11577 SW PACIFIC HIGHWAY 11677 SW Pacific Hwy
CITY O� �I���� ELECTRICAL PERMIT
PERMIT#: ELC2001-00:380
DEVELOPMENT SERVICES DATE ISSUED: 07/26/2001
13125 SW Hall Blvd., Ticiard. OR 97223 (503) 639-4171 PARCEL: 1S136D13-00201
SITE ADDRESS: 11577 SW PACIFIC HWY
SUBDIVISION: FRED MEYER ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: (1)each sign/outline lighting.
_ _RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: 'PUMP/IRRIGATION:
EACH ADD'L 500SF: 2.01 400 amp: SIGN/OUT LINE LTG: 1
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/S-zRVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amo!volt. >=4 RES UNITS: > 600 VOLT NOMINAL:
L—__Reconnect unly.- SVC/FDR >=225 AMPS:_ CLASS AREA/SPEC OCC: i
Owner: Contractor:
ES &A SIGN&AWNING
1210 OAK PATCH RD
EUGENE, OR 97042
Phone: Phone: 541-485-5546
Rey #: LIC 1457755
SUP 435SIG
ELE 20-25501-
FOES Required Inspections— `W
Type By Date Amount Receipt
Wall Cover
— —' Final
PRMT CTR 07/26/2001 $53.40 2720010000(
5PCT CTR 07/26/2001 $4.27 2720010000(
Total $57.67
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Speaalty Codes and all other applicable laws
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or 9 work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rule�ordirect questions to OUNC at(503)
2466699 or 1-800-332-2344
Per-itt Signature: Issued By: —
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: �� l N tT-�.__---- ---. --- DATE: _
LICENSE NO: :t'5' s/G ---- -- --- _--
Call 639-417:; by 7:00pm for an inspection the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Late Requested AM PM -- BLID
Lm,ation__ L -S 7-7 - Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING en~_gWOwner Z'- -'k7: j7. EI-C
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGIN
Crawl Drain Inspection Notes:
SlabSIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarin
Susp'd Ceiling ------
Roof
Misc:
Final
PASS PART FAIL ------
PLUMBING S
Post& Beam
Under Slab cc_
Top Out
fticr Service
1;anitary Sewer
Pain Drains
Frial
PASS PART FA.L.
MECHANICAL
Post&Beam
Rough In
Gas Line
Smoke Dampr is
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltaye
Fir Ft ,Alar
,ASS'm ART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line Please call for reinspection RE: Unable to inspect-no access
ADA
Approach/Sidewalk Date Inspector 11 1:A�uff7 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
07,24/0'. •I'IIF. 13:22 FAX 503 598 1960 CITY OF TICARD Qloo:
�;lectrical PermitA.pplieation
I r.•�
PDatTereceived:�� Permitn�.:/ y -
City of Tigard ( Project/aWl.no.: Firpiredate:
City uf77gard Address: 13125 SW Hall Blvd,Tigarc.OR 97223 Date issued: BaReceipt no.:
Phone: (503)639.417:
Fax:(503) 598-1960 Case file no.: - Payment type: _ l
Land use approval: _
U 1 Re 2 family dwelling or acceslelry M C'ommerciall/industrial U Multi family U'1'enant improvement
U New construction O Additio t/altere.tion/replacement U Other. ` U Partial
Job address:%/S'7 T S';�/ F?'1 1 7�1_/c y -- --"dg.no.: Suite no.: ITax map/tax IoVac:count no.:
Lot: Bl :ick: Suudivision _
i
Project name: IDescription and location of work on pretr:ua:
Estimated date of coin letionlina ion: --Z 8
I
Fes
Job no: INu
Uewriptino . (ea. 'rota) no.iw
Busineuname: S 47 A. Newtestdrartid-minfiOp
is• urlinper
Addreas:/A-t o dweaYlg telt.Itsclrrdey natached puaRr.
City: L c ..t State 2.IP: O �
Erman: 1000 sq.M or less
Phone• ii=5 ! d" -.S -
� j r Fath additional SW sq.R or put-tion thereof
CCB no.: '�fs"'7s S Elec.bus.tic.cl._2p. 2S.rc I- s UnWedenergy,residential 2
City! etro lic.no.: �t r 1lrrtiled. oe non•retidentlal 2
Fah manufactured home or mndulu dwelling
_ ri2
SI lure of su ising of rvic
cion ired) D See and/or fender
-- Serviresorfeeden-ImMallatlon.
Sup.elect.name(print), xnse no;* alteration or relatallion:
700 amps or less 2 -_
201 angst to 400 iT db 2
Name(print): 401 amps to 600 aryl(s 2
Halling address: 6oi.nips to toots n_e —--, 2
City: - State: :'.1P: over I OW amps or volts -- 2-
Phone: I E-mail _ Reconnectunly I
Owner installation:The installation is being made on property I own TempO1r seirvi-as erfeeden-
hrtalMtbe,atteratba,sr relocatloa:
which is not intended for sale,(case,rent,or exchanl;e according to 2Wam nr►aa 2
ORS 447,455,479,670,701. 20I r„ t q�•m.; 2
Owners si natue: _ Date: 401 to 600m as _ 2
Br:wch cirrdb-n•w,allend oo,
a extension perp cul:
Name: A 1:ee for branch circuits with purchase of
Address: - service or feeder fee,each branch circuit 2
State: ZIP: B. Fee for bratcircuits without purchase
City: M_ ______ rah of service or feeder fee,first branch circuit 2
Phone: Fax: I' i Each additional branchcircuit.
Mbc.(Servide ocreeder not iarlod&dr i 2
rvi
U Sece over 225 maps ouromereial U health-care(scil ty 5act1 pump ex irritation code
U Service over 320 arnps•nung of 1&2 U Hamdous Inco on Bah awn or oscine lighting, i S 2
family dwellings U Building over 14,000 square fest four or signal cimWt(s)or a limited energy panel,
U System over to volts nominal more residential units in one rtruclUrr &iteration,or extewtuu•_ 2
U Building over thrix stories U Feeders,400 an ps cu more +Deaeti lion.—
O Occupant load over 99 petunia D Manufactured r ructures or RV park Each addltlool Isrspectlea over he Ilaewa►te f•any e(Ihe abava:
U Fjgresdllghtlngplan U Other. ____--- Per tnsPectiou -
Submit__>teb far plats wNY my or it a above Investigntion fee
The tlaboye are mot as Me to lemporury coot trudlift ttervice. ocher
t'ermit fee.....................$ 3
Na1 Nd1detwdrr cndr,please call iaT"&-iso kr inerts t tmnrlaa an re
Notice:Phis per application Plan (at _._%) $
Odds bns ap M&O Mad expires if a pertnil is not obtained 3,
.2O d ) .2A_jd Llc! /J• within 190 days after it has been State surcharged(11%)....$
t:eed„g a saarq�- a ;4 - TOTAL.......................$
7 e. aaxpted as complete
' Ngo rd__ f .57.(07
Arsonist 4404611 MILI4:'OM)