Permit CITY OF T ELECTRICAL PERMIT
1 4, DEVELOPMENT SERVICES PERMIT #: ELC98 -0654
Ir�l� , DATE ISSUED: 10/30/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135DD -03301
SITE ADDRESS...:11945 SW PACIFIC HWY #242
SUBDIVISION •HOFFARBER TRACTS NO.1 ZONING:C –G
BLOCK • LOT :002 JURISDICTION: TIG
Project Description : Electrical TI
- -- 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
MANE. 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: 7 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
YUMMY BOWL type amount by date recpt
11945 SW PACIFIC HIGHWAY PRMT $ 70.00 B 10/30/98 98 -31 -426
SUITE #242 SPCT $ 3.50 B 10/30/98 98 -31 -426
TIGARD OR 97223
Phone #:
Contractor:
GRF ELECTRIC $ 73.50 TOTAL
15460 SE PARADISE LN
REQUIRED INSPECTIONS
MULINO OR 97042 Ceiling Cover Elect'l Service
Phone #: 503 -829 -4146 Wall Cover Elect'l Final
Reg #..: 001015
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- w1-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: a1A ICL�
UYI— slued By:
1 � n �G�
OWNER IN TALLATION 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 : I ((A-A (1rY\ DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
10/28/1998 14:45 5038295747 GRF ELECTRIC PAGE 01
o
CITY OF TIGARD Electrical Permit Application Plan Chock
13125 SW HALL BLVD. • Re°'d By
TIGARD OR 97223
Data Rac'd D - Z
Date to P.E.
Phone (503) 639 -4171, x304 Print or Type Date to DsT
Inspection (503) 639 -4175 Incomplete or Illegible will not be accepted Permit #J L � dc`sY
Fax (503) 684 -7297 Called
• -_
1. Job Address:
4. Complete Fee Schedule Below:
Name of Development / Number of Inspections per permit allowed
�
Name (or name of business) T t 4 I i- may E ,J I Service Included: hems Cost Sum
Address J 1 1 4-'SL a ? Pet C Efe + e"S^f7t t"rpt /,, r t a a. Re -per unit
1 000 sq h. or las $110.00 4
Clt�l /State/T.lp Each additional 500 sq. ft. or
Commercial rk Residentlal ❑ 24- Z, portion thereof $25.00 1
Limited Energy - 525.00
Each Manurd Home or Modular
Service 2a. Contractor Installation only: °"ln° °r °° 2
(Attach copy of all currant tkenses) db. Services or Feeders •
Electrical Contractor _ .i_ ^��� Installation, alteraton, or relocation
r l0 U -S_ p' Ir. d 1�.,( 200 amps or less - $80.00 2
201 amps to 400 amps $80.00 - 2
City pet 4�. t . State 1E ,Zip 70 '' 401 amps to 600 amps $120.00 _ 2
Phone No. 4 13 -y- j L. `p 601 amps to 1000 amps 15180.00
Job No, Over 1000 amps or volts 6840.00 2
Elec. Cont. Uce. No. 't lO -el r G E.xp.Date - D Reconnect only $50.00 2
OR State CCB Reg. No. i O l 5'4.- Exp. de. Temporary Services or Feeders
COT Business Tax or Metro No. _Exp,Date installation. alteration, or relocation
200 amps or less $50.00 �_ 2
/ Signature of Supr. Elec'n 201 amps to coo amps - - $15.00 2
401 amps to 800 amps $100.00 2
license No, 3 f1D3 S Over 800 amps to 1000 vons,
ace M b^ above.
Phone No. � 41 ad. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch dreulm ..rm
purchase of service of
Print Owner's Name fasarr its.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State ZIP without purcnsae of
Phone No. oinks or feeder fee. / 3 5
First branch circuit t $35.00 2
The installation is being made on property I own which is not Each additional branch circuit .: $5.00 3 S . 2
intended for sale, lease or rent. de Miscellaneous
• Owner's Signature (Servios or feeder not Included) Each Pump or Irrigation circle 540.00 2
Each sign or outline lighting 140.00 2
3. Plan Review section (if required): ° Signal circuit(s) or a limited energy
penal, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter Is. In section 5B.
4 or more residential units In one structure at Each additional Inspection over
• Service and feeder 225 amps or more tin allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
-
. Classified area or $ fl aura containing spacial occupancy Per hour $55.00 _
as described In N.E.C. Chapter 5 in Plant $55.00
' Submit 2 sets of plane with application where any of the above apply. 5. Fees: 1 d
Not required for temporary conetrultion services. • Sa. Enter total of above fees s 3. 60
5% Surcharge (.05 X total feet) 5
NOJIME Subtotal $ _
15b. Enter 25% of line Se for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review gnaws! (Sec.3) 5 ---- --
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK , . As/ $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY i•.,��
T1ME AFTER WORK le COMMENCED. ��. Trust Account w c j .3 3..S'
Total balance Due 15
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Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0654
• YUMMY BOWL
11945 SW PACIFIC HWY Unit: 242
02/04/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done .Done Date By .
•
•
ELCCO01 Application received / / / / 10/29/98 RECD B 10/30/98 BON
ELCC003 Permit created / / / / 10/30/98 DONE B 10/30/98 BON
ELCC500 (F)Issue permit / / / / 10/30/98 PASS B 10/30/98 BON
ELCC700 Ceiling Cover / / / / / / 10/30/98 BON
ELCC720 Wall Cover / / / / 11/13/98 wall back to back to kitchen PASS CD 11/13/98 CD
ELCC730 Elect'1 Service. / / / / / / - 10/30/98 BON
ELCC799 Elect'1 Final . / / / / 01/05/99 only inspection called for was kitchen FAIL CD 01/06/99 CD
. wall ( diningroom side )
•
•
ELCC799 Elect'l Final / / / / 01/06/99 corrections made, final approved. PASS CD 01/06/99 CD
ELCC800 Case Finaled / / / / 01/06/99 PASS CD 01/07/99 VLN
ELCC920 Miscellaneous action / / / / 11/03/98 not ready for wall or ceiling cover, FAIL CD 11/03/98 CD
spoke with gordon at grf electric; job
will be rescheduled when complete. •
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• Pi r�, BUP
Date Requested ' AM / . -.!(--) PM BLD
Location i 1 - I L`c (1,,(. Le /1 . Suite `'r MEC
Contact Person -' : - ; t J_ - •-- • Ph ;/ — /V- ( 7 PLM
Contractor - Ph SWR
BUILDING Tenant/Owner i. . 5r_* -i-C.
. lYti �'I.� ! r
r J- E LC / () ,-- , /
Retaining Wall ' ; ELR 7 '- - C6' S 4 /
Footing ,r'. es - - `.ay" -. , r' `c irl :;`.•it.:: ,.
g -,..- ,, . .i ,I r; .:1� r �:' - v' ` . r - ; F
Foundation . t ∎ N ` '►r y e. - , -�.� r'-1 ;5\0-.1; r ' � ... . v
Ft Drain __� M.tn. ! �c. T. �--� . 5 "ti r`i'g °.'' `� .`� �` } �•%,7`G , - if
Crawl Drain Inspection Notes: SGN
Slab 'i ce r. _. - C.. •L L' - I
�� SIT
Post & Beam I
Ext Sheath/Shear , - . [ " `!•' i G' . • 6. - :
Int Sheath /Shear •
Framing 'OA c km ,
Insulation - .') ---
Drywall Nailing / / �4' N rn' Crf aV e_
Firewall / /
Fire Sprinkler -•� : r i fa
Fire Alarm
Susp'd Ceiling
Roof /
i1
Final
PASS PART FAIL ti C `" ' 21 '
PLUMBING
Post & Beam - - ~-
Under Slab i J . ' ✓` ti cV Gam_ �19�/ /,uq fri 057
Top Out -- / ..�
Water Service ; ;c:,.� /17-e.-/c..: :-.p (� / / 2 — Z..71..._
Sanitary Sewer
Rain Drains
Final / , / /1 t.
PASS PART FAIL ! 4 4 / d •C,9 / c, A ) ""- - 4-r / /
MECHANICAL �� f // ' //� • Post &Beam ;V ' cl G '`� 7"'c��v` &T L', L i. r" 7`.• h,' a
Rough In
Gas Line
Smoke Dampers ( tJ ' r
Final �. v,T Cc . L r° , rG 1 A. . .
PASS PART FAIL i �. ,4x---[e
tn ELECTRICAL
Service ( I, 4./f AZ...
Rough In _
UG /Slab
Low Voltage /' ,
Fire Alarm ( = ' 1 c. -'s /Y' �i7F — f" /L/.44 L ,44
Fin�4 � _ .2O �
_{SASS: PART FAIL D ,?,41. "s / - G" QL -
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
Otheoach /Sidewalk Date f !0 , /�i Inspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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