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10340 SW NIMBUS AVENUE BLDG N STE B c w 0 7 Q' c y A 1 1 Nirnhus Ave N-B ELECTRICAL PERMIT CITY OF TIGARD PERMIT#- ELC2002-00194 DEVELOPMENT SERVICES DATE ISSUED: 5/2/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S134AD-06201 SITE. ADDRESS: 10340 SW NIMBUS AVE N-B SUBDIVISION: ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Wire circuitry 8 emergency lights. ___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/ FOR: 601+amps - 1000 volts: MINOR LARE.L (10): SERVICE/FEEDER BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA.ADD'L BRNCH CIRC: 7 IN PLANT: 601 - 1000 amp: ___ _ PL_A_N REVIEW SECTION 1000+ arno/volt: - >=4 RES UNITS: > 600 VOLT NOMINAL_: _Reconnect ons_--_ _ SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC:_ Owner: Contractor: ROBINSON, CONSTANCE A+ DYNALECTRIC ROBINSON, LYNN + BELL, KAY ET 2904 SW FIRST AVE. BY INSIGNIA COMMERCIAL GROUP PORTLAND,OR 97201 BEAVERTON, OR 97008 Phone: Phone: 503-226-6771 Reg#: LIC 066793 SUP 2950S ELE 26-59C FEES — Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 5/2/02 $93.40 2729 20000( Wall Cover Rough-In 5PCT CTR 5/2/02 $7.47 2720020000( Elect'I Final +iTotal $100.87 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Speciafty 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 riles or direct questions to Permit Signature: �L .�� �oi�✓� Issued By: �ctd OWNER INSTALLATION ONLY The installation is being made on property I own wl.ich is not intended for sale, lease, or rent. OWNER'S SIGNATURE: �_� _.�—_— —._ DATE:_._._ _. CONTRACTOR INS1 f%l.LA TION ONLY SIGNATURE OF SUPR. ELEC-14: __ Al LICENSENO: -- --- ---- ------. .--- Call 639-4175 by 1:00pm for an inspection the next business day Electrical Permit Application Date received. Permit no. ,"/q yA City of Tigard Projecl/appl.no.: Expiredate: City ofTrgari Addregs: 13125 SW Hall Blvd,Tigard,OR 9799; Date issued: By:511"1 1 Receipt no: Phone: (503) 639-4171 Casefjleno.: Payment type: Fax: (503) 598-1960 • Land use approval: _ OV PERMIT ❑ 1 &2 family dwelling or accessory &I-16"rnmerciaUindusttial O Multi-family O Tenant improvement 0 New construction ©Addition/alteration/replacement 0 Other: O Partial JOP SITE INFORMATION Job address: /p J t.d N(Jnbr4b Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: -- Protect name: Description and location of work on pn mists:W j Ile Estimated date of complelirm/inspection r.,r t NG — Z l��T 1SUIEDULE .� Fee Max Job no. j' — 17- -- --_ _ -- -- -- DescaiptiOn Qty. (ea.) Total no.insp Business name: r I'a l If Le CTyjs Nen residential-shagk or multi fandly per Address: 57' do elling unit.Includes attached garage. City: Stale:We ZIP: ]p Servicebacluded: IOOOaq.h.or less _ 4 Phoneyp 267 r E-mail: Each additional 500 s .ft.or portion thereof CCBno.: Elec.bus.lic.no: Limited energy.residential 2 City/metro lic.no.: _ -_ Limited energy,nonresidential 2 Clach manufactured home or modular dwelling Service and/or feeder 2 Sigha�st rvisi g electrician(reduced) Date fierstcesorfeedets-Installation, Sup.elect.name(paint): G r , S License no: ' alteration or relocation: PROPERTYOWNER 200 amps or less 201 amps to 400 amps 2 Name(print): -- 401 amps to 600 amps 2 Mailing address: _ 601 imrs to 1000 amps 2 City: --- State: ZIP: Over 1000 amps or volts 2_ Phone: Fax: � E-mail: Reconnect only I Temporary services or feeders- Owner installation:The installation is being made on property 1 own htAallalion,altentbn,orrelocafion: which is not intended for sale,lease,rent,or exchange according to 200ampsor less 2 ORS 447,455,479,670,701. 201 amps to 4/x1 amps 2 Owner's signature: _ _ Date: 401 to 600 ams 2 Blanch circuits-new,alteration, or extension per panel: Name: A Fee for branch circuits with purchase of service or fader fee,each branch circuit 2 Address: 'ate ZIP: H. Fee for branch circuits without purchase Cary: pf service or feeder fee first branch circuit I y� t rye 2 P11One. Fax: mall: Each additional branch circuit: - misc.(Service or feeder not Included): Eich utnpotirrigauoncircle �_ 2 U Service aver 225 amps-commercial Ll Health-care facility Each sign or outline lighting d Service ova 320 amps-rating of I del q Hazardous Ipcatinn Signal circuit(s)nr a limited energy panel, family dwe{lings 0 Building over 10,000 square feet four or g 2 •System over 600 volts nominal more residential units in one structure alteration,or extension* U Building over three stories 0 Feeders,400 amps or more -*Description ❑occ;rpant load over 99 persons O Manufactured structures or Rv park Each additional inspection over the allowable In auy of the above: ❑Egaess/lighringplan O Other -- Perinspecuon —r - Submit__sets of plans with any of the above Investigation fee_ _ The above are not applicable to temporary construction service. Other Permit fee.................. $ Not ail jurisdictions accept credit cards,please call Jurisdiction fir o"m in"T"ution. Notice:•l'ltis permit application Plan review(at _-. %) $ ❑visa ❑MasterCard expires if a permit is not obtained within 180 days after it has been State surcharge(89n) .._$ Credit cent number:__-.. -._ -- -1— TOTAL _ accepted as complete. .......................$ xpires , Nuri d cardhol'-der ec�j-own on creilit card S f adltolder signature 440-4615 16 WCOW CITY OF i iGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received __ Sate Requested _ ') --�'—?_AM PM BLIP Location -- L �% J,rAZI Suite -� MEC Contact Person Ph(—) 2_ PLM Contractor __ __ -____.____ Ph( ) _— SWR _- BUILDING Tenant/Owner __ __�- � 7- ELCL Footing ELC Foundation Access: Ftg Drain ELR _ Crawl Drain Slab inspection Notes: SIT Post&Beam — Shear Anchor -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing �� � - Firewall ti Fire Sprinkler -�- - Fire Alarm Susp'd Ceiling - -- - - Roof _- _— --- -- Other: Final PASS PART FAIL PLUMBINGi� - ------- Post&Beam Under Slab - -- --- ---- ----- - --- -- -. Rough-in Water Service ----._-- Sanitary Sewer Rain Drains ----- -- - - --- - - - -..... _ Catch Basin/Manhole Storm Drain -- Shower Pan Final PASS PART FAIL ---- ----- ---- ----- --- - MECHANICAL Post&Beam Rough-In --- Gas Line Smoke Dampers - Final PASS PART FAIL —�— ELECTRICAL Service Rough-in — d 0 - 0 _ UG/Slab Low Voltage Fire Alar nfi*ul - Reinspection fee of$ required before neut inspection. Pay at City Nall, 13125 SW[fall E.Ivd ASS PART FAIL SIT Please call Cor reinspection RE: Unable to inspect-no access r=ire Supply Line ADA InspctApproach/Sidewalk Date Ext Other: Final DO NOT REMOVE this Inspection rocofrd from he Job site. PASS PART FAIL