The URL can be used to link to this page

11666-12200 SW IMPERIAL AVENUE rn C7 I N N c.7 t cn { m r D m i i 11666 - 12200 SW IMPERIAL AVE CITY :,1' TIGARD BUILDING INSPECTION DIVISION MST 24-Hou, Inspection Line: 639-4175 Business Line: 639-4171 --- p BUP _ Date Requested /G� AM_ _PM — —_ 13UP — Location ( 2. Z C-C� �1�?/JQ� L��./' X,-,rSuite MEC -----`--- Contact Person Ph PLM Contractor ":Ik- -{, i Ph - Y _ ��, _ SWR — — BUILDING Tenter 0 ELC aG y Retaining Wall ` i i'1 L?C vtC C ELIR Footing Access: Foundation FPS Ftg Drain SGh Crawl Drain Inspection Notes: //_ -- Slab SIT Post&Beam ------— Ext Sheath/Sheer _ Int Sheath/Shear �— Framing Insulation Drywall Nailing Firewall Fire Sprinkler __— Fire Alarm Susp'd Ceiling Roof Misc: ----- Final P1 3S PART FAIL PLU°'B1NG Post& Beam -- ---- — Under Slab Top Out - -- -- ---- Water Service Sanitary Sewer - ----"— —"" —�— -- — Rain Drains Final -------- _ — -� -- PASS PART FAIL MECHANICAL Post& Beam Rough _-- - - ----- --- -.- -• _- -- Rough In Gas Line -- Smoke Dampers Final - - PASS PART FAIL ELECTRICAL _- Service Rough In - - -_ � -- - ---------- --_---- --- UG/Slab . Low Voltage ------_--- -- — Fire Alarm ASS 'PART FAIL Backfill/Grading -- Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before n spection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: Fire Supply Line _-_ [ ]Unable to inspect-no access ADA Approach/Sidewalk Date9- 7p Ins ector ._-. Ext Other P Final PASS PART FAIL 00 NOT IREMOVIF this inspection record fr*m the job site. CELECTRICAL PERMIT ITE OF TIGARD PERMIT#: ELC2001-00402 DEVELOPMENT SERVICES DATE ISSUED: 08/06/2001 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S11OCA-00200 SITE ADDRESS: 12200 SW IMPERIAL AVE LAUNDRY SUBDIVISION: KING CITY ZONING: '? BLOCK: LOT : JURISDICTION: KIN Project Description: Remove hot water heaaer from dedicated meter and reconnect to building meter. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY- 401 - 600 amu: SIGNALIPANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER __ BRANCH CIRCUITS __ADD'L. INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: >-4 RES UNITS: —` ~� > 600 VOLT NOMINAL Reconnect only: _ SVC/FDR>=225 AMPS: CLASS ARBA/§PEC Or..C____ Owner: Contractor: WESTON HOLDING GEORGE + SONS ELECTRIC CORP 2154 BROADWAY PO BOX 339 PORTLAND, OR 97212 CLACKAMAS, OR 97015 Phone: 503-284-2147 Phone: 654-8634 Reg #: LIC 35600 ELE 3-1170 SLIP 31855 _FEES _ Required Inspections Type By Date Amount Receipt Rough-in _ Wall Cover PRMT CTR 08/06/7001 X46.85 2720010000( Elect'/ Final 5PCT CTR 08/0612.001 $3.75 2720010000( Total $50.60 1 his Permit is issued subject to the regulation,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 ui these rules ordirect questions to CUNC at(503) 2468699 or 1.800-332-2344 permit Signature: Issued By:(Z" -- _ _ OWNER INSTALLATION ONLY____ The installation is being matte on property I own which is not intended for sale, lease, or rent OWNEWE SIGNATURE: _ ___ -- ___-- _ DATE. _ CONTRACTOR INSTALLATION ONLY _ SIGN.PATURE OF SUPR. ELEC'N: —______ &'4� DATE:___ LICENSE NO: _--------------- --- -- — -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application / ('it Datereceivrd:Y� (/ I Yermil y of Tigard Projecdappl.no.: Expinedate- CirvojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date i Phone: (503) 639-4171 issued: By:1,(?- Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OV PERN11jr U 1 &2 family dwelling or accessory 0 Commercial/industrial W MuIG-family U Tenant improvement U New construction A Addition/alteration/replaccrrlent U Other: U pial 1 Job address: / I.ldty •u.. _ Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: //VC �_e —___j Ci 7U 14 1 Project name: and locatio of workon premises: f e Estimated date of completion inspection: --�— ° c.r ° 1 1 e a t e 7e� r17 e c n h rc 0 I Job no: (� hlax I Fee Business name:Ce¢ r- scoy( rail Dscrill _ Qty. (ea.) 'Total no.ltrs Address: o 33 - iVew rrsitkutial gle or multi-fondly per dwelluq;unit.(ncludm altaclwd garage. City.CLk State:DJpZIP: 97o/r Service Included. Phone:a Y- 6,6 Fax:6,1-3-6SP E-mail_ 1000 sq,ft.or less 4 CCB no.: 3 60 p Elec.bus. lic.no: - Each additional 500 s .fl.or ortion thereof //7-C Limited energy, —' City/metrotic.no.: gy,rcaidential 2- 1 i;.—identi.1 2 Each manufactured home nr modular dwelling Signatur isi electri nn(re uired) Date Service and/or feeder 2 Sup.elect.name(print):cjt�� - - Licenseto Services or feedertnetallallon, PR 1 1 alteration or relocation: 200 amps or less 2 Name(print): L p/ y 201 amps to 400 amps 2 Mailing address: r�,y�4 y 401 amps to 600 ams — 2 Cil 601 amps to 1000 amps 2 Y State:O ZIP: 2/„�� Over 1000 amps or volts 2 Phone; nv Fax: E-mail: Reconnectonl _ 2 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,orrelocatlon: ORS 447,455,479,670,701. 200 amps or leas 2 201 amps to 40U amps 2 Ownees sI nature: Date: 401 to 600-trips 2 Branch circuits-new,alteration, Name: or extension per panel: A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circui$- tvv 2 City: _ State: ZIP: B. Fee for branch circuits without purchasePhone Fax: E-mail: of service or feeder fee,first branch circ2 Plea,.e check all that apply) Each additional branch c,rcuit: —' Mise.(Servlce orfeeder not Included): O Service over 225 arups wr.mtercial O Health-care facility Each pump or irrigation circle 2 O Service over 320 amps-rating of 1&2 O Hazardous location Each sign or outline lighting — - 2 familydwellinga 0Buildingover l0,lxlOsquare feet four or —Signal circuil(s)ora limited energy panel, ❑Systemove,600 volts nottdnal more residential units in one structure alteration,or extension* 2 O Building over three stories O Feeders,4(10 amps or more . — :f O Occu suit load over Descri tion:___. p persons U Manufacture)structures or kV park Each additional Inspection over the allowable In any of the above: ❑1$ras/lightingplan ❑Other: _ — I'er ins ction -- —T----Submit eels of plans with any of the above. Investigationfee The above are not applicable to temporary construction service. 011ier Na all)urisdictioru accept credit cards,please tale jurisdiction for mare information. Notice:This permit application Permit fee.........�........ $ ❑V9sa U MasterCard expires if a permit is not obtained Plan review(ai _ 9F) $ widlin 180 days _ Col redit card number: atter it has been State!iurcharge(8%)....$ rpt 1_ Cop TOTAL .......................$ �f cudh�oT�er u shown on c t cva steepled a.9 complete. $Cardholder si({nature Amount 4464615(6MC,)M) /'°�� '�"�� ELECTRICAL PERMIT TY - PERMIT#: E /19/2 0-00261 DEVELOPMENT SERVICES DATE ISSUED: 05/19/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11980 SW IMPERIAL A\;E 008 PARCEL: 2S 110CA-00200 SUBDIVISION: KING CITY ZONING: ? BLOCK: LOT : JURISDICTION: KIN Project Description: Install a first 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 6C0 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: 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: — --_J Owner: Contractor': WESTON INVESTMENT CO GEORGE + SONS EL-ECTRIC CORP 2154 NE BROADWAY PO BOX 339 PORI LAND, OR 972.32 CLACKAMAS, OR 97015 Phone: Pnone: 654-8634 Reg #: LIC 00035600 ELE 3117C SUP 31855 FEES _ -- = Required Inspections Type By Date Amount Receipt Elect'I Service PRMT GEO 05/19/2000 $37.50 0002304 Elect'I Final 5PCT- GEO 05/19/200( $3.00 0002304 Total $40.50 — ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Gtate 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`orlh in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at 1503) 246-1987. i PFk1lIITTEE'S SIGNATURE ISSUED BY: _ _ OWNER INSTALLATION ONLY Tho installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: __-----__ DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. ^ 1V�,, Rec'd By_ TIGARD OR 97223 REQ°EDate Recd Date to P.E. Phone(503)b39-4171, x304 PAY 1 Q � Date to DST _ Inspection (503)639-4175 Print of T ppPermit#EeeAX0 DE Fax(503)5Sq-1960 ft not i� Called incomplete�e wt not be accepted 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) _(( p Service included. Items Cost Sum Address HM) S,k 1A11EIP1A1- AGrL-'. p 4a. Residential-per unit City/State/Zip N l&/6G (f / 7-Y -_ 1000 sq.ft.or less _ $ 117.75 - -- 4 Each additionat 500 sq,ft or portion thereof _ $ 2675 I Commercial ❑ Residential ErAPAf'rM 6:,4, / Limited Ener,, - $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor 6-6' -E 5 o,(/S L E 20U amps or less $ 64.25 2 Address r C-' �C .(' j j f� 201 amps to 400 amps $ 85.50 2 CityC 44LIr MA 5 State 0,C Zip 7701-1- 401 amps to 600 amps $ 128.50 2 � P 801 amps to 1000 amps $ 192,50 _ 2 Phone NO. 63-y ' 8,C 3 µ Over 1000 amps or volts $ 383.75 i 2 ,lob No. i Reconnect only $ 53.50 -- 2 Elec. Cont. Lice. No. _3 Exp.Date 4c.Temporary Services or Feeders OR State CCB Reg. No. 3f de- Exp.Date 3 -25 .2 Installation,alteration,or relocation COT Business Tax or Metro NoWelo. - oSY Exp.Date.2 -/-i _ 200 amps or less $ 5350 2 - 201 amps to 400 amps $ 8025 2 r. Elec Signature o Si f Su 'n 401 amps to 600 amps $ 100.00 g p `"-�"`� ��`� -- Over 600 amps to 1000 volts. _ see"b"above. License No. '�/rS' S ,5 _ _ --Exp.Date le, -/ -/ Phone No . G 3 `/ 4d.Branch Circuits -�-Kf'Y - 9 --- New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 Address b)The fee for branch circuits - -- - -- without purchase of service City -State-- _Zip___ - or feeder lee. 3 7, SD Phone No. First branch circuit _1 _ $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which Is not 4e.Miscellaneous intended for sale,lease or rent. (Service or feeder not Included) Each pump or Irrigation circle _ $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 - - Signal clrcult(s)or a limited energy (if required):* Mipanel,alteration or extension $ 80.00 3. Plan Review section i nor Labels(10) $ 100.00 Please check appropriate item and enter fee In section 58. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per Inspection _ $ 50.00 Per hour $ 5000 _Systen over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as _ described in N E C Chapter 5 5. Fees: Ba.Enter total of above fees $ �3 2. * Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(08 X total fees) $ Not required for temporary construction services. Subtotal $ Bb.Enter 25%of line Be for NOTICE Plan Review If required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED W11HIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i d t ',ti nnti',ciccUic dile CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line:: 639-4171 — -- - ---- — •Z B _ --- Date Request AM PM BLD ilJ % CEJ Location— Suite _ MEC Contact Person Ph PLM Contractor -c:� . Int`.. Ph SWR BUILDING Tenant/Owner Retaining Wall ELR -_.. Footing AccesF,: FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes: --------- - Slab - -- - h�� _ - SIT Post&Beam Ext Sheath/Shear ----_. -_- Int Sheath/Shear Framing - -- --- ------ - -- - --- Insulation Drywall Nailing 4 - Firewall / r �5�= ��'-- Fire Sprinkler -_____.� .p �_.�- ✓ � - Fire Alarm Susp'd Ceiling -_'0 Roof Misc __ _ - -------- --- ---- -- Final PASS PART FAIL _ --------- ------ �r ---- - --- ---- PLUMBING / /✓/9"C L�--� - -------- Post&Beam �- Under Slab TopOut - -_ . _. ----- -------- =-=�---- --- ------- -- Water Service Sanitary Sewer Rein Drains _- Final PASS PART FAIL MECHANICAL. �--� Post&Beam ----- --- _ -- - -- - - -- Rough In Gas Line - Smoke Dampers Final --- ------_ ------- --- -- -- — SS PART FAIL ELECTRICAL Se vice Rough In UG/Slab -------------- -.. --_--_._..___-- Low Voltage Fire Alarm -------- ----- - - - - - - - - ----- r PART FAIL - I Backfill/Grading - ------- --------___...-_--- --�-�_- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ - __-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ) Please call for reinspection RE -_ - J, [ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _ Inspector - Ext Other _ -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 0..9-4171 BLIP Date Requested l ~ (� Am __PM _._ BLD --� Location Ju-Suite MEC Contact Person _ Ph PLM Contractor _ __ Ph ___ SWR E LC6 � BUILDING ^� Tenant/Owner Retaining Wall ELR Footing Access: FPS Foundation Fig Drain - SGN Crawl Drain Inspection Notes. SlabSIT -- Post&Beam Ext Sheath/Shear --- Int Sheath/Shear Framing _--- InsulationeL ` Drvvall Nailing Firewall Fire Sprinkler ---- �-----�-- —"— Fire Alarm Susp'd Ceiling ------- - r -C_ -- - -- Ruof Misc: _._ - - ------ —- -- - -- -- Final PASS PART FAIL --- PI-UMBING _ [lost&Beam Under Slab --- — Top Out Water Service -------- ---- -— - - -- -- Sanitary Sewer Rain Drains - Final PASS PART FAIL - MECHANICAL Post& Beam --� Rough In ----- - - Gas Line - -- Smoke Dampers Final PASS PART FAIL ELECTRI_C_AL — Service - - Rough In UG/Slab Low Voltage Fi ,618rt� - -- - 9L ---� PASS ART FAIL_ -SITE Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next spection. P at City Hall, 13125 SW Hall Blvd Catch Basin ( j Pie II for reinspection RE: J Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk '- i( , /� Ext _ Other Date _-_--Inspector_ , - - - Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. ELECTRICAL PERMIT TY OF T I G A R W PERMIT#: ELC2001-00388 DEVELOPMENT SERVICES DATE ISSUED: 08/06/2001 13125 SW Hal; Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S110CA-00200 SITE ADDRESS: 11990 SW IMPERIAL.AVE LAUNDRY SUk?DIVISION: KING CITY ZONING: ? BLOCK: LUT : JURISDICTION: KIN Proiect Description: Job#311 Remove hot water heater from dedicated meter and reconnect to building meter. _ RESIDENTIAL UNIT TEMP SRVCIFEEUERS 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/FEEDE_R _ BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 200 amp: _ W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVs OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD" BRNCH CIRC: 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: WESTON INVESTMENT CO GEORGE + SONS ELECTRIC CORP 2.154 NE BROADWAY PO BOX 339 PORTLAND, OR 91232 CLACKAMAS, OR 97015 Phone: Phone: 654-8634 Reg #: LIC 35600 ELE 3-117C SUP 31f15S _ FEES Required inspections Type By Date Amount Receipt Rough-in Wall Cover PRMT _CTR 08/06/2001 $46.85 2720010000( I Elect'I Final 5PCT CTR 08/06/2001 $3.75 27200112000( Total $50.60 This Permit is issued subject:,?the rEqulations contained in the Tigard Municipal Code. StatE of OR So.vdalty Cudes and all other applicable la,a,5 All work will be done in accordance with approved plans This permit will expire if work is not startcj 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 Gregon 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 ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344. --- Issued ey: Z"� Permit Signatures: l✓j� �� i�? � _ 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: - LICENSE NO: �! 1( C`J — — _ —_ ------ --- Call 634-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: " r Permit no.: /, 3 City of TigardI'roject/appl.no.: Expiredate: Ci n Ti and Address: 13125 SW Hall Blvd,Tigard,OR 97223 h 18 Phone: (503) 639-4171 Date issued: _ By: Rnceiptno.: - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ 1 CJ I nr. Lundy dwelling or accessory U Commercial/industrial LAI Multi-lami:v U Tenant improvement U Ncw Constntction 0 Add ition/al ieration/replacement [J Other: U Paftial Il 1 i Jobaddress: Bldg. no.: Suite no.: Tax map/tax lodaccount no.: Lot: I Block: Subdivision: ,NG t^, ,q Project name. I Description and localfbil of work on premises: ,e" w re Estimated date of completion/inspection: oe c a a e _ t°c o h t-c o I" 1 1FEE.SMEDULE Job 00: _ ree M1lax Business name:t^,Cv;t- S ec- v!Z Descripllon ) (ea.) local no.lnsh -- -- -- New residential-single or multi-family per Address: Pe>FVX 03 ZIP: dwellingutdL Includes ai•-nched karage. City:Cit _ State:o CLk 5 �l7o/r survleehteluded: Phone Fax:6J3-16$8 E-mail: 1000 sq.rt,or leas _ a CCB no.: (70 d Elec.bus.I ic.no: ��7_G F-ach additional 500 sq.ft,or portion thereof L.innited energy,residential 2 City/met c.no.: 26,9ALimited energy,non-residential _ _2 Each manufactured home or modular dwelling Signature of ser rvis g electrician(required) Date - Service and/or feeder 2 Services or feeders-Installation, Sup.elect.risme(print): �'/�,rflr �� Liu rise n° S S agenlion or relocation: 200 amps or less 2 Name(print): n/ p 201 amps to 4W ams 2 Mass: r y-- 401 amps to 600 amps _ 2 601 amps to 1000 amps _ 2 City: Slate:0 ZIP: 2/ Over 1000 amps or volts 2 Phone ,2/ Fax: I E-mail: Reconnect only _ - I Owne.installation:The installation is being made on property I own Temporary serviceaorfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479.670,701. 2W amns or less 2 201 amps to 400 amps _ 2 Owner's signature: _ _ Date: 401 to 600 an, s 2 Branch circuitt-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: _ ._ State: ZIP: B. Fee for brnrrch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,first branch circuit: 7 6 2 Fach additional branch circuit: Misc.(Service or feeder not Included): O Service over 225 amps-commercial U Health-care facility Fact,pump or irrigation circle < _ U Service over 320 amps-.-sung of 1&2 U Hazardous location Each sign or outline lighting 2 familydwellings U Building over 10,0)0 square feet four or Signal circuit(s)or a limited energy panel, USystem over 6Wvolts nominal more residential units in(me stru.-:iure alteration,or extension* 2 U Building over three stories U Feeders,4W amps or more •Descr. lion: U Occupsnl load over 99 persons U Manufactured structures or RV park Fitch additional hupedion over the allowable in any of the above: U Egress/lightingplan U Other: _ Per inspection Submit___sets of plats with any of the above. Investigation fee The above are not app'Jca5le to lempurary construction srervice. Other Not all Jurisdictlau attiepl credit card,,pleats cell JutisdicawtPermit fee for more information. Notice:This permit application ..................... r U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: _ ��_� witlan 180 days alter it has been State surcharge(8%)....1 7 S Expires accepted as complete. TOTAL .......................$ _� 0 — Name of cardholder u shown on ct�atd'� .•••...••.•••.•••... _ _ S Cardholder signature Amount 4404615(6t00/COM) CITY OF TIGARD BUILDING INSPECTION DIVISION RAST 24-Hoes Inspection Line- 639-4175 Business Line-. 639-4171 -- --- pBUP Date Requested —�� ' l'0 AM PIVi —_ BLD _ Location ' �-c. -�i - �-' � �.2.i_��t..�-�€.-r /�1.'�C_,. Suite MEC — Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner — — �— CLC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain — Crawl Drain Inspection Notes. SGN Slab SIT Post&Beam i--- - ----- -- Ext Shoath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler 44 Fire Alarm Susp'd Ceiling Y "` 22 gyp , -- Roof Misc: _ Final PASS PART FAIL PLUMBING Post&Beam -- — - - Under Slab Top Out — — --- — — Water Service Sanitary Sewer r- -- --- Rain Drains Final -- PASS PART FAIL MECHANICAL - _U F Post&Beam — - - - Rough In Gas Line -- -- --— -- _- Smoke Dampers Final -- PASS PART FAIL ELECTRICAL — -- - -- -- --- Service Rough In UG/Slab Low Voltage � --- -- -- ------....._- -- ----- Fire Alarm ART FAIL AU Backfill/Grading —� Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspech_!,i RE: _ Fire Supply Line [ ]Unable to Inspect no access ADA Approach/Sidewalk othe, _ - Date =��_Inspector r _Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF T I G A R® _ ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT#: E 06/20 -00401 DATE ISSUED: 08//06/7001 13125 SW Hall Blvd., Tigard, OR 97223 1,503) 639-4171 SITE ADDRESS: 12 r20 SNS IMPERIAL AVE LAUNDRYPARCEL. 2S 110CA-0020n SUBDIVISION: KING CITY ZONING: ? BLOCK: LOT : JURISDICTION: KIN P;oiect Description: Remove hot water heater from dedicated meter and reconneact to building meter. _ RESIDENTIAL UNIT_ _ TEMP SRVC/FEEDERS MISCELLANEOUS ^1000 SF OR LESS: 0 - 200 amp: _ PUMPIIRRIGATION: 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): i SERVICE!FEEDER BRANCH CIRCUITS ADU'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 ADU'L BRNCH CIRC: 114 PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOIl11NAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPFC OCC: Owner: Contractor: WESTEN HOLDING GEORGE + SONS ELECTRIC CORP 2154 SW BROADAY PO BOX 33�i PORTLAND, OR 97212 CLACKAMAS, OR 97015 Phone: 51.,3-284-2147 Phone: 554-8634 Reg#: (.IC 35600 ELE 3-117C 6UP 31855 FEES Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 08/06/2001 $ 5.85 2720010000( Wall Cover 5PCT CTR 08/06/2101 $3.75 2720010000( Elert'I Fina' Total $50.60 This Permit is issued subject to the regulations contained in the Tigard ML iicipal Code,State of OR Specialty Codes and al!other applicable laws A!I work will be dune in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or dwork!s 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(hrough OAR 952-001-0080 You may obtain copies of these rules or direct questions to OLINC at(503) 2.466699 or 1 800-332-2344 Permit Signature: /J Issued By: OWNER INSTALLATION ONLY The installation is being made on pronerty I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE:--_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ) ��—►� �CL��s�. .. _-------_-- LICENSE NO Call 639-4175 by 7:00pm for in inspection the next business day Electrical Permit Application s� i� -- Date receivedr;,, rj) Permit no.: City Ol Tigard NrojecVappl.no.: _ Expire date: Ciiyoffigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By.-6,P)111 ciptno.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE 7 OF'PEIRNI IT O 1 &2 family dwelling or accessory O Conlmercial/industrial Idi Multi-lkmily U'Tenant improvement U New construction 21 Add ition/alteration/repla!,emenI ❑Other:_ O 'atrial 1 1 Job address: y Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: _ Block: Subdivision: v 4 P;rs Project name: Description and locatio_ f work on prem—iseess:', 9�,„ .r0 a Estimated date of com pletion/inspec ck ca d rile f�- F' if co h e14 o V-I e APPLICATIONCONTRACTOR III _Job nn: 57S 4 1 Fee Max Business name: C r Soy r C _ Description Y. (ea.) 7oral no.hu "- New residen(Ll-singleor multi-fandly per Address: p 3" dwelling unit.lncludesattached garage. City:CCk State:tnr ZIP: -7'7o/S Serviceincluded: Phone:6S y $6 3 Fax:6.1-3,0^ E-mail: loco sq.ft.or less 4 CCB no.: �Ob Elec.bus.lie.no: ��7_C Each additional 500 sq.ft.or onion thereof Limited energy,residential 2 Cityhlletf lic.no.: Limited energy,non-residential 2 Each manufactured home or modular dwelling sign!] open tji g elec cisn required Date -2 -r Service and/or feeder 2 Sup.elect.name(print):C'/I�/ L cense no; Servlcesorleaders-Installation, alteration or relocation: PROPERTY OWNER 200&nips or less 2 Name(print): n/ p l 201 amps to 400 ams 2 Mailing address: I/S y r 1Y 401 amps to 600 amps 2 11/11y 601 amps to 1009 snips 2 City: Stater ZIP: Z/off,,, Over 1000 amps or volts 2 Phone ,2/Y 7 1 Fax: I E-mail: Reconnect only I Owner installation-The installation is being math,on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to instadation,alteration,orrelocation: ORS 447,455,479,670,701. 200 snips or less 2 201 snips to 400 snips 2 Owners signature: _ _ Date: 401 to 600 stns 2 Branch circuits-new,alteration, or exlenslon per panel: NamC: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: 1 Slate: ZIP: B. Fee for branch circuits without purchase / —i -- ---" - - - of service or feeder fee,first branchcircuit: �b 2 Phone: Fax: E-trail: IN Each additional branch circuit: I PLAN REVIEW(Please check all flint soply) Misc.(Service or feeder not included): O Service over 225 apps-conmtucial U Health-cmefacility Each pump or irrigation circle _ _ 2 O Service over 320 amps-rating of 1&2 O Hazardous location F.ach sign or outline lighting _ 2 fandly dwellings ❑Building over 10,000 aquae feet four or Signal cimuit(s)or a limited energy panel, O System over600 volts nominal more residential units in one structure -Iteration,orexiension• 2 O Building over three stories ❑Feeders,400 amps or more •Description: O Occupant load over 99 persons ❑Manufactured structures or RV nark Fach additional Inspection over the allowable in any of the above: O Egress/lightingplan O Other , Per inspection Submit—seta of plans with any of the above. Investigation fee The above are no_I applicable to lempnrary construction service. Uther - Not all JurisdicUuru scapi credit raNs•please roll jurisdiction for mxe informal ion.' Notice: fhlS permit application Permit fee.....................$ t U Visa ❑Ivv-- tcrCard expires if a permit is not obtained Plan review(at _ %) $ Credo card a r ibe — _ / / within 180 days after it has been State surcharge(8%)....$ Name of cardholder u ifiotin nn cr�lt taa— Expires accepted as complete. TOTAL .......................$ _ S Cudholdet sixnanue Amount 440-4615(Y>✓OWC.'OM) 07/30/2001 15:12 5035393771 CITY OF KING CITY PAGE 05 *Ad KING CITY 15,900 SW. 116th Avenue,lung Ci:)-,Oregon 97229.2699 pi""":(003)639.4082• FAX(503)6,99.37,71 Notice To Contractors Working In King City Due to an inttr¢overnniental agreement -,Nith the Cite of Tigard, many' building_ related permits for projects in Kinn Cityare issued and inspected b,,the Cite of Tigard. If your permit application DOES NOT FJ.QUIRE PLA` REVIEW. simply complew the appropriate application legibl, Euld submit it to the king Cit, staff. The King Cita staff will collect al, fees and fa,-.: the application to the Cit,- of Tigard- Cityc,fTi¢urcl stF,{f kill then create the permit. issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tiaard su ff to call you when the permit is ready for issuance or k%hether you ,refer it to be mailed Nvithout an, notification. .�riy inccnpiete or iiie`ible application be returned to King Cite staff for correction and no processing «i11 occur until a complete, leeihle application is received. If your permir application DOE S REQUIRE PLAN REVIEW. this form must be signed by a King City staff person. Fink City stur'f .�ill simply sign this form indicata;lk land Ilse approval Take this signed foram to the Cit t of Tiga,:l Development Services Counter located at 131 215 SVS' Hall Blvd- Tieard, to submit applications and plLns. Development Services Teclinicians are available at 639.4171 Ext. 304 should you have any questions concerning suhmittai requirements. All permit fees «ill be 2ssessed arid collected at the Cite of Tigard. The Cir.- of King Cite hereby authorizes applicant to pursue permits at the Crt\ o. Tigard Building D,:pnrtment for the following project:C1& ) Incated ai; C�omt�e h SartS ��v�f�tcC_` A•,� Ltj �C1Cl.t,r Kine Cit% Representao%ee/—(o---?� �/ OVS',-(N9T ocr r