Permit 11 11, 61 ELECTRICAL PERMIT
Vag
�.. F PERMIT #: ELC2002 -00083
,, I ' DEVELOPMENT SERVICES U. DATE ISSUED: 2/27/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S136CD-00100
SITE ADDRESS: 11705 SW PACIFIC HWY M
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of 21 branch circuits for equipment. 3/4/02, alteration of (1) 200 amp service added to
permit.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION
201 - 400 amp: 1st W/O SRVC OR FDR: 0 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 21 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:
PACIFIC CROSSROADS PROPERTIES, ADK ELCTRIC, INC.
BY WYSE INVESTMENT SERVICES CO PO BOX 2676
200 SW MARKET ST STE 345 BATTLE GROUND, WA 98604
PORTLAND, OR 97201
Phone: Phone: 360- 608 -0665
Reg #: ELE 37 -934C
LIC 148882
SUP. 4853S
• FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 2/27/02 $179.85 2720020000( Wall Cover
Elect'I Service
5PCT CTR 2/27/02 $14.39 2720020000( Rough -in
PRMT CTR 3/4/02 $40.10 2720020000( Elect'I Final
(additional fees not listed here)
Total $237.55
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 -0080. You may obtain copies of these rule- or direct questions to
Permit Signature: a Issued-By-4 , Ord ` .� ; `� �'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale se, 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
Alan Kangas 18605465155 08/04/02 08:47A P.001
He -r .1
E c k 35(0
._ . Electrical P 1 1 , . ; tJ , ' on
Date received: Permit no.: 2a _ Oro F-3
,..f + City of Tigard pppp n R 0 4 2002 • Projccdappl.no.: . Expire date:
Ciry of Ti ca> d Addrell's: 13125 SW Hall Blvd; Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 6394171 CITY C9f '�i1Ci —
Fax: (503) 598 - 1960 BUIL DiNG DrinSION Case file no.: Payment type
Land use approval: .
TYPE OF PERMIT.
Ci 1 & 2 family dwelling or accessory >4 Commercial /industrial CI Multi - family 0 Tenant improvement
0 New construction 0 Addition/altcration/rcplaccmcnt ❑ Othcr: ❑ Partial
JOBSITE INFORMATION
Job address: 005 Si,.) rk Nv,: el B1dg, no.: Suite no.: Tax map /tax lot/account no.:
Lot: I Block: ubdivision
ii Project name: Q;4,•,c:„ C.1,r,41, h ,. Description and location of work on premises: C;r *. ti:
X Estimated date of completion/inspection: 3 .30 2z02_ . • .
CONTRACTOR APPLICATION FEE SCHEDULE"
---:: $» Job no:
� Mins ax
crl rivet p
Business name: A K � � { n C.-- � Net residential - sin k or multi-family per no.
Address: VG`t 2 - ( f dwelling unll . Includes attached garage.
C) City: A IA k ( „ I Stttte: ,,6111 ZIP-(i ? ( 11 ' Serocebseluded:
` Phone: �. Fax:
Sec (cC iS - C 3 (�5 � -3i,C 9- 4S1551 E -mail: 1000 sq. ft. or less 4
(f't " Each additional 500 sq. ft. or portion thereof
-; CCB no,: i`iv2 I Elec, bus- lic. no: 3 9314
Limited energy, residential 2
6 City /metro lic. no.: 69 4 1 Li rniied energy, non-residential 2
ti..._.,„_.) Each ch ip nufactured home or modular dwelling
Si t . ofsupe , ',.tag electrician (required) Date Service and/or feeder 2
i, ' Sup. elect, name (print): 440. -.1 i License no: LIRE 3_ Services orfeeders— installation,
r1 .. �� ` alteration or relocation: _
V ' PROPERTY OWNER 200 amps or less mil -ir I - A )'— 2
Name (print): 20 amps t o 400 amps 2
Ivla;linf; address: 401 amps to 000 amps. 2
601 amps to 1000 amps 2
City: I State: ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only 0 1
Owner installation: The installation is being made on property I own 'Temporary services or feeders -
sta
which is not intended for sale, lease, rent, or exchange according to InlGrtiun, alteration, orrelocatian:
ORS 447, 455, 479, 670, 701. 200 amp i Or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to G00 am s 2
Branch circuits - pew, alteration,
or extension per panel:
Name: A. Pee for branch circuits with purchase of
Address: service or feeder foe, each branch circuit 2
City: • State: ZIP: B. Yee for branch circuits without purchase t} 2
Phone: Fax: E -mail:
of service or feeder fee, first branch circuit:
Each additional branch circuit: Zp (.• 5 j '=
0 PLAN REVIEW(Plcatie check all That apply) misc. (Service or feeder not included): Li f) /3)13'
D Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2
0 Service over 320 amps - rating of I &2 ❑ Hazardous location Each sign or outline lighting 2
faintly dwellings Cl Building over 10.000 square feet four or Signal cireuit(s) or a limited energy panel,
0 System over volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stories O Feeders, 400 amps or more *Description:
Cl Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above•.
L1 Egress/lightingplan ❑ Other: - . . - Per inspection
Submit _ sets of plans with any of the above. Investigation fee
The Above are not applicable to temporary construction service. Other
'rya tit ur sdic6otro Permit fee $ 13* :2i`1.
accept credit Carty, plena can JoriadiCa0a for mac information. Not ice: T his permit application -�-
.V,sa CI bras . - expires if a permit is not obtained Plan review (at _ %) $
Credit card num. - • • . 1 L /C' -J within 180 days after it has boon State surcharge (8 %) $ seaf
• ;_ . ,
.1 Expires T OTAL $ S.
N - de own an credit Cod $ 113 31 accepted as complete. -, w 3 •
C: • • der signature Amount 440 - 4615 (6/00/COht)
A
_ �— I
,�:I lr� tL J. Tr)'r9 v 1 - - iv AA � ,
/13 St
CITY OF T I A ® ELECTRICAL PERMIT
PERMIT #: ELC2002 -00083
114 DEV W H MENq r d , SERVICES 639 -4171 DATE ISSUED: 2/27/02
13125 PARCEL: 1S136CD-00100
SITE ADDRESS: • 11705 SW PACIFIC HWY M
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of 21 branch circuits for equipment.
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: 20 - 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:
PACIFIC CROSSROADS PROPERTIES, ADK ELCTRIC, INC.
BY WYSE INVESTMENT SERVICES CO PO BOX 2676
200 SW MARKET ST STE 345 BATTLE GROUND, WA 98604
PORTLAND, OR 97201
Phone: Phone: 360- 605 -0665
Reg #: ELE 37 -934C
LIC 148882
SUP 4853S
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 2/27/02 $179.85 2720020000( Wall Cover
Rough -in
5PCT CTR 2/27/02 $14.39 2720020000( Elect'I Final
Total $194.24 •
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: Issued By:
r'` aer/
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: 4i ` ' (-(f DATE:
• t
LICENSE NO: -T1d � / - 5 - 0 //
Call 639 -4175 by 7:00pm for an inspection the next business day
Alan Kangas 1'8E054ES1SE 02/28/02 09:19A P.001
. ,
'". •'i
Electrical Per mit Application
•
I?atcreceived . ,1_. i .-i..- Permitno.: _ELft. Avo ■
Al?' City of Tilgard Projcct/appl. no.: Expire date:
City r f 71 � arA Addret4: 13125 SW Hall Blvd, Tigard OR 97223 Date issued By:Re Receipt no,;
Phone: (503) 639-4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
W� _ loss -lb Lo <tc- 3Lk
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory Commercial /industrial ❑ Multi- family El Tenant improvement
U New construction ❑ Addition/alteration/replacement ❑ Other: U Partial
JOBSITE INFORMATION
Job address: / /R-OS SLA) AL ` _ Bldg. no.: Suite no.: Tax map /tax lot/accOunt no.:
Lot: Block: Subdivision:
Project name: (� y %4NC' � Cr�ti� o, � I Description and location of work on premises: (;:r ,,,L.1,, - c ` t 1 , .4, re ,,
zgy. Estimated date of complction/inspcction: 3 k 24.67_ . • a
CONTRACTOR APPLICATION ' • FEE SCIIEI)U.E
_.lob no: Fee Max
Business name: R 0 4, �Ae LA, (-■ ,_ . C_
Description Q4. (ea) Total no. insp
Address: �} New residential- singleormulti-family per
_ � v \. c%`+ p� dwellingunit . Includes ntiaslxalgarage.
City: 1, A 10,_ l9tiaumc.l._ State: (,.-;rr ZIP: 12 (00 Cl Service included:
Phone: 0- )✓ax: E -mail; sq. t. or 3lc• c c- �5 3� ,.rt,5iS5 1000 f l 4
� —
l3 no.: ) <•/ 97_ (4 Elec. bus. lic. no:
Each additional SOU sy. ft. or p ortion thereof
CC
3 � � Limited energy, residential 2
City /metro lie, no.: ( 6. SC/y 2,Q / 7 ' Limited energy, non- residential 2
yc/ .� �, ;� 2 Each manufactured home or modular dwelling
-- Si lure ofsupe mg electrician (required) Date / p/,7i Service and/or feeder 2
/ Services or feeders— installati •
me
Sop. elect. na (print): /V A, D. X .. Li cense no; I-IRS,- alteration orreloexiion:
'PROPERTY OWNER zoo amps or lei.. 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing :1ddresa; 601 amps to 1000 amps
City: Statc: 'ZIP: Over I Wo amps or volts
Phone: Fax: I l -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary service's orfeeders
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 4011 amps 2
Owner's signature: Date: , 401 to60O 2
ENGINEER Branch circuits- new, alteration,
- or extension per panel:
Name:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I. ZIP: B. Fee for branch circuits without purchase fir yr
of service or feeder fco, first branch circuit: I 1 Zito - 2
Phone: Fax: E-rn til:
Each additional branch circuit: a Tt v - d' -t'Y
PLAN REVIEW (Please check all that apply) i Misc. (Service orfeedernotlncluded):
O Service over 225 amps- commercial O Health -care facility Each pump or irrigation circle 2
❑ Service over 320 amps - rating of 1&2 ❑ Hazardouslocation Each sign or outline lighting 2
funnily dwellings 1i Building over 10,000 square feet four or Signal circuit(s) Or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* ' 2
U Building over three stories ❑ Feeders, 400 amps or more "Description_ - ... -___.. __..___
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional Inspection over the allowable in any of the above:
U F.gress/lighringplan Li Other.
Per inspection I I I L
Submit sets of plans with any of the above. investigation fee
The above are not applicable to temporary construction service. Other
' Not all jurisdictions tto credit crutta, Sense call jurisdiction for more lnfomtatlons Notice: This permit application Permit fee $ ° 1
n pt
KVisa Cl MasterCard expires if a permit is not obtained Plan review (at — %) $
Credit card number: 4 - it 3 oZi(p r•itce 2100 I L /CZ./ within 180 days after it has been Suite surcharge (8%) .... $ /N a9
Al.tyn . 1�u r► ay Expire. accepted as complete. TOTAL $ • $ /9% 2
H e � w n o n Credit card S vi
%. der signature Amount W _� 440 -4615 (6/00/COM)
•
CITY OF TIGARD 24 -Hour
BUILDING -= Inspection Line: (503) 639 -4175 s
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested-? - tp 6 a AM PM BUP
Location 1) ) OS Pi LAC I L W \W Suite MEC
Contact Person Ph (3 to 0 ) bog— 9 0 Q'1 PLM
Contractor Ph ( —\). SWR
•
BUILDING Tenant/Owner ELC 2,002 — 000tst
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
.\(1\C
Int Sheath/Shear PAS
Framing
Insulation G »LK 6 ( 0 1
Drywall Nailing
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
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
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Date C ° G - Ins ector a LLAZ Ext
Approach/Sidewalk fP
Other:
Final DO NOT REMOVE this inspection record fro e Job site.
PASS PART FAIL
mg-
CITY OF TIGARD 24 -Hour
BUILDING '∎ Inspection Line: (503) 639 -4175 MST 4 t,-;
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP - '
Received Date Reques ed 3 � AM PM BUP
Location /1 7 5 Suite MEC
Contact Person Ph ( - ) 6 F 066-C PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 196,a 600 g
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam ■,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation P/P6
Drywall Nailing
Fi rewal l �, 1
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
Other:
Final
PASS PART FAIL
MECHANICAL
•
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
d oug -' b
UG ab
Low Voltage
Alarm
•
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• PART FAIL
S El Please call for reinspection RE: - ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 3 - 2- C7 2-- Inspector r -- — Ext
Other:
Final DO NOT REMOVE this inspection reco from t e job site.
PASS PART FAIL
CITY OF T DIN ^ARD I 24 -Hour ,►- r :- '-
BUILDING Inspection Line: (503) 639 -4175 c
MST'1
INSPECTION DIVISION Business Line: (503) 639 -4171
I{ BUP
Received Date Requested `3 e ( AM PM BUP
Location 1 / 7 Cs Pot-c-(2 rte, Suite ryt MEC
Contact Person 1 Z Ph (' PLM
Contractor Ph( 36 ' 6 ) 60 '? 70 99 SWR
BUILDING Tenant/Owner Q • n
• U� ELC 66 o O60 F3
Footing
Foundation ELC
Access:
Ftg Drain • s ELR
Crawl Drain '
Slab Inspection Notes: SIT
Post & Beam NA
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear 1'
Framing
Insulation V1 ;0I N L..
Drywall Nailing
Firewall \ \1 a `f /
�-
Fire Sprinkler �
Fire Alarm ' 4 \-_,0 c V t 1 � \ ' &
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING PaSe ,c / ,�
l L ` LV Zg -` C pte,v4
Post & Beam
Under Slab r--,_i__ �f
Water Service i Y U s/ 14 x.0 /1 +l j/L. v/2_ e4. Water Service y�
Sanitary Sewer
Rain Drains
Catch Basin / Manhole `c` CV - J— ig't f ) /1/25:04e-dY4
Storm Drain G
Shower Pan
Other: L ..2
Final " 1
PASS PART FAIL
MECHANICAL �Post & Beam ) I~� >�� c_ N i-- ( io o I� �,, / Rough -In (j J 1�
Gas Line
Smoke Dampers
Final
PASS PART FAIL
E RICAL
..;`�.� P1-1.5.
UG /Slab
Low Voltage
Fire Alar •
FAnlak PAR El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
T FAIL
SIT 7 E] Please call for reinspection RE: / 11 Unable to inspect – no access
Fire Supply Line •
ADA ` '
Approach /Sidewalk Date ` cr y-- Inspecto i �.........6. Ext
Other:
Final, DO NOT REMOVE this inspection roc ': rd from t ob site.
PASS PART FAIL