Permit ),C 11
•
L PERMIT #: ELC2002 -00462 ELECTRICAL PERMIT
D EDEVEL i OPMENT r SERVICES (503) 639 -4171 DATE ISSUED: 9/11/02
— 13125 SW PARCEL: 2S101 DC -04602
SITE ADDRESS: 07291 SW TECH CENTER DR
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of 8 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: 7 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:
MCCORMACK, WILLIAM L + DARLENE ENCOMPASS ELECTRICAL TECH
7190 SW SANDBURG ST 7379 SW TECH CENTER DR
TIGARD, OR 97223 PORTLAND, OR 97223
Phone: Phone: 503 - 684 -3600
Reg #: LIC 52288
ELE 34 -247C
SUP 3863S
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 9/11/02 $93.40 2720020000( Elect'I Final
5PCT CTR 9/11/02 $7.47 2720020000(
Total $100.87
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 -0080. You may obtain copies of these rules or direct questions to
Permit Signature. / Issued By: i6"a 4 -(.c_-
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: M 6:19 p DATE:
LICENSE NO: o ��s
Call 639 -4175 by 7:00pm for an inspection the next business day
Electrical Permit Application ` OFFICE 'USEfi ONLY'
d Date received: '9/ if 02-- Permit no.: LC,. • .2 62.9-,- 1 �1'i l City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: Bya 3 Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT . „
❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ,ddition/alteration/replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION
Job address: 737q /:(.) Tcy. v,cetl ter (T\ Bldg. no.: t . Suite no.: 2 Tax map /tax lot/account no.:
Lot: IBlock: ISubdivision: &( (d;v\I P xmm+ * 64 - 2 2'OG3`t5
Project name: , - +- C�c Wc I Description an location of work on premises: 0 f / C1' ,
Estimated date of completion /inspection: cf •- 3t ,
: ' CONTRACTOR .APPLICATION ` ` ' ` • FEE SCHEDULE
Job no: 52:2 Fee Max
Description Qty. (ea.) Total no. insp
Business name: :U\Cc,p1 6 6 1 % . ie {-v iC
New residential-single or multi-family per
Address: g 7(( � it) /tCi^J, AOC' dwellingunit .lncludes attached garage.
City: Pc, r S tate: Z IP
lit 61d OE_ I ZIP: 5 72 _0/ Serviceincluded:
Phone:/,1 - (-,3(; I Fax:-(( I E -mail: 1000 sq. ft. or less 4
CCB no.: 5-22.4 O I Elec. bus. lic. no: g ZV 1 tt �� E ach additional 500 sq. ft. or portion thereof
I J � L energy, residential 2
�
City /metro lic. no.: 2 Limited energy, 2
' , gy, non - residential
�/ i ,, j 7- „7- z..... Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): ' x .GrZ /) License no: • Services orfeeders– installation,
alteration or relocation:
' - PROPERTY OWNER. 200 amps or less 2
Name (print): 201 amps to 400 amps 2
— 401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I 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,orrelocation:
ORS 447, 455, 479, 670, 701. 200 am or less 2
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 2
City: I State: I ZIP: B. Fee for branch circuits without purchase 1
of service or feeder fee, first branch circuit: 2
Phone: Fax: E - mail:
Each additional branch circuit:
.;. PLAN REVIEW (Please check all that apply) ,• Misc. (Service or feeder not included):
❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2
❑ Service over 320 amps - rating of 1 &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* 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 plan ❑ Other: Per inspection I I I I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $ *MS45 93 ' yO
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: I / within 180 days after it has been State surcharge (8 %) $ 1- ` '7 1 7
Expires TOTAL $ / 00. O 1
accepted as complete.
Name of cardholder as shown on credit card
$
Cardholder signature Amount t 440 -4615 (6 /00 /COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION ' Business Line: (503) 639 -4171 MST
ll 9.--1 BUP
Received ofl - l Date Requested 3 AM PM BUP
Location - /...0c4 c,4 19A. Pr Suite MEC
Contact Person Ph ( ) SI 7 7/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC a -GO 4/ L
Footing
Foundation ELC
Access: �-7 Q �c- ,/ }�
Ftg C awl ain ! 6 1� " ' 'V )),/_(/ ELR ',
Slab Inspection Notes: � SIT
®��
Post & Beam \ r 7 3 77
■
•
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing m
Insulation /j ( / )$ s S b )
Drywall Nailing l � �(
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
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
EC.
service
Rough -In 'GUS
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA 41,
Approach /Sidewalk Date V Inspect` Ext
Other:
Final DO NOT REMOVE this inspection record from t job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 96 AM PM BUP
Location 9 / Suite MEC
Contact Person • !7 . Ph ( ) e-c( 7 — 7 PLM
Contractor C zy r,ss Is . _ Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access: -
Ftg Drain l L � T" • ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
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
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 'Si* p 02_ Inspector / o / ' c,� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL