Permit GUY OF T I GAR D ELECTRICAL PERMIT
PERMIT #: ELC2003 -00039
DEVELOPMENT SERVICES DATE ISSUED: 1/29/03
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 2S 102CC -01000
SITE ADDRESS: 13660 SW PACIFIC HWY 53
SUBDIVISION: FIR GROVE VILLAGE ZONING. C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: I
RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 0
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MIN OR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
•
Owner: Contractor:
CARON KUBIN ABC ELECTRIC CORPORATION
520 SW 6TH AVE #400 135 NE 9TH
PORTLAND, OR 97204 PORTLAND, OR 97232
Phone: Phone: 233 - 7551
Reg #: LIC 288
SUP 1241S
FEES ELE 26 -2C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/3/03 $80.30
[TAX] 8% State Tax 2/3/03 $6.43 Elect'I Service
Elect'l Final
Total $86.73
•
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 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- 800 - 332 -2344.
Issued By: 475golc____ Permit Signature: 6A/ / / •¢ -�Jda
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 639 -4175 by 7:00pm for an inspection the next business day •
•
Jan 29 03 05:50p ABC Electric 503 233 7552 p.2
•
}
ectrical Perm�itApplication _ -.. . . .
Dateteceivcd: A9 . Peniiit,no : 3 -3 ,
u.`:•;I: Cit of Tigard
RE D Project/appl.no.: _- • edam:
Ciryo /Tigard Address: 13125 SW Hall Blvd. Tigard. OR 97223 D a l e i s sued : la
2 9 2003
Phone: (503) 639 -4171 /JAN
Fax: (503) 598 -1960 Caae filono.:
Land use approval: CITY OF TIGA - e
"..! n a .
. : T]'PE.OF rrtttD1JT ._ ... .. .. .. .
- I & 2 family dwelling or accessory t1,,Comrnercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Addition /alteration/replaccinent 0 Other: 0 Patna/
jig,' ji: L IMORM11I7ION
Job address: , • C/i'aYi i/M.g Fr d g. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: Subdivisi• ..Z- Fia aeC—i�Odi
Project name: • , � Description and location of work on 'remises: G �
Estimated date of completion/inspection: r
:_:�.col`TliAcTOR aPrLlcr]T1on .
.. L SCHEDULE
Job no: AdIST
Business narrle: � �� � r Deseei. tied Qty. palm no. M ax p
r� New raidrntsei - - ornsul6- readily per
Address: 42 i a dwesuneurA.Incsoda'saxhedgar.ge
City: Man' ALSel#B161111111 l#B161111111 &nice lneblatett
•
Phone; ' # ISM, E -marl: 1000 aq. ft. or Iasi 4
CCB )rime. bus. 1 ic. no; _
Each additional 500 sq. ft. or ponton thereof
�o��
En ic.!no.: mar r Llmitod ,residuedd �_ 2
- .sit - .sit / ! + ± _ � Li mitrde , nan- roidentiel 2
P r���j���� .fir r 2 G`1 • Bach menu facturo homer ho or modul dwelling
l�'=.0147 , Ett2IL•uired) Date Service anl/or . 2
Services Or feeders– installation,
Iteration or relocation:
.._, f :%vi\rn -....:-.----•
Z00 amps or lus
Name •tint): 201 .6 to 400 amps =_ 2
Mailing address:
401 amps to 600 amps 2
601 amps to 1000 amps __ 2
City: Slate: ZIP: Over 1000 amps or vole = 2
Phone: Fax: E-mail: ReconnectoN I
•
Owner installation: The installation is being.made on property I own Temporary w cer o,orselrs. Ill 2
which is not intended for sale. lease, rent, or exchange according to Iostallatson,tJtkrat9att orreooeslon
ORS 447, 455, 479, 670. 701. 200 sorIris 400 amps Mil 2
201 Owner's signature: Date: 401 t o • a to
NUM 2
1}:NCIJt LI R :: - : Rroach eireutu -Rear, alteration,
or extension per panel:
Nye A. Fee for branch eircuiu with purchase of
Address: services or feeder fee, each branch circuit al 2
City: State: ZIP: B. Fee for brans circuits without purchase
of service or feeder f ee . first b ran ch circuit: � . 2
Phone: Pax: E pJCh.adttlon.r broAch circuit: En
- . PLAN REl'1E11'(Pleas1: chtfh -ill that appl1').'.... ' ` Misc. (Saniceor feeder not included): � .
0 Service over 225 ampsrmr
oncrcid O Health -care facility Each pump w irrigation circle 2
O Service over 320amps•ratingof I&2 O Hazardouslocavon Each si:notoudineli• Ming — _ 2
family dwellings 0 Building ova 10.000 square feet four or Signal circun(s) or 0 limited energy panel. � ■
0 System ovcr600 volts nominal m Structure ►li
orc residentialuniuinonefcture alleron.orextension' 2
O Building over three storiu O FarAe'. 400 amps or mote •Desert . lion:
a Occupant load over 9? persons 0 Manufactured structures or RV put
Cl Egree.I1ighe:ng plan 0 Other.
Submit lieu of plats with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee • S i {4liglrIP
',ea ul iwtdetiau accept moil carat, pleat. can junwieuae ldr mac Infalusaaal Notice: This permit application
true 0 Mule and expires if a permit is not obtained Pl rev ( al — 46) $
C . rw • 'f a • 1,0 1►.... d/! J a e / within 180 days after it has been Slate surcharge (8%) .... S
Aga /f, L. �'�' a.pi,et
accepted ted as complete. TOTAL .. S ■ Al 41 D� it s F6).73 4 40 4 atio-a613 (60000041
■
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested _ s AM PM BUP
Location 1 36o C06 t e - 4 Suite - #S 3 MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) 2 33 ' 75S I SWR
BUILDING Tenant/Owner .�� . ELC �d 3 'Dad 3'r
Footing
Foundation ELC
Access:
Ftg Drain _ - -- - ELR
Crawl Drain
Slab Inspection Notes: • — SIT
Post & Beam (-I-11-6 (_
Shear Anchors -
Ext Sheath/Shear ` -- - -- -
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: '
Final
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
fi Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE D Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA `�
Approach/Sidewalk Date Q� Inspectors � � Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OFTIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 •
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location / 3660 P Suite #T3 MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner / . ELC Z "a° 7
Footing � I
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: tb SIT
Post & Beam
�
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation 1 6 ( J� � 1 c ��� jig q w Drywall Nailing y`l V 1 v
Firewall C ,(W ) \A N 0 '\ 1 1 C C
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
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
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PAR Al
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA 't/
Approach/Sidewalk Date — � ' Oi Inspe // - Eat
Other:
Final DO NOT REMOVE this inspection recor from the ob site.
PASS PART FAIL