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Permit CITY OF T I GA R D ELECTRICAL PERMIT PERMIT #: ELC2002 -00312 1 �,� DEVELOPMENT SERVICES DATE ISSUED: 7/11/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC -02200 SITE ADDRESS: 15532 SW PACIFIC HWY C -7 SUBDIVISION: WILLOW BROOK FARM ZONING: C -G BLOCK: LOT : 011 JURISDICTION: TIG Project Description: Installation of (3) branch circuits and low voltage for data telecommunications. Job No. 02 -167 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: 1 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: 2 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: TIGARD, CENTER LP RURAL ELECTRIC INC 9777 WILSHIRE BLVD #609 5285 NE ELAM YOUNG PKWY BEVERLY HILL, CA 90212 SUITE A900 HILLSBORO, OR 97124 Phone: Phone: 503 - 648 -6696 Reg #: LIC 00047478 SUP 4062S ELE 34 -82C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 7/11/02 $135.15 2720020000( Rough -in Elect'I Anal 5PCT CTR 7/11/02 $10.81 2720020000( Total $145.96 This Permit is issued subject to the regulations contained in the Tigard Municipal 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 -0080. You ■• - == .'n copies of these rules or dired questions to Permit Signature: Q Q Issu d B 1 Li i d 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 R . )00D g i�� DATE: SIGNATURE OF SUP R, N LICENSE NO: 4 70r / 0A6 Call 639 -4175 by 7:00pm for an inspection the next business day JUL 09 2002 9:32RM RURRL ELECTRIC INC 5036406004 p.2 10/04/00 WED 14:02 FAX 503 598 1980 CITY OF TIGARD 1002 qa 1 Ele PermitA licati On1 Datetexeived: ;_y,.� of Tigard �� Proect/appl.no.: date 1 Cuya g� Address: 13125 SW Hall t. P:,Lt 7 223 Date issued: M T•I Receiptno.: Phone: (503) 639.4171 Fax: (503) 598 -1960 0- q 0 Casefileno.: Payment type: Land use approval: O 1 & 2 family dwelling or accessory . XIC9COmmerciallindustrial 0 Multi- family O Tenant improvement O New construction 0 Addition/alteration /replacement CI Other. Cl Partial Job address: 15532 SW .Pacific Hwy Bldg. no.: Suite no. Tax map/tax lot/account no.: 'Lot +Block: 'Subdivision: Tigard Promenade • / Project name: Tiktd ICicsk `Description and location of work on premises: 3 new 20amp cats & 6 new rec Estimated date of completion/inspection: CONTRA Cl APPLICATION FEE SClirDil ' Job no: 02 -167 _ Fee Max Business name: RURAL ELECTRIC, INC . Description Qty. (ea.) Total ao. heti Address: 5285 NE Elam Yv New reddeatlal -si or.ark14ueW*Pat' ung Pkwv tA900 dweWng watt Includes atlachalgarage. tat City: Hillsboro • sed ZIP 97124 Service Include& Phone: 503/648.6696 I Fax: F -moil: i woo sq. R arias a GCB no.: 47478 Elec, bus. lic. no: Each chest 500 sq. tt or portion thmeof _ . Limited energy, resldethd 2 6ty/m 5287 Limited energy.aon non-residential 2 A • - 7/9/02 Each manufactured home ormodalat dwelling Signature oTsuperelectrician ing electrician (requited) Date Sendai and/or feeder • 2 aka aame ' ) Sevfotsorfeeders - htdgBatloo, Sup. (P� Rilll A. 81118 �'0°;0a0'4�� alteration or relocation • 200 amps or lase • .. 2 Name (print): 201 amps to 400 amps 2 Mailin address: 401 amps to 600 amps 2 g • . 601 amps to 1000 amps - 2 City: 1 Stater: IZIP: Over 1000 amps or volts 2 Phone: I Fax: 1 E -mail: Reconnect oty 1 Owner installation: The installation is being made an property I own ' Tempaaaryaenloesarfeedeo- . which is not intended for sale. lease, rent, or exchange according to taetaltatloa,alteratioa . ortelecatism ORS 447, 455, 479, 670, 701. amps or lea - 2 201 amps to 400 amps 2 Owner's signet :Iv Data: 401 to 600 am 2 • circuits - seer, alteration, ' • • Name: ore perpaa& • A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: State: EP: B. Fee for branch davits without purchase Phone: of service or feeder fee. Ent branch ciraall , 1 , 46.85 • 2 • . [231111.1111 E Each additional hna�dtw[t 2 . 1 I 1• PLAN [Mill: (Please check all that apply) Misc. (Service or feeder net included): O Sevissover 225 amps- aummerdol Q Healed •e a r o f a e d l i t y Each pumps Errigatiao circle 2 O Service over 320nupf- rating of 1&2 . Cl Hazardous location ` Each alga oroutlinelighting 2 family dwellings Cl Building over 10,000 square fen tear or Signal circaiKa) or a limited energy panel. I ryry�� Cl System over 600 volts nominal mom residential units in one means dtuation,orextension* I .75 2 �^ O Building over three stories 0 Feeders, 400 amps orttwre *Description: O Occupant load over 99 persons 0 Manufactured structures nr RV part E additional Inspection over the allowable In say of 16e above 0 EgtcerAlahtiagplm Cl Oct= Prrinspeetlnn 1 1 I I Sabnit _ seas of plans with any of the above. Investigation fee The above are not applicable to temporary coostraetlao service. Other / Not an Notice: This Peanitfee..._..._..._..._..$ a N O Vtu O Maneseaad expires if a permit is not obtained Plan review (at %) $ matt card mamba / / within Igo days atter it has been State surcharge (8 %) .... $ . r 1O '' =opted asoompleta TOTAL .............._._ $ ( t Name d cardholder a shwa ea credit card _ S Cardholder signature Amatmt . 4404613 (6001COM) CITY OF TIGARD 24 -Hour ar BUILDING' ' • Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 ST BUP Received Date Requestp ° AM PM BUP Location 1 s S3 I Suite C — MEC Contact Person ( J yL /YL-C Q. Ph ( ) 4f'' (o c Z 4 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC — ov 30- Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: k Post & Beam ,. Shear Anchors l ) Ext Sheath/Shear Int Sheath/Shear Framing Insulation P. \„I L � r I r n (2 � ) Drywall Nailing J tV h V rd� G- 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 UG/Slab Low Voltage Fire Alarm Fin- D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 4111, PART FAIL SIT Please call for reinspection RE: LI Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date 2 ` /� ✓ 2_ inspect. -- , 'V Ext Other: Final DO NOT REMOVE this inspection record from the Jo . site. PASS PART FAIL CITY OF TIGAR D 24 -Hour BUILDING ' • Inspection Line: (503) 639 -4175 INSPECTION DIVISION ' Business Line: (503) 639 -4171 'MST BUP Received - 7 Date Requested (D, AM PM BUP_ Location / $ .5. Suite C — 7 MEC Contact Person $ L}1 ,e Ph ( ) 6 1 669,,6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 01 — DO 3 L r Footing V _)q i \" ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation 1 Drywall Nailing - � ®� `— NmeN Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL y� PLUMBING 1 • n ,C CA � \ � S J V C\L\I& V\ V\ 5 B L� Post & Beam Under Slab 1 _ Rough -In \ , V � , 0 1 \� � R1 MD 1 �� to () ) OP Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole 0-)c , Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service ' ough -In C 5 I �� r lab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR(..: FA SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA _ -2- ---Inspector / Approach/Sidewalk ,, - CY ..�/ - , Date 7 01-2-4-14 .Ext Other: Final DO NOT REMOVE this inspection record from the , ob site. PASS PART FAIL CITY OF TIGAR 24 -Hour BUILDING (- Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MSS °� BUP Received Date Requested !/ 4 ( AM PM BUP Location / ,cS Suite C - 7 ,, MEC Contact Person CYIJY i Ph ( ) 8"--&(o? ' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC c9 — CZ ) 3 / Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam \c Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ,, Firewall Gl� C, ZIJv I�� 1\. / 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 ab Low Voltage Fir_ larm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date / a inspect i/ . / Ext Other: Final DO NOT REMOVE this inspection record om the ob site. PASS PART FAIL