Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00666
.;•� ��, DEVELOPMENT SERVICES DATE ISSUED: 9/9/2005
`�'` �` I� 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 .
PARCEL: 1 S136CD -01600
SITE ADDRESS: 11674 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (1) branch circuit. •
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: 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:
STANDARD APPLIANCE, INC. • GEORGE + SONS ELECTRIC CORP
TRUSTEE: JULIAN RITCHIE • PO BOX 339
5240 SE 82ND AVE. CLACKAMAS, OR 97015
PORTLAND, OR 97266
Phone: 503 - 777 -3377 Phone: 503 - 654 -8634
FEES ' Reg #: LIC 35600
Description Date Amount ELE 3 - 117C
SUP 3185S
[ELPRMT] ELC Permit 9/9/2005 $46.85
[TAX] 8% State Surcharge 9/9/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60 •
•
• 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: j Permittee Signature: Vim- \ r
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.
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09/09/2005 10:15 503-653-6886 GEORGE & SONS ELECTR PAGE 01
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41...
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City of Tigard i Received ,
OR 97223
.. R g 1 - . 6 ._ ( 1 Parma No.:6 Le ‘ t
13125 SW Hall Blvd., Tigard,
I Pisa Review
Phone: 503.639,4171 Fax: S03,598.1960SEp 0 9 200 ', Rame.13) , Other Permit 1
I
Inspection Lille: 503.639.4175 ,.e . 21 1 ... r hue ittatiPik. --- ' - ' • Liii ---. ii Ai: 2
Internet mr.v.ci.tiprd.or.us sfr Noddd/Method: • 7 . ., Suppe:mute latbrararkm '
,,' ...j. ? • t...,,i, : iii 7 . 1 ,77,.; 3 7,...;f7771 Er:;; ,.,., ,,,,, , ....: i., ..,.. ,.,., ;. - la 7.11%
; 1 •••••?•'. F!+ •■•' ;MP ''. '4i / • • ,i• • C • ' , i • ••• • ••1 r -- I l ia •• • "`' i :
' '-*- ' ' '' •-••! • • - • 1
• New construcdon V. M 1 I 0 1 ... ticinireiacement -' "`".-.--- •!- • ease c al al ap
I. Service over 225 il p t1415, comml ElHazardous location
0 DensolitiOn 0 Other:
....p ,yri i ,,, t , ,,, ni ... :,„::, • , z,,. °Service over 320 amps - ruing EiBuildng over 10,000 eq. ft.,
•
,;, : ri, l';•.0,:illr.T.Ai.,44 !. .. , 4:6l11' ".•;.1, of 1- and 2-farnily dwellings 4 or more new residential
• 1- and 2-Family dwelling i • ' Conunercial/industrial • Accessory building i I ElSystrm over 600 volts ixirninaj units in one stnacture
0 MuIti-f. .. 0 Master builder • 0 Other I °Building over three stories °Feeders, 400 amps or more '
g ilr.,,4!''': 1 54,4 •",:0 l "f ra , w `l'''''?"t ,'"'''' ,,Y • U1 ' .( '''-"T r .....,i c '''', : -.77 7T 7 •77.7, 77 °Occupant load over 99 persons ph'isnutlictuted structures or
lhisij, ' ..-, ' -r VA? ••' s' .tit.toctgu'ri, . ..;, .j,,, i' . i4:. .• .. ,.,..;;.,L. ::. .....,421 1
.3.........,..i.. n RV park
I- IEgreslighting plan
Job site addreSst 1167y gv,/ act.. /Ate : DHealth-care facility pother
•
,
, -_____ .... ...... _.. .. . ...A.... ....
° I City/StaterZIP: l' I Submit .2. sets of plans *tit any of the above. :
Suite/bldg./ppt. no.: I Proiect name: $7 TV F.• -.7'
Crcras streeddinsctions to jots site; Lancioe. . . ; Q. Pia . Tolid : .. •
- • - - - - • - • .. - - --- ---.. --- • -- - -- - -.- - - - • • . . • -- • . . • Niiirtakl sing Ii- or mukt:Fitinfty arrel m
Ung
1 1-1@glildes.PSItmhe0.2 11 r.NM.. .. ,... . ....
1. _ . _„' I 000 sq, ft. or less
------• --- ------ - -
Subdivision: [. Ea. adcrl 500 sq, 11.51 4 . 33.46 _il 2
- Lot no.:
Tax map/parcel no Limited energy residential L I 75 .00 :
._. . • I
fa : lils ...:.J.1'.% i''','" ''',.',97", l'i!'•';',?,:tr,,: ''','": I., ".?" 1 ,..1; I jirniced energy non-residential i 75.00 2
. i . .
L. •.•,141,4,. ••'-'''' • ; '. ', •• wmilitstifI've.,?, ,., 4 , litiii „, ..% 1 .■,• .ali' i , 0 Asyrz:....., a i .. !•.......:2;N::::,..-::...iii.a.1.1 . Each manufactured or modular I
- . ,
- - ,- 141 C- - . - - 4 VC-/ S i i fff &V /r7 */ 1 / )44/4 - /4 -_.dIciling, service . tictlig. f..4 1 ....K 9 f1.... .. .i ?....
- ---. . - • - - : &roves or leedepi Instalfttloo, alterstioo, and/or relocation •
• sfAr •
4 4 ; e ,,,,, .Ar0544,4■3 e /2„ecnoAcs 200 amps or less - • .. - . 80.30 .... i 2 ....
L
r... i i i e.. , .... Atrq 7 ‘ ' ; '...?1: , , , , - . ',,.!:;,;!., - .1.; • q teitiwit - 201 amps . to ioo amps .._ .. . .... .. 106.85 . . . . __L2 2
: Name: 7 i- -
: . 601 amps Col,* amps : 240.6
... __ _ . .... ... . .
Address: • ._ Os;er, 1,000 amps or yoirs L . . 4.14,65 . . t_ 2
: . 66.85 .. 2 •
City/State/ZIP:
Temporary servkes or feeders Installation, alteration, anti/Or - 1
- --- --- - • • • • " -' ' " " relocation
Phone: ( ) ! Fax ( )
. • 200 amps or lesS 66.85 I 1 :.
: instadhtion: This installation is being made on property that I own which is not - 26 - 1 am to 400 amps 100.30 • , 2
..___ . .
• intended for sale, tease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 an to 600 arnps 133.75 ' 2
.. . 1
Owner • , L.. • . ! _ : Date: . Winch eh - alteration, or tension, per panel
. ........_
.......1:&c i','.iP:'.'.' 'ILI . :.'.' : . aregki ...... : -...C1 A. Fee for branch circuits with
service or feeder fee, each
6.65 I
Business name:
branch circuit • 2
• - - " - ' • - B. Fee for branch circuits
Contact name:
withow service or feeder fee. :, / 46.85 , V4, jrr 2
___..__ .,__
each branch circuit
Addre48: -
Each add'l branch circuit
• --. - --- -• - - - ----- ----- - - • • • - - - -- -- ... . .
City/State/ZIP: : Mileeflaneous (service or feeder not included)
. .._ . ...._.. . ... . ___... .._ .. , ..._ _.. . . _._ . ..
Pump or irrigation circle ...... 53.40 : 2
Phone:( ) ' hoc: ( ) : __
: Sign or outline fighting ... : 53.40 -
- ____ ._....,_....._..... __ . ...... . _.. _ . • _...._ . . . . . - - • •
i E-mail: Signal circuit(i) or limited-
. •
r:•:'"'li'i ...i: . • •.: pif iflii Vii■ ,,,..7",Y, •• ..•,;:•• • ....!..: .:1:!.....:773:7 crew Panel, alteration, or
; •
. •
1._•.. • .'.....:. dr,Aumm'cr. " .' '. ,4-41- , :4,0.11 , , , II4,...,,, ,. ,..,: , ‘: ,ftIe,' r A I.. .1...1 • " - awl :::•••:: : ;;;::!, ii ii'2 ',;..!•4:r.., tens Describe: Pane 2 • ' 2
13rusbness name:
In 11 4 ittat if . .. ...4- ici..... e....„,. .... . .
• ... ._____ i.-&„ additional i inaneellin Cr alio Wm bielnin; of the Bina...
Address: PO ex 3101 . ........
ia.so . . : ■
-------. - . • Per inspection . . - . .....C
....___ .
City/State/21P: e -A
. ._ II - 4 ,7 /c"
.'..i' _........ ......0 . ! Investgat o pe hour( )
• - - .- - -; • •-• ! 62.50 I
Phanc: (roArY-np Y . .F..ax :(s0,3 . 4s4-g V9 4
• " -• . • • .... .• .. Industrial plant per hour . , ..1 73.75
D.7.: .. • . .. '435.9 •I-j_..::1
CCB Lic.: Moo i Electrical Lic.: ',II...G. , Supry 'c.: 3/85=5 ; ! Subtotal
. . Plan review (25% of permit f) : -
Suprv. Electrician signature, required: -•• -••• • • - - • • -- • • • • •
__... _ ... . . . . State surcharge (8% of permit fee) . 3.75 -
Print nante:
_Cr-49E-Rekla4. i Date: ff. IF ... or"
. , TOTAL PERMIT FEE
Authorized gnature:
ca I , Zek
This permiiiiitilicatioti exilic. if. eirialr Is iieioirairriewfirrin 180
si
dors after It an hem accepted ao complete
. .---..... ---.....- --- - -------- --- - --- • .--- - .. - ... • -. • - • . -
Print name-. ; DOlc: " Fee methodology on by Tri-Cotody Building teduerysamice Board
'''' Nuttlber of inspectione per permit allowed.
.. ...._......_......_ .. ... _ . ..... • • -
i: 12/03 440-461Th NM/COM/WEB
•
CITY OF TIGARD _ .
BUILDING DIVISION PERMIT #: ELC200EP00666
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9/2005
Phone: (503) 639 -4171e I I
Inspection Requests (24 Hrs.): (503) 639 -4175 ,� `__..
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 70
SITE ADDRESS: 11674 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STANDARD TV & APPLIANCE
DESCRIPTION: (1) branch circuit.
•
OWNER: STANDARD APPLIANCE, INC., PHONE #: 503-777 -3377
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503-654 -8634
Inspection Request Scheduled For: Date: 11/7J2005 Pour Time: C J
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 020077 -01 503620 -0123 N
Corrections /Comments /Instructions:
: PASS ❑ PARTIAL APPROVAL E1 CANCEL ❑ NO ACCESS
NI FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ((__7 - Phone #: (503) 718-
____410.
CITY OF TIGARD
BUILDING DIVISION t PERMIT #: ELC2005 -00666 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9/2005
Phone: (503) 639 -4171 � ,, 11y
Inspection Requests (24 Hrs.): (503) 639 -4175 .44. "'I I..
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7:03AM PAGE: 96
SITE ADDRESS: 11674 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STANDARD TV & APPLIANCE
DESCRIPTION: (1) branch circuit.
OWNER: STANDARD APPLIANCE, INC., 6 PHONE #: 543.777.3377
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503- 654 -8634
Inspection Request Scheduled For: Date: 9/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 99 \ v , Electrical final 015706.01 503-654-8634 N
Corrections /Comments /Instructions:
1 1 c\-P, P 5 k \- LP b Lo e cc Ate of/\'
vi pi ‘A) \T _\ a YN`i
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i�-�i Date: — i / Phone #: (503) 718-
\