Loading...
Permit s:! CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2002 -00319 ���; - 13125 DEVE r SO SERVICES 639 -4171 DATE ISSUED: 7/23/02 PARCEL: 1S126C0-01403 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Adding (5) 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: 4 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: MAY DEPT STORES COMPANY, THE ROSE CITY ELECTRIC CO INC ATTN: PROPERTY TAX DEPT 4012 NE CULLY BLVD 611 OLIVE STREET PORTLAND, OR 97213 ST LOUIS, MO 63101 Phone: Phone: Reg #: 20P-61$7S LIC 3567 ELE 26 -113C FEES Required Inspections Type By Date Amount Receipt Rough -in PRMT CTR 7/16/02 $73.45 2720020000( Elect'I Final 5PCT CTR 7/16/02 $5.88 2720020000( PRM2 CTR 7/23/02 $73.45 2720020000( Total $152.78 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 r or direct ques s to OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. • Permit Signature: /el-i-N.. Is ed By: - , �'/ • - / /'� ' ..__ e o r k (!z;______ 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: �- / / /Ge-. ..- DATE: LICENSE NO: A4 Call 639 -4175 by 7:00pm for an inspection the next business day [, 07/10/2002 14:28 ROSE CITY ELECTRIC 4 5035981960 NO.860 P01 a w El ca Permit Application _ at . • Date roceirod: 7� Prsmit no.: - Cz, 0 2-- e, l • • • i City o f Ti gard ,� r F A 11, , ® Praeetlappl.ra.: Expire date: air of lgarrf Address; 13 7l . . Date Jawed: Sr * Receipt no.: •- Phone. ( 5 6 39.4 ) 1 Fax: 003) JU L 10 2002 case file no.: Payment type: Land use approval: - - r, a `1 0M-D I . . - 6 AL '1'y1'1; or 'aloof 01 & 2 family dwelling or accessary mmercia1/indusa1al 0 Multi - family 0 Tenant improvement 0 New construction 0 Addition/alteration/replacement Q Other. 0 Partial .ton sill; INt OItMrt 1 ICbN Job address: i i , z, . '� Tax map/tax lot/account no.; Lot Block: Q, ivisio f . Project nattne: r 4 v eacription and location of, work on premises; • 1 L CJ . Estimated date of coin • letlothns, Ann: l'UN'I ti,1( t)It :1t'I'LI( XI ION 1.'1..1: SI 111.:111i1 I.: . Job ow • _ Bueineaa name: ; e . r Y e .• r Address: 4 012 NE Crux VLF a nntclncl ded City: PORTLAND . • I state: OR (7207213 • Ph5ta3 287 6164 l f1c 3 28 1. t >�nil: low •. it.orlen I= CCB no.: Blec. bus. lie. no: • C Lim/ idonal 'on lama M��� Fab . limited -. - : ,non•residentiol - -Eli 2 l ir►Sra e ira( T O V lmJd •h manufactured home er modular dwelling inn Signature • wpm Inn electrician ( :red) ., ', Serrice and/of feeder ■■� 2 Sup. clog:. mum( . , in): a L (i0 th am . License no: 21.218 scMed ar kedarv- hurrah °:ton, alteration or relocation: 11(01 It 11' t)WNl.at ; 200am. or leas 111111 2 Name (• rint); 201 em.:to400 , , .. IIIMM © 401 , ato600amps MME 2 Mullin _ address; ' 601 amps to 1000 amps ■■M 2 State: ZRi: Over 1000 am.1 or voila 2 IL Phone: Fax: E-mail; Reconnect oni MN /M I� Owner installation: The installation i s being made on property I own Tetspolratyagrt+ices mr feeder>o- which is not intended far sale, lease, rant, or exchange according to last° ll °Itan,almtntlott'°r`'°locattoa: ORS 447, 455, 479, 670.701. 200 amps or less a 201 amp to 400 amps a Owner's si : re: _ Date: 441 to 600 am p a a P:N C I v 1 _ grand grains -new, attendee, Name: or Mouton per plumb A. Fee forbrooch circuits with purchase of Address: earring or feeder tee, each brunet' circuit MEI= 2 City: State: • 2[F: B. Fre fro branch circuits without putdlaao Pitting; B - k of service or Raeder fee, first branch drsvit: j ( 2 . - Farb addhlonol brunch circuit:. - .. - . WA! ?7 : NMI .. ... iri. i Itr,1`Itli.v 1I'lra,42, 26 „c1, :III 41e:11 ;Till%1 MIsc .(Sorvlso orfeederaotIacludad): Ill IIII 09owlce over 223 apps• of "OHealth to facility 13adt , .orirti.• •on circle 2 0 Setviceever3g0asops- rralnaof l&Z O Haosidatat mtmien 8°dt sign omelets ll hpn, 11101111111 MEM fornitidwellIngs 0 BuUdingova IQ,040egawe featttuurar Sillug4=114)oraltraited mum panel' 0 System mvor6111 volw nominal nun rasidoatiol units Mono amens attaration. or extension 2 Q ROAN; aver three erlprics 0 Peders, 400 carps ar mono ' •Dasp1. dm - -- - -- Q Occopsot lord ova 99 peraaw ; Q Moradxtuml eauctares or RV psrit .. sdtltriomtl lnsysotlee menu ejIai,able In army mf 1b Oar= 0 041/Pi= 0 other• ' Per ... - . on 1tM111ti1.111111111111 - &bmit _ seta of pham with arayof the above. lnveaoitationite The above ure pot a • pliable to temporary araaroalan service. olir Noe asi i ems caree . an d awn I Notice: This permit a mppliwlimn Permit fee ........,... QVia urad O �Q expirce ifaptarasllie not oblel:tad Flan review (at _. %) $ 5-`.r( geed , ..... ' �� — LA i` / within Imo days atter It has heel Stela asrcherge (896) •••• $ C vse iwAlix -c 4 1.,..-- accepted as complete. TOTAL. $ . -_,....7.... . s ^ra Aa toant V 44t> (O CITY OF TIGARpi 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7 /al AM PM BUP Location 0/3 0 SC) . Suite MEC Contact Person _ �J _ Ph s ` � SS PLM Contractor !�„af: 4 1 ,, ( ) 02 7 - 6(6 1 4 SWR BUILDING Tenant/Owner �� L- ELC 6 3/ 7 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam m - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation I V / IZM o I �/ 1 r \ % ? Drywall Nailing �--I '� \ n /1 �V ql f Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof r* L j 6Cg—D 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 • F' Alar • S PART 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 ' O Approach/Sidewalk Date7—e:252 — O 2 Inspector _ / - Ext Other: Final DO NOT REMOVE this inspection record from th job site. PASS PART FAIL