Permit lk
q CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: EL
DATE ISSUED: 11/27/20027/200
7
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135DD -03301
SITE ADDRESS: 11945 SW PACIFIC HWY 246 ZONING: C -G
SUBDIVISION: TIGARD PLAZA LOT : 002 JURISDICTION: TIG
PROJECT: DAXING SEAFOOD STORE
Project Description: Reconnect 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: SIGNAUPANEL:
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD PROPERTIES INC
2106 SE OCHOCO ST
MILWAUKIE, OR 97222
Phone: Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 1 1/27/200' $66.85
[TAX] 8% State Surcharge 1 1/27/200' $5.35
Total $72.20 REQUIRED ITEMS AND REPORTS
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 :..ays. • - NTI• • Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 9 - 001 -0010 through • R 9.2-14 -0100. You may obtain copies of these rules or direct questio . • • UNC at 503.246.6699 or 1.800.332.2344.
Issu . d By: _ / tee/01/ 1 a1
Permittee Sig '% W
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.
1 11/27/2007 13:45 31:.05461737 iF 1 . :. - ..iurrr'f . • IN P. PAGE 01. /02
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t .
Electrical PerrqALpk pligtion 7 .. , ., f loR c
. ' .- . -.. . . . oiceilto:INIX . ''. ' . . -.' - • '-'
__...... ....___
. ; .
City of Tigard / , ...... A..
D. iii.z..r3) c ivil G" I r' '' r T No EA 7-4 795
,rn 13125 Mk:11:111 13 Tigar:1, OR Q ;,, it c7,7.
' 2 • Phone; 503.09.4171 I- c,..x 5(3 59e, ic.,,;k) ri!.,,,s.,. (Alio Pc: am
—.
n
Inscelion Line_ 503 639 , 1175 Ontc Rcritiy:ny; Ir7 l 0 Sec Pmge : for
T1 CARD '
- intern. wv..xv tirszu-ur gov i.,:rr'elott.'Mu: —
lit,..1 1 StippicoltnInl Inforrnolion
— --
1. . . TYPE OF WORK 1 . PLAN REVIEW
_
,. .
PleaFt,zhcc! all 1.1t;:. airly 11init 2 .1els c: plans w:itein.r.dle;tked bc•icw
New construction 0 Addition:alteration/replacement
I 0 Scrvc C1T leerier e.rin r er Illtlfe 0 Burdinctiaverii•reo. wittu,
I 0 Demolition Other: re c...0 vl c.e..:1" o 14 i 1 wimp:. nic availabrc fau rurrcnt 0 Mannn'! :la laaatyare!;.
- — .
—
) • . CATEGORY OF CONSTRUCTION ' cxecr.e,.1a,r,(10 ;min; al I 50 volll nr 0 Flovtinn Nuldf:t .
. . .
' ' • ___,—..—.—.. leff to grolind. Or o'rcoc0 1 4O' 0 COMnCrc'al ni"
0 I- and 2-romily dwelling a'Conimuciallindustrial Li 4,ecossory buntline, 1775 fru ;III roller ■ffin:1:viorts building:. -
0 MUITi 0 Mager builder 0 Other, 0 Fi-e pump. 0 Instraiatie.,:. % K VA or
— ---- --- . ' C3 7.1, F:ystc:r.. I:nget separately derivcd 5yncir e "
.10113 SITE. INFORMATION AND LOCATION ' 0 Addlii7,-r. crew melt 10.1<1 or 0 "A ". "1-2", "1 , 4
POHP t.r rnor=
Joh no. f Job site address: 0 si ,. : or ,ror,; Itiiticm: ,,,,,,:, 0 Rcc7c:ItiorVI N'elliC le parl.:a.
0 tic. i.i: facdifirs
Cits>'ISIalcIZIP: --i-z 0-4 ori 2.15 ,--,,, - , - , - • 0 supply c , ,r
, +-ppm. il),In
L---- t _ i ,-,ii:A7(,,C;IIN ,t1Cntioll 600 .,..11I'. nominal •
I
Suit.111(1s.C:r1. tin ' _it_ 1_4 („, 1 Project name ' 0 –,-.--- Fier% ice. aT feeder COD aurr, or 11107C.
__ FEE SCII r.DIJI,E
. I
Cross sttect/dircctiont; to job i WALL 6 L. obl' . De‘crip!ion I Pty. j !Fe, j___Lrm __1_
, New residential .ink- or multi-family dwe Ding lir it. 1
; Includes attached gnr3gc.
i 45.15 . ---7 d
. _
Subdivision. I Lot no I I .00e sq ft or less 1
i --- 1 Co odd 1 500 sq II or portion
Tax I no,. 1 Si 0 t) - o 3f.:) t I Limited energy, residential I ,. ,.
_ -- • 75.00 i - .'
:i.4061L— Df:SCRIPtION OF WORK (.....ltb above 'q. 11.)
--
---
. r 7n . t , d Cf1C 111'11
r i , roidcroim (11, above sz ft.) _
- .."'------ : Sen• ices or cutlers instatta tint, ation. and/or refoca firm _
, 200 amr; or Icss i 2,0 10 . 1
-,_ r
4 .
• . gr 'PROPERTY OWNER I CI TENANT , 201 amps to 400 nmps ' I 06,5 '
-
[. Nalm. 72.,GP4/Z 0 01A Z. A unps to 600 amps
— ' (i01 amp.; ti) 1.000 amps 240.60 j
Address: . ic vs t d„,,,„. 1 ci 9 Over 1. Amps or volts -t. - ; 454.65 1 2
-
City/State/ZIP: Vo c., p tt,k/ 1 - r - C.,41 C i i ii?i , 6S-- Temprie3r, services or feeders lostallatinn. attern tion. lind/or
___. i reiocatIon
Phone: ( &o ) 4 ,_ r /92_ Fax: (3b1 5-9 __133 7 2e0 amps or Icss 66.S5 7 _______L_,
.
Owner installation: This installationts being, made on property that I own which is not 2 ° 1 anIff 10100.an'Ts 100,30
intended for sale, lea.se, rent, or exchange. according to ORS 447, 449, 670. and 701. 40 t ninps to 599 ernps , 133.15 1 1 1 •
,.. B
ranch circuits - flew, p I rrrntinn, Or CN tension. p .....
Owner Signature: Date!
- A. Fec for branch circui(U li ith
i JR' APPLICANT 0 CONTACT PERSON above service or fetder fee, 2
,
t--- — --" branch 6 :
circuit ; 1
Bo:int:Ns nome' - ••+ B. Fe.. for btanch i i
crcuts ----
Y,,/t.& - 3 - ■ A- IA_ 1 ,...-k.A.., 1 :
wirhouf f.ory; et! or fzeder fcc,
4(i.R5 .
Contact m
tact nae: ■,'
LekQ_ (---%.&° first brrIncil circuit —
2
— '
• Addr 1 At.i. S PA c.4"g' a Vit., Li lit -2).& : Each add'i t,rntich circuit
— . :—
‘liceelln /tows (servkc ()1" fCC(le: -- nnt included)
2 1
' C I ty/Slatc/ZIP: .-- ''''''' WC , 0‹.... e:1 2
I-, _..., 1 MunLI factored or modular 1—
— dweiiin , ..-....rvicc andlor feeder i
Phone' (5153) 4,13 .1 . k , 7a . 7 Reconnect only 1 66.85 1, ,a
—. . -i
E-m .
E -mail: Pump or inistitinil Li rCIl• ' 53 41,1 1 2
—
.
CONTRACTOR . $i.en or outline lighting $3.40 i 2
Business name.
I - -.,
Signal eilcuit(s) Qr limited- . i__-
! ;
.
1 g no
---- • _
: AektreSs ri __I
, cnery panel, itcrtin nr
,,,, „,, ri,,,,,
-,,,n
a ,be. , Page 2 2
...,
— --
Citv/Stltcirn' Ft:Kb additionlit insuertion over 311ownhk in ;r Ofille 111)050 •Ii.--...,....9, " ..--- . 1
---. . ---4-- i ...---
5f.L3 lie
I.' Iccirical Lie I Seprv, Lic,: I iriCitiStri01 plunt per hour i 73.75 ;
I ' 1 1 ELECTRICAL PERMIT FEES
Supry Electrician signature, required:
r..
_..
t..
,,, I Print name!
1
Authorized signature;
I me:
I ■Do dud a5
;
—1 .
Suh.total.
Plan revict (25% of permii Ice): I _—.-- .-
-w?"---- 1
State 5vrchnrgc 0.1".4 of pcnnir Ice):
TOTAL PERNIft ::E E: I 7 2- i U7
Print na
miic ------ , ,...„.46,crc \0\.„ TrIk rc,r,-,;i applical■on expire..., If a r wriTti, ., not Olga ined with:n Thn
_ _ rlays :liter if fIns been m:cpted as .`nowlcic.
NlrOn :1r in“:1;,-..: ,i'li,.,,..) pc, viiiiii.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007•00795
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2007
Phone: (503) 639- 4171a4�z�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7 :00AM PAGE: 3'1
SITE ADDRESS: 11945 SW PACIFIC HWY 246 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DAXING SEAFOOD STORE
DESCRIPTION: Reconnect only
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11/28/2007 Pour Time:
Code # Inspection Description on it #� Contact # Message
199 Electrical final 060387 -01 503 -460 -7434 N
Corrections /Comments /Instructions: •
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N ■t■oz [ Date: N �� �1 Phone #: (503) 718- 144
•