Permit 1 4_'. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2002 -00644
I DEVELOPMENT SERVICES DATE ISSUED: 12/17/02 •
� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S136DA-00700
SITE ADDRESS: 11530 SW PACIFIC HWY
ZONING: C -G
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (13) branch circuits.
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 12 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:
HI HAT INC L H MORRIS ELECTRIC INC
11530 SW BARBUR BLVD 7051 SW SANDBURG ST, #100
PORTLAND, OR 97219 TIGARD, OR 97223
Phone: Phone: 503 - 639 -2334
Reg #: LIC 1838
ELE 20 -39C
FEES SUP 3006S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/17/02 $126.65
[TAX] 8% State Tax 12/17/02 $10.13 Ceiling Cover
Wall Cover
Total $136.78 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 -800-33 -23
Issued By: Permit Signature: QA/ /9 l e/9-imp
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
•
•
il• VO• LVVG lV: VJ ry.,. oUJJxrolbou C11•1 ul•' 1'1C :dRD X002 :003
Electrical Permit Application . _
Date received: 1 y IC , f• Permitno.:L1,9. '// 44
°"�ti' ( :Icy of Tigard RR EE Projectlappl.no.: • Expire date:
C.irynjl'igord
Address: 13125 SW Hall Blvd. - ..fi,7 Date issued: = Receipt no.:
Phone: (503) 639 -4171 • Fax: (503) 598 - 1960 DEC 1 6 2002 Case file no" Payment type:
Land use approval: CITYOFSIGARD
Apo
. . T'S :01.•PERMIT..._ ..
O 1 & 2 family dwelling or (ccessory Commercial/industrial ❑ Multi- family 0 Tenant improvement
❑ New contra:CtiOn 0 Addditicn / iteration/rcplacemcnt 0 Other: 0 curial
- : JOB SITE-INFORMATION ;.• Y
Job address: 1 1 530 SW PACIFIC HWY a idg. no.: Suite no.: Tax map /tax lot/account no.;
Lot: ! Block: 1 Subdivision:
Project name: HI –HAT REST Description and location of work on premises: MISCELLANEOUS ELECTRICAL
Estimated date of completion/inspection:
co.'TRACTORAPPI•ICATION : : rLt SCIIEDULE ..
1 1 Fee Max
Job no: Description (ea.) Total na.irrsp
Business name: L.H. MORRIS ELECTRIC INC NeK residential - singkOf Rudd-family milyper
Address: 7051 SW SANDBURG ST #1 00 dwelling unit Includes attached garage.
City: TIGARD State: OR ZIP: 97223 Seniceincluded 4
Fax: 6 2 0– 7 4• g -mail: 1000 :q. ft. or Less
Phone: ' OA thereof En
• — Each add 500 sq• ft. o�ortr
CCB no.: 1838 Elec. bus. lie. no: 20 Limited en residential 2
City /metro Ile. no.: id B Li railed ___ tod energy,non- residential 2
/ - _ _ et Each manufactured how or modular dwelling ■■.
���
SiE uree a 1� a / • p isind lecvleia r ircd) Date A / `y Service Services and/or andlar feeders larder — installation, 2
Sup. elect_ name (porn): GARY PEOPLES License no :3 • 6S alteration orrelocation: IIIII
PROPF Y OWNER. . :: . 200 turps or less 2 • .
201 amps to 400 snaps 2
Name (print) 401 amps to 600 amps
Mailing 2
Mailing od
dress' 6O1 ••s co l0 s 2
City: . State: ZIP: over 1000 amps or volts 1 .1.111111 2
Phone; Fax: . E -mail: Recoaaeet
Owner installation: The installation is being made on property I own Temperaryaervi� or feeders --
installation. alteration, orrel�U
which is not intended for sale, 'case, runt, or cxchange according to 200 amps or less
li
ORS 447, 455. 479. 701 201 amps to 400 am ps 2
pvuner's signature:
Date: 401 to 600 amps 2
ENGINEER aranch circuits - ncn, alterati
or extension per panel:
Name; A. Fee f branch circuits with purchase of
Address: service or feeder fee, each branch circuit
State: • ZI P: B. Fee for branch circuits cnithout purchase 1 4 6 .
City:
of service or feeder fee. fiat branch circuit: 1111
Phone: Fax: E - mail: Each additional branch circuit: �.�linilaltia•
.: ll'L- i'4 I1E*'IE'% fPlritce di—ea—Tilt t11at apph) , ; Misc . (5ernieeorfccderwatincluded)!
Each pump or irrigation circle
O service aver 225 amps-ca n g of cal O Hwlth curt Oy Each si nor outline lighting 11111
family J l am p-rating cl s am rating of 1 Fc2 O BuJrd o locatication B 1111111 family y dwellings ❑Building over 10.000 squat: Fcct four o- Signal cirwit(5) or a lim +tcd ene'SY Pane
O System over 60] volts nominal
more reeidential units in one structure alteration. or extension' 2
C) Building over three stories t] Feeders. 400 amps or more ^Descri Lion:
O Occupant load .aver 99 persons 0 Manufactured et.uetures Cr kv part Eath additional Inspection over the allowable to any of the above:
C) Egrt:sdlightinsplan 0 Other. — perinupection
,Sitbmit sets of plans with any of the above. Investigadon fce
The above are not applicable to 4emporary construction service. Other •
Permit fee ... $ 126.65
Na dl luri:d:Ctions 'can't cretin creel;. plr.nre call Jvrisdxl:on tar mere intartnNio 1;otice: This perrrait application P 1aA [CYiC (a — t %a g
O vier 1 Ma.tvcCa d expires if a permit is not obtained rem =em State surcharge (8 .7 ,,,. S 1 ^ —
Credit caber: I I within 180 days after it has been s 136.78
Expire accepted as complete. TOTAL
Name of uudeolder as taowt an credit card
S
,;cctholder eigoatw: Amount 40-415 (60orCOM)
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 I I b 3l .� 5(:0 r ‘c Eir,O Suite � MEC
�7
Contact Person Ly
. . u ) 0 fci Ph ( r�F, 1 ) q 13 1 / C5P PLM
Contractor Pao f s 5 E ■ ' Ph ( ) SWR
BUILDING Tenant/Owner 1, RS {-Pf ELC On2. --
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
Drywall Nailing 0f(/
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _ .
•
Roof ,
i�/t
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
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
41y+ ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
%fig PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA � 1 , Inspector - €1
Approach/Sidewalk Datao � h ' Z
P / yl' �G Ext
Other: �/ v
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL