10362 SW MCDONALD STREET ZS GIVNOUDW MS Z9£01 —
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10362 SW MCDONALD ST
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.CITY OF TIGA.RD BUILDING INSPECTION CiIVISION MST ••
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
_Date Requested S- AM PM BLD
Location L 03 G Z- .Su-' h'►e c.11 L s _ Suite MEC
Contact Person Ph ! U7-l � U PLM
Contractor_ Ph _ SWR
BUILDING Tenant/Owner ELC b -0 b L
Retaining Wall ELR
Footing Access:
Foundation FPS _
Ftg Drain SGN
Ciawl Dra r, Inspection Notes:
Slab _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing —
Firewall -a
Fire Sprinkler
Fire Alarm
Snsp'd Ceiling
Roof /
IMicr.
Ral
ASS PART FAIL
LUMBING
Post&Beam s - -- -
Under Slab
Top Out
Water Service
Sanitary Sewer - v— —
Rain Drains
Final Y —
PASS PART FAIL
MECHANICAL �A
Post&Beam — — -- - —
Rough In
Gas Line —
Smoke Dampers
Final
PASS PART FAIL ;
ELECTRI — - -
a Service
16- Rough In .—
UG/Slab
Low Voltage
J Fire Alarm _ -
m ASS P T FAIL
W
J
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ j Please call for reinspection RE: [ 1 Unable to inspect-no access
Fire Supply Line
I ADA
(Approach/Sidewalk Date ( ? Q Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CELECTRICAL PERMIT
CITY O F T I G A R D
PERMIT#: ELC20f)1-00257
DEVELOPMENT SERVICES DATE ISSUED: 5/18/01
13125 SW Hall Blvd..Tigard.OR 97223 (503)639-4171 PARCEL: 2S111BB-01500
SITE ADDRESS: 10362 SW MCDONALD ST
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R-12
BLOCK: LOT : 001 JURISDICTION: TIG
Prolect Description: Installation of 3 service/feeders for A/C units.
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 HMI SVC/FDR: 601+amps- 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS_
0 - 200 amp: 3 W/SERVICE 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+amv/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect cnlv-_ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON COUNTY OF DYNALECTRIC
CLACKAMAS COUNTY OF 2904 SW FIRST AVE.
111 SE WASHINGTON ST, MS42 PORTLAND,OR 97201
HILLSBORO,OR 97123
Phone: Phone: 503-226-6771
Reg#: LIC 066793
SUP 2950S
ELE 26-59C
FEES Required Inspections
Type By Date Amount Receipt Rough-in
PRMT CTR 5/18/01 $240.60 2720010000( Elect'I Final
5PCT CTR 5/18/01 $19.25 2720010000(
Total $259.85
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
4 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 rules ordirect questions to OUNC at(503)
U) 246-6699 or 1-800-332-2344.
Permit Signature: Tc �, Issued By:
m �—
W OWNER INSTALLATION ONLY
.J The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE: _w
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. 7LEC'N: _ DATE:
LICENSE NO: — _
Call 639-4175 by 7:00pm for an Inspection the next business day
Electrical Permit Appif cation
Date received: .` / /i1 / Permit no.: r
City of Tigard
Pro�ecva, ppI.no.: Expbedate:
`J g
City ojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued:
Phone: (503) 639-4171 _ Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
URIM1111111 1111 IMF
❑ t &2 family dwelling or accessory (r�'ornmercial/industrial ❑Multi-family ❑Tenant improvement
❑New construction ❑Addition/alteration/replacement ❑Other: _ ❑Parma)
Job address: r 'j 6 `r m
U 'R Bldg.no.: Suite no.: ITax rnWtax lot/account no.:
Lot: Block: Subdivision:
Project name: r-- ----
J Desr:ription and Itx:ation of work on premises: (,v/rp 3
Estimated date of completion/inspection: —_
Job no: — FMai
Business name: D y A,6 Lec_r-vl": _ DaFee
criplion a TOW no.imp
Address' -2-'�(/Y, y,• I S T — —i� New residerrtlal-skw*ormuld-Mmilyper
dwelling unit.inchsdes attached garage.
City -Ct r I St., Ilei Ser iceincluded:
Phones c'3--z-1.6 Fax: E-mail: 1000 sq.ft.or less 4
CCB no.: ;, 'N Elec.bus. hc.no: Each additional 300 sq.ft.or portion thereof
Limited energy,residentiali
City/metrolic.no.: –IGqc 2 Limitedenergy,non-residential 2
_ ^) Fa
- c' 1 .; i,. ch manufactured home or modular dwelling
Signature of supervisin elec lcian(required) —Date Service and/or feeder 2
Sup.elect name(print): ►�G r Servlcn or feeder–Installation,
v/ ryr /jl License no: Z �� alteration or relocation: �Jr�
t
200 amps or less 2
Name(print):
E�i�p,to 400 amps 2
Mailing address: ps to 600 amps 2
601 amps to 10amps
00 2
City: State: _ ZIP: Over 1000 amps or volts 2
Phone: Fax: E-mail: Reconnectonly I
Owner installation:The installation is being made on property I own Temporary services orFeeders-
which is not intended for sale,lease,rent,or exchange according toInstallation,alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps or less 2
201 amps to 400 amps 2
Owner's SI stare: Date: 401 to 600 ams 2
Bench circuits-new,alteration,
Name:
or extension per panel:
A. Fee for branch circuits with purchase of
d
Address: sen•ice or feeder fee,each branch.circuit 2
City: State: ZIP. B. Fee for branch circuits without purchase
~ of service or feeder fee,first branch circuit: 2
Phone: Fax: E-mail: Islas
Each additional branch circuit: --
Mire.(Service or feeder not Included):
J ❑Service over 225 amps-commercial ❑Health- dre fadlity Each pump or irrigation circle 2
m ❑Service over 320 amps-rating of A2 ❑?iazarctjus location Each sign or outline lighting 2
family dwellings ❑Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel,
111 ❑System over600 volts nominal mote residential units in one stricture alteration,or extension* 2
–j ❑Building over three stories ❑Feeders,400 amps or mom *Description:
❑Occupant load over 99 persons ❑Manufactured structures or RV park Eaeh odditlonsi Inspection over the allowable to any of the above:
Cl Egres-Aighting plan ❑Other. Perinspection
Submit—sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. ocher
Not all Jurisdictions accept credit tarda,please call jurisdiction for more infomution Notice:This permit application Permit fee.....................$ Z ft
❑Visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ _
Credit card number. �_ within 180 days after it has been State surcharge(8%)....$ — Z
Expires accepted as complete. TOTAL $ �s 9_ sl S'
Name of cardholder u shown on credit card
S
Cardholder signature Amount
440-4613(6WCOM)