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Permit ! a„ CITY OF TIGARD ELECTRICALPERW.T. PERMIT #: ELC2001 -00084 A* DEVELOPMENT SERVICES DATE ISSUED: 2/8/01 1�...� - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25101 DD -00101 SITE ADDRESS: 06975 SW SANDBURG ST 320 SUBDIVISION: TIME SQUARE ZONING: C -P BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 3 branch circuits. 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): SERVICEIFEEDER 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: WESTON HOLDING CO LLC GEORGE + SONS ELECTRIC CORP 2154 NE BROADWAY PO BOX 339 • PORTLAND, OR 97232 CLACKAMAS, OR 97015 Phone: Phone: 654 -8634 Reg #: LIC 35600 ELE 3 -117C SUP 3185S FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 2/8/01 $60.15 2720010000( Wall Cover 5PCT CTR 2/8/01 $4.81 2720010000( Elect'l Final Total $64.96 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. Thos rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE G ISSUED BY: 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 ti . A CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00084 DEVELOPMENT SERVICES DATE ISSUED: 2/8/01 j 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DD -00101 SITE ADDRESS: 06975 SW SANDBURG ST 320 SUBDIVISION: TIME SQUARE ZONING: C -P BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 3 branch circuits. 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: 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: WESTON HOLDING CO LLC GEORGE + SONS ELECTRIC CORP 2154 NE BROADWAY PO BOX 339 PORTLAND, OR 97232 CLACKAMAS, OR 97015 Phone: Phone: 654 -8634 Reg #: LIC 35600 ELE 3 -117C SUP 3185S FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 2/8/01 $60.15 2720010000( Wall Cover 5PCT CTR 2/8/01 $4.81 2720010000( Elect'l Final Total $64.96 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty 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 may obtain copies of these rules ordirect questions to OUNC at (503) 246 -1987. - PERMITTEE'S SIGNATURE ISSUED BY: 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 rT sYa DI3 —d0 /0 l y A El Permit Applicat • Datereceived: o 2 /� /ai Permit no.: Az f a/ DD O j F .u. -.II! City of Tigard Projecdappl.no.: Expiredate: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: - By: _PM Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 • Case file no.: Payment type: Land use approval: TYPE OF PERMIT O 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family 4Tenant improvement ❑ New construction 0 Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: F.,S _ S y .( 5q,t /o is L /Z 6- Bldg. no.: Suite no.: 3z Tax map /tax lot/account no.: _ Lot: I Block: IS on: 69 7c SW 5.9, Project name: Description and location of work on premises: � �ES j�4�re 3zo -7� • Estimated date of completion/inspection: ,Z - ,Z S — / CONTRACTOR APPLICATION 4, l FEE SCIIEDLLE Job no: /5o Fee Max Business name: Ge.'ptrc e la �5, ,'L./6'c T Description Qty. (ea.) Total no.insp d I c New residential - single or multi- family per Address: P D 130n ,. .5 dwelling unit. Includes attached garage. • City: 44 i (WO a /t i • - I State:0/Z I ZIP: 9 70 /6 Service included: Phone: G S 96 U [ Fax: I E -mail: 1000 sq. ft. or less 4 CCB no.: :3 �. J I Elec. bus. lic. no: 2) _ // 7 C Each additional 500 sq. ft. or portion thereof Limited energy, residential • 2 City /metro lic. no.: 2 0 Limited energy, non- residential 2 ,/7 re-.�`-`"_ ,_ _ 7_/ Each manufactured home or modular dwelling Signature of supervising elec Irian (required) Date Service and/or feeder 2 • Services or feeders — Installation, • • f Sup. elect. name (print): (/2/q /6. /2, , a /y License no: 3/ 6 . - S alteration or relocation: PROPERTY OWNER 200 amps or less • 2 Name (print): A- „,, r f' c_ a ,, `f 2 a -� t l•'L1 I 201 amps to 400 amps, 2 E 401 amps to 600 amps ' •• 2 Mailing address: // 24 N Z, :v'-.1_, 601 amps to 1000 amps 2 City: POR- TL / /S/D I State:0R I ZIP: 27Z 3 2 Over 1000 amps or volts 2 Phone: 2 5:3 5/- 6/ a -' Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps • 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit / 1 4$ 5 9,4 2 City: State: ZIP: B. Fee for branch circuits without purchase ` 5 Phone: Fax: E -mail: of service or feeder fee, first branch circuit: 4 2 Each additional branch circuit: / /3,3p PLAN REVIEW (Please check all that apply) Misc .(Serviceorfeedernotincluded): . ❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps - rating of l&2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, , ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* - t 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lighting pl an ❑ Other. Per inspection I I • Submit sets of plans with any of the above. Investigation fee - T'he above are not applicable to temporary construction service. Other • , t,•, Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ �1 r 50 4/6 , i 5 ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ t / 'I, Credit card number. / / within 180 days after it has been State surcharge (8 %) $ Expires accepted as complete. TOTAL $ 5 7 7 8 949 • Name of cardholder as shown on credit card "` /5- 4. l0 g� / t1 t $ c k0 /6' Cardholder signature / Amount d 5, / 440 -4615 COM) r y ` ` K� GI Y r :1 ,4-l.� i ' • t .K r BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls _ Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final 2- `l - Ci_c) Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 1 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG- Structure set -up MEC - Mechanical Permit Insulation Drywall nailing • 4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PL M - Plumbing Permit Inspection Description Date Passed By BU P - Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils / Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS et OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested y AM PM BLD Location 6 f 755.) 5'4 -e^c/ G Suite 3 ZU MEC Contact Person rj.t-c 51, (dam" /Z Ph 6.5 — 9t 3 PLM Contractor 7 S' „/ Ph SWR BUILDING Tenan Owner LA)-e-31 4 6 ( d, ; Cam, _ ELC " 0 U c' 6 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler il�l�L Fire Alarm Susp'd Ceiling - 0) Roof Misc: Final PASS PART FAIL PLUMBING 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 PASS PART FAIL � l Service rt . / . Rough In UG /Slab Low Voltage Fire Alarm Fin AS ART FAIL BackfilUGrading 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 Z • • o 1 Inspector c Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. , -o t/4 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 5 AM PM BLD 9 Location (v 7 7 5 5 r.✓ SG-^d 6u r y Suite 3 Z U MEC Contact Person / 7 Ph G S y - gL 3 y PLM Contractor Ph SWR BUILDING Tenant/Owner ELC # 2 . o / ' °5 ‘( 1 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int F amin9th /Shear ?CI Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line e S Dampers Smoke D Final PA RT FAIL Cl ervice LECT Rough In .\/ UG /Slab Low Voltage Fi larm SS ART FAIL SITE 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 v LL_ Approach /Sidewalk Date D3 v/ Inspector E Other P �'l Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.