Permit OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES
PERMIT #: 7/9/03 3 -00417
DEVELO
4,r V �. DATE ISSUED: 7/9/03
i � � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 2S112AD-00900
SITE ADDRESS: 14800 SW SEQUOIA PKWY ZONING: I P
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: JOB NO. 934081 -697
Work located throughout the store
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: 8 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:
HOME DEPOT USA INC CHERRY CITY ELECTRIC
BY MARSHALL + STEVENS INC 8100 NE ST JOHNS ROAD D -104
ATTN: MELISSA SHAPIRO • VANCOUVER, WA 98665
PHILADELPHIA, PA 19103
Phone: Phone: 360 - 571 - 4411
Reg #: ELE 37 -620C
FEES LIC 91668 ,
SUP 3486S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/8/03 $100.05
[TAX] 8% State Tax 7/8/03 $8.00 Ceiling Cover
Wall Cover
Total $108.05 Elect'I 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) 246 -6699 or
1- 800 - 332 - 2344:
Issued By: Permit 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 7:00pm for an inspection the next business day
CCE Sf,RVICE SALEM 5035408147 04/20 `01 12:00.NO.214 03/03
t.ity OI ' tisar'd f71nn9
Electric Permit Application
RECEIVED Datereoesved: Ptxmitne. a v03 Y/7
,, l' :- /1' City of Tigard projcet/a}xpLno.: Expire date:
C Address: 13125 SW Hall Blvd, Tiga I. - - 8 2t03 Dare issued: , By: 1 Receipt no.:
Phone: (503) 639 -4171 JU
Fax: (505) 598 -1960 CITY DFTIGARD C ase rile ne.: >'aylaeuctypG
Land use approval: BUILDING DIVISION •
nri ter. Tziilr , , -
O I & 2 family dwelling or accessory O Commezzial/sndustriaJ 0 Multi- family 0 Tenant improvement
0 New construction 0 Addidonialteratiadreplacernent ❑ Other . 0 Partial
. .TIOR :SITE INFORMATION -
Job address: / d • , 94/ -ref it, 6t i , Bldg. no.: Suite no.: Tsar map/12X lot/account no,:
1.0C Block: I ubdivision` l
Project name; me. _ / 0 Descriptldn and location of work on • • .
Estimated dare of cornpleti.onrins • - dolt
` .CONTRACTOR :AA1JIKC:A770. _ _ -- _ _ LIE ClIED1.LE - -- _ _ --
Job no: '3 OR/ 60ci7 i rd a
Business name: Cherry city Electric lln�ipdoe Qty. (en.) Trani no. km
14cw re40eirrol -tie oremdtkrom is per
Address: 8100 N St Johns load 3Jite I) --104 dwsimeLsdclatioda
City. Vaf1CalVer stare: WA I ZIP: 98665 S.t aamtacrF .
Phone: CI-5 /1-144ll I Faec :360 -57I- 441 E-maik taco sq. it atlas 4
CCB no.: _21668 J Elea Mrs. lit, no 37 -621JC
Each add;aoaaI 50o sg- ft or pardon therm:
■ Limited energy. trsidoutiel 2
t act% no' �yry,n
Limited asrtesidelr�l 2
.-- -7T3/a3 Each tnanafacured home or modular dwelling
Sim= Lir A upervisinc elecaioan (leouircd) Esau Scrim unmor fccda 2
Sap. elect. name (plot}: John Orton Lic nse rta: 3486 5 Servki oa ere deet.•on� u,
•
: -= 9.11:1114 91wEli - - - - -- noa,n 2
N ame (print): t 201 amps tom coma Z
Maw addresK 401 In s to 600 amps z
601 Imps to 1030 amps 2
I State: [Zip: Over 1tA0 amps or vales --- 2
Pima= I Fax: I Emntl: R®anecca ly 1
Owner installation: The installation is being made on proptzry I own .. TemParatyler45:ael Or iltedets •
which is not intended for sale, lease, zeal or exchange according 10 IoROflaQort ,altlataditso,
ORS 447, 455. 479. 670. 701. 200 amps calm 2
Zol mope to 400 amps 2
Owner's signature: Dale: 401 to 600 amps 2
Brand cimmils -new oittraatioa.
orezleas'oa peril noel:
Name: I A F= for brooch arose' with Nodose of -
Address: , runic: or feeder Few colt btmck circuit , /
City IState: - IZIP: B. Fee tor btanebdrfficewitnotrtputrhase llm•d I
Pbvpe Fax: $ 1 Eacheddi imndb reech circuit 2v
ofea vice orfeellefeafitstbranchcsxmit I 4 87 2. _ I
• 0
y •
1•L
AN REVIEW (Plc)�e: ilier1c :an 111:1t lipid.) ; ;. ; pror4ServlQ . • _ Do t btdodad): rb'U
O Sav:m over225 ampsvcon tnmetel O HaaltftearsfsdUty ' Each pomp orlaigtman cirC1e 2
C 3 Service aver320 ampsmdng of 1&2 O Heaadoasioeuion Earn signor outline I 2
family dwellings 0Beiad1ngo.a1o.0:0 (ouror Signal airc.h or • lin'hcd egtcrgY Puna
' 0 Symemover GOO volrsmmminel more rrsdeartial balls la one strakmre ellemtion,orex2Mian• _ I °75.0 0 7 j. a. d orn
O Bua din gcrver three:Refits CI Fecdas.4a? atrtpsormom c'D scripdnr t i
U Occupant lead aver 99 pence. 0 Km orocr taosnmesorRY s t d �( on over ticaflenwabtern any ofnn /
O Egt>xsnigittingplan ❑ O ther Perim-peed= I 1 1 1 4 \
Submit acts ofpins�eeryof heati a '
,__,_. fnvestigarionfie
• The above are mot applicable to tew y eoostreetion twice. other
Mr as JeliaEM nt
iae ae credit plea= call 5 eitaleum far trove nE�at� NC) ti= This permit application Permit Pus __— b 17 S. 05
Mr
0 vrsa 0101esoa Cerd expires Ira mink is not obtained Pleu review (8t — %) S
crew+ wet swot= —.-1-...—L. - Within 180 days seer it bag been State surcharge (8%) .... S
Evian .
accepted a complete. TOTAL S
Barre er homer at mown as at & card
S
Cannusaer agpartste 4 1434613 (60330000
;r(
f
CITY OF TIGARD 24 -Hour
BUILDING Inspection tine: '(503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested "3° AM PM BUP
Location p f o Suite MEC
Contact Person �� Ph ( ) 3/ — (e � 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner , Gef26_,IC ELC 3 Dd (11-7_
Footing
Foundation ELC
Access:
Ftg Drain ELR 7 - 0 e i g &O
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam 61_12 011 / 6 2,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear S ° �\ f G \ CA 0 \� F
7
Framing / \ 11
Insulation t L C D3 N (� (7 , D�5d J
Drywall Nailing •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling I /
Roof I � l t �V L \ ■L\ l✓ . A
Other:
Final 1
PASS PART FAIL ' 1
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 U3 ) - 11) \ \\5
7 ,1,1G/Slab
L 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: ❑ Unable to inspect — no access
Fire Supply Line -
ADA Date 7-__?/- d 3 Ins In spector
Ext
Approach/Sidewalk p
Other:
Final DO NOT REMOVE this inspection record from the Jo site.
PASS PART FAIL