Permit r h 1 Y OF TIGARD ELECTRICAL PERMIT
� PERMIT #: ELC2002 -00665
;�� DEVELOPMENT SERVICES DATE ISSUED: 1/6/03
,�I
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB-01201
SITE ADDRESS: 16280 SW UPPER BOONES FERRYRD
SUBDIVISION: PARtf0 CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT : JURISDICTION: TIG
Project Description: Wire 5 ton AC on roof. 1 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: 0 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:
PACIFIC REALTY ASSOCIATES TICE ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 15009
PORTLAND, OR 97224 2139 SE BELMONT ST
PORTLAND, OR 97293 -5009
Phone: Phone: F - 231 - 3372
Reg #: 20 -8801 166
SUP 2586S
FEES ELE 26 -126C
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 12/30/02 $46.85
[TAX] 8% State Tax 12/30/02 $3.75 Rough -
Elect'l Final
Total $50.60
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: O(.l k, _cL ( Q P ermit Signature: Ory1 6 A L► Rryti
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: �i1 ��.� . DATE:
LICENSE NO: f)
Call 639 -4175 by 7:00pm for an inspection the next business day
12/27/2002 10:36 503 - 872 -8290 TICE ELECT.SERV.DEPT PAGE 02
_10/10/00 TUE 09 :00 FAX 503 598 1980 CITY OF TIGARD ®002
, . i .
.
4, Elec trical le
r C 1 /' (� D ar°rcceived: Xg- _ ' 3- Permit no.: a - ocr/,
!
, i 1 . 1i IE 1 I' City of Tigar53ECE V v Proju✓appLew.: Irifffi
issued:
Address: 1317:1 SW Ball Blvd, Tigard, OR 97223 Da � ),
Ciryaf Tigard Dam
Phew: (503) 639 -4171 DEC 2'7 2��2 (no Fax: (503) 598 -1960
,and use approval: CITY OF TIGARD
111�01f►tn„ �J " "_- )�,�/ti d 1 t �e .
. - ' 11 I'L. OF 1'I.I I1T
I 01 & 2 family dwell or accessory )c a Commerciai/lndusarlal 0 Muld- iantlly CI Tenant improvement
0 New construction 22'v • (Additioo/alterallonireplaccmcnt ❑ Other: 0 Partial
.hill SI IV INFORMATION .
Job address: SW .par Boons Ferry : Idg. no.: Suite no.: ax map/tax let/account no.:
Lot: Slocla Subdivision:
Pro ect name: L ei — • - t B1,. • Deacst• don and Iocadon of work on • unites: " - — .t - I •-' '•t _
P.stimated date of com..letion/ins. Lion: 12 30 02 On r: • •
ct)N 1 l4ACI01t.AP1'I,l(. I IU l 1..1: s(ILEI)(4,F:
Job not 34 _ 0549
Business - il • Mg PRI
gOS)nC9S name:: ,
- - - •' NOT , . i =data orrra naflyper
Address. pn pew 15 ( dr allbagrdt:Inclodriaritrcbedgarage.
City: ... _ . State: a ,_ ZIP: , s a • Serdoeloduded:
PhOnr: :: ! : • I 1000 sq. It orleaa 4
C'8 no.: 166 Eke- brut. lice ito; 26 - 1260 gaoh • • " ''' s9• ft orportlosthereof ' E
Limi alai f , teitde aai
aty/tri • 1iC. no.: t , limited ,son.reeterati.t
12 5 Banh mans hotwvd liaise or modeler dwelling
re of g electricia required) Dais Serviosend or feeder 2
Sup. elect name (Oat): . Mann= Salim or feed* l
! - 4 - ' • alienates or relocation:
PROPER I' ( I 1V NI, It . 200'errtpaoriaw III 2
N ante (print): 201 • toe60a.. •t 2
Mailing address: 401 amps to 600 amps •
601 amps to 1000 amps _ MINI
City: Ma. ZIP: Ovsa 1000wp orvolts
Phone. Pax: B Reassume • . y I
Owner installation: The installation is being made on property 1 own T.tapoaaryewric aeribe4en. --
which is not intended for tale, lease, tent, or exchange according to a a o° ''+ ornloeadon:
ORS 447, 455. 479, 670, 701. 200 ampsorlesa 2
§01 amps 0400amp 2
Owner's si : re: bath:. 401 w 600 . • 2
-- - ;.. 1:NGItiI•:hi T t Bran rewler - nsw, •
. sr extension per pooh
Name: _ A. Pm for branch cheuila with pacctWe of
Address: . service or feeder f e e , each branchdtouit 1 46.:5 2
City: ] State: {ZIP. B. Pee far branch ahatdls without putcliue -
Phone: Fax: $_p�J• cf serviceer feeder fee, flat branch Omit 2
: Each addld nd branch circuit:
1'1.AN F {LVII'.1V (r)can. thetl: all Mai niiiill) of
7 Service over 225 atop: e9 rnmercial Q Pkal efielllry 2
' 7 Servlce over 330ampa•ratingof 10.2 O kieserdcaaloaulna Each sign oreatineligbtinn _ 1 2
family dwellings 0 Build inn over 10 ,000 square feet four ar• Stgaal411c i)oraltmtkdahcEEypanel.
O System OW vo10 nominal more reaidential unite in onsatructura slteradon,oratttansion' J 2
O Budding over Woe stories 0 Feeders, 400 mpg ormore • af
❑ 0.eupent lawA aval 99 pN+t•ru 0 Manninecure4 structures or RV eat Each y dyil onn l y l over tiss allcwabM I ear o t>te • su
2 Erma ilgndngptan 0 Other P.riaapec iu° j 1 I --
Subntlt ____ sets of plans with any of the aboYr. . InveadedonPo6
The above are not a ;t . 'Me to ' . , • rary construction serlice. Other
r ■la i n m t Jwildlaio Accept a . Ni cam, awe cull Ihsisdesion For goons inform tint Hobos: This permit application )�ettrrii fix 6 - 6.85 —
tXvisa O MasaICerc U OQ14 6247 91 04 expires If a permit Is not obtained Plan review (at _ %) 5
cueett cud ousteee ( within ISO days after It has been Stetn shaeharge (8%) .... $ 3.7
.;1 - ( accepted as complete. TOTAL $ 50 60
) '1�!.�JJ% _.., s 50
r n U u0461.5l6U0/r..)etl
w
I 7
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 1 1 •
AM PM BUP
-� ite MEC
Location : � �s, � =' ' �' - =�
Contact Person = Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC - 04
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors 1
Ext Sheath/Shear d∎b �J v "� 4
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other. M.F7Mffare : 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
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE El Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line /
ADA
Approach/Sidewalk Date / — /7-03 Inspector l -Zv car /
‘,/755 Ext
Other: V
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL