Permit CITY OF TIGAR D ELECTRICAL PERMIT
PERMIT #: ELC98 -0377
,, , . ' DEVELOPMENT SERVICES DATE ISSUED: 07/23/98
_ _1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102AA -00600
SITE ADDRESS...:11940 SW PACIFIC HWY #A
SUBDIVISION •TIGARD HIGHWAY TRACTS ZONING:CBD
BLOCK • LOT •012 JURISDICTION: TIG
Project Description : Electrical addition
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp : 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 14 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
ATOM ELECTRIC type amount by date recpt
933 CUNNINGHAM LN PRMT $ 55.00 B 07/08/98 98- 307188
SALEM OR 97302 SPCT $ 2.75 B 07/08/98 98- 307188
PRMT $ 50.00 B 07/23/98 98- 307589
Phone #: SPCT $ 2.50 B 07 /23/98 98- 307589
Contractor:
ATOM ELECTRIC INC $ 110.25 TOTAL
933 CUNNINGHAM LN
REQUIRED INSPECTIONS
SALEM OR 97302 Ceiling Cover Elect'l Service
Phone #: 503 - 362 -1382 Wall Cover Elect'l Final
Reg #..: 119223
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001-0010 through OAR 952 -801 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (593)246-1987. -1987.
0,---1551Ad / 1 0r Permittee Signature: , 1J+ , 6 0 6- Is cf By:: � `( 1.��(J 4d L_
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 SUP R. ELEC' N : I / l DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check ft
13 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit ft PLC P
Fax (503) 684 7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) Service included: Items Cost Sum
Address 4a. Residential - per unit
1000 sq. ft. or less '$110.00 4
City /State /Zip Each additional 500 sq. ft. or
Commercial ❑ Residential ❑ portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor Installation, alteration, or relocation
200 amps or less $60.00 2 -
Address 201 amps to 400 amps $80.00 2
City State Zip 401 amps to 600 amps $120.00 2
Phone No. 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. Exp.Date
OR State CCB Reg. No. Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Si nature of Su r. Elec'n 201 amps to 400 amps $75.00 2
g p 401 amps to 600 amps $100.00 r 2
Over 600 amps to 1000 volts, or
License No. Exp.Date see "b" above.
Phone No. /w, 0. t 7
4d. Branch Circuits Qi �U I1
New, alteration or extension per panel / / r el J
2b. For owner installations: a) The fee for branch circuits with /
•
purchase of service or a' f ICIPPill Et C,
Print Owner's Name feeder fee.
Address Each branch circuit 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch .ucuit /l) $5.00 DSO . 2
intended for sale, lease or rent. ,
4e. Miscellaneous -
(Service or feeder not include.
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: ..5-O
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ .2 ' S d
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ -
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account q �a. -5-0
$
Total balance Due
I: \OSTS\ELC9G.APP Rev 9/96
__ dUTY OF TIGARD ELECTRICAL PERMIT
4 ° ,
DEVELOPMENT , � DEVELOPMENT SERVICES PERMIT #: ELC98-0377
I� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED. 07 /,_1/98
'�
PARCEL: 2S102AA -00600
SITE ADDRESS...:11940 SW PACIFIC HWY #A
SUBDIVISION •TIGARD HIGHWAY TRACTS ZONING:CBD
BLOCK • LOT •012 JURISDICTION: TIG
Project Description : Electrical addition
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS - --
0 — 200 amp : 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 4 IN PLANT • 0
601 — 1000 amp : 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
ATOM ELECTRIC type amount by date recpt
YP Y
933 CUNNINGHAM LN PRMT $ 55.00 B 07/08/98 98- 307188
SALEM OR 97302 5PCT $ 2.75 B 07/08/98 98- 307188
Phone #:
Contractor:
ATOM ELECTRIC INC $ 57.75 TOTAL
933 CUNNINGHAM LN
REQUIRED INSPECTIONS
SALEM OR 97302 Ceiling Cover Elect'1 Service
Phone #: 503 - 362 -1382 Wall Cover Elect'1 Final
Reg #..: 119223
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 88110 - DAR 952- 081 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (5 -1987.
Permittee Signature: ued B , •�, /,1
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 INSTAL ATION ONLY
An
SIGNATURE OF SUPR• ELEC' N : 4 •�.1L / /
;.vd DATE: 7,dio '
Q
d �
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++
CITY OF Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd Byyl4
TIGARD OR 97223 Date Rec'd 7 - 7 - 4
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # Eta �1� /
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called '1 - `� -` I55
1. Job Address: sn 4. Complete Fee Schedule Below:
Name of Development Mf a QQo ret fr' e !, � r 5 Number of Inspections per permit allowed
Name (or n of business) /04/0 j' A L # 113 / 4 Service included: Items Cost Sum
Address ` , /kit itL7 eaLdt T 71- 4a. Residential - per unit
A 1 D �J G 7 �� 1000 sq. ft. or less $110.00 4
City/State/Zip ' C- El Li 7 Each additional 500 sq. ft. or
Commercial Residential portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) • 4b. Services or Feeders
Electrical Contractor f TUTY1 ELeC- TRI-C.J Installation, alteration, or relocation
200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
City State 02 Zip 401 amps to 600 amps $120.00 2
Phone No. (Sc) 3' 3(02_ - 13 - M 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 2y - t o C- Exp.Date
OR State CCB Reg. No. 119 223 pxp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro t Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00
Signature of Supr. Elec'• ; �--�� 401 amps to 600 amps $100.00 2
O
License No.
429 c S Exp.Date s e e 1000 volts,
"b" above.
Phone No. 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
-
b) The fee for branch circuits
City State Zip without purchase of OQ
Phone No. service or feeder fee.
First branch circuit I $35.00 2
The installation is being made on property I own which is not Each additional branch circuit y $5.00 Aga_ 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required) :* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
•
* Submit 2 sets of plans with application where any of the above apply. S. Fees: ,z- od
Not required for temporary construction services. 5a. Enter total of above fees $ �'
5% Surcharge (.05 X total fees) $ �
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ /
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �-•
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # J ��
Total balance Due $
1: \DSTS\ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
/.30. Date Requested 7-2 5-q? AM PM BLD
Location 1 1 -I ito �� p 1� y Suite A MEC
Contact Person R pa Ph 3 30 'O/ / I PLM
Contractor ATOM E /ecjrtc I nC . Ph rn 12 SWR
BUILDING Tenant/Owner ELC C / 1 ? -03 7 7
Retaining Wall ELR
Footing Access:
Foundation WAS C � 77 L C FPS
Ftg Drain �V �i
Slab
Crawl Drain Inspection Notes: arA s / SGT
Post & Beam /� y �(/` � � / U SIT
Ext Sheath /Shear '`�� // /
Int Sheath/Shear
Framing
Insulation ,[
Drywall Nailing 6 v /--19.- LO X � . S YYI u s r b e /us h ,tit1 t �h
Firewall / /
Fire Sprinkler pi h I Si'124L Ll /1 0 r )11 e_ l Luc ///) h to S
Fire Alarm 1n� f I- J
Susp'd Ceiling ) U5/ bP /Y/5�4//e T /JCJ1 P 7 hDX,
Roof /
Misc: 0 £t.D • • e,X i l7Se.c D We V/ ( t
FP al A. f 3 ?D - Z 0 A & C
PASS PART FAIL 1
PLUMBING
Post & Beam /
Under Slab Al) f• cY ,.✓/ / (.tom
Top Out .4 " I
Water Service Q1) 7 / e _ / `S [,r ' / i i .4 Q C ' Jt e C h ` t k1 p k
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam /] /
Rough In A 0 V� h / G .�• S
Gas Line
Smoke Dampers
Final
PASS P RT _ FAIL
(CECTRICAL
Service
Clough I
uG15a�b
Low Voltage
Fir- • larm ,i
�.. - +�.
PART CF
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �f G� / 2j417
Approach /Sidewalk Date ( ` ��` (� Inspector / to r Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 - 4175, Business Line: 639 -4171
�8 fl /�,� d"' c� BUP
y Date Requested � / AM PM BLD
Location I I Q `t'0 SW i1 Suite A MEC
Contact Person j if1 _ M'( I%1. . b-0- J - ( PLM
Contractor Ph SWR 2
BUILDING Tenant/Owner VI YtC I L�I�CI Sy - ytt& -1 0 p^ ELC �Q-> 77
Retaining Wall ELR
Footing Acces nn ((��
Foundation " `S c V`'tr FPS
Ftg Drain SGN
Slab
Crawl Drain Inspec ' otes: � 1 t-C SIT
Post Beam
eye", ccol„ ro c
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing �■ — p._
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
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
P FAIL
kr ELECTRICA
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
- ART FAIL
..
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ I Unable to inspect - no access
ADA ector Other h/Sidewalk r z /9, InS .G� Ext other Date Inspector
PASS PART . FAIL D NOT REMOVE this inspection record from the job site.