Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00208
DEVELOPMENT SERVICES DATE ISSUED: 5/17/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114AA 00100
SITE ADDRESS: 09000 SW DURHAM RD
ZONING: R - 4.5
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Phase I
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:
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: - „n. c „u-2, 1
TIGARD TUALA11N SCHOOL DIST DO 5 f__ C'. - G-Acez i la-0 M__
13137 SW PACIFIC
TIGARD, R 97224 L&—✓YLcc4— 0 (2_ `3 7 c / S
Phone: Phone: .5 3 --675 - ~71 Fc
Reg #: LIC 47336
FEES
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/17/2004 $1,971.50
[ELPLCK] ELC Pln Rev 5/17/2004 $492.87 Ceiling Cover
[TAX] 8% State Surcharge 5/17/2004 $157.75 Wall Cover
Underground Cover
Total $2,622.12 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 b 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 the a les or dire bons to OUNC at (503)
246 -6699 or 1 -800- 332 -2344 ,5/17/6i1
Issued By: ' - 7 -- ' • Permit Signature: A On,. ,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 639 -4175 by 7:00pm for an inspection the next business day
RPR.19.2004 5:05PM TEAM ELECTRIC NO.425 P.
Electrical fen= Appl 1.0 1: MIN i i i. i l t- °Nit 1
Ci y of Tigard !'w ECEIVED Receive
rd ° AritiAMIIIVI P —itm-, see 4 , - 40 8'
13125 SW Hall Blvd, Tigard, OR 97223 Plane
Phone: 503.639.4171 Fax: 503.598.1960 `�"" ' y�' i ' Date/By: oche: Permit:
Invention Line: 503.639.4175 APR . 1004 , __ „11.4,453„ — ,acre; SI Sec Pape 2 for
Internet: wtvw.ci.tigard.or.us Notified/Method: Supplemental hitbrmation
6 ,' n ..r'rit..t „i ;hga' ;Mn;y t ';`k .+y�t 0 , ` ,. q . TM4. l :'1•• .�, ' ''''' r f - \�, ':. " ;. , 0 %' „ + .
171 New construction 1 `'Additian/alteiatio�/i�eple.cemG 4 , i ", Pl ; ,n t ,.. apply:
PLAIN � ffi 1 ,; ,,< ;t�_,;fe .
Please check all that .
0 Demolition d Ott ['Service over 225 amps, comtn'1 ❑Haenrdotra location
s ," i ' ' � - - - ❑ Service aver 320 amps - ra Ling ui1 0 over 10 000
't, C • }.+,':',I:'-': 0: 4 5 �,}}��,,�, 1�W� � '�' ` �l dwellings 4 or mare residential
�• , i � , � , I � ��,•,,`'�� n �ty','.'';�;+�x�r� i�,;` .'f'� ° +. " �,� ,�` '" Ofl -and 2- 8 d 8 s 8q. $.,
ID 1 - and 2-family dwelling Y Hs new
Y we g CommerciaJJindustrial 0 Accessory building ❑ System o ver 600 volts nominal Units in one stnwcture
❑ Multi- fmnily sdd � [ �� �MASter builder ❑ Other: ['Building over three stories QFeect , 400 amps more
�,,: ' t, , - ��,w ,., ; 4 ' - ❑Occu ant load over 99 persona
4 ,4, ;?,,: f,•• '• :n'` :,�$)1 I r. ' 'it 10 1� i+Yl+�ll°i; ." 4 ;,, �.. ;,,,, P P R park nchua® or
� ' �'" o t .,' ❑Egress/lightingplaa RV park -
Job no,: Q Job site address: -t (app S 0 'U le i }WI
f �f ` ❑Health -cute facility ❑ Other:
Submit 2 sets ofplme with any ofthe above.
City/Stare/MP; C ta i2AD / 1 The above are not applicable to temporary construction service.
Suite/bidg./ t. no.: , Project name: �. :: : : '� tiro , . : :,�5�t , , , se J1�� i°' .: • ` j ,
i� \ it 1 t�f � ( _ ! �F�u.: ' �.iv� tta v ,+"�.fiYr� J ` ,A,i �i •��•,; f•i�P SFr M
` I�(J r . R , .y� t., -
ne.QaPUog 44- � >te& � . � Tee � 1_
Cross directions to job kite: 4 New residential single or multi dwelling unit.
- — — Incladea attached garage.
- ^ 1.000 sq. it or less 145.15 4
Subdivision; I Lot no.: Ea- oriel 500 sq. ft. or portion 33.40 1
Tear map/parcel no.: United snag} residential 75.00 2
i;,g ,i'n 1 , „ : C+ ,�� ,1,� n - Limited energy, non - residential 75.00 2
P. •bF ,s I i i' , ., !,17.t'�2I �jiPtl :'!%!r;:70Y.pl �' C,'∎' , '�, r•;�'�! "'�:':`I 'i '.:';i.'4'{r ... Eae1 anoiscturedcrmlodular
".r• , b r ` , , , I t t n , .,, P n ' A , dwelling, service and/or feeder l 90.90 2
/ 1 Services or feeders installation, alteration, and/or relocation
20 0 amps or less kt I 80.30 0/ '" 2
i;' ?,__ ' a:1144 ; �OI itlii e7G :a® ;3S" °4 ; < "-c,V ,±�1y "; :> ,' : Tj,, + ., ;1 ;.' ;t ,., 1, 201 "Vs to 400 amps 106.85 3 z 2
A: - -y ,. f _
N 401 to 600 /4 e ye; c ps / 160.60 to 2
601 amps to 1,000 amps 11 240.60 ,1 i 2
Address: Over 1,000 amps or volts 454.65 2
City/Stare/ZIP: Rnn
ecoect only .. 66.85 2
—
Temporary services or feeders installation, alteration, and/or
( Phone: ( ) 1 Fax: ( ) . relocation
1 200 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 � ich� , according to ORS 447, 449, 670, and 701. -
Owner s 401 amps to 600 amps 133.75 - 2
mature: Date:
a 7 „.,/,-)./...,;1,;:,--.,-10,',, , Branch circnita - new, alteration, or erteneion, per panel
,f N.•i :�`'�, . .�.�', ,� �- ;; • ^�''•� AFeefOrbIIInohcircuita __ .
Business name. service or feeder fee, each j h b.65 2
branch circuit I •!.� _ --
—
Contact name: B. Fee far- branch circuits
without service or fe eadal foe 46.85 2
Address: each breach circuit
Each add'I branch circuit 6 -65 2
City /State/ZLP; Miscellaneous (service or feeder not Included)
Phone: ( ) Fax:: ( ) Pump or irrigation, circle 53.40 2
E -• Sign or outline lighting 53A0 2
r ,
Signal circuit(s) or limited-
� ,,` 7 ; 'r 77 n 'CO iCTOR,,, 'I) ' • I''' ';' , -' ,. energy pawl, alt iat10� or
Business name: � 1441 �/ ,••• r Ottcarsion. Describe: 2, Page 2 l 5b 2
Address: dal b 'se _(__ n �6 Each additimual inspection overallowabiein any or the above
lJ Per inspection 62.50
N City/State/ZIP: i 4i 'l. ►'v q70 t Investigation per hour (l hr min) 62.50
� Phone: 3) - 7 0 /� Fax: ,�r -�� iS” -- In
rr 7 d ustrial plant per hour
CC$ Inc, 3 �j 6 �(J C
� J c ' s � ;, 6 , .r,., ' 7 tT , utG ° 1',R•ICAI:,4PERMER:Tt'11135: i ;; ' ',;,:,; I ,,,
�7 r - � $lectrical 7 .ic. 3 7 Supx Lie �o ; , .
4* S g btatal / f 52
S-c 5upiv. Electrician signature, required L �, _ /)�� Flan review (25% of permit fee) ei Z $7
Print name' Lt �a!!s/ � Datte:: , � let ' / State surcharge (8% of per fee) 5 , ,
i-y� TOTAL PRRMEf PEE
Authorized signature: /v /,, _ This ermit a
p pPtiertime otpdns If a permit is not o6ni tl M iFh9n 1B0
Font 71RIIte: Ace days after it has been accepted as complete
�/ G /iG+: 0 /��S 4e /» bate f-/,-01-' 0 lee methodology sat by 'Ili- County Building Industry Service Board
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / AM PM BUP
Location / d i AL..../All Suite // MEC
Contact Person Ph ( ) c7 3 -7 '9O PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC GEC`
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT ��
Post & Beam
Shear Anchors f
Ext Sheath /Shear
I nt Sheath /Shear
Framing
Insulation _ G , • 4_, + A PH I
Drywall Nailing
Firewall ,q pj �, ! FE) 2 Pi
Nl
Fire Sprinkler 0 �T /`�-� V
Fire Alarm
Susp'd Ceiling
•
Roof
Other: /�,�,,n r �.�r> �,
Final �F G v � 4.6Wr '� > f °cam. 6,7v •
PASS PART FAIL
PLUMBING _ APPR-erVGD
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
PAS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE fl Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line I 6PftFe6
ADA Approach /Sidewalk Date � Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL