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10450 SW MCDONALD ST
CITY `1 F T I G A M R p D _ ELECTRICAL PERMIT _
CITY L,/
PERMIT M ELC2004-00515
DEVELOPMENT SERVICES DATE ISSUED: 8/17/2004
13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111BB-02101
SITE ADDRESS: 10450 SW MCDONALD ST
SUBDIVISION: BRIGHTON HILL APT ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
Project Descriptioi: Replace 200 amp meter underground.
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 amp: SIGNALIPANEL:
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: I W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: list W/O SRVC OR FGR: 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 AREAISPEC OCC:
Owner: Contractor:
SKYNAT LTD PARTNERTHIP ABC ELECTRIC CORPORATION
4000 SW CORBETT AVE 135 NE 9TH
PORTLAND, OR 97223 PORTLAND, OR 97232
Phone: 503.222-9800 Phone: 233-7551
Reg#: LIC 288
— SUP 1241S
FEES ELE 26-2C
Description Date Amount Required Inspections
[GI.PRM'r] ELC Permit 8/;7/2004 $80.30
ITAX]8%State Surcharge 8/17/2004 $6.43 Underground Cover
Elect'I Final
Total $86.73
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or r,work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
246-0699 or 1-800-332-2344.
a
p� Issued By: Permit Signature:
OWNER INSTALLATION ONLY
The installation is being rnade on property I own which is not intended for sale, lease, or rent.
J
m OWNER'S SIGNATURE: _ A DATE:
E5 —
W
J CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ _ — DATE:_
LICENSE NO:
Call 639-4175 by 7:00pm for an Inspection the next business day
AUG-13-2004 02 : 12 PM
P. 01
Electrical Permit Applic tion Iteee),,e�, / P:GC1ri s' �
/ - RECEIVED r2Lt�_
ngAPpteval Sign _
City of Tigard Permit _-
13125 5W Hall Blvd. eview Other
AUG i 2004 P. t N�•;
Tigard,O'egon 47223 Post Review Land Use
Phone: .503.639-4171 Fax: 503.596.1960 Date/9y Cavc No.:
Internet: www.c1.tigard.or.dilTY OF TIGARD Contact Sae Page 2 for
24-hour Inspectton Request;1pd�ud3�WNiS10 N /Mothod: Su�aplamenul Information•
VNTV PIi,0 P Rltt W teats c6 1k og ttitat
nstruction _ Demolition Service over 225 amps Healthcare facility
cammorcial Hazardous location
rtialteration/re lacement Other: []Service over 320 arMos•rating of Building over 10,000 square feet,
cAeG tkY ow C .$ • O1V �J 1 A 2 family dwellings four or more residential units in
amll 'dwellin Commercial/Industrial D Systsm over 600 vola nominal ane structure
� li' - Building ovrr three stories Feeders,400 trope or more
or}ry BuildingMulti-Famil Occupant load over 99 persons Manufactured structures or RV park
BuilderEgress/lightingplan Other
O$$><T>;INFO d ATION Submit_eels of plans with any of the above.
The above are not appilrabla to em ora aanetir cUon service.
Job site address__ h. ��,.1 __ _ �R• �_
S�it #; Bld .� '•• : y Number of los ectlonilaermlt allowed
-Description Qtyfee(e..► Toul
Fro ect Namc:
New rteWetUal-sletgle or multi-family per
Cross street/Direction o fob site: dwelling unit,Includes oltaehtd garage.
' 1 r Stroke IariMded:
143.40 a
Each ditio 150_0 r�
sq,ft ooa�Ion the 3!•40 I
Limit, rite residential 5.00 2
Subdivision: Lot#: itedr_end ,non rtridenusl _ 75.00 2
Tax_ma / amel #: ch manufactured home or module,dwelling
DB RIE'CION. )F WORK service and/or feeder 90.90 2
rvkeu or feeders•Initallatlon,
QLA alteration or relocation:
- � 80.10 Z
f 201 am to 400 amps 106.6
401 —03 _--- 160.60
BRePER�lf_o roe 60l amps 1000 240.60 z
Over l0(Mi amw or vote - 454.65
Nam@: �j 7 Reconnect on 66.87 2
- Temporary services or feeders-,.ittallallon,
Address: alteration,or rdotatlon:
Cit /State/Zip: _ 200 am or lees 66.85 1
: Fax: 201 amt to 400 am _ 100.2
0 2
Phone
_ �� 401 to 600 am 133-75 2
hPPLIC CON°P' CT P� ON Aranth dreults-new,alteration,or
Name: I extension per panel:
A.Fee for branch circuit.,with purchser,of ee,eac1ranch 6.65 2
Address: 9, ' ^-� service or feeder fcircuit
Cit /state/ZI : at-
_� � B.Fee for branch circuits without purchase of
service or feeder fee first branch cimult 4L15 1
Phone: �3 Fax:__493_.�2 Each additional branch circuit 6.65 2
E-mail: Misc.(Service or feeder net included):
Q Each ie or itriWtion circle 53,40 2
CONTn7L
-- Each sign or outline lighting 53.40 2
F Job No: Signal circuits)or a limited energy panel
alteration,or extension Pa e 2 2
Business Name: k. �1 Description: -�— -
„� Address; 1.15 Al
Hach addlllonal Inspection over the allowable In am of the above:
m_ City/Stat Per etioq per hoer in. 1 hour) 62.50
Phone: Fax: Z � Inveeti cion fee.
w CCB Lic. #: �c. #: qtr; -
---- i - _
Supervising electri a Subtotal-
',ed.
ubtotal
sti store reltu',ed Plan Review�9%of Pefltlit Fce S
- -- - ----
i Print Narne:� 1 C. : �_ Stara Surchar a 8%of Permit Fee S
- --- _ TOTAL PERMIT FEE
Authofized NoUet: This permit appliestloe expires If a permit Is not obtain WIN
Signature _ 100 days aRtr It hue been accepted as complete, f` l
*Fee methodology set by Tri-Count) Building Industry Service rU
(Please res t name)
i\rAts\Ptrmit FemutElcPermitApp.doc 01/03
CITY OF TIGARD 24-Hour
BUILDING 0 Inspection Line; (%1)639-4175 0
INSPECTION DIVISION Business Line: (503)639-417 MST
� SUP
Received —_Date Requested` AM Bl1P
l [
ocation �L� LL-gy,_azez Sul a MEC
Contact Person Pi,( ) _— — PLM --
Contractor Ph( ) 2 3-3 7���i SWR
BUILDING Tenant/Owner JELC 006 0 Cj l;�
FootingELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspecdon Notes: PG SIT --
Post 6 Beam -�
Shear Anchors
Ext Sheath/Shear
Int Sheath/3hear
Framing
Insulation p�p/� /=r,/�--- �' -�a�C►O�N�_
Drywall Nailing
Firewall
Fire Sprinkler - ---- -- -- ---
Fire Alarm
Susp'd Ceiling --- ---- - -
Roof
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
4. Gas Line
QC Smoke Dampers - - ---- -
�.. Final
N PASS PART FAIL --- —-- ----- -
ELECTRICAL
-� Service �-"-
m Rough-In
W UG/Slab _----_ -- _ ---- --
J Low Voltage
Fir Alarm
( Reinspection fee of$ v required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
SI Please call for reinspection RE:--,-----, _ E] Unable to inspect-no access,
Fire Supply Line
ADA ,�
p4w-
Approach/Sidewalk Date _ Inspector -�' ' s Ext
Other:
Final DO NOT REMOVE thle Inspection record from the job$He.
PASS PART FAIL
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES DATE ISSUIiED: 9 41200040057s
ARM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S1118B-02101
SITE ADDRESS: 10450 SW MCDONALD ST
SUBDIVISION: BRIGHTON HILL APT ZONING: R 12
BLOCK: LOT: JURISDICTION: TIG
Prole:t Description: 2 hour inspection fee.
RESIDENTIAL UNIT TEMP SRVCiFEEDERS 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: SIGNAUPANEL:
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICEWEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 2.
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SEC'rION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL-
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC.
Owner: Contractor:
SKYNAT LTD PARTNEP.THIP ABC ELECTRIC CORPORATION
4000 SW CORBETT AVE 135 NE 9TH
PORTLAND, OR 97223 PORTLAND, OR 97232
Phone: 503-222-9800 Phone: 233-7551
Reg 0: LIC 288
slip 1241S
_ FEES ELE 26-2C.
Description Date Amount
Required Inspections
[HRELCI Hourly Electrical 9/14/2004 $116.82
[HR'rAX1 Hourly 7%State 9/14/2004 $8.18 Elect'I Final
Total $125.00
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 accordanoe 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)
246-0699 or 1-800-332-2344.
L Issued By: �� � I J L7 Permit Signature:
0 OWNER INSTALLATION ONLY
` The installation is being made on property I own which is not intended for sale, lease, or rent.
I
0 OWNER'S SIGNATURE: DATE: _
9
.Ui CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 6394175 by 7:00pm for an inspection the next business day
`_:EP-13-2004 OR :29 AM P. 01
Electrical Permit Application ,,,//)), Electrical / rJ
—_ Datemy; ��� <3/� Permit N
City of Tigard CG1�E� Planning Approval Siert
1 Dal✓B P rmit No121125 SW Nell Blvd Plan Review Other
Tigard,Oregon 97223 '��u11 Dale/ei Permit Ni.,
Phone: 503-639-4171 FaxSJV3-9a-1964 Post-Review Land Use
Date/B Case No..
Internet www cl tigard.or.us IGA Conact lune. See Pae 2 for
2a-hour inspection Request�vA.4,07JISAII g
N�mo�Methuxl T I(r Supplemental information.
TYPE OF WORK PLAN REVIEW Meats check all that apply
New construction Demolition Service over 225 amps- Health-care I'ac__ ty
commercial Hazardous location
AddlnoNalterahoNre lacement OthCC: ❑Service over 320 amps-rating of Building Liver 10,000 squar4;cel,
CAT Y OF UCTION I dr 7.family dwellings four or nwra residential Lima irl
1 & 2-Family dwelling Commercial/Industrial System over 600 volu nominal one structure
-- Building over three stories Q Feeders,400 amp-or nwre
Lj Accessory Buildin Multi-Fi Occupant load over 99 persons Manufactured structures or R1'park
Master BuildeT Other: I Evessnighing plan H Other
JOB SITE INFORMATION and L ATIO Snbmlt_sets o(plants with any of the above.
The above are nota lleable to temporary construction senice.
i Job site address: FLEE•SCUMULIL
Suite tl: 81d ./ ": Number of I s ectlona Der oermit allowed
Prefect Name: t3eecrl non Qty roe(e■) Taal
New residential-single or mulil-famlly per
Crit 5 Strt't'f�ireCtiOn t0 Joh 31Ie: dwelling malt.Includes attached garage.
l /Ql1r r,e Q ` Service Iacludedu
�^ .Il.or Ieu 145.15 4
it anal$00 .R o�mmn�rhersor 33 40 —
IQILLW.�_ imitst cner raidenlel 75 00 � 1
Subdivision: _ Lot Limiu" e�n�`nan residential r5 00
Tax ma /parcel # _ Each mann acnued me or modular we ling '
DESCRIPTION Olt WORK service and/or(let er 9090
2
Servks or V-Installation,
_ alt.r■tMn or relaasbn:
'1 00 Impa or left 90.30 2
201 am to j 2
Y 2l•sa 401 Lina to coo etnw 160.60
PROPERTY OWNER TENANT 501 am s to I ams 240,60
Name: Over 1000 amps or volts 454.65 2
Reconnect only66.95 2
Address: _ Temporary services or feeders•Installation,
Cit /State/Zi alteration,or relocation:
Y p 200 Amos or Ieu 66.95 1
Phone: Fax; 30 00 to 4amps
APPLICANT• CONTACT PERSON ' 401 to 600 ams 13!75
Branch circuits-new,aiteratian,or -
Name: extension per panel:
Address: A.Fee for branch circuits with purchase of
service or feller fest,each branch circuit 6 6S 2
city/state/zip: S.Fee ror branch circuia without purchase of
rvtce or feeder fee,first branch circuit J6,85 1
Phone: --w_ F8X: Each additional branch circuit 665 2
E-mail: Miic( ervice or ee' er not inol ids ).
CL CONTRACTQR
Each tx seri ion circle 53,40 2
tic Job No: Each i or outline lighting 53,40 2
/, ,igrwl aircuit(s)or a limited energy panel,
�- Business Name: altsratie" or extension Pae 2 2
N Descnptlon
Address; '
[itch additional Inspection over the allowable In an of the above;
CItV/Blatt:/ZI
Per ins tl n Per hour mm I h Lir 61.50
m Phone: Fax: T,3 YL investigation flai
w CCB Lic. L_ic, other____ lectei 1 Permit P cea• --
Supervising electrici Subtotal S
signature re it s Plan Review(25%of Pertnit Fee S
Pnnt Name: _ _ State Surcharge($%of permit Fee) 5
TOTAL PERMIT FEE
Aulharized � � Notice: This permit application expires If a permit s not ob a nod wit in
Su stat 1e0 days after It has been accepted as complete.
Y *Fee methodoloo set by Tri-County Building Industry Service Board.
(Please pnni n
i DswPerm r Forrns\FlcPerm,tApp doc 003
CITY OF TIGARD 24-Hour
BUILDING Is Inspection Liras:A503)639-4175 0
MST
INSPECTION DIVISION Business Line: (503)639-4171 —
BUP
Received —_ Date Requested 4P AM_ —PM BUP —_
Location �Q_ n' �s— �-4iX! Suite_ _ MEC
Contact Person Ph( ) — PLM
Contractor_ — I✓� Ph(_—._) SWR
BUILDING Tenant/Owner ` _ ELC 2 — oo X78
Footing ELC
Foondation Access:
Ftg Drain ELR
Crawl Drain
Slab inspection Notes: SIT
Post&Beam ____- __�_
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _ ---
Insulation D AC C �r�.L�
Drywall NailingL'-(.
Firewall
Fire Sprinkler -- '
Fire Alarm U M i3
Susp'd Ceiling --- —---
Boor �2� (�� 5 y, 5"2- . 5 . 3 � 31 3�1 . 33.
Other: r— _r_ T—T
Final -3 :Z Z 2 2 7Z
PASS PART FAIL ! �
PLUMBING
Post&Beam
Under Slab — r
Water Service
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain — —
ShowerPan
Other: �—
Final �-- ---
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gas Line
d Smoke Dampers — —
Final
~ PASS FART ;GAIL
to —
ELECTRICAL
UG/Slab
JLow Voltage
larm
Fi L PASS PART FAIL nspecfion fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE:_ _— Unable to inspect—no access
Fire Supply Line
ADA Date
Inspector A
fttxt
Other:
Final --�- _ DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL