Permit •
CITY OF TIGARD ELECTRICAL PERMIT
(' PERMIT #: ELC2004 -00704
DEVELOPMENT 1 I � SERVICES
97223 DATE ISSUED: 11/3/2004
(503) 639 -4171
PARCEL: 1S134BC-00300
SITE ADDRESS: 12288 SW SCHOLLS FERRY RD
SUBDIVISION: GREENWAY TOWN CENTER ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation (2) signs. -
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: 2
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: 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:
BPP RETAIL LLC SIGN MASTERS INC
BY BURNHAM PACIFIC PROPERTIES 5105 SW 45TH AVE
ATTN: JOHN WATERS PORTLAND, OR 97221
SAN DIEGO, CA 92101
Phone: Phone: 503 - 245 - 5056
Reg #: ELE 26- 1051CLS
SUP 410SIG
FEES LIC 77928
Description Date Amount Required Inspections
Rough -in
Total Elect'l Final
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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
2466699 or 1 -800- 332 -23
Issued By: Permit Signature: S.Q,2 ps\
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
•
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Li1f@: (503) 639 -4175
INSPECTION DIVISION Business Line: 4 (503) 639 -4171
MST
BUP
Received Date Requested 15 ( AM PM BUP
'Location ) ) S M a `` � Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 1 I -0 la D )
Footing ELC t5 D — 0 014
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ?iA sc
Drywall Nailing v� / (� J,— /
Firewall / • C1 ' 0 OLU'1WG�'I 1 )1 1 1 L J , s
Fire Sprinkler I� ` 1 \ pig Fire Alarm � �'l\ \ I� �.sQ1111 \\1 \' S`'1 \� , \ ' i o V g k-
Susp'd Ceiling
Roof ‘N" \ , i ( W\ %-+ L��' E.l ) - R -) l y�0
Other:
Final \\ \ 'a
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 1
Final � (\\ 1 1 S s . C1 (7 1) fV1A1� m��� � � QP S 5 e)D
ZEESS -----kART
FAIL
CTRIC.
Service
Rough -In
UG/Slab
Low Voltage
ire Alarm
A PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA Approach/Sidewalk Date// 4/ Inspector ��'� �1V Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL