Permit CITY OF T �G A R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00129
�y4 DEVELOPMENT S ERVICES DATE ISSUED: 3/26/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1026D -00701
SITE ADDRESS: 12785 SW PACIFIC HWY
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: C -G
BLOCK: LOT : 008 JURISDICTION: TIG
Project Description: Install 2 plugs: manager office and training area.
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:
SPADA, FRED TRUSTEE HILLSBORO ELECTRIC
WIENER, NORMAN J TRUSTEE 21185 NW EVERGREEN PARKWAY
72907 BEL AIR RD HILLSBORO, OR 97124
PALM DESERT, CA 92260
Phone: Phone: 503 - 439 -9666
Reg #: ELE 34 -433C
LIC 134481
SUP 4240S
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 3/26/02 $53.50 2720020000( Wall Cover
Elect'I Final
5PCT CTR 3/26/02 $4.28 2720020000(
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1.800- 332 -2344.
Permit Signature: A� ,D Issued 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. ELEC'N: A X 9L/LI . \ DATE:
LICENSE NO: `fd- S /
Call 639 -4175 by 7:00pm for an inspection the next business day
MAR 25 2002 11:05RM BUILDERS INC 5036452609 p.1 •
r ,.
Electrical Pe ! , 1 _ ' ..
At•
T� �' Datelet : "clued: 7 /j0 Permit no.: iJC- 9il -0c9 1 ;iF,'.f�l. , . City Of Tigard Project, appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, T a 0,D 4719nn't Date isrued: By: 6 I Receiptno.:
Phone: (503) 639 -4171 �A{�l(� 7.01
Fax: (503) 598 -1960 CITY OF f1CiAKI) Casefileno.: Payment type:
Land use approval: _ MUT,flING DIVISION ,
TYPE. OF PFItIVIIT
•
0 1 & 2 family dwelling or accessory GB-Commercial/industrial CI Multi - family 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement CI Oilier- 0 Partial ■
Job address: 7'75'5 5i getc4G Bldg. no.: Suit: no.: Tax map/tax lot/account no.:
- Lux. I Block: 'Subdivision:
Project name: Lb er'& S I Description and location of work on prenises: A66 p( l min.4 5e '. aJ Ct
Estimated date of core letion/ins ection: • ai~s• ` '
Job no: rJ co-7 I . Ere Max
Business name: E1 t it sk co J� I r'G l's` i G Description , Qty. (ea.) Total eo. imp
New resident al -angle orudti4aaiiyper •
Address:
1- L il S A 19 L) EL/el r a ✓A Pko y D I dwellings.* Wades attached garage.
City: fl S r j State:(�{Q ZIP: C `) Serritaiaekaledr
Phone -' ( 1Fax: c ..„, e , 1 -mail: 1000sg.fho' 4
CCB no.: J ' R/ I Elec. bus. lid no: u 475(- Bch reside ft or pardon thereof
I / L3mitcdeneq;y. residential 1 .
City/metro lie, no.: Limited elver! 5 y , non- residential 2
� Each menufa :oared home or modular dwelling
Signature of su sue rician (requi ) Dam 3 /s- s- / D S o3,/,2-57o3... Service audit rfeeder • 2
Lia ttterw Services*: !sedan
Sup. elect- name (print): - :n 5 , "a.' alteration or relocation:
l'ROI'CiRTI' OWNER IOO amps or: ess 2
Name (print): 201 amps to∎•00amps 2
Mailing address: • 401 amps to 400 amps 2
g 601 amps to " 000 amps 2
City: State: I ZIP: Over 1000 Sr ups or volts • _ 2 .
Phone: I Fax: I E . Reconaector ly 1
Owner installation: The installation is being made on property I own Temporary' ervicesor feeders -
which is not intended for sale, lease, rent, or exchange according to irotaUatlon,,tlteratlon , arrsloeatloo:
ORS 447, 455, 479, 670, 701. 200 amps of 2
201 amps to 400 amps 2 .
Owner's signature: Date: 401 to 600 ripe . 2
IMIIIIIIIIIIIIIIIIMMIEMZMIIIINMIIIIII Braoc6 tire, nits - new, alteration,
Name: or extension per panel:
A. Fee for In each circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Foe for br anch circuits without purchase •
Phone: Fax: E -mail: . of service or feeder fee. first breach circuit: ' � py$S 2
Each addniatnal branch circuit: • I ,( _
PLAN REVIEW (Please check all that apply) Misc. (Beryl tear feeder not included):
O Service over 225 amps-commercial 0 Health -care facility Each pump a t irrigation circle . 2
n
O SetvLoeover 320 lumps-wins of 14e2 O liarsrdd Each or sutlin° lighting 2
location g
family dwellings 0 Building over 10,000 agnate fed fpuror Sign! circui (a) err a limited energy panel, .
U System over 600 volts nominal mote =Wend al units in one structure alteration, orextension* 2 •
0 Building aver three stocks 0 Feeders, 400 amps as more 4 Deacdptims• —
O Occupant load over 99 persons U Manufactured stractures or RV putt Beds additk tai tnspecdon ever the allowable ha any of the abeam.
O Egr>adlightingplaa a Other Perim/motion 1 I 1 I
Submit _ sets of plans with any of the above. Iovestigatior fee
The above are not applicable to temporary construction service. Other
N , aorirdicdans users aunt cards• plats. col jurtsdrerien foe mere tefemadee. Notice: This permit application Permit fee ........ $ s j ! J�O
a)
►= eta CI Mac „ •• expires if a permit is not obtained' Plan review (at _ %) $
a c• . au .. ber. - - .. - - within 1BO days after it I,as been State surcharge (8%) .... $ 4 ' 2.-T _ _ . . t as . '' • g accepted as complete. TOTAL $ � '7i• 7 •
l•." ~� r
i •� :�A__., $ i ado dais tamrc:oM
". ,• , . •` J' Artmuar
[002 avoid. do AIM 0961 965 905 xvd 6T:01 NOT( 10 /TT /90
•
CITY OF TIGIARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION —Business Line: (503) 639 -4171
BUP
Received Date Requested s - 13 AM PM BUP
Location / ? - 7 ?c Suite MEC
Contact Person Ph ( ) PLM
Contractor t jh ( A ) 2 /3 9 y�� SWR , ° C ) BUILDING Tenant/Owner �/�t/�l� -r ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear V
Framing
Insulation F))\) L _ \P- (� ,rh
Drywall Nailing I �-�)
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling AaIL y WALL
Roof 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
inal V1 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART
S ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Da te�S 3 Inspector - � �� Ext
Other:
Final DO NOT REMOVE this Inspection record from the • b site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION "Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 7 ' 2 -1 AM PM BUP
Location / Z 7 fr) Sw 14 Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 2tiv Z U G / L�
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors ,,
Ext Sheath/Shear \+ V r0 0 l�
Int Sheath/Shear
Framing
Drywall on
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1 v
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
tIVP 1Z;311-
Rough -In k-LL 0D -0b49.9. ? (a 1 0\
UG/Slab
Low Voltage
Fire Alarm
J. PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE E Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA �_ i
Approach/Sidewalk Date "� _ Inspect � s / Ext
Other:
Final DO NOT REMOVE this inspection record from the J ' ' site.
PASS PART FAIL