Permit ELECTRICAL PERMIT -
CI TY O F TI G A R D RESTRICTED ENERGY
.4 4 "11l1j DEVELOPMENT H BMENT r SERVICES � 639 -4171 DATE ISSUED: 02 -00180
ED: 9/3 022
SITE ADDRESS: 06640 SW REDWOOD LN 2ND FL PARCEL: 2S112DA -01300
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: HVAC wiring.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES D KIZER CO
15350 SW SEQUOIA PKWY #300 -WMI 945 SW FILBERT ST
PORTLAND, OR 97224 MCMINNVILLE, OR 97128
Phone: Phone:
Reg #: iltiO3-4g.268a1
LIC 148184
FEES Required Inspections
Type By Date Amount Receipt Elect'I Final
PRMT CTR 9/3/02 $75.00 2720020000 Low Voltage Inspection
5PCT CTR 9/3/02 $6.00 2720020000
Total $81.00
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 y wrules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 -0010 through 0' R 95 • S +0: i. You may obtain copies of these rules or direct questions to OUNC at (503)
246- 987. /
Issu d by ;;.?J�ijL yam/ Permittee Signature
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
08/30/2002 16:13 15034347223 D KIZER CO PAGE 02/03
• - - °'.' o,.:ruu CITY OF TIGARD
•
x002
•
Electrical Permit Application
Date received: Permit no.: fGQ 80
"•111 . City of Tigard b ProlcePappl, no.: • Expire date:
City fTigcrd Addreas: 13125 SW Hall Blvd. Tigard, OR 97223
!'hone: (503) 619 171 Date isaucll. By: IRecetptno.:
Fax; (503) 598 -1960 Case file no.: . paymenttype:
Land use approval:
TYTC OF PERMIT
C 1 & 2 family dwelling or accessory da Cammercial/iitdustrial 0 Multi- family 0 Tenant improvement
0 New construction El Addition/nite-ration/replaccrent 0 Other: 0 Partial
JOB SITE INFORMATION •
lob address: . ' D �L. ' .b(. )b .- G Bldg_ no.; Suite no.: Tax map /tax lot/account no.:
Lot: Block: Sitidi.rision: ;p • •
Project name: 'ro ' Du. 1.0 6 Description and location of work on premises: • ^ oar
Estimated date of completion/inspection:
CO CON CR A CIOKAP PLICATION,.::• :.........:.. •
Job no: TD ILL
_ r� x�c„t
Business :AMC: lk v / Z ` � bcscti Ion Orv. (ea l Total no. ins
Address: ' 5 $t'J F' )U[. r T - ais leormli dantily
& Ti r iingunit.Inc luden attached garage•
Ci . . t h 0 4... 1 tate: V• I ZIP; 9 7 rYiindaderL
P ty: hone :5o p 11 L 1' 6 j y R S Z3 tr3aii: , $ • , 00o sq. tc or toss 4 • CCB no • Each additional 500 sq, ft or portion thereof
I ` jQ E lec. bets. lie• no: 3V - WO CL£
Limited allergy, residential 2
C, /me,ro C. no.: r inrirsdencr5y, noa•reeidcnfiul M 2
�� < I v mnnut' Each c[vrec home or modular dwelling
: =e.,j j.1 !; r - ciao-icier: (req r 4) _ih D - Service and/or feeder ' 2
-
Kit- Q fr--17.- L:� f Sr. n o: p
Services -in. Mahn , II
• feeders nC'fh n
.. A relocation:
1 IEt�'l Otiui■
w:a Y. v:::; 200 ampsorlcss • 2
Name (print): 201 amps to 400 amps �_ 2 amps Mailin • address: 601 amps m 1000 amps r 2
City: State: ZIP: ovor 1000 amps or volts En MIIM 2
\� Phone.: Fax: ' E-mail: Reconnacto• y ' =NMI 1
Owner installation: The installaliiou is being made on property I own Tempormyservices or feeders •
which is not intended for sale, lease, rent, or exchange according to 11' ioa alteration, orrelocation:
ORS 447, 45.6. 479. 670, 7W . zoo s.+ - : or tr ay 2
20: amps to 400 amps _ 2
Owner's siEn attire Date: 401 to 600 amps MN . 2
) ' .GIhlla•:R i'.:. -. ;:i.1 , :,, ,..i' • %mandreai s- new,oltaraCoe,
or extension per panel: •
Name: A Fee for branch circuits with purchase of
• Addre.;s: - service or feeder fee, each brartchcircuit 2
City: Stare: ZIP: B. Fee for bsanch circuits without purchase
of seruicit Or feeder fee, first branch Clreuit 2
Phone: Fax: E-mail: Each additional btn,chcircuit:
FLAN; REVIEW (1'luitsu Clie0t all : that ,appl�)�,: ..,' ,,;i Mite, (service or ceder not included
O Service over 225 amps- wmtneruial 0 Health-care facility Each pump or irrigation cirelo 2
O Servieeover320 taupe-rating or1 &2 • 0l{azardousioeation Each Alan or outlinetishting 2
famitydwoninr;e u tu :using over 10,000Squvre feet tour or s: gnal clrcvir (s) oraIlrnitcd energy Panel •
O System over 600 volts nominal ' more residential units in one structure alteration , arm:tension' 1111 15:6° 1 500 2
0 Bulding over three storfcs 0 Feeder;. 400 amps or more sDoscri,don:
O Occupant loom Over 94 persons Cr Mutufae+„rod CavetvroC or 1 V park Ent additional inspection over the atlewwaoIO in any crime ahem —
0 Egreei/tie:ringpian 0 Other
Per inspection IMIIIM1011
Submit sets of plans with any'vf the above. Investigation fee
The above ore not Applicable to teioporety construction service. Other . ,
..........rt...' ,,Q
No oft lads irtiow •-- o..�. . • - � .. _ - � . • ., , , 'oe. Notice; This permit application Permit fee • $
— '� — � Plan review (at _ 4b) $
Xvisa .0 . — - exp if a permit is not obtained
State surcharge a (S% .; $ �O
Credit cord (1.1. _ _ within ISO days after it has been J; 3
t+rtr� �� s.
accepted ascomplete. TOTAL $ YJ/•
1 i an credit oar4 S fi . m '
Cy .. Aeel u 44x.4615 (6/00/COt0
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 7— 7 AM PM BUP
Location c.) Ad ( G y Suite MEC
Contact Person Ph ( ) - 7z f Z PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Drain
Access:
Ftg ELR Zt2y7_ooJf C
Crawl Drain
Slab Inspection Notes: ' 4 v A C I �1 N (� SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall \N J
Fire Sprinkler l� P
Fire Alarm ) )4)f( ) L
Susp'd Ceiling f /
Roof
Other: •
Final / r C Mr-
PASS PART FAIL 'C
PLUMBING
Post & Beam
Under Slab 0 Rough -In \\I
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
; ' ` E�CTRICAZ�
Service
Rou
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line /
ADA Approach/Sidewalk Date ?2— Inspect. /l ! / . o'd tv Ext
Other:
Final DO NOT REMOVE this inspection record from e job site.
PASS PART FAIL