Permit • * CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00211
Y"41(11' DEVELOPMENT SERVICES DATE ISSUED: 4/11/03
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135DD-00900
SITE ADDRESS: 11875 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: HOFFARBER TRACTS NO.2
BLOCK: LOT : 021 JURISDICTION: TIG
Project Description: Location of job: warehouse behind main building. Install (2) branch circuits to power sump pump and
ckt. for bathroom.
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: 1 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:
•
LEFEVER, GEORGE 8 TAMMY NEW TECH ELECTRIC
11875 SW PACIFIC HWY 6950 NE CAMPUS ST
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: Phone: 503 - 648 -1900
Reg #: LIC 41868
SUP 2113s
FEES ELE 26 -4I8c
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 4/11/03 $53.50
[TAX] 8% State Tax 4/11/03 $4.28 Rough -
Elect'l Final
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1-800
Issued By: j h n A _ 3jt,(/L_ Permit Signature: (Jh ` "" "" V"`—
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY •
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 - 4175 by 7:00pm for an inspection the next business day
•
04/09/03 WED 11:43 FAX 503 648 NEW TECH ELEC el001
PlectricalPer • ' 'on .
Datereccived: - // 03 I Permit 110.:0!.6 „ // • - COI /
M ; City of Tigard Project/appl.no.: I3xplredate:
City ofTtgard Address: 13125 SW Hell Blvd, Date issued: By: gal Receiptno.:
Phone: (503) 639 -4171 TIGARD
Fax: (503) 598 -1960 BUILD NG DIVISION Cascfile Payment
Land use approval: _ •
TYPE OF PERMIT
❑ 1 8t 2 family dwelling or accessory *Commi:rcial/industrial 0 Multi - family Cl Tenant improvement
CI New construction Cl Additice/aItcration/replaeement ❑ Other. ❑ Partial
JOB SITE INFORMATION
Job address: 1 11$ ,sup 4&c' ►c, 1�uu�\\ Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: J Subdivision: -1 -
Project name: 1 i ay v 4 S I Descrir don and location of work on premises: l .r gJ,tiv e_ (oe,li,nd wo i.,1•,Id
Estimated date of compledoe/inapection: „ • 1 SW.nn i ' ww+ ' • ow , C -� - .. e. -:?
CONTRACTOR APPLICATIO. FEE SCIIEDULE
Job non OPC(5- Fee Max
Business name: New Tech Electric Newrrsideated- sls;laarastdd-uta4YPa �
Address: 6 9 5 0 NE Campus Way doe ungeameciede9•an8ted .
City: Hillsboro + StateOR 12IT: 97124 Servimeind tied:
PhoffE03 --648 -1900 IPas648 - 3131 _1E-mail: t000sq. ft. Dams
4186 I Elec. bus. lic.. no: 26 -418C >r�m' soo rpo
deoen rrmd portion Memel
B no.:
t� etteepy.
City/metro lie. no.: Limitedeacgy.non-residential
4 er ,- �� SeNlesaudlorCeedet �ormodut�dwetlmg
ignattue of sups • ng el tan (required) Date
tbra Services eerfeeders- Installation,
Sop. oleo (print): 4i name (print -lc. .. / l - atteratIon or relocation:
PROPERTY OWNER 2011atap orless -
201 amps w400amps
Name (punt): /„ - Ca ro . I.m x 401 amps to 600 amps '
&(ailing tlddrsss: , ) — 1 601 ampato1000ettWs
city: _ I State; 1;1P: Over 1000 imps or volts
Phone: 5o?, u,8at27R Fax: E-mail: I. Reconneetonly 1 Owner installation: The installation is being made on property I own ramPorMserdees or feeders
installation, altetatlea, or relocation:
which is not intended for sale, lease, rent, or exchange according to 200 amps orlon
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 122 -
Owner's signature • __•_ - DM: - 401 to 600 am
ENGINEER Branch drcutts- new, Aeration, 1111
or esJeusion per pm&
Name: A. Fee for branch circuits with purchase of
_ 2
State: j OP:
a service or feeder fee. toe branch circuit:
Phone: Pax: &mail: Bach I /a a
PLAN REVIEW (Please check all ilia apply)
O Service over rIS amps-commercial D Health— refadlity • ' ., 1 ' • circle 2
• O Service ovtx37A amps-Ewing af 1&2 0 Hazardous location Erich sign oraudioe 2
family co
dwellings O Bundittg over 10,100 square fret four or Signal clrciiit(s) ora limited energy panel.
O System oveT600 volts nominal mare residential units in me structure 'Iteration, or Mention' • 2
0 Building overtimes stories 0 Feedds, 300 MP) or rein * . dam
0 OepanUoad over 99 persona U Menu dstnmcult or RV pit • - , additional impaction overtheanovrabletoanyoftlteabave .
o Egresrpighangplatt 0 Ott= Per inspection I j j I
Submit — sets of plans with any oftbe above. -Investigation fee -
T'6e above are not applicable to temporary construction service. Other permit fee $ .5 .5 D
S
r Not a ni„ ms comfit cards, please rail Jurisdlcde aa an rat tnote i manes Notice: This permit application ,
Plan review (at $ _
O Visa 0 MestacCod expires if a an r at _ %) it is not obtained State :surcharge at a t (896)
Odin =Nam / / within 180 days after it has been •) • $ u 19 S S 7e.
' accepte as comp TOTAL $ Z
Hen oreaatholaer a
.. shoo aa meth card
- s Tnist Account # 41868
Csrdhoidet elpteuoe AttMam 4404615 (600PCOM)
•
CITY OF TIGARD 24 -Hour
BUILDING "" ti Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested •S - °Z AM PM BUP
Location $ .s Suite MEC
Contact Person 4 Ph ( ) '60 9 1 9/1 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 3 — .° 6 A /
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain g 61 l w0 Pn PU 6 yt Cf'
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation j IN) CI . ' g� n l� ee k0 tO r)
Drywall Nailing "�-UA� e Pc
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
C 7
Roof
Other:
Final )
�
PASS PART FAIL 4,0
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 ��pp
Final PART FAIL .%C f(fi k '� -GCi3 . o �� 9 ` 1 L )1� 1,(41 2 � l ' �/� i "
ELECTRICAL 5E • 9L= 2 ° 3 _ c/ c-) ci 5 - 'w 04 j� t' /S °Av e ✓�''�
Service
Rough -In 66 ®AO) I _
Low Voltage 5 ( � l � � ,4 'EL-C a c i ° ° / 5�i / EL0 to, 3 �c,c)//
Fire Alarm / 4
PART FAIL 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspe o Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL