Permit OW /* ELECTRICAL PERMIT
CITY O TIGARD
PERMIT #: ELC2003 -00362
: DEVELOPMENT SERVICES DATE ISSUED: 6/18/03
5=-° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S103AA-00101
SITE ADDRESS: 10865 SW WALNUT ST
SUBDIVISION: ZONING: R - 4.5
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install (20) branch circuits and Low Voltage for HVAC. 8/14/03, adding (5) limited energy panels for
HVAC.
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: 6
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: 19 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:
SCHOOL DISTRICT NO 23 J CHERRY CITY ELECTRIC
13137 SW PACIFIC HWY 8100 NE ST JOHNS ROAD D -104
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: Phone: 360- 571 -4411
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/18/03 $248.20
[TAX] 8% State Tax 6/18/03 $19.85 Low Voltage Inspection
[ELPRMT] ELC Permit 8/14/03 $375.00 Rough -in
(additional fees not listed here) Elect Final
Total $673.05
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than a .. . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. T - e rules are set
forth in • .. - 952 - 001 -0o through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at (5e • 246-6699 or
1 -800 32 -2344.
. sued By: Permit Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
•
CCE"'SER$ICE SALEM 503540._--..- • : - r•:: •0.214 03/03
_ -• - -- . !W dvdvV r' l t ?' OT 11nar o f71 nn9
f
j i (G -
ElectricalPer ii 1 • cation ..
Da tE received: � Pcard t na - (!)97X3 $ .
.. City of Tigard ProfxtJappLno.: Expire dam:
City fTrgard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Dora isenci fir I Receipt no.:
Phone: (503) 6394171
Fax: (503) 598 -1960 Case' file °o- Payment ypc:
Land use approval: .
Tiri irT.m14.x
0 1 & 2 farnfly dwelling or accessory ' 3 Commezua1rrndust.ral 0 Multi family 0 Tenant improvement
0 New construction 0 Addition/alrzzation/replacemenr 0 Oth= 0 Partial
Job address: ID: i, Sw blii ^ f (A) t • ( Bldg. no.: I Suite no.: Tax map/rax lot/account. no.:
Lot= , Block: Subdivision.:
Prvjcct name: FiMPAINIFA . ■�� 7.de -). f:�,t.�l•.k�.[v.a[A� a.rit•) iti.,ia.. ca 7,71Z
Estimrar. ei date • co • • lt:ti.onrutspe: tion:
7Ct1 772ACIORIARIIlCATIO1t zE
Sob no:. VIEW' 1 ■ — 1 _ iQ 1 . 4 ox
Business name: Clerry City Electric �a iption Q (a Tarsi no. Mao
New - eiagleortes1C- 5usily per
Address: 8100 IS St Johns Road Suite D-1CY4 dreuloglatit zed= actottes) guava.
City_ Vancouver Sri: [ , j z>P: 98665 soi�.caaimth ;
Phone: .3W - 5/1 - -x+11 1Fax3F -57 441 E-ttlail: • loco - . R. orL:s 4
- CCB no.: 51668 , Elec. bos.lie. no: 37 -62CC LSmiud area. residential r Pardon ths ■■ 2
metro lic. no • Limited tl-IcEL7.acen-rmide rial 2
Hach m®efnaund home or modular d, ,ling
Sint 0 supervising elcaidan (required) tpl_____-- Se- ies.tndier feeder • 2
Sup. el-t_ name (pant) John Orton Lietse nen 3486 5 Set 6`..PBOrfrsdc"- "grzi F�So
a1taB/snnorrekkordoor
S] 1 OP li 3 35 { 7D0 arrrys ac le:a 2
N arme(posit): i 2n 1,uaps to400=opt 1 Z
Mailing a d d r e s s _ 401 craps m 600 amps
601 mks to 1000 amps 2
Cry: I State: 'ZIP': 10
= Over 00 amps or voila 2
Phone: I Fa 1 E-ms11 Yeimnxesoal7 1
Owner instillation: The inl;zallafion is being Slade on propraty I oven TemperrarSsore'i'z9ar gamier; - .
which is not intended for sale, lease, rent- or mange according ra loco ocaort,01a s yarretaoa re
200 ORS 447. 455. 479, 670, 701. 201 1 m erless 2
mops 2 amps en 400 amps 2
owner's sit:'ltature: Date: 401 co 600 • • 2
'- £1. G1N71 i , Bro ad%oscaits -n ea, alttradroz,
or Name , A. Ffor beatteb circuits Frith pandame of
Address: Terri= or feeds fee, cads broach. eitatit 2
Oily: , Scare , B. F= for btanca dead= without putchme '
Phone; Fax: &mail or f
of sa hand/ czs�l_ 2
virL � -.rf�, first
FSe:bIIdCk4ostatranch c
riAT 13i3 '1E1 ']e.)aa. 3l rc'lc 2111 iii n - ii ip ∎ l Km= (5mM:earfewdernatix3oded): '
CI Sere sover=arnpmcoft>rnerelal O Ha> cfadIIty ' Each pomp orhaigsioared:•eie 2
OSari aver320 amps-rating ofi&2 oHnzsardauskeacon Farnsi outline lighting 1
?Amity ' welllar,: 0 sanding owe lo.ozo Sgomo rani rout or SiSaal eccaidi) or • hrnisrl energy peel.
❑ Syste noverGmvultsnomIni more res4estialenitsln one =care eltcaGat4ore7rtnresion' 2
0 Building Ater three sees 0 F 4(E amp; orroom a'IIcr.-up _
" 0 Occupant load over 99 rerr r. 0 Mornifocausi =no= or 12Y pork LOCIT maditIonal t c i ore the alio•rabrein arty of the aka
0 E£r— c/Sighdfgplan 0 Ot e _ p m ( 1 I i
Satanic_ acts or plus with s a g of tire abbve. Invctigseionfe_
The awe are not rappiian:te to temporary soars coca se rri ce- ° sa
Mc on jtuisaJOes aatrc credit ems, Om= cat jeciataico tee rye ierceees•Not i= This wit application ?emit fee S -fl S Or)
Q vale 0 Maseetord spires if a p•muclt is not ob'mined Pima rc iolw (at _ 5o) S
credit end metal I f - within 160 days after irbas bctn State surcharge (8 %) .... S ?'O• ( I �
_ accepted as complete. TOTAL S ( C)., (D
Kane m aotliaolmc Ba expany oe cm& rx'd
S c--
CL,B // d':r d� fog» rse , / 40 615 (frrrCOM)
if( I \) 4 St . mN peArnilt-i [C,D-.013--(5-bso
C Ire OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00362
,0 DEVELOPMENT SERVICES DATE ISSUED: 6/18/03
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S103AA 00101
SITE ADDRESS: 10865 SW WALNUT ST
ZONING: R -4.5
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install (20) branch circuits and Low Voltage for HVAC.
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: 19 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:
SCHOOL DISTRICT NO 23 J CHERRY CITY ELECTRIC
13137 SW PACIFIC HWY PO BOX 12668
TIGARD, OR 97223 SALEM, OR 97309
Phone: Phone: 503 - 399 - 7609
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount
Required Inspections.
[ELPRMT] ELC Permit 6/18/03 $248.20
[TAX] 8% State Tax 6/18/03 $19.85 Low Voltage Inspection
Rough -in
Total $268.05 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)
246-6699 or 1-80 32-2344.
Issued By: P 4A , .. A 1-A- ) 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: -Cs"� S
Call 639 -4175 by 7:00pm for an inspection the next business day
CCE SERVICE FeALsEia,, 5035408147 04/20 `01 12:00 NO.214 03/03
- -• -- - �- „. dvdvVY L1tY oI iigaro ffinn9 • A e �PerrmitApplicatio� _ _
►( ° Dateeereivee ,- g. � Pc nitno.J • D - / .3,
11" :_ i'!r'.' City of Tigad ' V C Il + Prvfxt/apPLoo.: Expire dam:
Cirygfrrgcrd Address: 13125 SW Hall 13 1Y4 Tigard. , ,(>, U 223 D2teislaod: B, , Receipt no.:
Phone: (503) 639-4171 n 1 L
Fax: (503) 598 -1960 lu 1v Case CLe no.: Payment
Land use approval: COS OF 11GARD •
tsNGL�1 1
. ''. s l F 0! I -=',L7-111T,9-17 ; TFR1]I 1 - . , , ; , � 1
O 1 & 2 family dwelling or acazssory 3 Cotnmerrialrmdustrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Additlonialreratiiaufreplacemenr 0 Other. 0 1'arrial
. ,. - ,a '-' ;: _ . .. ]�IO7t�1TI0\ ;l . } z . ".._ ,. f
TAR il?I , f ` ?.. , s ,
Job address: r1. (a 5 ,9,C/ U/t% /FGa L57-,-_,,, r Bldg. no.: Suite nog Tex ma�flax lot/account no.:
Let= j Block j Subdivision: 1
Project name: `l,011A 3 ()a7 (71 / I Description and location of work on premises "
Ettimarrd date of co ..leti.onrins. - don:
{ ' (OMRACTOR wJ l l(anoti r Y - iw ( 1
yobbo: :'1112 , ' -' Nax
Business flame: Ch erry City Electric Description Qty. Ceti) Tara( no. wasp
Address: 8100 NE St Johns Road ciiite D -10•'+ dwelling arm�a-�utatyp�
City: VanCOil�x' State: _ dweilbr8ttait lae�dlaztftaehsd�r +,ps
WA { ZIP: 986 SSr•fcn�t ae&
ph one: .3W Pax:360 57 � - 1 441)E -mail- low sq. Et. erlr. 4
Eoeh odditionol 500 sq. ft- or panian th.'•eof
CCE no.: _C 1668 Elea bras. Iic- r'w 37 -620C
Limited enetpj, academia 2
metro7hq. oo Cimlrrl teidrnrial 2
U fl J ,' �� / (� Poet menefsouted horse or modular dwelling
Sign o supervising electrician (required) D61 ser•ioeondlotfer�a 2
Sup elect. name Warp John Orton Li no Senie�orrcedets- l�dhosoe,
n , ...
.. atrar th it-li . ` ' rdae "1"`'
5 bite
_.... .._: _.. •.. ,.. zoo 2
Name (print): ! 201 amps to 402 ems Z
Mailing atidiess 4 _ 401 arks to 690 s laps a
i 601 reaps to 11100 2
C9'= Lit: I . O•/ta ll:GO amps ar volia 2
Phone: I Fax: I Enron: Femancesonly 1
Owner instillation: The ingarallation is being made on ptopczry I own Temporarytaf*k reed= - ,
which is not intended for sale, lease, rent. or exchange according ro 1t�11a�oa.> tst+aa,rt n:
ORS 447. 455. 479, 670, 701. zoo's` cries 2
201 amps to 400 amps �._ 2
Owner's Signature Daft. 401 so 690 amps 2
. - *." `, ' - t'G1'LLJt 2 t i r '.. ` rr 4 " a Broads caaritts new,olttTapask
Name: r or calamine per panel:
A Fee for brxne>t citenits with purchase of
Address: _ service or feeder tee awls broach eirsut 2
City J State: - 17.1F': 8. Fee far brunet' drama Mont mocha=
of acrviec a: teeth first blanch ale 2
Phone, ,. ]LAN AT1 -IL 1 PJ 1 Etnarl r Fschcadttiovalbrand► t ,
� ,t . :; ,I., (-t rli cc e all , :. L • • ..5., First (Servle:cirf 6aduded)=
O service over 225 ampe a iseneretal O fiaaldf•catsfadllty ' Each prom err ittfgaim circle 2
O Service a es amps-caring of I&2 0 liaoutlous location ', En sign or outline lighting 2
tarally dwellings O Bending over ro,p0o agcmo fee: four or Sigma circuit(*) or • limited etragy panel,
O SysicmoverGlnvolts nornfnsl more =Meridal OWLS 14 CMCMPS= elrecation.orezemslon' 2
0 cuBdlego er thrtssades ❑ Feorkes.4CC amps or more vaactipdcre
0 O ru pant load over 99 per on. D M.inufxmred saveanes or RY pa is Each addidaanl teopneti ore the alie.rabir In any of me arm=
O FgreWlightIng plan 0 Men Per i apemen I 1 1 1
Submit _sets of plans with any of the shore. ' Lnacerifiy lonfee
The abase are tact applicable to rempotairy construction service. other
Mac an, leriarliciu s acs a edie =ob. pry call je ladLeloo car mac iaEQars6oa. Notic 'MIS permit application Permit fee. _ -- -- S
0 VASE 0 Mane:Curd spirts if a p h is not obtained Plan revew (at _ °,b) S
cwt and nnmtnx _1 within 180 days alter ithas been Slate surcharge (8%) .... S MAW'
Ev
`°°. • goQptead as complete. TOTAL $ 4 —
ttarrc of aa�ae r N mown as credal card - S I <i 1
Caigtoki. xigareraxce % ..— ( is cf,RraCOI+U
;v45'
CITY OF TIGARD 24 -Hour •
BUILDING Inspect' Line: (503) 639 -4175
INSPECTION DIVISION Busi ss L . (503) 639 -4171 MST
BUP
Received Date R Requested AM PM BUP
Location
`` l J / Suite MEC
L_�- �•� b
Contact Person � / Ph ( a0) �e 4 .f 1 �5.� PLM
Contractor ChStit �1 / i`lr, Ph ( ) SWR 2
BUILDING G � Tenant/Owner 3 ELC — v 3(a 9
Footing • ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing I
Insulation f• �
Drywall Nailing �� 411
Firewall alfWASNAWWA N
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ! 7 (� ' ® 44,-)
Roof •
Other:
Final pmef �.
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
j�w•> Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
tom, PART FAIL
SIT` ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line ff �
ADA D r4- P Inspector (� 6 • Ext
Approach/Sidewalk / Q� P
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL