Permit ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2002 -00397
4. .,44.1111-4 - 13125 DEVELOPMENT pr SO SERVICES 639 -4171 DATE ISSUED: 8/19/02
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 104
SUBDIVISION: HOFFARBER TRACTS NO.1 ZONING: C -G
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Installation of (2) ground rods.
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: 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:
TIGARD PROPERTIES INC MIKE'S ELECTRIC
2106 SE OCHOCO ST 17050 SW SHAW STREET
MILWAUKIE, OR 97222 BEAVERTON, OR 97007 -1813
Phone: Phone: 649 -6991
Reg #: LIC 00050209
SUP 4230S
ELE 34 -18c
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 8/19/02 $46.85 2720020000( Elect'I Final
5PCT . CTR 8/19/02 $3.75 2720020000(
Total $50.60
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 v .ork is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Ore on Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these r or direct q estions to OUNC at (503) 246-6699 or
1- 800 - 332 - 2344.
Permit Signature: Q . r t �� Iss d By:
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. LEC'N: _ •-■�°�- ( C' 4� ��- DATE:
LICENSE NO: 4 a -o
Call 639 -4175 by 7:00pm for an inspection the next business day
Sent By: MIKE'S ELECTRIC; 591 7847; Aug -13 -02 0:21; Page 2/2
l Li f .
.. .
• Electrical Permit Application
•
..� _ .. - Dsueteoeivel: 8 / , e Pamitno.: el _,;... •e. 7
l: ` . j City of Tigard Proj +.Do.: Expire. date:
City of/Igo/al Address: 13i6S SW Ha11 ! 6 +P 'r Dart issued: By: Receipt :
Phone: ($03) 639 - 4171 IA . - $2 Pa.
ayment type:
Fax (503) 598 -1960 Cue file no.: .
Land use approval: f;i ?P .
•
... . t'i't', a 1 . .. ..
01 at dwelling or acceusosy - CotntriatittYnditstiie CI Multi•fainil O Tenant improvement
•.:NU eaon.. 0:Ad�dhlon alterntion/rep)acctnent O Other O Partial
3r_)It Si [t. 11i-01111.% I t(1\
Job address: 1 194,9 S W P r j f • Bld .. no.: no.: , r ,11' , . ap/lax lot/account no_: . •
• .1hot: Brock: JSubdivision: ' • --
. . • • Project name: • , I Dase[iptio and l ork pn
*cation of w oe em T n ,... 1 1 2 a r 13 rt n d__-r d.S
(:(9\ l RRA(: f ttli ,1l'i'l.it'A'riON IEL 5('111- 1)UL-1;
..
Fie Mat
iatb aos T i e j , r 7 t , ttoa Q (e TOW , ee• t t
.: Bwiit s. name: JD M Y� L R CONSTR . CO. MIKE S ELB _ ern
1 10!0 5 W Allen $1tid. -' i�taas l- d�eaew yP�
,. •Addleas: &matzos& lactndadtachedramp. :
City: Beaverton (State: OR I X97005 Sertimlactialeek
)3 .6991 Fax: 641. 190 F .-mail: 0 1000 sq. fl. or less .- 4
1 Each addlUeed 500 sq. (t- or portion thereof
CCl3 tto.:.. I Elec. bus- lie. no: 34-18C Limited ., ..., .resldaakd 2
MY/0mi= lie. no.: 36 3 Limited ene.Vy. wades ldrntl.i .
•
2
. • 4., 8 / 12 i t 02 • E adr enarattactured home or modular dwelling .
rtes tai' _ Data Scone and/or feeder 2
' '.'' :. : • ,' 4 ? Q1Y -':.. R8 J . b Uoer»atw: •42305 Serrioesorfatdan- Iasultatl t . • •.. . ..A t �:� :: -ice • •. .. • .- . .
err 11 d ttrRliott to tl ltaca dam
Y'Itf)t'UICI 111"0•;\ 1•11 200. ,. • ortew 2
. • • •• . • 101 sop to 400 amps • 2
'. ' 'nib*fprial: Mi 1 tnn 0 Rrnwn ' 401 amps to600 2
Mailing trddnesa: 30 1 N W Mu r r a :1 y r • 601 amps to soon am 2
State: s; 21 Over 1000 Nape or vol . 2
P n r t 1 a>,1 ti 1': • 'Phalli fi 41 a•S.Z.2,Z„(,.Fax: E Rn.octvety
Os i !Minn: '[be installation is being wide on property I own Tempora>! services °mortars 00 U - •
.. .. . whI.dt•is not intended for sale, lease, rent, or exchange according to 2 a or le !ro.ornelaarioa: 2
200 amps or lea
ORS 447, 455.479, 670.701- • 201 amps to 400 steps 2
:0.... • -. • : Date; a01 to 600 amps 2
Brandt . •
..Name: A Fee for bomb shoot's with pinchers of
. A d d r e s s : s e ry i c e o r f e e d e r faa. wish brooch circuit 2
Ci ,' ; - State: ZIP; — B. Foe for brooch °troths without purchase • 2
' : ...... Bach additional branch grit --
I'L, : �'' i?ia'li "+v'(i'It:a c cluck all that uppiv) MIrc.(Serrld sotlaciaded)'
Each pu5, or irrigation eirde 2
O 8mr+ce enae22S a>�r•oatnmmdd d ll, eitlratrefadlity I .. • 2
O'Se[vteeever320 uny of ldt2 +sliIS Beck si m ur outline ligltt:rta
l 1)r 0 Buftdmge 0,000 square fact four or Strut ct�t(s) Or • tlPMtcd enaay ring. .
O' re Poneresh FalnettsInoae atraetaro attaatMn,otextension I _ 2
'
. .... • Q•8a0dbt4 over mom Unties 0 Fooders. =PI ° r m°r° • : . load ewer 99 persons t] Maaahettved entcrose at R V Park .FEaeb addltkMinapaatm eve!' di dlewaek • rn1 of the ■bow•
D s/Osudl1 hdaa plan 0 01We ' — Per impaction I l • 1 1
Submit r sets of plans srlrh say of the above. . Investigation fee
The above are not applicable to tesspotety construction service. ice. - Other
permit fee $
• ait meet moat cads• plaasa can ilateAedos far mots �nfatnetim Notice: 'this permit application pl t its v ieW ( 96) S •
• fi Inn Ilan
sum-ha/gel; wo*, 3t 96) 1) $
�8 1073 6831 0018 / 06, 03 within 180 days after it has boon
mart M 8 J mule to r r tes accepted pt as oompleta TOTAL $ ■
- --- . — � 4 p aeo-eats (6IOOtf nett
• •
aK 1 . c
i t,‘„Ait„,
CITY OF TIGARD 24 -Hour
BUILDING .- Inspection Line: (503) 639 -4175 - •,
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested A I AM PM BUP
Location .-
7 s � Q.r.. � a.r� Suite /0 y MEC
Contact Person 0--(L L.e d Ph ( ) CJ — 300.0 PLM
Contractor Ph ( ) (., Li 9 --• (o `j 9 / SWR
BUILDING Tenant/Owner ELC '" 0- 0 3 9 7
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain 2) Le s pi,
Slab Inspection Notes: SIT
Post & Beam - ' Ayyl
Shear Anchors
Ext Sheath/Shear . 4 1 �� - - - %—
Int Sheath/Shear /
Framing _ _ - - L ,/. _ , _ ��_
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm' C "' \
Susp'd Ceiling 1 1}✓ (�
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam J
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
T FAIL
RIC
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.
TART FAIL
S ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector V Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL