Permit CITY OF T ELECTRICAL PERMIT
..._ T � DEVELOPMENT SERVICES PERMIT #: ELC98 -0613
,i DATE ISSUED: 10/22/98
-�� - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171
I PARCEL: 2S1O2CB -02500
SITE ADDRESS...:13O9O SW PACIFIC HWY
SUBDIVISION •FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK LOT •007 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 5O0SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY ° 0 401 — 600 amp • 0 SIGNAL /PANEL • 1
MANF. 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: 20 PER INSPECTION - 0
201 — 400 amp ° 1 1st W/0 SRVC OR FDR.: 0 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 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
FOODMAKER, INC. type amount by date recpt
4500 KRUSE WAY PRMT $ 220.00 B 10/08/98 98- 309829
SUITE 270 PLCK $ 55.00 B 10/08/98 98- 309829
LAKE OSWEGO OR 97035 5PCT $ 11.00 B 10/08/98 98- 309829
Phone #:
Contractor:
ALL CITY ELECTRIC $ 286.00 TOTAL
13213 NE KERR RD
STE 130 REQUIRED INSPECTIONS
VANCOUVER WA 98682 Ceiling Cover Elect'l Service
Phone #: 360 -883 -1544 Wall Cover Elect'l Final
Reg #..: 000870
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 t. . low the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth i OAR 952- 001 -0010 through OAR ' • e 987. You may obtain a copy
of these rules or direct questions by "ling ' 246 -1 41111111701111111
Permittee Signature: ssued 'y: 40i6g11
low
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 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
0
. /c/ /9F
CITY OF TIGARD Electrical Permit Application Plan Check # 2 - - RS
13125 SW HALL BLVD. Rec'd By �-
TIGARD OR 97223 Date Rec'd /O- �, fir
Date to P.E. Ig - �'Ib $
Phone (503) 639 -4171, x 304 Date to DST •
Inspection (503) 639 -4175 Print or Type Permit # FLC ( '0(013
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called /oi5/98 I118^
1. Job Address: 4. Complete Fee Schedule Belo'v . 6 .v..
Name of Development 3 kLV-- . IQ ' TAI - . CX Number of Inspections per permit allowed
Name (or name of business) S 1% Service included: Items Cost Sum
Address 1,3b 0 S 61 Pf C- Fie- t -i-w? 4a. Residential - per unit
1 ZZ 1000 sq. ft. or less $11 0.00 4
City /State /Zip T A-1 fl Each additional 500 sq. ft. or
Commercial Residential El Limited thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor AI/ C1 rY &] Gci - KiC s ENIC4 iAt. Installation, alteration, or relocation $60.00
200 amps or less 2
Address 13s21 �i Al E KP,f� Rd 5 I i l 201 amps to 400 amps °
V I/ $80.00 2
City Vdylco € r State Zip 9g - a 401 amps to 600 amps $120.00 2
Phone No. cAeZi^ D5 i FA 049'-`s�y 1 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 375C( C Exp.Date /O i , Reconnect only $50.00 2
OR State CCB Reg. No. Y7019 Exp.Date I D ' 30 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 4-,207 Exp.Date - Installation, alteration, or relocation
�/ . 200 amps or less $50.00 2
Signature of Supr. Elec'n /1 �i�'�`" I 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 3' r 7C:r 5 Exp.Date /0/30`'? see "b" above.
Phone No. 3 - 05-'9cl-, VI" / 0/D `'d Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee. /�,,,, oD
Address Each branch circuit ova $5.00 / ( ` 9 2
City % State Zip b) The fee for branch circuits
ty P without purchase of
Phone No. / service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy /, �, ao
panel, alteration or extension / $40.00 "��• 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: dO
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $
NOTICE • Subtotal $ Arn. 0
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if requi red (Sec.3) $ a
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due
g�� o
a6(6
I:\DSTS \ELC96.APP Rev 9/96
6
Page No. 1 CASE HISTORY FOR CASE NO.. ELC98 -0613
• • FOODMARER, INC.
13090 SW PACIFIC HWY
12/28/98
Action Description Reg/ Schd/ End / Action Notes Disp By Update Upd
Code Sent 'Done Done Date By
•
ELCA800 Case finaled / / / / 12/07/98 PASS CD 12/07/98 J *H
ELCC001 Application received / / / / 10/08/98 RECD GEO 10/08/98 BON
ELCC003 Permit created / / / / 10/08/98 DONE B 10/08/98 BON
ELCC102 Plans routed to Plans Examiner / / / / 10/08/98 SENT B 10/08/98 BON
ELCC115.Approved plans routed to DSTS / / / / 10/14/98 PASS CD 10/14/98 CD
ELCC117 DST Post - Review complete / / / / 10/14/98 PASS JSD 10/14/98 JSD
ELCC400 (F)Ready to issue / / / / 10/14/98 Must have current electrical - specialty MEMO JSD 10/14/98 JSD
license. Per Ruth at CBS, their license
37 -598C expired on 10/01/98.
ELCC500 (F)Issue permit • / / / / 10/22/98 PASS JSD 10/22/98 DST
ELCC700 Ceiling Cover / / / / 11/20/98 ceiling cover PASS CD 11/23/98 CD
ELCC720 Wall Cover / / / / 10/26/98 wall cover & underground for exterior PASS CD 10/27/98 CD
signs
•
ELCC730 Elect'l Service / / / / 12/07/98 PASS CD 12/07/98 J *H
ELCC799 Elect'l Final / / / / 12/07/98 PASS CD 12/07/98 CD
ELCC800 Case Finaled / / / / 12/07/98 PASS CD 12/07/98 J *H
•
•
•
•
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 7 Business Line: 639 -4171
BUP
//5// Date RequesteM — 0 — AM PM BLD
Location /30 i 1 , ,�, :_ Suite MEC
rri
Contact Person - 17 / / Ph 5l % p /Q/
Contractor �/ /� .�� / �/ Yl , t. .`-- -����' 3
SWR
BUILDING Tenant/Owner ¥67 - qr06 /
Retaining Wall
Footing Access: •
Foundation _14. / FPS
Ftg Drain N —74 O -sue SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear £ id ye-06- it
Int Sheath /Shear
Framing
Insulation
Drywall Nailing /.t/<f L ELF' p 06/3
Firewall
Fire Sprinkler EGC 96 - .06 /1
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING tL�
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PAS PARL FAIL
ELECTRICAL 3
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS PART FAIL
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 J 'Op Inspector Ext
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.