Permit fi .'v
CITY Y OF TIGARD ELECTRICAL PERMIT
;i:1: - .,::.„.
7 1 COMMUNITY DEVELOPMENT PERMIT #: ELC2008-00472
DATE ISSUED: 8/26/2008
TIGARQ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102C B - 00100
SITE ADDRESS: 12850 SW GRANT AVE ZONING: R -12
SUBDIVISION: CF TIGARD ELEMENTARY LOT : 041 JURISDICTION: TIG
PROJECT: BROADWAY ROSE THEATRE CO
Project Description: TI.
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 SVCI FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 6 W /SERVICE OR FEEDER: 143 PER INSPECTION:
201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: 1 PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 225 AMPS: X CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD TUALATIN SCHOOL DIST. #23 ENDERS ELECTRIC
6960 SW SANDBURG ST PO BOX 1661
TIGARD, OR 97223 BEAVERTON, OR 97075
Phone: Contact #: PRI 503 - 626 -4813
FAX 503 - 646 -3871
FEES
Description Date Amount Reg #: ELE 34 -265C
[ELPRMT] ELC Permit 8/26/2008 $1,994.25 LIC 26728
[ELPLCK] ELC Pln Rev 8/26/2008 $498.56 SUP 4685S
[TAX] 12% State Surchar 8/26/2008 $239.31
REQUIRED ITEMS AND REPORTS
Total $2,732.12
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 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 throu•h OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 63.246.66•9 o 1.800.332.2344.
/—
Issued By: r _�` dr . ...._ Permittee Signature: _„ � 0:, / .
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: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/oV g'5c) <RV (yam , 4v- �
• Electrical Permit Application o ved
FOR OFFICE USE ONLY
Received
of Tigard Permit No.:
III . Date 13 : - L. a 13125 SW Hall Blvd., Tigard, OR 97223 A Plan Review A "
Phone: 503.639.4171 Fax: 503.598. Date/By: • ‘ 5.- (! Other Permit:
T I G A R D Inspection Line: 503.639.4175 s � Date Ready 13y: p luris: 0 See Page 2 for
Internet: www.tigard or.gov 410v Notified Method: a i dei ,�) G Supplemental Information
TY OIR � . :Ph .l C / b 14 AN REVIEW
❑ New construction ❑ Addition /alterat�m/ /ire a r� Please check all that apply (submit 2 sets of plans w items checked below):
0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: e/ where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CO N exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground. or exceeds 14.000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling ® Commercial/inOtal ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of
IOOIIP or more. occupancy.
Job no.: Job site address: 12850 SW Grant Ave ❑ Recreational vehicle i
❑ Six or more residential units. parks.
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nomiMal.
Suite /bldg. /apt. no.: I Project name: Broadway Rose Theatre ® Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: "Old CF Tigard Elementary School" Description 1 Qty. 1 Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add 500 sq. ft. or portion 33.40 1
Limited energy, residential
DESCRIPTION OF WORK (with above sq. 0.) 75.00 2
Building Remodel Limited energy, multi - family 75 00
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 6 80.30 481.80 2
❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 1 106.85 106.85 2
Name: Broadway Rose Theatre Company 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: PO Box 231004 Over 1,000 amps or volts 1 454.65 454.65
2
City /State /ZIP: Tigard OR 97281 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)620 -5262 I Fax: (506)670 -8512 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT I ® CONTACT PERSON above service or feeder fee, 143 950.95
each branch circuit 6.65 2
Business name: Enders Electric B. Fee for branch circuits
without service or feeder fee,
Contact name: Allen Robertson 46.85
first branch circuit
Address: PO Box 1661 Each add'! branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Beaverton OR 97075 Each manufactured or modular
90.90
dwelling, service and /or feeder
Phone: (503) 626.4813 I Fax: : (503) 646.3871 Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Enders Electric energy panel, alteration, or
Address: PO BOx 1661 extension. Describe: Page 2 2
City /State /ZIP: Beaverton OR 97075 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 626.4813 I Fax: (503) 646-3871 Investigation per hour (1 hr min) 62.50
CCB Lic.: 26728 I Electrical Lic.: 34 -265C I Suprv. ic.: 4685S Industtial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: /�� 4 - 'g� Subtotal: 1994.2r
�1d Plan review (25% of pennit fee): 498.56
Print name: Allen G Robertson Date:
State surcharge (12% of permit fee): 239.31
Authorized signature: TOTAL PERMIT FEE: 2732.11.
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
= Number of inspections allowed per permit.
Ir nuildine Permits ELC- PermitApp.doc 05 23 06 440- 4615T(11 05 COM WEB
CITY ��0�~�'N��J�����
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��KUUU K� ' DIVISION PERMIT #: E].C2OOa-0(472
13125SVV Hall 8hd.. Tigard, DRA7223 DATE ISSUED: 8/28./2008
Phone: (503) 639-4171
Inspection Requests �4Hmj:(5U3)83g-4176 °�J��"���
INSPECTION WORKSHEET FOR DATE: 12/2/2OUa TIME: 7:00AM PAGE: 30
SITE ADDRESS: 1 GRANT AVE CLASS OF WORK
SUBDIVISION: CFT|GARO LOT #: 041 TYPE OF USE:
PROJECT NAME: BROADWAY ROSE THEMRE CO
DESCRIPTION: ll.
OWNER: TlGARDTUALA[N SCHOOL CVST #23, PHONE #:
CONTRACTOR: ENDERSELECTR|C PHONE #: 503'626-4813
Inspection Request Scheduled For: Date: 1202000 Pour Time:
`' _
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Code # .Inspection Description Contact # Message
199 Electrical final 503-793-2037 Y
Corrections/Comments/Instructions: `~~.
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Inspector: G" ‘• �� (" �L ^ Date: 112'1-'0% ^ Phone #: (503) 718- �1A ��
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CITY OF.TIGARD .
BUILDING DIVISION PERMIT #: ELC200B.00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/26/2008
Phone: Inspection O
Reque is (24 Hrs.): (503) 639 -4175 II A i
•
INSPECTION WORKSHEET FOR DATE: 12/112008 ' TIME: 7:00AM PAGE: 31
SITE ADDRESS: 12060 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: CF TIGARD ELEMENTARY LOT #: 041 TYPE OF USE:
PROJECT NAME: BP(.:)ADWAY ROSE THEATRE CO
DESCRIPTION: Ti
OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503-62E5.4813
Inspection Request Scheduled For: Date: 1211/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EIecirical final 078583 -01 603 - 793 -2037 Y '°'
Corrections/Comments/Instructions:
Se, t C€ / /-€ S 4 e (s- ..,, (
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❑ PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
r 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: ( 'J - 4 Phone #: (503) 718-
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CITY OF TIGARD
SUILDINd DIVISION J PERMIT #: EL C2008-00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8,i n,i 000
Phone: (503) 639 -4171 " +
elk
Inspection Requests (24 Hrs.): (503) 639 -4175 �'. '''
INSPECTION WORKSHEET FOR DATE: 11/2412008 TIME: 7:O2AM PAGE: 15
SITE ADDRESS: 12050 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: ('F TIGARD ELEMENTARY LOT #: 041 TYPE OF USE:
PROJECT NAME: BROADWAY ROSE. I HEA I'RE Co
DESCRIPTION: Ti
OWNER: TIGARD TIJALATIN SCHOOL GIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503 - 025-4813
Inspection Request Scheduled For: Date: 11/241/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
. 130 Ceiling cover 078425 -01 503.793 -2037 • N
Corrections /Comments /Instructions:
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'ASS PARTIAL APPROVAL n CANCEL _ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: itf:\"W Date: 1I --2--[— O Phone #: (503) 718 -
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CITY OFJIGARD -
BUILDING DIVISION
A.- PERMIT #: ELC2008-00472
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 8/2612008
Phone: (503) 639-4171 Ziti?'
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 12860 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: CF TIGARD ELEMENTARY LOT #: (WI TYPE OF USE:
PROJECT NAME: E3ROADWAY ROSE THEATRE CO
DESCRIPTION: Ti.
OWNER: TIGARD TUALAT)N SCHOOL DIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: W3-626-4813
Inspection Request Scheduled For: Date: 11/18/2008 Pour Time:
____--- -
Code # Inspection Description Confirm # Contact # •\./lessage
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130 Ceiling cover 078176 \\ F.A3793-2031 y
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Corrections/Comments/Instructions: /OEN 5
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El FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G 066LE" Date: Viii 11 Phone #: (503) 718- 1044)
CITY OF,TIGARD . ..
BUILDING DIVISION PERMIT #: EL C2008-00472
OO
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2612000
Phone: (503) 639 -4171 ��� ���,.,��,I���
Inspection Requests (24 Hrs.): (503) 639 -4175 , ! �-_ L
INSPECTION WORKSHEET FOR DATE: 1o/31/200t TIME: 7 :00AM PAGE: 49
SITE ADDRESS: 12850 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: CF TIGARD ELEMENTARY LOT #: Ni TYPE OF USE:
PROJECT NAME: BROADWAY ROSE 'THEATRE CO
DESCRIPTION: - 1 - 1
OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 5O3 -628 -4813
Inspection Request Scheduled For: Date: 10//31/2008 Pour Time:
Code # Inspection Description = 'nfirm -# Contact # Message
105 Underground/ lab cover 077415-01 503 -193 -2037 N
Corrections /Comments /Instructions: \\N.
0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
7 F' IL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: • 1\1661.-
V 6 Date: F 3 Phone #: (503) 718- T!
i
CITY OF -ARD
BUILDING DIVIS PERMIT #: E1 C 200 0(Ir172 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ai260006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �:_ 'A
INSPECTION WORKSHEET FOR DATE: 10/27/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 'I N50 SW S )RANT AVE CLASS OF WORK:
SUBDIVISION: OF TIGARD ELEMENTARY LOT #: 041 TYPE OF USE:
PROJECT NAME: f;p - )ADwAY ROSE THEATRE 00
DESCRIPTION: - 1.1
OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #:
CONTRACTOR: ENDE :RS ELECTRIC PHONE #: 503.526 -4813
Inspection Request Scheduled For: Date 10/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
___—_____„
105 UndeigroundJ;lati rover. K 0?7i9302 ) 503-793-2037 N
Corrections /Comments /Instructions:
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Inspector: G :
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CITY O 'TIGARD - • -,
BUILDING DIVISION PERMIT #: ELC200B-00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 806/200f3
Phone: (503) 639-4171 „.... 4:F; f :ilillx_
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: . 10127/2008 TIME: 7 PAGE: 21
SITE ADDRESS: 12050 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: CI' TIGARD ELEMENTARY LOT #: 041 TYPE OF USE:
PROJECT NAME: BROADWAY ROE THEATRE CO
DESCRIPTION: 11.
OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: F0-626-4813
Inspection Request Scheduled For: Date: . 1012712008 Pour Time:
Code # Inspection Description ConfirM Contact # Message
7'
. 130 Ceiling Cover 077193-01 50'3.79:3-2037 N y
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Corrections/Comments/Instructions:7's' N,,_ '3 --\--
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Inspector: 6 N661.- Date: 11711 tYt Phone #: (503) 718- 9-1*
CITY OF TIGARD
A . .
BUILDING DIVISION
iftaNk : PERMIT #: El_C2008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/26/2008
Phone: (503) 639-4171 . a Irfe
Inspection Requests (24 Hrs.): (503) 639-4175 ,,, —a
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/23/20013 7:00AM 17
SITE ADDRESS: CLASS OF WORK:
120.60 SW GRANT AVE
SUBDIVISION: LOT #: TYPE OF USE:
CF TIGARD ELEMENTARY 041
PROJECT NAME:
DESCRIPTION: BROADWAY ROSE "THEATRE CO
TI.
OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503-626-4013
Inspection Request Scheduled For: Date: Pour Time:
9/23/2008
Code # Inspection Description Confirm # Contact # Message
126 Wall cover 075796-02 503-793-2037 N
Corrections/Comments/Instructions:
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fl FAIL FOR TION I] ADDITIONAL FEES ASSESSED
Inspector: G N 4€ Lt - Date: 1 L3 Phone #: (503) 718- Vilk
CITY OFTLCARD ,
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: t`I fst31 /,1_
[3/:.8.+'2017[3
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 AIL
INSPECTION WORKSHEET FOR DATE: 8x23/2008 TIME: 1:011AM PAGE: 18
SITE ADDRESS: 12t150 a GRANT AVF CLASS OF WORK:
SUBDIVISION: CF TI(3ARl7 ELEMENTARY LOT #: 041 TYPE OF USE:
PROJECT NAME: t li2 U Aal ' U,AY ROSE TI CO
DESCRIPTION: 1 . 1
OWNER: 1IGARD TUALATIN SCHOOL. DIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE # : 503 -628 -4813
Inspection Request Scheduled For: Date: 98
Code Time:
Code # Inspection Description Confirm # Contact # Message
115 f lec1iictal servir p4q .A►L 075795.01 503 -793 -2037 \ y
Corrections /Comments/ Instructions:
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Inspector: CrTh NOG L. Date: q1 Phone #: (503) 718- Pt%
CITY OF TIGARD • . .
BUILDING DIVISION PERMIT #: ELC2008.00'172
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2 &2000
Phone: (503) 639 -4171 ■■ �� �'1I�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+r °__..
INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:OOAM PAGE: - 1
SITE ADDRESS: 12050 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: CF TIGARD ELEMENTARY LOT #: 041 TYPE OF USE:
PROJECT NAME: BROADWAY ROSE THEATRE CO
DESCRIPTION: 11.
OWNER: TIGARD TUALATIN SCHOOL DIST. #23, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 603.626 -4813
Inspection Request Scheduled For: -Date: 8/282008 Pour Time:
Code # Inspection Description Confirm # N, Contact # �(Vlessage
125 Wall cover \ 074816 -01 503 - 793.2037 �� • Y
Corrections /Comments /Instructions: - • 6 IJl5
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❑ PASS 4 41'
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: G- . 68 Date: t•Miv Phone #: (503) 718 - 1-#,..
1