Permit CITY OF T I G A R D ELECTRICAL PERMIT
/y ,, ;t, DEVELOPMENT SERVICES PERMIT #: ELC98 -0674
� -� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1 1 / 09 / 98
PARCEL: 1S135DD -03301
SITE ADDRESS...:11945 SW PACIFIC HWY #242
SUBDIVISION •HOFFARBER TRACTS NO.1 ZONING:C -G
BLOCK ° LOT -002 JURISDICTION: TIG
Project Description : Installation, alteration, or relocation of 200 AMP or less
service and six (6) branch circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS : 0 0 - 200 amp ° 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 0 201 - 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 - 600 amp • 0 SIGNAL /PANEL : 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 - 200 amp • 1 W /SERVICE OR FEEDER: 6 PER INSPECTION • 0
201 - 400 amp ° 0 1st W/O SRVC OR FDR.: 0 PER HOUR • 0
401 - 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT • 0
601 - 1000 amp : 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS ) 600 VOLT NOMINAL..:
Reconnect only 0 SVC /FDR )= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
YUMMY BOWL type amount by date recpt
11945 SW PACIFIC HIGHWAY PRMT $ 90.00 GEO 11/09/98 98- 310662
SUITE #242 5PCT $ 4.50 GEO 11/09/98 98- 310662
TIGARD OR 97223
Phone #:
•
Contractor:
GRF ELECTRIC $ 94.50 TOTAL
15460 SE PARADISE LN
REQUIRED INSPECTIONS
MULINO OR 97042 Ceiling Cover Elect'l Service
Phone #: 503 -829 -4146 Wall Cover Elect'l Final
Reg #..: 001015
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001- %10 through OAR Fa-JAI-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: Issued Bykoe
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: G� DATE:
LICENSE NO: 3 3 -.5
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
i
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CITY OF TIGARD RECEIVEI lectrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
NOV () 5 1998 Date Rec'd
TIGARD OR 97223 Date to P.E.
Phone (503) 639 -4171, x3000t7MUfITY DEVELOPMEN Print or Type Date to DST �L G/
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Called
#
Fax (503) 684 -7297
1. Job Address: x e5r 4. Complete Fee Schedule Below:
Name of Development Y.A. Y ) h., j Bo 1. Number of Inspections per permit allowed
Name (or name of business) Service included: Items Cost Sum
Address I 1 q SW P(4 C l �' j ' ( , /`r ) 4a. Residential - per unit
T. � r 1000 sq.h.orless $110.00 4
City /State/Zip 1 I �j (.) r /� t� �- a (f Each additional 500 sq. ft. or
l ✓ Residential ❑
portion thereof $ 25 . 00 1
Commercia -
I/ Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Installation, alteration, or relocation /
Electrical Contractor 12 F C? e ��F-r► 200 amps or less ( $60.00 (PO _ 2
Address S ( n 5, p,), ra !t .-; .e. 201 amps to 400 amps $80.00 2
City State Zip 7 n L 401 amps to 600 amps $120.00 2
Phone No. d ^kf I 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. c(a -r7 Y (.., Exp.Date
OR State CCB Reg. No. / D / 3 Exp.Date 4c. Temporary Services or Feeders
:S
COT Business Tax or Metro No. `f 7 2. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Su r. Elec 201 amps to 400 amps $75.00 2
Si -
9 P �401 a to 600 amps $100.00 2
-
Over 600 amps to 1000 volts,
License No. 3 S Exp.Date see "b" above.
Phone No. & .a C(1I 1140 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee. O
n
Each branch circuit t $5.00 2
Address b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee. 5
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant - $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: # ,
Not required for temporary construction services.
5a. Enter total of above fees $ 61#5
5% Surcharge (.05 X total fees) $ J'('
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑Trust Account # j Lc v
TIME AFTER WORK IS COMMENCED. $
Total balance Due
I: \DSTS \ELC96.APP Rev 9/96
r
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0674
YUMMY BOWL
11945 SW PACIFIC HWY Unit: 242
02/04/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCC001 Application received / / / / 11/09/98 MAIL GEO 11/09/98 GEO
ELCC003 Permit created / / / / 11/09/98 DONE GEO 11/09/98 GEO
ELCC500 (F)Issue permit / / / / 11/09/98 PASS GEO 11/09/98 GEO _
ELCC700 Ceiling Cover / / / / / / 11/09/98 GEO
ELCC720 Wall Cover / / / / / / 11/09/98 GEO
ELCC730 Elect'l Service / / / / / / 11/09/98 GEO
ELCC799 Elect'l Final / / / / 01/05/99 identify the following: sub main - FAIL CD 01/06/99 CD
neutral conductor - equipment grounding
conductor - label panel complete - post
signed label - ceiling covered without
inspection.
ELCC799 Elect'l Final / / / / 01/06/99 strap nm cables above ceiling - provide FAIL CD 01/06/99 CD '
j -boxes for open splices - complete
panel labeling - provide verification
for menu board u.l. listing - 10:00 a.m.
ELCC799 Elect'l Final / / / / 01/06/99 2:00 p.m. corrections made, final PASS CD 01/06/99 CD .
approved.
ELCC800 Case Finaled / / / / 01/06/99 PASS CD 01/07/99 VLN
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 s Business Line: 639 -4171
BUP
Date Requested c� y ' r; AM ' . J ' PM BLD
Location i • `-- ` ( = -'•_r7 (._ ;:. c. h , Suite `T MEC
Contact Person - ---'r -- . Ph /9 — /ir 6. 7 PLM
Contractor - Ph SWR
BUILDING : Tenant/Owner .A.-cu )/ , n Inc-_! .. r -c. � -- ELC ( i - (-=
Retaining Wall ;' ELR i :)- - 6' 5 C%
Footing F ,, . - r Yom; l r,' i'4'': A, ; \7 r :"� /..•' : ±-:411. ..'; _:•y... E
Foundation t ` _ .r o ,17:1'.:" ',,7•,:•1 � r ^ i , ^ -r'i ; �riJ FPS
Ftg Drain t t,� �•1 Q T.‘? o. . - �` _ f y • (
C• "..
Crawl Drain Inspection Notes: - , . i /'/ � - 7 , . , ,` � �, SIT SGN
Slab r ,_• _ vj} =(� `
Post & Beam '
Ext Sheath/Shear S--,/ . .' -•• / . 6, --
Int Sheath /Shear •
Framing /OA a /4. /v/ ,
Insulation '') '--..L Drywall Nailing '/ �! % .-) / (' A/ Ci}.-.y /,c j
Firewall I
Fire Sprinkler .,� : / 1:� ra
Fire Alarm r
Susp'd Ceiling
Roof /
Misc: (;." . 6 Co !; s r A/ e- 1 - ??)C r• !
Final
PASS PART FAIL - (.•.. --el , Z5
PLUMBING
Post & Beam
Under Slab / _I.: ./-C__ cV Gam_. Z,5 -/4.)Q / /,Q Al UST ,
Top Out /
Water Service ! rc•:• p-r /..27.e. r (�ri / ; - Z'L.._.
Sanitary Sewer
Rain Drains
Final = - -- r /
PASS PART FAIL / 4 4 / l -
e Cd / y A .) '4 s' /
MECHANICAL \-'� .- ' ' / i
Post &Beam f�7 + . G ,.:� 7r - 15, L . ei . L i. r• 7 `.. A . / a
Rough In
Gas Line
Smoke Dampers L t i (
Final �: ;�T�) f�! %l1 _U A I i / /f 1 G7 / e�-
PASS PART FAIL / --1
TN F CI � D C•4.4 I /1/0 re 1 [
ELECTRICAL ?
Service r / _-!'r � i .4./4" 74 l
e_
Rough In
UG /Slab
Low Voltage ,-... _' ,/,
•
Fire Alarm ( " C - c - / c,is /Y',zi i7F - Y. :/u4 L 44?4: )/. •'
Fin 4 =�,-_
A SS:% PART FAIL 2O a /' tn'. /r.,'
's ITE / -- G . 9$ -
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ I Unable to inspect - no access
ADA
Otheoach /Sidewalk Date f'/ !� � Inspector ..." .e��,e�_�-•,. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.