Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00709
�41�� DEVELOPMENT SERVICES DATE ISSUED: 3/23/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101AB 01501
SITE ADDRESS: 07555 SW HERMOSO WAY
SUBDIVISION: HERMOSO PARK ZONING: MUE
BLOCK: LOT : 021 JURISDICTION: TIG
Project Description: New 7,250 sq. ft. office building.
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: 1
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: 4 W /SERVICE OR FEEDER: 26 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: 1 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:
JOENS, JOHN D MARJORIE A GREENWAY ELECTRIC COMPANY
7545 SW HERMOSO WAY 15145 SW GULL DR
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: Phone: 503 - 579 - 8054
Reg #: LIC 153421
ELE 34 -617C
FEES SUP 5025S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 3/23/04 $708.10
[ELPLCK] ELC Pln Rev 3/23/04 $177.03 Ceiling Cover
[TAX] 8% State Surcharge 3/23/04 $56.65 Wall Cover
Elect'l Service
Total $941.78 Rough -in
Elect'l 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 at ' • . -101 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questi•. s to a UN (503) 246 -6699 or
1 -80:- 32 -2344.
I -ued By: � ;, - . , s...J: Permit Signature: Aj JL E &
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, leas- or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 7 C DATE:
LICENSE NO: 5�
Call 639 -4175 by 7:00pm for an inspection the next business day
•
12/09/2003 12:32 FAX 5035798056 1 -- • 0 002
ElectricalPerm itApplication O�I.I �: ONIN
((� 1U/ " J Date received: / /per' Permit no.;C ZOD 3 71
t ' City of Tigard ^'� � � b Project/appl. no.: ., � Expire date:
City of Tigard Add 13125 SW Hall Blvd, T ig a 2d, OR 972233
Phone: (503) 639 - 4171 �' Date issued: 13yi Receipt no.:
Fax: (503) 598 -1960 Case fil ,d 61: 44 ep 3 - -jp6s/ Payment type:
CITY OF TIGARD
Land use approval: BUILDING DIVISION S.4 CC „3 -coot t?
1YI'E OF ['I-:1r31Cr
❑ 1 & 2 family dwelling or accessory Commercial /industrial 0 Multi - family ❑ Tenant improvement
New construction 0 Addition/alteration /replacement O Other: ❑ Partial
Job address: 7545 SW Hermoso Way Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision:
Project name: Minute Man Press 'Description and location of work on premises: New electrical installation
Estimated date of completion/inspection: 5/1/2003
. COVER.- RAC 1 .UPP1.1C11 l'FE SCI.IEL)t LI
Job no: 1031 -14 Fee Max
Business name: Greenway Electric Company Description Qty. , (ea.) Total no. hap
Address:
New residential-single ormulti- family per
15145 SW Gull Dr. dwellingunit .fnclrrdesedtachedgarage.
City: Beaverton I State: OR I ZIP: 97007 Serviceincluderh
Phone: 503 - 579 -8054 Fax: 579 -8056 E -mail: jim.rooney4(diverizon 1000 sq. ft or less 4
CCB no.: 153421 I Elec. bus. lic. no: 34 - 617C Each additional 500 sq. ft. or portion thereof ,
Limited energy, residential 2
City /metro lie, no.: Limited energy, non - residential 2
C.s.rw.:b ti l // -2.3- 0,3 Each manufactured home or modular dwelling —
S tore of supervisi elec ian (required) Date Service and/or feeder 2
Sup. name 5025S Services or feeders- installation,
I
P (print): James V Ronne License no:
alterationor relocation:
200 amps or less 1 32/. Zo 2
Name (print): 201 amps to 400 amps 2
Mailing address: 401 amps to 600 amps !! , -ILO. (,d 2
601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
Branch circuits - new, alteration, .--. --
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit Pal 2
City: I State: I ZIP: — B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit 2
Phone: Fax: E - mail: Each additional branch circuit:
PLAN REVIEW (Please check all that appl)) Misc. (Service orfeeder not included):
ervice over 225 ampscommcrcial ❑ Health-care facility Each pump or irrigation circle 2
0 Service over 320 amps - rating of l&2 0 Hazardous location Each sign or outline lighting ) 31-ya 2
family dwellings 0 Building over 10,000 square feet four or Signal cirtuit(s) or a limited energy panel.
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2
0 Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
0 Egress/lighting plan ❑ Other. Per inspection I I
Submit 2 . sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $ 70 9 .16
Not all jurisdictions accept credit cards, please call jurisdiction for mom information. Notice: This permit application ) $ I � � .
❑ Visa a ( % MasterCard expires if a permit is not obtained Plan review (at 03
Credit card number: / / within 180 days after it has been State surcharge (8%) $ s 6 - G r
Expires accepted as complete. TOTAL S ftJ �8
Name of cardholder as shown on credit card
$
Cardholder signature Amount 4464615 (6/00 /COIF
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 5 S Suite MEC
Contact Person /1.6Y - Ph ( ) 0 - /E�s s PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner Y ELC gDO3 -6)6 7 C? 9
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation PrPPI 7 ��th /L ^ 7 N
Drywall Nailing - U �
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan PT . „„Aft
Other: , ' .�la.� - L / i>� — % ►�
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
Fi — lar
+r Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AS PART FAIL
r1 ❑ Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line 4/ 7 // J 1 / �
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL