Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2002 -00522
Anotily ii} ' " DEVELOPMENT SERVICES DATE ISSUED: 10/11/02
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 - 4171
PARCEL: 2 S 112A 6 -00800
SITE ADDRESS: 14255 SW 72ND AVE ZONING: I-H
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: One hour inspection for equipment set. Washington County Master Permit Program
Location of work: Bay 1, fabrication area
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 HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER 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: 1
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 AREA/SPEC OCC:
Owner: Contractor:
FOUGHT & COMPANY INC
PO BOX 23759
TIGARD, OR 97281
Phone: 503 - 639 -3141 Phone:
Reg #:
FEES
Description Date Amount Required Inspections
[HRELC] Hourly Electrical 10/11/02 $58.41
[HRTAX] Hourly Rate Tax 10/11/02 $4.09 Elect'I Final
Total $62.50
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 N. ification 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 questi. s to OUNC at (503) 246 -6699 or
1- 800 - 332 -2344.
�4 �p P ermit Signature: _ i ' � 10
Issued By: � /��CLLQ�oC./i,�,G�if) -
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: CJZ/ DATE:
LICENSE NO: //30?
Call 639 -4175 by 7:OOpm for an inspection the next business day
10/09/2002 09:48 FAX 503 620 3279 FOUGHT &COMPANY 12002/005
Electrical Permit Application
Dateremived: IPumicnoQ4/ -0D5 -2_,
• City of Tigard ProJcct/appl.no.
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: B y : Rct:alpine.:
Phone: (503) 639 -4171 �. ant t
Fax: (503) 598 -1960 Case file no.: :-J y� . • . c:
Land use approval: .
TYPE OF PERMIT •
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multifamily 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement 0 Other: - 0 Partial
. JOB SITE IN ORI 1ATION
Job address: / z5 , '_ y e i Bid:, no.; Suite no.: Tax m . • tax lot/account no.:
Lot: Block: Subdivision:
Project on e: Descri • don and location of work on premises: ‘ , et . c . - 0..
1 - Estimated date of completion/inspection:
. CONTRACTOR APPLICATION FEE SCIIEDt1LE
t , Job no:
t''' FAR Total so- insp
(� r New _ ? , . ,� _.,.,,. - er ballti- farm
�/ T Address: "s" dwaQmgtmitandadosatteehedgarage.
Lrl EaalWritiffnigliallIM State: et y ZIP: •• ,■ servteelnobudc&
Phone: A y E i rfy1, E -mail: 1000 .. ft. prima 4
CCB no.: Elec. bus. lie. no: Each additional 500. • . ft. or , • • on thereof
• Limited energy, residential MINI=
0 2
City/ I ire tic. 40.. _ Limited m : , non.resiaen ___ 2
h � III Each manufactured home or modular dwelling 2
attire or su • • log ectrician - • • - •) Da 4# — •- 0 Z Service and/or feeder
Cal': Services or [esdara- Iastallatloa
,0
License no: /13 o PS 1
alteration orrelocation'
PROPERTY OWNER 200 amps orless 2
201 amps to400• NM 11.11 2
Hama (print): t „, L - • 1 amps to 600 •, M�� 2
IERIW u1- �V1'Ina:T .L �y �L , '� 601 amps to 1000 E 2
State: ' ZIP: - Over 1 • • • tun . orvoh MIM
a 2
Phone: &VIEI IIII� -I __9e limaii: Reconnect onl __ I
Owner Installation: The installation is being made on property I own Temporary - . 11111.111 2
lastalistifto>;om a l0 e tatl a n , or retosstiotrs
which is not intended for Sale, least, teat, or exchange according to 200 snaps or less
ORS 447, 455, 479, 670, 701. 201 •• • to400mops MIi♦ 1
Owner's signature: Date: 401 to . t . • • e Mini 2
ENGINEER , ranch cheats -new
or asmention per ends
Name: A Fee for branch o4euite with parch/woof
Address: servi ®or feeder fee. tarn breech circuit 2
City: State: • ZIP: B. Feeforbran • dbouits •• outptrrchase
of servics or feeder fee. tirat branoh'circuic III.
Phone:. Fax: limail: j=1':'T61D1Tts[T, .T, „ i•1111MI
PLAN REVIEW (Please diccl: all that apply) r � 1 11 r' included): N■�
0 Service over 225amps,00m(nadat 0 Health•rrsrefa:Wg 2
O Service over 320 amps-rating of sale2 0 Hazardous location Each Olga or outline figs : • ; . MI . 2
fanulydwellinee 0 Building over 10 .000 aquare feet four or Sigma citwit(a)ora
0 System over 600 vole nominal tnorc residerldel units In one structure alteratioe. or extension
O Building over three stories 0 Feedms.400 amps or morn -Dosed - do
O Occupant load over 99 persons 0 Msnufectured immures or RV pork Bleb adieus" Inspection over the allowable to arty of the above:
0 Egussilightingplan 0 Other: Per inspection i♦r=MI
—
Submit sets of plans with any of the above. lowed: anon foe
The above are not applicable to tam . • racy coot/mad= service. Other
Permit fort • $
e Na all kirird1ctlara saw cavern cavern cods. please call man fer Iatonmtoa Notice: This permit application Plan review t — 'b) $
0 Visa 0 Mastercard expires if a permit is not obtained Plate errchacgviaw (a (896) ..)_ $
Cre care cumber. 1 / within 180 days after it has been $
1Le accepted as complete. TOTAL .
Name of cardholder as shown os credit card S
Cadhelder rtanerrrte Amami # 440 -1611 Dor
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 . MST
BUP
Received Date Requested AO Z AM PM BUP
Location / (a' .SJ 7,z47,4 4-e- -e _— Suite MEC
Contact Person Tf r `t c,.) 42 (r Ph (. .__) ( - 3 '-j 1 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner F esi-e-L 4-(4.-e_2 ELC
Footing ELC egeO R ' O05" 2--2 -
Foundation ' Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation Q / '
Drywall Nailing �- 5 / ` - U
Firewall " /�
Fire Sprinkler ( �ci�
Alarm
/ Susp 'd Ceiling P
Roof f 3 �f4 G lC 1 1 C %S
Other:
Final C P tZ---)
PASS PART FAIL
PLUMBING 7x/ 5 /IIK lSC_oJ J y)ci
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
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
1n'�` 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
LCli' PART FAIL
S — El Please call for reinspection RE: 111 Unable to inspect - no access
Fire Supply Line
ADA / F L V d G l r
Approach/Sidewalk Date l (, 2 Inspector: �f Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
L