Permit E LECTRICAL PERMIT -
CITY OF TIGARD RESTRICTED ENERGY
A �, DEVELOPMENT SERVICES PERMIT #: ELR2003-00196
- 'J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/9/03
SITE ADDRESS: 14800 SW SEQUOIA PKWY PARCEL: 2S112AD -00900
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: JOB NO 934081 -697
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: UTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
/OME DEPOT USA INC C HERRY CITY ELECTRIC
Y MARSHALL + STEVENS INC 100 NE ST JOHNS ROAD D -104
4TTN: MELISSA SHAPIRO VANCOUVER, WA 98665
PHILADELPHIA, PA 19103
Phone: Phone: 360 -571 -4411
Reg #: ELE 37 -620C
LIC 91668
SUP 3486S
FEES Required Inspections
Description Date Amount Ceiling Cover
[ELPRMT] ELR Permit 7/8/03 $75.00 Wall Cover
Elect Final
[TAX] 8% State Tax 7/8/03 $6.00
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 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)
246 -6699.
Issued by 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
CCE SERVICE SALEM 5035408147 04/20 '01 12:00 NO.214 03/03
. -• __, LitS car ligera iiinn
A Electrical Permiit Applic anon -..F. , , __. ,_
i-i s.. f_ 6 f ti.o Date received: Pcclrsf c no - V 3 - ov `l k
ii City of Ti PrvjoiappLno.: Expire dam:
ChyofTtgard Address: 13125 SW Hall Blvd. Ti i � , g72Z3�0'1 Dte issued: Er ' Receipt no.:
Phone: (503) 639 -4171 iii_ L U -
:,:I vF TIGARD
Fax: (503) 598 -1960 I Casetileno= Paymenlrypr.
Land use approval: _ 1-; H; n l (G n IV I S IC N -
. _ - - '77T Ur.T�;7i -
0 1 & 2 family dwelling or accessory C21 Commertislrindusuial 0 Multi- family. 0 Tenant improvement
❑ New construction 0 Addition/alreration/replacement ❑ Other: _ 0 Partial
=: - ,.. 1r4O1ti ■1A1ION -
Job address / d • S1J S � /� A,rt / , Bldg. no.: Suite no.: Tax mapftax lot/account no.:
Loc Block ubdirisi
Project Dame: me. I){, 1 Ipeseriptien and location of work on Premises:
Eetimate4 date oleo .. letionrinspeedotc
.CONTRACTOR ATFIICAT1O1 7•;1 $C11L'Dl ?I _
job 1 0 0 : 6 3Ko'!— (v91 = Fee —
Business name: (}�� -,v City Electric '�0° Qty. (a) Taal . no- iasy ,
Address: 8 00 NE St Johns load Suite D-104 - drziOng &twd : erg
Ci VanCOUver Stare: WA I ZIP: 98665 sm'eradetlader
ph one: .36U-5 /1-4411 I Fa.x3W -5 A 4E-rail: woo : •. P or 1=s • a
CCB no.: 91668 1 Elec. bus. lie. ac: 37 -62(c - ach addzoioapl 500 sg. ft or portion th -tar
United enemy. ttsidecaiel 2
rnctrOliC n0' LiminKlmayy_aoa- ttsidardal 2
U A -7 f 3/� Bach aondsc nedhome -fling
S o se . _, isine edsaician (required) Dias / Se1•icennd/er • 2
Ses+ieeq or kedges.- i t6mn�a n,
Sap. elect moue gala* John Orton Iw o - ase ew 3!+86 5
- sltastioaoretisatior<
' - -_- - - - t0Tl.:1{14 riWNElt - ioo eta 2
Name (print): t 201 strips loaoo a cipt 2
Mailing address sot m soo.m 2
601 . ..- m nee amps 2
• - - State: zp: Over t009tortes orvolt? 2
Phone: Fax E,man: Rrmon=oely 1 .
Owns Instillation: The installation is being made on prope try I Oval Tempera r9ser*k et reorders •
Which is not inten4e4 for sale, lease, rent. or exchange aticordiag rq I11sII4 0.o14r:lian,ocrelae-sdolr:
ORS 447, 455. 479, 670, 701. amps or 2
tot oatpsm400amps 2
Owner's signature Dale: sal to 600 • • 2
,__ _ - —.. _ -- �►_1I]dt _ __ - &weltcircsils- aen,OTterntion.
or esle sioarerp>oel:
xame A Fo for6rtreb circaita with patch"_ of
Address: i service or feeder kn. each bnmck eie it 2
City State: - ZIP: B. Fez far Wench irarrsvj¢totttpu?vk s Lle.8 �,
Pticrae: Fax: of frst braarhds lc ,8 7 2 . I 1 9 1
awl eddilicad. ...dteicaie ! 1 �f r . of
r U
7'LAN BE�1 c:il)Cc1L *11 that ... 1�I.1!) :::'! Aton.(SaRbxs[ceder not hdoeadh
OScco:movef225ampaaoutaremdal OHashfr tfadIItr' ' Each palmoria�
ioaelide 2
r
O Service over 320 amps -adrg of 1&2 O Hodoosloarion , Each sign oroadine righting 2
fAralydwriliugs O Building owe/ ro.vol eggs= rerfouror Signal cimihrs) or. /imicod cricr p=oet.
O SystemoverG4)Yoltsnotninal more tesi entialballslaonesmr=rre alleniion. orexten6ion' I
O 13sadta oralhstzcurftcs ❑ FetsJas.4� or =art • 7;.6( 1
0 0Cotpantload ovvr 99 pea�nn.. O M..in t, ued vveyma or RY ��96s� `
P� Este(' madinaml;espnctron o+ertlaa ene.reMr In any of sae xGiora
O Egres/lightingplan 0 Odlsr. Perineperaan II 1 1 /j
Sabo* ._,_ seer of pias with say of the atitsye, Inver ittedDo Doke
�D
The game are net applicable to rem Duty construction sesTiae. other
rue ed Macaws awe scale oat:, pia= ern je aii.-siso &,c mem ti EQamtoa_ N This permit replication Permit fe` ---------- s J 7 S • 05 .
O V,so O MaaatCard spires if a p poem$ is not obtsimed Ilan review (ar — 4b) S
creak ern =de= 1 L_ within 150 days alter it has boon State sum -barge (8 %) ... S / L/. DQ
- Hate or o�+ar es own on suet cad -- accepted complete- TOTAL ...................... S / 8 9. D S
Explain •
S .
CAMEMMEr a
ssu•cls cEraCOSt)
•
. $
CITY OF TIGARD 24 -Hour
BUILDING Inspectiontine: '(503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested � AM PM BUP
Location / L i gb0 Suite MEC
Contact Person Ph ( ) 3 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner /tea- ELC 3 (1/17
Footing
ELC
Foundation Access:
Ftg Drain ELR 3 - O ®t' q
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam L �C> 3 - G D 2
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear cr c \, ,� � �( 'C) y Z Z /
Framing .J T� �' \
Insulation t L C D o� J N 001-1. � r / js ` W
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling i I
Roof Other: L\ L , ∎, V
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
Rough -In t Lam U3 C / - \ `
JJG /Slab
'Low Volta
Fire arm
ART FAIL Reinspection fee of $ required before.next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7 d 3 Inspector
Other: Final DO NOT REMOVE this inspection record from the jo '
PASS PART FAIL