Permit CITY OF TIGARD
ELECTRICAL FtERMIT
PERMIT #: ELC98 -0193
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rei3O1��l 4 DEVELOPMENT SERVICES DATE ISSUED: 04/20/98 -4171
13125 SW Hall Blvd., Tigard, OR 97223 PARCEL: 1S134CC -01700
SITE ADDRESS...:12325 SW KATHERINE ST
SUBDIVISION • ZONING:R -4.5
BLOCK LOT ° JURISDICTION: TIG
P r o.j a ct Description : Installation of 2 200 amp services and 2 branch circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION....: 0
EACH ADD'L 500SF...: 0 201 — 400 amp.......: 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY ° 0 401 — 600 amp 0. SIGNAL /PANEL 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp . 2 W /SERVICE OR FEEDER: 2 PER INSPECTION • 0
201 — 400 amp 0 1st W/O SRVC OR FDR.: 0 PER HOUR 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT • 0
601 — 1000 amp ° 0 PLAN REVIEW SECTION
1000+ amp /volt ° 0 ) =4 RES UNITS........: > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR )= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
TIGARD — TUALATIN SCHOOL DIST., type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 115.50 DEB 04/20/98 98- 305087
TIGARD OR 97223 PRMT $ 14.50 DEB 04/20/98 98- 305088
5PCT $ 6.50 DEB 04/20/98 98- 305088
Phone #: •
Contractor:
ATLAS ELECTRICAL CONTRACTORS $ 136.50 TOTAL
4403 SE ROETHE RD
REQUIRED INSPECTIONS
MILWAUKIE OR 97267 Ceiling Cover Elect'l Service
Phone #: 659 -2212 Wall Cover Elect'' Final
Reg #..: 000015
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 thro.i' PR 952-001 -1987. You may obtain a copy.
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: ft C °d' ,.l ,QDQ,Ct 11 Issued B ■MMIP^ /if 4.4
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 n INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: .-41 1). ` . DATE: C�- • --5T
LICENSE NO: p'∎J` S I
+++++++++++++++++.+++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r
08/21/96 13:24 '' 503 684 7297 CITY OF TIGARD @1002/002
Community Development ELECTRICAL PERMIT APPLICATION
13126 SW
OR 97223 Permit # L-L .5 c' D 1 1.
T' ",,.x; Ph one ( 639 - 4171 R u I �S � s u� ed �-�o sir ,
o ri iGA�c FAX (503) 684 -7297
CITY TDD No. (503) 684-2772 , , APR 1 0 19Qg .... ... -
Inspection (503) 639 -4175
C VIM= lu u
t Job Address: 4. Complete Fee Schedule Below:
—
Name of Development Mary Woodward Elementary _ Number of Inapecttens per peemtt allowed
12325 SW therine
Address Service included: Items Coeftea) Stott
City/State/ ip Tigard, Oregon 4a. Residential - per unit
1000 sq. 5. or ion s110.00 •
Name (or name of business) Mary Woodward Elementary Each MOW* =Mk a
wean Mead $25M
Commercial 0 Residential ❑ Ltnree saw I
Each lawatd Morn a Maria
Oeer9 Soak'$ Or FaadOr moo
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor Atlas Electrical Contractors Me01f orrelocation 2 seam
100.00 2 zio now or Inol
Aetdress 4403 SE Roethe Road ice a am amps >mo.m 2
City Milwaukie state OR 97267 401eln4sm ®enp. $120.06 2
•7 601 arrest 1000 amps s.eo -00 2
E nar
Phone No. q -2212 — Ow 1001) or rots ssr0.m 2
Job NO. 6032 aserrnnraorhhy $5010 2
contractor's license NO. --32
COntTSCtOr's Board Reg. No. 32 4c. Temporary Services or Feeders
uwmrslo 1. sservxn. or ieroearren 2
Signature of Supr. Eiee:'n A� � ` a 2
License No. 2581S Phone No. 6 9 -2212 201 arse le 400 ernes — .....- S50.00 2
401 woo to 600 owl $76.00
Over 100 WOW to 1000 versa Swam
2b. For owner installations: 1° Won.
•id. Branch Circuits
Print Owner's Name - -- New. ethleresin rr eireehin me* we
Address _ a) The tea r°r ornan Crew' wwr 2
City State Zip Emil Conch °r or hoar 66.00 _IQ, on
Phone No. a) The roe for Mai e>}er %withort
The installation is being made on property I own which is arrester ono 2
not intended for sale, lease or rent
Emelt ,dd MOM add 56.00
Owner's Signature 4e. Mlecellaneoirs
(Service or feeder not Included) 2
3. Plan Review section (if required): a ;� 2
SOW eisih(e)or a hired e10roy 2 WIZ
Please check appropriate item and enter fee in section SS. r .roarer a i5101100 4 or mom residential units in one SIMOtJre
Service and feeder 225 amps or more 4f Each additional InipSCdon over
System over 600 volts nominal
Classified area or structure Containing special occupancy ttte allowable in any of the above
as described In N.E.C. Chapter 5 Par tut $35410 __ _
Per hear $'.5.00 .��
In Pleat ' •OO
sots Submit 2 so of plans with application where any of the above
apply. Not required for temporary construction services. 5 Fes: s �� '
ao
NOTICE Se. Enter total of above fees .4,-"( �
5% Surcharge (.05 X total fees) $ to
PERMIT'S BECOME VOID IF WORK OR CONSTRUCTION Subtotal S •
AUTHORIZED IS NOT COMMENCED WITHIN R ITHIN 180 DAYS. OR IF sb ' �° w fr p'r
CONSTRUCTION - OR - WORK-IS- SUSPENDED OR ABANDONED FOR Subtotal 3) S
— — S
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Y
COMMENCED. areasnividlot ❑ Trust Account # $
imims. Balance Due S � O' Sv
Cd c G-- : r 3 ( 8-0 as.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business L' i - • 639-41
Date Requested r/ A r u u 'M BLD
Location 12�I /�,�r v�, _ _ "/ - MEC
Contact Person ,4 Ph (Ogl Z PLM
Contractor Ph SWR np
BUILDING Tenant/Owner /A 41A.41 ae-42 / ELC `7 D a� a -
Retaining Wall / ELR
Footing Access:
Foundation �' FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: - Z7t- t
Slab SIT
Post & Beam (�
Ext Sheath /Shear 2 • ' S��s — a at-
Int Sheath /Shear
Framing LG�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
Misc:
Final
PASS PART FAIL � °
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 /
<ELECTRICA1)
Service •
Rough In
UG /Slab
c )1'
Low Voltage
Fir- Alarm
PART FAIL
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 [ ] Please call for reinspection RE: ] Unable to inspect - no access
ADA -- --
Approach /Sidewalk
Other Date y 77 Inspector
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.