Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00388
I
„� DEVELOPMENT SERVICES DATE ISSUED: 6/28/2004
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 114AA -00100
SITE ADDRESS: 09000 SW DURHAM RD
ZONING: R - 4.5
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: JOB NO 944039
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: 0
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 0
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: 1 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:
SCHOOL DISTRICT 23J CHERRY CITY ELECTRIC
13137 SW PACIFIC HWY 8100 NE ST JOHNS ROAD D -104
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: Phone: 360 - 571 - 4411
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount
Required Inspections
[TAX] 8% State Surcharge 6/28/2004 $4.28
[ELPRMT] ELC Permit 6/28/2004 $53.50 Ceiling Cover
Wall Cover
Total $57.78 Wall Cover
Low Voltage Inspection
Elect'I Service
Elect'I Final
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 -0100 You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699 or 1 -800- 332 -2344
Issued By: Permit Signature:
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 639 -4175 by 7:00pm for an inspection the next business day
CCE SERVICE SALEM 5035408147 04/20 '01 12:00 NO.214 03/03
_ - �_ _. �a1a .�.. .,. .,,vz•, car 1,1T? CI 11n &l:o rl fl?
�i, `g .[f�� �.yp, p @gyp 3.. , 5 :,
eVi.� e t r cation a...` '� u• v i,>'wf .i, ,, v
� ,,_., , ,, , .a- .ii ti ' p y ..
Date tSeived: I PGmi t_ nr f 80
, 1=' City of � � rte F TIGARD =
X3 o.3. 'J? i' C GITY O PcnfstJagpLDO: `. : 1/lc8'
ciryof 7 -, , ,,.,/ Rddrr s: 13125 SW HatitlitAffirgelY0C94223 Data issued: Hr 1 Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 59g -1960 r file no.: Paytnetrt type:
Land use approval:
0 1 & 2 family dwelling or accessory CI Comm.41/lodustral 0 Multi- family ❑ Tenant improvement
0 New coastruche:a 0 Additlonlal rion/rcplacement 0 Olh=": ❑ Partial
r
�oR;IgAT r(?►11:ii7'1310'�,. - .!:. i . . R ,,- s : r,. ' ia1 Z '
Job address: 6) 0 0 SW DI/1 r f/[A(A. k 9,-1, Bldg. Do.: 1 Suite no._ Tax nrapirax lotfaccounl no,:
Lot= Block: , Subdivision:. .._.i
T C OVVY r o0) V! �.
Project rr2tn°, ..sW on and loeatacrs of work on premises:
E. date acb .Iehon/utstiou:
sob ttt7: 1 L4LV. 0 I cea mare
r on Desc ipt Q. (en.) 'Forst no- i sti
Business name: Gerry City Electric 1�eeve l -D o per f
Addres :: 81C0 3NE St Jas (2 ' 14 t° L-10+ d ag
(ami vancouver 4 seat: W4 1E2: 98665 icaa,dan .
Phone: - r -++11 I Faz:3W -- 571 -441 E-mail: t 000 -•. A°'1 4
eh ac rdarrimgal ■0 sq. :e_ or panto' i MINI n -.0r
CCB no.: _11668 El@c tics. lic. no: 3 {
Limited =era. rosicioatial _— z
; mot no ` _ L.i mire3 us•.s`J, aon -r-id .al
`a r..---- / OLIN , &adh rafIlnQfnarrrsd boron or rs dupes d•-.l iirs .IMI
5 s rq or au tsmc CL..m (r° urr" d) Lime foler
Srrp el_r nama(p*rntj John 0i T- 1 °`�nO 7 alt- rai9Da ioc
2cco •. t>^ leis 2
Name (print): - 1 2D1 .laps tc4ca I i I Z
461 ° m 600 1174 I
Mailing address: 601 • to iota rams 2
.. Stare: 7TH': clve t I.= amps or volt 2
%rnlc: I Fax; 1 F-mail R m i.
Owner Installation: The inosslLauasz is being roadie art l ty I own T emPararl" l _ or greders -
W1uth is not intznsd for sale, 1e s , r°..nt- of exchange according to ta�s1Fffiatc, s, or* =l rr-
z01
ORS 447, 455. 479, 670, 701.
201 SP's to m 40O 400 amps
Owner's signature: Dr 401 to 690 • • 2
F r •ITIEe#lCir OID IICK, rap
Name: ' A F= for branch rircnite with pard s e of
Address: ca fee, l= oc feeder fee, etch tmmch deceit 2
City: - Sr: tae - ZIP; 8, F - for branch circuits; menotrt porch i
ofsevicorf sf-- .fitsrErsst cirmIt.: I / r. O s 2
Phone: Far: E-mail:
Each r.dd`" alixancrcircuit ( MillMilli
' il- : Ls ?(1'�cJ.v,!F,rx. - ti - , - 1_, .- p* ! (5 tceocfR+der Dot irao ):
0 Sc vicar over225 arsps.attwnesclal Q Heslth• fsdlity ' 'Lath o ea ot strissioc: ei ie 2
0 5.-- over920 snaps ca&.g of 1&.2 0 H lacauon ', P..serr sign cc outline lighting 2
t5trnilyewr11 #nC, 0 8tsildirt ,,cf lc l sgazwp r _t Crum,- SSrr.+ c ,,e ) or • lirss"r-.ar � p o 1, A 75: 0 Sysr- ,Ti rnvrereldrti.al su
enaarc elir.raion,orexr=r.s t-(/ 2
CI Guiiiclalg cYer three Rimes 0 F. 4 CC a..,r'Spr, pt •22=Ectitrfancc
0 tk-trpantlasd over 93 rre•nre‘ 0 h!:nuCxmrmls ea rs or RN' park Even s.4.1ittocaLt reasflynti.oft ors tiveslicmomeIn arty of toe atom
0 r rccrightingplan 0 Qdrsr. , , Per iccoeeloa ' 1 I j
Submit . sets' of plans whiz Easy alive aline. Invcsti ,ationfe
The aci a arc eat app@ oabte to , crthm- S . ,rte(
¢ e�,itl... Faio<G mot': ocdrz , 1-.4e.= it;rl Foe =cm ir£azza.Co z 1 .S r Lait application Permit fe_ S
R s
0 Vasa 011.2_3z Card aspires if a posit is not ototzitted Plain re'lia✓ (31 — ( 70) S : � . , s ti [,
car r.:mt>; I I - ,ithin 1g0 days after it has b ce State surcharge Cg`K-) _._. S •"'�
as ncpt ss crrxrplE.Te . TOTAL S !rig L:
::arrs. eras az ors oar cam, erJ
7
c�,=sa� o�.� his o
'
t
CITY OF TIGARO -
BUILDING DIVISION PERMIT #: ELC2004 -00388
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/28 /2004
Phone: (503) 639 -4171 mnir'dNl a I'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:08AM PAGE: 138
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: JOB NO 944039
Phase II, counseling & music
OWNER: SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: CHERRY CITY ELECTRIC PHONE #: 360- 571 -4411
Inspection Request Scheduled - For: Date: 4/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 004997 -01 360.607 -5142
\ Corrections/Comments/Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: — 7,1 -' Phone #: (503) 718 -
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested ( I AM PM BUP
Location OV Suite MEC
Contact Person Ph ( .3( 7 PLM
Contractor Ph ( ) l SWR c�
BUILDING Tenant/Owne t - i p �3 j 1- 1 a ELC- (- Dd 3 Ed
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam � 6.1c► I
Shear Anchors C `� �� . STA VT
Ext Sheath /Shear / 1
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other
Final
PASS PART FAIL
PLUMBING; �` __ `_, C>
Post & Beam
• Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
a
Shower Pan
Other: er
Final
PASS PART FAIL
MECHANICAL x - ° CP
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
! V
4:t.1R•1:� O
UG /SI.b (_orf��b ,
• Fire arm
PA PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE n Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA J1 _ Q /
Approach/Sidewalk Date J Inspector �-�" `�{ Ext
Other:
Final DO NOT REMOVE this inspection record from the b site.
PASS PART FAIL