16200 SW PACIFIC HIGHWAY STE J-2 ADDRESS:
iArecords\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 619-4175 Business Phone: 6394171
Date Requested: — 0' A.M. P.M. (.��/MST:
Location:
__ 1 tj•��[� �W r,�.T� ��c�7 BUP:— --
Tenant: WASH. M U n•l*t- Suit ---Bldg: � NEC:
Contractor: , f�t� - Phone: - '?-
It Y �A PLM:
Owner: PPhone:/ Of'019 flif
. ELC: —
l.' SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL .ECTRICA SITE
Site Post/Beam Post/Beam Post/Beam eoyerf cr+rice Sewer/S,-rrn
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In IJG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shea/Sheath Fire Spklr/Alm Crawl/Found Ir Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Toyed Not Approved
FINAL FINAL FINALINAL �' FINAL
OC
c� r
O Call for reinspection C]�Reinspect, 'Ifee of S required before next inspection ❑Unable to inspect
r I /J -,
Inspector: 'L- —,— Date:_�—� Page—_ of
f r /
S' c.7'E'I (_)ems r �Ca r PD c o
f � f ��� �� iD �.
I
CITY OF TIGARD ELECTRICAL.. PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-0459
DATE ISSUED: 07/14/97
13125 5W Hall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL: cS 1 1.5AB-01.800
SITE ADDRESSS. . . : 16200 SW PACIFIC HWY # i
SUBDIVISIOr'. . . . : ZONINGr
BLOCI!. . . ., . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: T_T'
Pr-o J ect Descr-i pt i on: Installation of two outside light fixtures over ATM machine.
---RESIDFNTIAL-UNIT------ ---TEMP SRVC/FEEDERS----- ------MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP-'/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 2O1 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL/P'ANEt.. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 r,O1+amps--1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----•-3ERVICE/FEEDEP----._ ------BRANCH C:.IPCUITS----- ---- ------ADD' L INSPECTIONS---•-_
0 - x.00 ,amp. . ., . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 171 1st W/O SRVC OR FDR. : 1 PER HLUR. . . . . . . . . . . : 0
401. - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 1'M - ---- - ----- -----F'I_AN REVIE:.W SECT I
1.000+ amp/volt. . . . . : 0 ) ==4 RES UNITS. . . . . . . . . ) 600 VOLT NOMINAL.. . :
Reconnect only. . . . . : 0 SV(.';FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner: -- --- -..�_.__- ---- -_ ----- - -----__ --_ _ ___ -- --- FEES -_ ---- -- ---- --
WASHINSTUN MUTUAL- FINPNCiAL._ type amol_rnt by date r,ecpt
GROUP P'RMT $ 35. 00 DRA 07/14/97 97-29'7-r?f,
11131 2ND AVE. SUITE 400 SPCT $ 1. 7`i DRA 07/14/97 97--297096
SEATTLE WA 96101
Phonp #r
Contr••ar_-tor•: -- -------
VECA ELECTRIC CO INC $ ?6. 75 TOTAL
PO BOX 3248
RFQUIRED INSPECTIONS ---
BE.LL.EVUE WA 98009 Ceiling Coven Elect' 1. Service
Phone #: 800--974-VECA Well Coven Elect' 1 F=inal
Reg #. . : 008297
This permit is issued subject to the regulations contained in the ligard Municipal Code, State of Oragon 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 voro than 180 days. nTTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952--91n1 9010 fl,r9sph OlR 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1997.
P e r,m i t t e p Si gnat r_r r e: ......_ I s s 1i e d B Y •
----._._-_----------.-_____.--.-CIWNER INSTALLATION
The installation is being made on property I own which is not in'cended fat-
s a I
or•sal.e, lease, o►- rent.
OWNER' S SIGNATURE: DATE.
TRAC'TOR INSTALLA-�T-ION Oh:.Y------•_---__--__.._
SIGNATURE OF SUF'R. ELE C' N: ✓AQ,• r.1 -, DATE
LICENSE NO:
' +++#i•-►+++++++++++++++-h++++++•f++++++++i++++-++i•++++•f++++++++4+++++i-+++++++4+++++•1-
Call 639-4173 by 6:00 p. m. for an inspection needed the next 13i.rs .ness day
++++++++++}++++++++++++++-1 +•1-+++++++++•1•:-+++++1-+-'r+4-++•++++++++++++-1-+++4+++++++++•1:+
CITY OF TiGARD Electrical Permit Application Plan Cli �-
13125 SW HALL BLVD. Recd
Date Recd 7
TIGARD OR 97223 Date to P.E.
Phone (503)639-4171, x304 Print or Type Date to DST i----
•-
Inspection (50s) 639-4175 Permit# ��"7
Fax (503)684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development `,F41 2A - Number of Inspections per permit allowed --
Name(or name of business) TLjlde L5 1 Service included: Items Cost Sum
Address l lv�UO SGJ % %F/C �lrl✓ 4a. Resleentlel-per unit
City/State/Zip�1 f�/c' _ - torso sq.ft.or loss $110.00
L Each additional 500sq.
.ft or
Commercial Q Residential ❑ portion d $25.00 t
Limited Energy
$25.00 _
Each Manuf'd Home or Modular
2a. Contractor installation only:
Dwelling Oervlce or Feeder $$9.00
--
(Attach copy of all current licenses) 4b.Services or Feeders
Installation,alteration,or relocation
Electrical Contractor [CfY ECc CJ/ !l _ 200 amps or less $60.00 2
Address t 6". Bs ,)r -TZYh 201 amps to 400 amps $60.00 2
City_,_ //Educt State cy/Ad Zip j<W 401 amps to 600 amps _ $120.00 2
Phone No. /- 6CO 9/7-V , Vg:-g1l 601 amps to 1000 amps $190.00 2
Job N0. Over 1000 amps or vols $340.00 2
Reconnect only _, $50 00 2
Elec.Cont. Lice. No.��i��7 9 .Exp.Date - -
OR Stave CCB Reg. No. �j •577 L Exp.Date 10-1 -q Q 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
/ 200 amps or less $50.00
201 ams to 400 amps $75.00
Signature of Supr. Elec'n l��S�l� d�'f1 i _ 401 amps to 600 amps __ $100.00
Over 600 amps to 1000 volts,
License No._-_._. _Exp.Date_ see"b"above.
Phone N0. 4d.Branch Circuits
Now alteration or extension par Fane'
?.b. For owner installations: al The fee for branch circuits with
purchase of service or
Print Owner's feeder fee.
--- - - - Each branch circuit $5.00
Address -- -- b)The lee for branch cirrults
City ____,_.__.. State___ __ Zip without purchase of
Phone No. _ service or feeder fee.
First branch circuit $35.00
The installation is being made on property I own which is not Each additional branch circuit $1+.00
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature , __- Each pump or irriga.lon circle $40.00
Each sign or outlina lighting $40.00 7
3. Flan Review section (if required):* Signal circuit(s)ar a Iimiteo energy
panel,alteration or extension $40.13G ?_
Please check appropriate Item and enter`ee in section 5B. Minor Labels(10) $1ri0.ua
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection __ $35.00 _ -
_ Classified aroa or structure c ontn Ining special occupancy Per hoer - $55.00
as described In N.E.C.Chapter 5 In Plant $55.00
*Submit 2 sets of plans-ath application where any of the above apply. Jr. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $ --
NOTICE Subtotal $
Sb.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Flan Review if require (Sec.3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -----IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY rr--��
TIME AFTER WORK IS COMMENCED. IJ Trust Account#_
$
Total balance Due -
�tUt iS�E!r7li M'I''
Sent by: VELA 2nk5 451 4033; 07/14/97 1 :57PM;Jetfx #A44;Page 214
97, 14,'97 IJ- 43 $503 884 7297 Cin OF TIG.-1RD 00z/00_
CM OF TIGARD Electrical Permit Application Pian C2xt*v_ _
13125 SW MALL BLVD. Rn;d 9y
TIGARD OR 97223 Daza
Date a P E.
Phone(503)639-4171. 9304 darn to 057�
Inspection(503)639-4175 F'nnt or Type Forint r r------�
Fax (503)6847297 Incomplete or illegible will not be accepted Forint
�__
1. Jo1,Addn;,ss: �It Complete Fee Schedule Below-
I ,Name Gf:iFweiOpRlen� f' ,�� "/ktL's! �fL�A/!-�" M1untw,al Ircspe:cens p+r p.tmn a/owed
Nerne;or name of businrss).� ` %,-r✓i e- cervica imiucind. ttr-ms ca.~n Sum
Addrass_L!v2cc_.._ yep 4a. Reefoardal-per unit
_ —7-----�._ talo LQ.h.--r IeGC ..___ S11CLjo ..- A
City/SwPJ7p_I���/Z� _ Eavi aao:4ona!SCO sq, tt_rr
Dortlon'lferetr! _,-,-_ $25.00
i Certlmercial RE�idenOal ❑ LrnddJ Energy
Each raanuto Morrie or Mwular
Ownrtr^g Sorvlca ar foeCor 568-?. 7
aha. Contractor installation only:
(AlAacA cvpy of ail c,arent llcensr s) T Serv4caw or Feeders
-
Eloc*rrcal Gr1rPT iGTt]f 1/�,it7 a "� In„W arrIn,altgrit on.cr roIq alien
AddrHss 1 �' 2w ar+1G's�r ICs S60.OD
'�:_�s-T-fs_-__ 201 amp to 400 amps
city &'alve State-lz?Zd-^c m1 am;.s to Wo turps $120.00 a
Pflorn No. ee/-d %p eat imp to I=amps 5-ea.00 __.- -„�_ z
�Y- rLE
.lob No._._ Oval loo:ampz or volts 2
f=lee-.Cont.ilea.No.�7t 1 EZp.O3te__ - r� J-% aaccnnen nny r;;o.go _ z
OR State CC8 Reg No. ��'�E�.D�'L�q- 4e-.Temporary Sw-Acm or Feeders
COT Business tax or Metro No._ 2 F �? 3-1�?? Inmii;1Con,, ridon or relxatron
2Co amps or toss 2
�� 2C t ampe-n aCo a.Tp: 575. 1 __ 2
Signae�re c+Supr. Elec'n / a01 amps Sl e,Co aTpa stoa.3a _ 2
�- — OV93r 8tlo amp:,!o touO vcn•.,
[joense No 3`(035 _ Exp.Oatrr, IC-C(-?F sw-o"above-
D!;C,1H No- X2-Tfl.Y JC Brartcll Circuits
r*Av.aan-at.n or ar.6nsiM 0Kr G 1tt 1
2b. For owner inst dilations: I at T>-w rep for!)rnch cir_u]4 with 1(
yurensse of service or
Print Owner's Naire fhodrrArw.
4ddrt:SS - aacn sortie-' drr.�h —_-
- - n1 The.ler for barn:h ciruuts
Cify- _.-.___-- State ZIP_ wffhout pu►chaoo of
Phone No. :orWee or feeder fee.
I'rn brunch drc_,t _ S:'S.00 _---_ 2
The installaton is being mads:on property I own which is not Eacn sovinme branch,5 t--it_- ss.oa
Intended for sale.leasee at rent Misaelfanedws
(5e-''a v ar feeder ret irrludod;
Owner's SigrlaWre-^- __- ''aril rump or iniganar ur_r
1_1cn rar or ou0lre IW11nj W.00 -- 2
3. Plan Review section (t required);* Signal atmil".$)or a drrilcd arrrgy�
parer,alteration.r r�tr.nsion• Soo 0D - 2
Mtrlor Labe'9(lo) - Etoll.On
plertse cheek appropriate item and e;ltar fuse in gaciion 58.
a or morn n4siciumal::ruts n one strurrure 41.Esch ardtttonal IrupoeUnn over
Service end feeder 225 amps or mare the allowable In any of ton above
---�81'119m over 600 vom ntrntrel Per inspor.-Jon ti�7•I� -
Ca`aslfimd ar-a or 51T-,citrin Per^.ajr INES 00 --
- - a:de.,:61 d in li."s.C.Crl vrte:r 5 In Fant
Submh 2 seta of plan-i with appllrabon wAero any of me ab4vv apr~.1y 5- Fees:
Not required for tenlpeir"ry consaucbon services. F-ntnr!oral Ct t bm..,fees
57.Surcnaga(CS X=W fees) S --
5b.Srwr 25 t/1 IIr>g 5o,for
PTFRrAIT5 gF=ktr:vCln IF wURK OR or-NZ;tt;1UCTICN 4UThOA17r J IS p4n Arrridw I1 ro4u_r�(Sgc3) i
NOT CCMMENCEo WI TN'N iW OATS.OR IF CChSTRJCTICN OR`XORK sutural
IS SUSPENDED nR ABANDCNED FCR A PEAICO CF 15.UArS AT AN'`r
TIME AFTER W OAK.'S W1U1.rFfXED. Tr er Acrctu l A
TaMl ba/enee Due t
i
r