Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00150
,s�4r DEVELOPMENT SERVICES DATE ISSUED: 3/20/03
'�' "III{ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S136CD-00100
SITE ADDRESS: 11705 SW PACIFIC HWY X
ZONING: C -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (4) branch circuits.
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: 3 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:
PACIFIC CROSSROADS PROPERTIES, I OREGON ELECTRIC CONST /GROUP
BY WYSE INVESTMENT SERVICES CO 1010 SE 11TH AVE
200 SW MARKET ST STE 345 PORTLAND, OR 97214
PORTLAND, OR 97201
Phone: Phone:
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 3/20/03 $66.80
[TAX] 8% State Tax 3/20/03 $5.34 Rough -in
Elect'I Final
Total $72.14
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: , ' l Permit Signature: 7-n/ �j�G / i'7o
r 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: 11 /✓'��� /i' '9-% 70 ^' DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
MAR-20 -03 08:27AM FROM -OR ELEC SERV - <;=- E1VED 5035352763 r' T -757 r P.01 /01 F -650
r. .
41111 City of Tigard e2o/nmt, 84 I g #"--- Date received! 3 i, 03 Permit no.: 61.e. 6015®
13125 SW Hall Blvd MA 2003 Pro ectla, .I. no.. ,. i fe d : te:
., Li. �' Phone: (503)539-4171, FAX: (503) 568 -1 Date issued: 13 Race t no.:
Internet address: www,cl,tlgard.or QTY OF TiGARD Case file no.: Pa ant A-
q 24 -Hour ins • • , • -. _. I. ;R: k,1' . t: ISIO
•
a CI 1 &2 family dwelling Cs accessory a Can 0 Multi-tamily 0 Tenant Improvement
0 New construction 0 addition/alteration/ = •lacement 0 Other: 0 Pte(
0 Joe Aadrasa: 11705 SW Pacific 11w Bid.. No.: Suite no.: L Tax ma ,. • lefle000unt no.:
1 I Lot: : - . Subdivision ..
V) Pro t Name; laze • uick Co • les Desert . • n and location of work on • remises: additional circuits for • tai . mint
Estimated Date of oom_P ... — - „_^`
Will ou call for in • Ian within 24 hours? Y N.
i
N) Job No.: 74602 • • :. Poe ea Tout Im
" D Mard-flapuy /wing
Huaineap name: Oregon Electric Group .. unit Includes aNached
) Add : - .: 101 E 11th Ave. 1544 • .stoics incanted: ft or ion MN=
4) Ci : Portland State: OR 21.: 91214 Ea Aad1503 SF Or Portion 5 33•40
Phone: (508) 234 -9900 Fax: (508) 234 -1001 E -mail: Ltilitad away.1 ; 75,00 $ - 2
CCB no -: 203 elec. bus. lie. no.: 20-050 Urnia bumf, YdliFaaiy $ 75.00 $ - 2
/•I oI-'No• _ - .
Each manufactured home or
// _. _ modular dwelling. Semite -
�h:...� , r.:: r. / Gate: Slfe /2003 andlorfeeder L4.90
r; i'',�, Ltcenao no: 44e08 installation, Iaaton Alteration or
Relocation:
..I : ... .. r 200 an •- Or less $ 80.30 MI
Nail/0 (print)= 201ampa- 400ampa $ 108.85 $ - 2
Melling Address: 401emps- 900emps $ 180.60 $ • 2
ll
City State: IZip: !Clamps - 1000amps $ 240.$0 $ - 2
Phone: Fax IE -mail - over 100aA OrVOita S 454.88 $ - 2
Owner lndtallation: The installation is being made on property rty I own which Is Reconect n Ony $ alas I $ -
not intended for sale, l. rent, or AXChaWOal according to ORS 447, 455, 479, emporara- ry aervt or g
Pa a m In�Mgafon , - - -- -
870, 701. Alteration or Relocation:
Owner's a • naturre: Data' 200 amps or lees $ 88.85 $ - 2 -
' , 1i. , 201am • a - 400em • s $ 100.30 $ - 2
Name: 0var401amoe swamps S 133.76 $ - t
B ranch Circuits -Nano.
Alteration or Extension Per
Cdr _ - Panel: A. Fee tor branch
City: State: Zip: - dra.14$ with purchase ofsenrice
rte: Fax E-mail: circuit feeder foe, each branch
rfu
$ s_e $ -
2
a Fee for branch circuits WAOut
Purchase of Servke or Feeder.
lit
1st Branch Cid 1 $ 46,55 $ 0 46.86 2 '
Cl Service over 225 amps -comma Cl Health-care facility each addlnonel brare n circa a 6 ails $ 6 ' 5 18.85
Cl Service over 32a amps - rating or G Hazardous location Mlacalsneoae - (sarvlos Of
feeder not included)
182 family dwellings 0 Budding over 10,000 square feat four or Each re • or inns. aeon elrete 53.40 .
0 System over 600 volts nominal mote residential units In one structure Each $ -nor oraine . mr . $ 63.40 1311111111111.11 2
O Building over three stories Cl Feeders, 400 amps or more algnai Cock(') a - Limited Energy
Occupant load over 90 Panes Attainder ar Entanefom'
O Occupant Cl M anufactured s tructures or RV park _ seepair 2 2 ,
Cl Egress/lighting plan Cl Other - - 'f)eecrtptiorr: .
Each Addldon&inopeorror o it____Erzsa •
Mc Adowsbfe In am of the
Above. Per inspection Su bmit 2 sets of plans with any of the above. Irnetdpation
The above are not Applicable to tempereyr construction service. other —
(1 n �� Permit Fop ... 1 4 1 e0)
( J'�1 Mateo: tftap•rmualpr whoa Plan review 25% Ea s, 3 /
e Min p...ka not
obtained Wham tie goo own State Surcharge 8% .94
r nu:~ aemood eecamphors. Total ¢7214
, ;01 r
7,2, // .
CITY OF TIGARD • 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 3-R(0 AM PM BUP
Location 0 I Suite MEC
Contact Person R YV Ph ( ) , ` oZ� PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 3- 00/S
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam /
Under Slab SS
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
II MI. Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
1E1'i PART FAIL
E ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Ii 4 ■ h Inspector �IDG/ Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL