Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00738
11; DEVELOPMENT SERVICES DATE ISSUED: 12/27/1999
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD -01700
SITE ADDRESS: 11686 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical for new construction
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: 4
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: 4 W /SERVICE OR FEEDER: 160 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: 1 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:
P & F PROPERTIES RED'S ELECTRIC CO INC
834 W ST CLAIRE 2002 SE CLINTON ST
PORTLAND, OR 97205 PORTLAND, OR 97202
Phone: Phone: 233 -6467
Reg #: SUP 2059S ' L
LIC 000044 P '
ELE 26 -152C
FEES Required Inspections
Type By • Date Amount Receipt
Ceiling Cover
PLCK KJP 12/27/199c $390.50 99- 320032 Wall Cover
PRMT KJP 12/27/199c $1,562.00 99- 320032 Elect'I Service
5PCT KJP 12/27/199c $124.96 99- 320032 Elect'I Final
Total $2,077.46
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY: eef2
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: /-Z / 7 ff
LICENSE NO: O S - 1 S
Call 639 -4175 by 7:00pm for an inspection the next business day
08/09/99 MON 11:28 F'A3 5u3 5 U tabu 'iii ur Ittannu a - -
CITY OF TIGARL) Electrical Permit Application • wan Cam` 0 - / - • gl C
1312k SW HALL BLVD. �� Recd By A
TIGARD OR 97223 Data Recd /- a/ '
Date to P.E. /Z -i -4 i
Phone (503) 639.4171, x304 Dale to DST /A- 15 - - , C/
Inspection (503) 639 -4175 Print of Type Permit x ; / 'Wart 3
Fax (503) 598 -1960 incomplete or illegible will not be accepted Called / - S .•s.
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development
Numbs o f snored
Name (Or name of business) 4fA9irl4L/7 iii - /_,' Service Included: Items Cost Sum
Address /f63 O w pmt r,: fir✓ 6i;/1w 43. % atdensa! - v. wit
City/State/Zip . .779. CP W...2.2.37 1000 ay. ft. or $ 117.75 4
Each additional 500 so. ft. or
portion thereof $ 28.75 1
Commercial El Residential 0 limited Energy $ 80.00 .
Each Manufd Home or Madder
2a. Contractor Installation only: Dwelling Service or Feeder $ 72.75 _____._._ 2
(Prior to permit aware" applicants must provide contractor license 4b. Services or Feeders
ltdormation for COT . • •: base). , Instillation, eltaration, or o a
Electrical Contractor _ - ) 200 amps or less 4_ $ 84.25 7 ' 2
�Aw C '_ ‘►/%t.. fr 201 amps to 400 amps 1 $ 86.69 � 2
/ - 401 amps to 600 amps $ 128.50 2
C{ty a �v Std �� �P � 7i�A ? ' 801 amps to 1000 amps / $ 192.60 ` 92 2
Phone No...Zj -6 e2ij 9 Over 1000 amps or volt 5 353.76 2
Job NO. v 6 Reconnect only $ 53.60 2
Dec. Cont. Lice. No. 26 / SZ GF�.Date / /o/ o O 4c, Temporary aavlc9a or Roden
OR Stets GCB Reg. NO. ti Y Exp.Date G//7/.90 Installation. alteration, or relocation
COT Business Tax or Metro No. /6 95 EXP 'ate 200 turas or lea $ 5 3.60 2
201 amps to 400 amps S 80.26 2 '
Signature of Stpr. Eleen. _.°... ..- / . i _, . 401 amps to 800 amps 5 107.00 2
/ Over 800 amps to 1000 vote.
/ - Of see °V strove.
License No. e ...Date A. - /
Phone No. - 77--G vG 7 4d. bench Ctrcu to
NM, alteration or extension per panel
e) The fee for branch dreufs
2b. For owner installations: we pur'chaoo orsovtoe or
feeder fee.
Print Owner's Name Each branch c rcuit / a $ 8.36 8: 2
• S b) The fee for branch circuits
withoutpurahsso of sondes
City State Zip _ or feeder tie.
Phone No. .
o. First branch circuit $ 37.50
Each additional branch circuit $ 6.35
The installation is being made on property I own which Is not 4e. __mama
intended for sale, lease or rent. (Service or fewer not Included)
• Each prep or Infection drde 1 42.75
Owner's Signature _ Each ale+ or outline tang 4/ 1 42.75 /7/
Signal cirarit(s) or a limited energy
(if required):*
panel, Labels (10) or extension 5 60.00
3. Plan Review section _
�4= te nor (10) s 107.00
Please citselt appropriate item and enter fee in section SS. 4f. Each additional Inepstlon over
4 or more residential unS in one structure thS allowable In any at as pasha
Service and feeder 225 amps or more $ 50.00
>C
Per Inspection
.- Service her $ 50.00
System over 800 vote nominal In Plant - $ 59.00
Classified eras or structure containing special occupancy as
described In N.E.C. Chapter 5
- 5. Fees:
Enter of above fees S i
a Submit 2 sets of plans with application where any of the above apply. it% Sun:Noge (.05 X total fees) 5
Not requited for temporary construction lawless. Subtotal $
db. Enter 25% of line Se for
NOTICE Pian Review if rewire: (Sec. 3) $ 3 ?O•SQ 1
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS 0 Trust Accounts M 4
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 2077
i:*ts \fmuieeloctric.doc
05/18/2000 Activities for Case #: ELC1999 -00738
3:26:52 PM
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 11/29/1999 DRA RECD No Hold BON 12/10/1999
ELCC003 Permit created 12/10/1999 BON DONE No Hold BON 12/10/1999
ELCC102 Plans routed to Plans Examiner 12/10/1999 BON DONE No Hold BON 12/10/1999
ELCC110 Plans checked /approved by PE 12/15/1999 BP PASS No Hold DEB 12/15/1999
ELCC115 APProved plans routed to DSTs 12/15/1999 BP PASS No Hold DEB 12/15/1999
ELCC700 Ceiling Cover 12/15/1999 12/15/1999 04/19/2000 CD PASS No Hold AKJ 04/19/2000
ELCC720 Wall Cover 12/15/1999 12/15/1999 03/08/2000 CD PART No Hold RB 03/09/2000 Feed from basement to upstairs
Fllor boxes
Upstairs slab approved to
cover.
ELCC730 Elect, Service 12/15/1999 12/15/1999 03/21/2000 CD. PASS No Hold AKJ 03/21/2000
ELCC799 Elect'l Final 12/15/1999 12/15/1999 05/01/2000 CD PART No Hold AKJ 05/01/2000 main floor finaled, reschedule
final for basement and speaker
wiring
ELCC400 (F)Ready to issue 12/23/1999 DEB DONE No Hold DEB 12/23/1999
ELCC500 (F)Issue permit 12/27/1999 KJP DONE No Hold KJP 12/27/1999
ELCC720 Wall Cover 03/21/2000 CD PASS No Hold AKJ 03/21/2000 1st floor except home theater
rooms, bathrooms and back
hallway and office
ELCC720 Wall Cover 03/29/2000 CD PASS No Hold AKJ 03/29/2000 rest of wall cover upstairs
ELCC720 Wall Cover 04/10/2000 CD PASS No Hold AKJ 04/10/2000 elec app for all basement walls
and rec. area soffits
ELCC700 Ceiling Cover 04/25/2000 CD PASS No Hold AKJ 04/25/2000 ceiling cover except over elec
panels in hallway and borders
only in blazer theater
first floor only
ELCC700 Ceiling Cover 04/27/2000 BRP PASS No Hold AKJ 04/27/2000
ELCC700 Ceiling Cover 04/28/2000 BRP PASS No Hold AKJ 04/30/2000
ELCC799 Elect'I Final • 05/17/2000 CD PASS No Hold AKJ 05/17/2000
ELCC800 Case Finaled 05/17/2000 AKJ DONE No Hold AKJ 05/17/2000
•
Page 1 of 1
. CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
BUP
Date Requested 3//7 AM PM BLD
Location /1 (eg s) P&-1 & 41.1.)1 Suite MEC
Contact Person e C— Ph ,-P' - (Q 4(0t PLM
Contractor Ph SWR
BUILDING Tenant/Owner / g L Tea -- ELC (519' 33
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam .
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL -
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
C SS - P F AIL
ELECTRICAL
Rough In
UG /Slab
Low Voltage
Fire Alarm
j11111ART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA l � t1L�/
Approach /Sidewalk
Other D S / 7 Inspector
Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.