Permit C Ir1 O F TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00253
L I I' A DEVELOPMENT SERVICES DATE ISSUED: 5/6/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102C6 - 02500 •
SITE ADDRESS: 13090 SW PACIFIC HWY
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT : 007 JURISDICTION: T.IG
Project Description: Install 1 branch for plug in office.
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: 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:
CNL APF PARTNERS LP _ M & W ELECTRIC INC.
BY FOODMAKER INC 29889 HWY. 34 SW
9330 BALBOA AVE ALBANY, OR 97321
SAN DIEGO, CA 92123
Phone: Phone: 541 - 754 - 6171
• Reg #: LIC 67362
ELE 2-61C
FEES SUP 3604S
Description Date Amount '
Required Inspections
[ELPRMT] ELC Permit 5/6/03 $46.85
[TAX] 8% State Tax . • 5/6/03 $3.75 Rough -in •
Elect'l Final -
Total $50.60 -
This Permit is issued subject to the regulations contained in the Tigard Municipal .
pal Code, State of OR. Spedalty Codes and all other applicable laws
All work will be done in accor dance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work.is
suspended for more than 180 days. ATTENTION: Oregon law requires you to.follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699 or 1 X332- 344
•
Issued By: rn Permit Signature: (NI Q,t? e,QA r:iAry
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY •
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: 3(en 1'
• Call 639 -4175 by 7:00pm for an inspection the next business day
•
k
0/05/2003 18:19 FAI 5035981980 CITY OF TIGARD 01002
Wearied
Electric�a Permit Application Received s , -03 ifill - -ad�s
RECEIVED Phoning sign
City of Tigard Darcy: _ Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 MAY 0 5 2003 Perrd_
Phone: 503 - 6394171 Fait 503 -598 -1 post-Iovlar,y
. - i I i i ', ; '
Internet www.cl.tigard -ot QTY OF T I G D lurk.: See Pare 3 for
24 -hour Inspecdan Requ ili - A1t4SI • - ' 41- -!'" I - -. Nora/Method: 5upplemmem 1 Iuformatton.
•., Ida rte. ,IREVIE 1171, 'J ''•. lk'.._� i �l'] A t a , =.;.L:V' -.t
ji:�. .'Pn -' :,q.��lr %• : �}' , �'.�i„'` ii � t • '?'. e �� Y::• :','�m i.i��v•w.$:: ��• � heft
1
TY } Jt IN A service over 27.5 amps- • Haalth tY
L N e w co currna:Mal ■ Ramrdous location
Addition/alteration/r - .lacement r Other. ❑ Service over 320 amps-rating of • Building over 10.000 square feet.
raiaerifK8Eilt1 1-67° . . ry o 1 & 2 family dweftn four or more residential unite in
❑ Syetetn over 600 volts =Meal one aavcfire
■ �'t'; tt. dwe 1 Commercial/Industrial ❑ Building over three stories ❑ Feeders, 400 amps or more
IA Acc - • ', Buil' • ' : r■ Multi- Family 0 Occupant load over 99 persons ® wed eiruues eo or RV park
IN ,, • I - : l M Other: 0 met ► s ubm tt ens apt= with on= etas above
L� L ' o �' ' :: F ' t o * T ae above are not a • • t able to teat • n construction service.
Job site address: 13 ce - 0 S w ► � iI '# ' - :1 ,q ,7 , ' " `A ^ttiel ;,
Suite #:
Bld:. /Apt,#: Number of Inspections per permit allowed
Dead , tine (Ng Bea TOW
Pro'net N - , , . t 1 - L.. ` New rceldeattabtarlc or amtd.euudy per
Cross street/Directions to job site. dwaWng salt. toetudes stashed prase.
Service trended; 1 45.1: 4
Earl 1000 • leas 33.40 1
- s add l t • 300 � . cr ... on .. -. f
xdatttrd . . . ,• •ti MI :!
Subdivision: Lot #: L.irntrd :.. ;. • .. 111.1 75.00
. irl V _ • r 1 -
� • T _ � 1 � ��� ;�' ar feeder 90.90 2
.. farriers - h
Iler
® Q alteration or relocation: ��0 2
°� 2 aM • axle
.` `1,e * ap). 20l „ice ,r s = 6 � 2
401: -to•u
� ,� {;j�c__i'..", :ate;'" 1 1_� V c r x54.65 2
�- '- -- - -. � � �,,. ufl1G�+'��L� ��c -i� r i�.�; .::1�• " - Over 1000 , •.. or • ,
Name: Reconnect only MIN 6645 2
Temporary aervie or feeders - last ibl ion,
Address: a alteration, or related=
Ci /State/Zi • : 200 • *OM 66.65 1
201 • to • 11 . •... 11 . 30 -
Phone: Fax: 401 to P , arms 133.7 2
' I2-1" = Q b^ ariLw IN4g. l .gi.�,
1.t, -c ar , Wit, ' Branch Mallet - Dew. Mtaration, or
esteaslon per panel;
A. Fee for branch circuits with pare of 2
A re
City/State/Zip: „ 'ee ., 1:. y each • circuit 6.65
er/Zip: a 1e° purchase a 6 5 YIP • 2
te i of fee fee, fast • . rchase 6.65
phone: Fax: Each additional branch circuit
E-mail: . - (Service or feeder not loaded): 2
v ry i y {(�Ie' il Eta— ar' circle 55.40
yI� .J'4I" : ' 1Z q . Tt r..i k1 3 TL;l �I{ 'J s Ii1E VC_I a b l ee � 53010 2
Job No:
Signal CfrcuIKa or a limioed enema rimel. Pees 2 2
DD
Business Name: a► ? CJ ..+ s or estetJ><ion
• ddress: " .1 -1s ZRZo-3 Each addit i n over the allowable In an of the akove
1 hour 170
G .
phone. / b 71 IP ax:17'1 1 k 21- g t10 fee' NEM
�' - r "LRCM '-' ""5 7 -r i ^rim `'- �+".'' t ..li ,,
b3 -t CCB Lic. �• �v 7 :� < ;�,•,� � �+�,��4r...��`L- �= -n;_ �;;.�i�t
Subtotal S 1 1.. &t
Supervising required: • Plan Re�+►ew (2996 of Permit Fee $
signature required `� S S 8% of Permit Fee �z
Print Name: 1 , , r _ ' C. #: O • • S TOTAL • i!: s, r e - :: S . i
Modem Thu permit appil tion aspires ire permit Is not o : • . cd within
SirI OM IRO days after It has been accepted as oompieta.
Sig nature' A —� Fee methodology set .b by TA—County Budding industry Service Board.
(Please prim name)
(:WpstalPenrdt FoneasicPermdtApp.doe 01/03
200 096T86SEOS.01 2L8T•SLT•S 0Iei10313 MW :'Cad TO :9T £002- SO -.lwW
CITY OF TIGARD 24 -Hour . •
BUILDING A Inspection Line: (503) 639 -4175
INSPECTION DIVISION • Business Line: (503) 639 -4171 MST
BUP
Received Date Requested (0 - / '— AM PM BUP
Location / 3 v 90 /61-e-eye-C, Suite MEC
Contact Person Ph (SY /) 75 4. f - 6/ 7/ PLM
Contractor m� /.3 F/s C yf7"i c- Ph ( ) SWR as`3
BUILDING Tenant/Owner ■ Pr- L< ELC 3 D
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear • •
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling t .
Roof
Other:
Final t
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
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
PART FAIL D Reinspection fee•of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. -
SITE D Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA 6//62. /
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL