERALD C + JOAN L, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503 - 638 -5020
Inspection Request Scheduled For: Date: 1/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041599 -01 503- 638 -5028 Y
Corrections /Comments /Instructions:
S cis( f I - i 2 £n I I% I .
�m
t th oG T-1 x`Tv (t:sv co li.. = GI a J -E L •
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5L
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71 - 0 5 rata- WILL - (11 , ) csA'Pj■ .;Sti. MIA\
gyp. 6 .t \ 6N \ct, 6�`,1 X
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c . V OU L Date: 1 3- D'7 Phone #: (503) 718 - 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/140006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/10/2007 TIME: 7:03AM PAGE: 15
SITE ADDRESS: 12436 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: 200amp service, (10) branch circuits, (1)vvire for future sign.
OWNER: CACH, GERALD C + JOAN L, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503 - 638 - 5020
Inspection Request Scheduled For: Date: 1/10,2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041976 -01 503 -638 -5026 N
Corrections /Comments /Instructions:
J
S
ppog v box 70 N 6- csattaRYi. Pa■ .
® r l0 Ak.b uai) >~' Poste To 6141k uorl. .
cl) tko vtOK Root A - 6 mac_. i �I o '16N\
A . .o v b-lw 61 oL i 5 c-cN rJ %t. wIALJC: 4) Pm) ty\61
kzN so w1/t04 16-Kist . C- J F L 1 Cc rAA
P( J iaE .e. k� `I�► M1�. 1)i tazIo GL fli4L 1-fqs' c
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL i:A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: My 06 LE Date: I`l J 67 Phone #: (503) 718 - �-' 116
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AM PAGE: 5
SITE ADDRESS: 12436 SIN MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: 200amp service, (10) branch circuits, (1)wire for future sign.
OWNER: CACI GERALD C + JOAN L, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503 -638 -5028
Inspection Request Scheduled For: Date: 1/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042035-01 503-638-5028 N
Corrections /Comments /Instructions:
v�P GiC: i71- 2:3
No 6 aX ex si , G 1e F
k Lo cou4 1 co
N0 o c 17-vi mob-- -044 Piva pd.ra 0 ,4 A-00 l�
0 - - ilex- ■Lo 6 0 v e rl 0 `('e c cL
c-e vvi _ 1- • b • ! it 1 _ �...►:.f i V*
whcz./- 0 60e co,f i(ny' pa 401 /.?
....c4ok., friGp Lt, 0 Vile 44 � •
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSP CTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: Date: /— l �— 0 Phone #: (503) 718-
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #:ELG2001,''0 D6556"
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 4porait
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: .1 .2,— 0i TIME: PAGE:
SITE ADDRESS:, 2, 6 W VYNA1 N �j I • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: W PHONE #:
Inspection Request Scheduled For: Date: -12, or] Pour Time:
Code # Inspection Description Confirm # Contact # Message
V:VN cA IJA L✓ btJ
Corrections /Comments /Instructions: ��
V A 1. I% C35. W v `c �Qi , p pp RD ( � ►ice
N v ∎ct,o eNtiV
a pp �I�vg 15� ' c'E eF
tt.(sft_. C i_J Q Of) .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Nt8 Ll' Date: t - \2 O 1 Phone #: (503) 718 Z
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200G -00655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1412006
Phone: (503) 639 -4171 ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/23/2007 TIME: 7 :02AM PAGE: 67
SITE ADDRESS: 12436 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: 200amp service, (10) branch circuits, (1)wire for future sign.
OWNER: CACH, GERALD C + JOAN L, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503 - 636 - 5028
Inspection Request Scheduled For: Date: 112312007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042371 -01 503-638-5028 N
Corrections /Comments /Instructions:
)Z1 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i %\)88 L Date: 23107 Phone #: (503) 718- Z -
CITY OF TIGARD Ali
BUILDING DIVISION - PERMIT #: ELC2006 -00655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR DATE: 12/5/2006 TIME: 7 :00AM PAGE: 43
SITE ADDRESS: 12436 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: 200amp service, (10) branch circuits, (1)wire for future sign.
OWNER: CACH, GERALD C + JOAN L, PHONE #: '
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503-638-5028
Inspection Request Scheduled For: Date: 12/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 Electrical final 040621 -01 503-638 -5028 Y •
Corrections/Comments/Instructions:
6
aE — 6 cAF,l01.- : �= -i. 12 -4 8 - -b 6 ci•
e
FiIJAL. 11Js fEcItoN is kfilkl RED.s
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
v iXLFAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . &- ''v� L - Date: 1 2 -'5- l� Phone #: (503) 718- Di*"
. A
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2006-00655
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 11/14/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 19
SITE ADDRESS: 12436 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: 200amp service, (10) branch circuits, (1) )ire for future sign.
OWNER: CACH, GERALD C + JOAN L, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC a , _ PHONE #: 503 -5313 -5020
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039974 -01 503- 63B -502t3 Y
Corrections /Comments /Instructions:
6 � CZA`J 10ig
%0 s G %-11T A.S
(ti.4 ► O£ 16 Q241.L4._ pive APO 3!( fa L ik/Ok
%kJ E i s1 o N � Lire its Lt . tk?
®;A 9 (NA. k(01 Not ALLO vog3 F DA 61t�L--
i (LE t∎ O C% - Att 1 Li (A
PaMM 2 - 6 c,R c6N N . s i S� ► N \t 1 ( XITEF4Safigical installation dPIOM§ fl
on this report shall be 001111004 &tip
an inspection request MA* Within PO
calendar days per OAR 9164 7i
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
tisc;
Inspector: ' Date: 11 ,'1 elk? Phone #: (503) 7182)