Permit . if CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00295
A =,''r. * :,0, '' DEVELOPMENT SERVICES DATE ISSUED: 7/29/02
� iI 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S136DB -02500
SITE ADDRESS: 11636 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Upgrade service to 201 -400 amp and add 42 branch circuits. Low voltage included for data /telecomm
ONLY. .
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: 1
MANF HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 40 PER INSPECTION:
201 - 400 amp: 1 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: X CLASS AREA/SPEC OCC:
Owner: Contractor:
NACHTIGAL, FRED C SUC PERS REP ST JOHNS ELECTRIC INC
KESSLER, JULES E 4415 NE MINNEHAHA
101 SW WASHINGTON ST VANCOUVER, WA 98661
HILLSBORO, OR 97123 ,
Phone: Phone: 360- 693 -5100
Reg #: LIC 43135
SUP 3024S
ELE 37 -350C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 7/24/02 $528.15 2720020000( Wall Cover
Low Voltage Inspection
PLCK CTR 7/24/02 $132.03 2720020000( Elects' Service
5PCT CTR 7/24/02 $42.25 2720020000( Elect'I Final
Total $702.43
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 v ork 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 -0080. You may obtain copies of these rul r direct q : tions to OUNC at (503) 246-6699 or •
1- 800 - 332 -2344. II
Signature: Q I �i„d1/ Issu d By: , 1, �
�Q P , h � "..
�"lf � _
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 INS ALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 1t --� t ke DATE:
LICENSE NO: v: c 4 5
Call 639 -4175 by 7:00pm for an inspection the next business day
Jul 17 02 09:22a St Johns Elect. 3606991345 p.
1
/ ar ( 5 /// sic.P'
• 4 Electrical Permit Application - : _. - - - -- - -= = --
- Permit no.: -GO, 95
. Date received: ; 1 C ity of Tigard
• Project/
app/. Tigard Address: 13125 SW Hall B1Vd. Tigard. OR 97223 u
i:aaii►
Phone: (503) 639-4171 Gate issued: lairJ Receipt no.:
Fax: (503) 5 98-1%0 Case file nog Payment type
.
Land use approval:
0 I & 2 family dwelling or accessorl, 4Commerciallindustrial 0 Multi-family O
0 New construction Addition/alteration/replacement 0 Oar T improvement
U Partial
Job address: i1 ' /k _ Bldg. no.: Suite no.: .:
Lot: f $
B lock: Tax mapJtax lot/account no.:
(Subdivision:
Project name: _.:. %; cit . r 4. Description and location of work on premises: 9 • : , .
Estimated date of c letion/ins lion; G I, `
Yob no:
Fee Ma
Business name: S Johns Electric, Inc. 1 Des crip t ion (ea.) Total noansp
Address: 4415 NE Minnehaha 5t,
New reddeatid- pang!- per
City: Vancouver I State: WA 1 Z1P: 98661 se kelectsderb Includesamadiad
Phone :3606935100 IFax1699 -1345 (E -mail• maul. aarless
CCB no.: 43135 Each additional S00 R m 4
[Elec. bus. lie. no :37 -350C F sq. pomonthe:reof -
City /metro`" , no. i t:s cr 119 t l�tcwy,,,sia�tist 2
' � � c U�oitadenaw,npanaidentiel 2
Signature - . su l/ L Each u � home or modular dwelling
Ix:vis . ici an (required) Ilgt Service andlor feeder
Sup. elect. name (p ): rean R. B ur License no:30245 Services or feeders- lestalladon, 2
PROPER II 1111 NI It a on or ►��,
Name (print): 20 amps or less I Q `,J
amps w 400 wisps 1 _ 021c,.. , C
Mailing address: - 401 amps to 600 amp 2
City: [state: I ZIP: ' 601 amps to 1000 amps 2
City: ` Over 1000 amps or volts 2
(E-mail: Reconnect only 1
Owner installation: The installation is being made on property 1 own Temporary ae•rker bedew/ -
which is not intended for sale. !erase, rest, or exchange according to In + atio4orrelection: according
ORS 447, 455, 479, 670, 701. 200 amps or less 2
_ _ Date: 401 amps to 400 amps • 2
Owner's signature: -
— 4o1 ro60o ... 2
1 1'( :I:11 -IR Brandt elands - new, alteratlan,
Name: ormwees oaperpate*
Address: A. Foe for branch circuits with purchase of 7v
City: service or feeder 6n. each brunch circuit o'i2b)) J `D 0
State: • I ZIP: B. Fee for bands circuits without purchase
Phone: Fax: E -mail: of scrips or feeder tee. first branch circuit: 2
I'1,.1 \' It 1:1IL11 (l'lca�c diet!. all that a {h {ilr) Each additioard branch circuit
Musa(Service orteedernalodsded):
O Servlpapver 225 amps-commercial O Health-care facility Each pomp or irrigation circle 2
;KS:nrice over 320 amps - rating of 1 &2 0 Hazardous location Each signor outline lighting
family 2
O Building over 10,000 squue Sea Tibor or Signal eircuit(a) a a limited energy Papal,
0 System over 600 volts nominal room rwdadal units in one structure alteration, or extensions , / t 7 V
O Building over thraeatorie
0 Occupant load ova 99 persons 0 or more 'Description: �0 J . .O
0 structures or RV panic g over the allowable to
��iB�BP� O Other. _ asyofl
Submit _ sets of plans with any of the aboe. 1 l r !
The above are not apple to temporary construction service. Other
ke ea junsdiNmu aoant coedit a rt, pease cal inns 5nan for more lakaoroios. Notice: This permit application Permit fee $
o vita o b e„d expires if a permit is not obtained P lan review ( al _ %) $ {� p
Credit `�` within 180 days aft it has been State surcharge � .
Ys crttargt: (896) $ .
Kama of cardholder as shown ea audit card accepted as complete. TOTAL $ r? x t 43
S t: °moteQ sigma= it
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested // 70— AM PM BUP
Location / / J 40 �C��. Suite MEC
E n.x Contact Person Qc - r���%rK� Ph 2 toe 6 O 7- C3S b PLM
Contractor h ) 4 — SWR
BUILDING Tenant/Owner ELC ° — ' 2 S r
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 rf� r C0c ¶
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
al ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
E ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date �i�
NOV_ OV /oi i73 Inspector . / 2 j Ext
Other: �/ d r�
✓
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL