Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00480
A- DEVELOPMENT SERVICES DATE ISSUED: 8/5/99
I
. Tf-- ' 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
1 PARCEL: 2S112DC -00100
S ITE ADDRESS: 15705 SW 72ND AVE
SUBDIVISION: SOUTHERN PACIFIC TIGARD INDUST ZONING: I -L
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Add six (6) branch circuits and a signal circuit/limited.
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: SIGNALJPANEL: 1
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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:
PACIFIC REALTY ELECTRICAL CONSTRUCTION CO
15350 SW SEQUOIA PKWY PO BOX 10286
SUITE 300 PORTLAND, OR 97296
TIGARD, OR 97223
Phone: Phone: 224 -3511
Reg #: LIC 049737
SUP 2986S
ELE 26 -45C
FEES Required Inspections
Type By Date Amount Receipt
Ceiling Cover
PRMT GEO 8/5/99 $124.25 99- 317408 Wall Cover
5PCT GEO 8/5/99 $8.70 99- 317408 Elect'l Final
Total $132.95
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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. �J
Permit Signature: i f . /al
Issued By:
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• 0- g
?. DATE:
LICENSE NO: l/
Call 639 -4175 by 7:OOpm for an inspection the next business day
ri
/04/1999 08:21 5032203537 EC COMPANY PAGE 02
iii: (!6!96 11:53 $'51)9 981 7297 EC
OF TIGARD a00 092
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Neil Blvd. •
401 . • Tigard, OR 97223 Permit # Fc C /grgr9—co
D I
,, -.. - ...,:: / . 1 1 Phone (503)639.4171 ,
'' FAX (503) 684 -7297
CITY OF TIGARD TOO No. (503) 684-2772 .
• Inspection (503) 639-4175
1. Job Address: 4. Complete Foe Schedule Below:
Name of Development At/ , Number of Ir►speaions per permit allowed
Address /5 2 0S —,(.) 1d Service included: '
Itefrss Cost(ea) Stun
City /StateIZip es. Residentb _ - per wdt .
/ 1000 sq. R e► ins 1110.00 4
Name (or name of business) � r j,-‹.-.. Each •dam 600 eq. or
pollee Nunaar suss
Commercial 1 , Residential 0 tamed wm *22.00 1
Each Mae" Mons ° Meouur 2
Mediae Seam er n eer 3116.120 .
2a. Contractor installation only:
de. SINVioes or Feeders
Electrical ContactorELECTRICAL CONSTRUCTION CO. iiistestos. MI. ° "Mbee10" sIO o0 2
200 saps address P . 0, • BOX 10286 201 amps le AOC e*w _
: p:�
City PORTLAI� State _01_ Zip 97296 401 "" oi1s60Da" ' . . Mesita 2
Phone No. (503) 224 -3511 601 °n°" 1pO meow 2
Over 1000 ernes ar vans 2
Job NO._75Z 755 Reoetw wa —� 560"00
contractors license NO. 26 -45C do Temporary Services or Feeders
Contractor's Board Rag. No. 737 trtstelhelon, ettersm+, or P111061/0 21
2
L
Slgt tatute of Supr. Elec'n ono amps er Ma 2
Ucense No. a 00(13 224 -151 =o' WNW ts.00em0' '� _
Y� oleos tome ewes $75.00
Over 800 amps ar I0® row f 100.00 -
2b. For owner installations: "ere eeeue.
44 Branch Cirttuils
Print Owner's Name, 'toot', summon or 'stony= per pare
Address es the tee far b'e'at e6adts whit 2
City State Zip fieCh et satovicir or r . MOO
----._
Phone No. is 11+51.. ter brand eeertes.4utea
The installation is being made on property I own which is wawa of Ce or APE*, f ' 1i o «� Z
Fast wench Iowa P
mtw wench not intended for sale, lease or rent. each aeett circuit 418,00 0Fc
S. 33
Owners Signature - 4e. Mler..ilaheeti8
(Servke or feeder not Included) _ 2
3. Plan Review section (If required): aim a --- 0.00 Z
>4o.t,o
signal cirW$1st es e award enemy ' k"
Please check appropriate Item and enter fee in section 68. meal. aw
ternn or erta ca _,L X
n X00' _ _
4 or more residential units in one structure Moor Labe, (10) .......,_ 1100.00
Service and feeder 225 amps or more
4f. Each aadidor+ai inspection over
System over 600 voks nominal
Classified area or structure containing special occupancy the aliaeebte in any of the above
es described in N.E.C. Chapter 5 Pa tntp°eteol 796,
Per 'tour 333.06
In t>tstq *15.00
Submit 2 sets of plans with application where arty of the above
apply, Not required for temporary construction services. 5. Fees:
Sa. Enter total of above fees $ • • i �S
t+01'IC 'p sy n t o ( .175 X tats) f &) $ 7a 9
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
Subtotal 5 % or line A for a •
AUTHORIZED I5 NOT COMMENCED WITHIN 180 DAYS, OR IP Plan Review if required (Sees) S -
CONSTRUCTION OR WORK 18 SUSPENDED OR ABANDONED FOR old S ArA :
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. ..a.......... :NI rust Account 0 5
a...or
Balance Due 4 0 33 7 g
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested it / // 3 ( AM PM BLD
Location /5105 10S 'st t> 7? AUL. Suite MEC
Contact Person L)L_4 c Q_/ eie Ph 3 /- f k.) -- PLM
Contractor Ph SWR
BUILDING Tenant/Owner N t1- ELC ( c�
9— 'fZO
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam c • •
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler / ! /0
Fire Alarm
Susp'd Ceiling
Roof
Misc: c ,,a e//9 P14 ,o
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab v / / • / i — f / _
Top Out
Water Service
Sanitary Sewer
Rain Drains D /7 ( n ( h
Final / /
PASS PART FAIL l l / d�° N1GY k •
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
( LECTRICAt)
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm It/r
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: [ ] Unable to inspect - no access
ADA is Q Approach /Sidewalk Date / � 3 /
Other I nspector /•• • Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP
Date Requested //// / AM PM BLD
Location Is-70C , l 7 ?' Y'�� Suite MEC
—
Contact Person __1/ livt.0 C /gam - — ' Ph 34( (9 PLM
Contractor �) �r Ph SWR
Iv L
BUILDING Tenant/Owner �� 1 d •'&- LC 't 9 g -UU YS
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Note • SGN
Slab `l 'C4't pe dZdx--, SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling /�
Roof S �(' fez/ l �S/ P G /7/'1 f1 J f K
Misc: — /� 1 bJe FPal C ! / ie /C/ /7 '9 J PASS PART FAIL � ��� � / !^ l Z �-•�,'
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
dEECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
e SS ' PART FAIL
E
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: 411 / [ ] Unable to inspect - no access
Fire Supply Line /
DA
Approach /Sidewalk Date ( ' q Inspector ' .1 / Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.