Permit -A- CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00196
A w - 1� DEVELOPMENT SERVICES DATE ISSUED: 4/6/99
r �' II \ 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102CB -03101
SITE ADDRESS: 12950 SW PACIFIC HWY 3B
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT : 021 JURISDICTION: TIG
Proiect Description: Installation of 12 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: 11 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:
PAPA JOHNS HUGHES ELECTRICAL CONTRACTORS
12950 SW PACIFIC HWY 10490 NW JACKSON QUARRY ROAD
TIGARD, OR 97223 HILLSBORO, OR 97124 -0000
Phone: Phone: 647 -2205F
Reg #: LIC 00049850
FEES • Required Inspections
Type By Date Amount Receipt Elect'I Service ELEGT,p, u4 c maµ
Elect'I Final
PRMT DRA 4/6/99 $90.00 99- 314295
5PCT DRA 4/6/99 $4.50 99- 314295
Total $94.50
This Permit is issued subject to the regulations ve al -1 in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in acco ith - ••r• ed pl. s. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 40 d .. A ION: •regon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in 0 '52-') I 10 I t roue h 4AR 952 - 001 -0080. You may obtain co • s of thes les or direct questions to OUNC at (503)
246 -1987.
Permit Signature \��/� Issu d By: _ � ) � _ � �� �, �� '•
• NER INSTALLATION 0
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: .� 0 L , ( 1P �
. �)-•C kr"9 - \.A ■ DATE:
LICENSE NO: a3/ 7 S
Call! 639 -4175 by 7:00pm for an inspection the next business day
Community Development ELECTRICAL PERMIT APPLICATION
AI, 13125 SW Hall Olvd. 4 �
Tigard, OR 27223 ,alp PlancklRec. 2
A' Permit it / 999- °4
. , 4 ' A ii Phone (303) 132 -4171 elk Date Issued -G -9
CRY OP TIOARO PM (303) 0114-7227 �`� Issued by ,
TOO No. (309) 194 -2772
Inspection (603) 839-4176
1. Job Address: 4. Complete Fee Schedule Below:
Name of Oevelopmen loin Ir1S T , 7 • Numbs, at hrpsa on• per permit allowed --t
Address, 1 2,6150 Ri i L t-I w LI sarvioe included: Items 0o11(4110 Stan
City/Stater p fl .?.7 ea R.sidsndel • per unl 4
1000 •v. f. or Ica 1110.00
Name (or name of business), & KA" low! 600 i4 IL of
.r ti erer p
MOO ,
Commercial Residential ❑ la /Ar d Nova ar Moew.r 2
oi..11no ssrriee or r,.d.r seem ■....,
2a. Contractor Installation only: /+�, 4b. Swims «�
Electrical Contractor- 1, e Q n. CZ( C �frac I " ` w O1. • 'Ion. a �Ieeallen 2
200 anrpl a le.. 110.00 .1.1..... 2
Address 0 • , 0 r - . 0_,_-_,..1, % • 101 amo. to 400 amps MOO _ 2
Nt't Isboro $ - 001 amp �ol.nvs,e too crow ltle1120.00 2
City - ' ra 1000 mops __ MOM a Phone No. 403 — to � - Over 1000 amp. er Weft $040.00 — a
Contractor License No. 34- I C Ammo orb' taoao
Contractors Board Reg. No. ter GC7 61 -lie -(91 4o. Temporary Bamboo or Feeders
IradKaror4 N.nsion of rikoolon 2
Signature of Supr. Eeec'n 200 moo area MOO 2
License No. .23L 145 Phone 201 amps r 400 amps tram = 2
e 401 amp. M fns ono $10om
Om 000 mops to 1000 rule
2b. For owner Installations: ...'v'atom
Print Owners Name pi eraneh grouts
N.rr..rer.lnon or minim pot prat
Address a) TAo Ito for brines abs.y MN _ 2
City •-'" stoma_ �,�,� wArrirax 0 .00
Phone No. a The tw for brand, aredt. won/ —
The installation is being made on property I own which is �„, cilia of A.dYr M` tasem 59 . : 2
not intended for sale, lease or rent. tom, aeeuena Winds aim* I pas ,mss ad
Owners Signature de. Miscellaneous
(Service or leader not included) a
2
9. Plan Review section (If required): Etch � „ or Mullin �m
Ewes avid odour) or • dined wow a
Reese check appropriate Mm and enter tee In section 50. wok dragon or ol.eedrn Mom
4 or more residential units In one Motu!, twiner ores (10) $150
Service and feeder 229 amps or more 41. Each additional Inspection over
over 100 volts norttirwl
the allowable In any of the above
CtassMed area or mt,atun conking special occupancy
Per Impaction Wm
as described in N.E.C. Chapter 5 air how MOO
Is Pl.nr $15,00 ....
Submit 2 sees of plans with application whore any of lb. above
apply. Not required for tamperery oonstruotton serviette. 5. Fees: n
NOTC se. Enter total of anew fees $ "to -
s 9ureharg0 (.os X told less) $ 4'
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sunroof =
Sic
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IP . Enter Review w if f required
CONSTRUCTION OR WORK 1$ SUSPENDED OR ABANDONED FOR 31,5 d (9eo.3) $ ......
A PERIOD OF 150 DAYS AT ANY TIME AFTER WORK IS rrbfotlld
COMMENCED. ❑ Trust Account e / QY O $
Balance Due S elf.,
...'
. c, 9 - 37V 9c
6/29/99 Activities for Case #: ELC1999 -00196
12:37:53 PM
Assigned Hold - Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 APPlication received 4/6/99 DEB RECD No Hold DRA 4/6/99
ELCC003 Permit created 4/6/99 DEB DONE No Hold DRA 4/6/99
• ELCC730 Elect'l Service 4/6/99 4/6/99 No Hold DRA 4/6/99
ELCC799 Elect'l Final 4/6/99 4/6/99 5/6/99 CD PASS No Hold AKJ 5/6/99
ELCC500 (F)Issue permit 4/6/99 DEB DONE No Hold DRA 4/6/99
ELCA720 Wall Cover 4/7/99 4/7/99 4/7/99 CD PASS No Hold CD 4/7/99 wall cover only
ELCC700 Ceiling Cover 5/3/99 5/3/99 5/3/99 CD - PASS No Hold AKJ 5/3/99
ELCC800 Case Finaled 5/6/99 AKJ DONE No Hold AKJ 5/6/99
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�p BUP
Date Requested �[— 7 �� AM PM BLD
Location ( P c /414) Suite MEC
Contact Person /11/‘ I Ph (p t7 -2 26 PLM
Contractor ,4V GWES Z /�� Ph SWR /
BUILDING Owner T 4 pit_ 1 P)Zit —� ELC 91 (O 9D
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ,
Slab 1 2. — L c 2, SIT
Post & Beam
Ext Sheath /Shear a r f J x J , n p
Int Sheath /Shear
Framing
Insulation
Drywall Nailing .� �'5 : - / /
Firewall
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
PAS PART FAIL
Gas Line
Smok= ! : pers
Fii .1
PART FAIL
- ;I
Servic
UG /Slab
Low Voltage
Fire Alarm
Fin
PART FAIL
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
Approach /Sidewalk
Other Date 4 7 7 7 Inspector O xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.