Permit x CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2002 -00024
A-tow >,L DEVELOPMENT SERVICES DATE ISSUED: 1/22/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102CC -00500
SITE ADDRESS: 13500 SW PACIFIC HWY (BI MART)
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of service and 12 branch circuits.
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: 12 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
13500 PACIFIC CORP ALERT ELECTRIC, INC.
BY CAP ADVISORS 1970 NORTH 28TH STREET
38345 W TEN MILE RD, STE 170 SPRINGFIELD, OR 97477
FARMINGTON HILLS, Ml 48335
Phone: Phone: 541 - 747 -2213
Reg #: LIC 12772
ELE 20 -55C
SUP 243S
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 1/22/02 $160.10 2720020000( Wall Cover
Elect' Final
5PCT CTR 1/22/02 $12.81 2720020000(
Total $172.91 . EXPIRED
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
Permit Signature: QA �/oG /e,9i7ON 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: • t AJ /91 - 0 '977 N DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
12/18/2001 16:41 FAX 5035981960 CITY OF TIGARD Ca 002
•
A
El ectrica1Permi A it ,
Datereceived: / 22 p ?/ Permit no.: ?op 2 - 0002
. ''il' City of Tigard DEC 9 ? 2001 ProjeW PIA no.: • hucpire
awe Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By b Receipt no.:
Phone: (503) 6394171 CITY TIGA B, IM Payment type:
Fax (503) 598-1960 -
• Land use approval: .
T1 PE (31 PERM' I
0 1 & 2 family dwelling or accessory Commercial/industrial 0 Multi - family O Tenant improvement
Cl • New construction 0 Addition/alteration/replacement Cl Other: 0 Partial
.1011 SITE INFORMMATION
Job address: \ 'A& r v - ��>Ir Bldg. no.: a Tax map/tax lot/account no.: - -
Lot: Block: Subdivision: '
Project name: L / - NJ - 2 T Description and location of work on premises: ` • ,t, 0 \NS • _
Estim date of completion/inspection: +'- JV.-t=• g*-
CONTRACTOI2 APPLI(:A`I ION - . • I IE tiflILUliLG
Job no: p - MIR 'total PRI
Business name: - _--- - c±tia,C- New _ can ons {�
Address`. \FK 'tJ � . • dst eniancludaattached garage.
City: ?-► -,. , z■ I State ZIP: I `1.‘,.'1 • S Induced:
11X10 sq. ft. or kaa 4
P : '1,� --� F '�'�(� .. • B - mail F'' Ejchasiational 500 sq, R orportion thereof _mp
CCB no.: \'�'1 6/v/01 Elec. bus. lie. no:'aQ Limited energy, residcatiN 1111111 2 Ac
Ci •,
file ro tic. II' .. /0 LW Limited energy, non - esidentiai 2
r _% _ /0 , , / Each manufectutee tome or modular dwaing ■a Srn•ce anNor feeder 2
tuns of ±tstnS electrician d? • sued) Rate �r Servicesur feeders -costa lion, r
. 1012203152 ' License % alteration or relocation Ill PROPERTY OWNER - • 200 , :arias ( 2
201 amps to • e e amps r�_ 2
Name (punt): �� 401 amps to 600 amps - _�l� 2
Mailing address:'i� C` 601 to l imomMINNIM
Cl , StateC9-. OlEarie Over l000 antes or %ohs � ��
Phone: 11 Fax: E-mail: Reconnect only M111•11 I
Owner inst+ilastion: The installation is being made on property I own terpoeary saviees or feeders
prstaibtiotheltetedoeh or relocadont
which is not intended for sale, lease, rent, or exchange according to 200 amps or less 2 2 I
ORS 447, 455, 479, 670, 701. 201 a mps to 308 atepm
- Owner's • : nature: Date: , 401 to 600 . . Mil 2
. ENGINEER Bnacbcircalta - new, . — • • .
oresteastee per panel:
Name: • A Fee for branch cheuits with purclauae of 1'
Address: servici or realer fee, each branch circuit ' v1
ad 2
State: ZIP: B. Fee for breach circuits without purchase
City: of service or feeder tee, first branch circuit. 2
Phone: Fax: E -mail: eAclt additional branch cvw t MINION
''LAN ItuviEN.'(1'Icase' all oral apply) M1ae.(Servi000rfesdeenot , Ivded): ■■ 2
O Service ova 225 amps commercial 0 tdealtb -c efacility Each pump or IMgaoor circle
m ar outline lighting
O Service ewes 320 atnp$4rating of 1 &2 • O Hazud ca
oaa lotion Each li 2
fatnilydvre111tlgs O Sanding ow 10,000 equate reef tour or Signal eitsvmt(a) at a limited ed energy panel.
mi
O system over 600 volts nominal _ more residential entrain one etructuft alteration. a extension 2 O Building overthme storks O Feeders. 400 amps or more J. • • • . seal ... _. _
CI Ocwpant load ever PS persons O Manufestured structures or RV pork Each additional Inspection over the allowable In any of . above:
o Egress/lightingptan O Other Per Inspection an
Submit _ sets or plans with any of the above. Invests arionfee
The above are pot applicable to ten , ' , • . construction /unlit*. Other —
Permit fee $ 1Gn' ID
m ac
Nor all jutisdiobocept erede cads, please tail Ju iadicI for more lea Notice: This pemmit app Plan review (at _ %) $
O Visa 0 MasterCard cxpirrs ifs penult is not obtained
credit nand etnaba: I / within 180 days after it has been State surcharge (8%) .... $
Eeoerea TOTAL $ accepted as complete. . .. 1 5-__. ,....)
• — Nene at andbel0er es dawns oo =Dolt cud �oc ,
C4r
S EXPIREXPIRED �oka ettnaa+e - - 440.a61S (61porCOM)
S /- - / • d�/ __ e_
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