Permit •
CITY OF TIGARD ELECTRICAL PERMIT
/W,,, DEVELOPMENT SERVICES PERMIT #: ELC97 -0838
�� �I�'�' DATE ISSUED: 12/24/97
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171
PARCEL: 25110AB -00200
SITE ADDRESS...:14357 SW PACIFIC HWY
SUBDIVISION -CANTERBURY PLACE ZONING:C —G
BLOCK • LOT •1 -3 JURISDICTION: TIG
Project Description : Installing first branch ciruit and three add'1 circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 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 • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 3 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
SUE KIM type amount by date recpt
14357 SW PACIFIC HWY PRMT $ 50.00 DRA 12/24/97 97- 302042
TIGARD OR 97224 5PCT $ 2.50 DRA 12/24/97 97- 302042
Phone #:
Contractor:
GALLAGHER ELECTRIC $ 52.50 TOTAL
2895 NE DIVISION
PO BOX 70 REQUIRED INSPECTIONS
GRESHAM OR 97030 Ceiling Cover Elect'l Service
Phone #: 666 -8816 Wall Cover Elect'l Final
Reg #..: 000528
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 .et forth in OAR 952- 001 -0010 t, 0'R 952-001 -1987. You may obtain a copy
of these rules or direct questions to 0 . al ng f a 246 -1987.
Permittee Signature: I a _ Issued :•y: / [/! /// -gin
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 INSTA LATION ONLY
SIGNATURE OF SUPR. ELEC'N: , o_ 14 l 0 i9- -✓`- DATE: /PN'tc1
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + ++ + + + + + + + + ++
12 - 22 - 97 11:26AM GALLAGHER ELECTRIC P01/ **
CITY OF TIGARD
13125 SW HALL BLVD. Elec t r ical Permit Application Plan Chock M
TIGARr) OR 97223 iisad frv,
03) 639.4171, x:04 d 1L
LT V _•• _.
In .'r r: `fir..n (>03) 639 -417!i
Print or Type
hate to p.E.__
r
( sA4 -7297 Incomplete or Illegible will not be accepted Halo to r,eJT
Permit a _4l � j_ i6t e
1. • rota Address: -- . Called
•
4. Complete Fee Schedule B _ l
r I -„ i ., ..1 C ► pvelol�ment ; U( � t' OW:
Number of Inspections per permit
I /prof of I'Iarrrn. of
•
allowed ! %,,W.. - ' — r
� Serolce Included: Items Cost !turn
,rlrlli,�� L ' 1. _.
1 r 4a. Residential per unit
.... 4,,.
low sq. fl. or less
r t rlrr�lcar i�1 / Each aAdttipnal500 r - - $f 1n 0t) _.�
Residerltlnf El a. t or 4
Donlon regrew limited Energy - • - • $25 •.`0
���• Contractor Each Manufd Ffome or Modular — t2s r o I
j Installation only:
Dwerflny Service or F9pdw
• (,4„0,1, copy of elf current ficnnSes) $6P (.n
_
i •Ir‘r Itlrt+l C;olltractot �� _ 4b. aervlcee or Feeders
S • - �j [, C , Installation, erleralion. or relocation
IN • 19'm .. State_ ) _ _ or Ass
r' f,r • +• r.t L f - ....zip r) "l /> 1�+ 20t amps to 400 antes - $60 r'0
. rn 1, No 5135,T__. C . NCI �.., _ r-- • - _� d01 amps to 600 amps .--._ $11o. t . n _.
Q 7 �` 801 an,pa b 1 o0t) env; - VIM , n On n _ `
-_
floc. . 1 ';r'tlt. t_ic�. Nn. over ttlOQ amps or vONs - f1e!) 00
On State GCB R �° 3..G Fxp.f)atr /NAM Reconnect only
$340.00 -'-
O n ► tale GC Reg. No _ Exp.Oate . j 4c" = 1,50.110 t 3 TAx or Metro No. E xp, D a te i • 4O ' TQ^ pO 1 arr Services or Feeders
j C� Installation, alteration, or revocation
2
i yn
Sign of vU 1r,
200 a mps or less __
G E;fer_'n to amp
L t 201 ernes a5A.r7
' • 1 it n• t¢o tin. 3 ,(� �C — — 401 amps to 600 arnF•} $75.00
�Itc rly - F: xp.f) s�tp ! O O va r' 600amptto 1 rent. 410rI
r PJr.,._ - see ' b"
above.
71). For owner installations: - - - 4d. Branch Circuity
New, alteration or e,nzl,slon par p.11101
I'M, t )yvnpr,a tVArttR al The fee for branch circuits with
purcha,rs of s.rvrc. or
hr"r li es : _ /eeQer tae.
•
r 'I T Y .. _,. � Each branch rirrutt E5 C`!r
State._ - zip b) the 19e for brarx h c1,rurt�
_ rHthOUt purthase of
servka or leedar lever, I
IN" itt :tallgtinn IS being mr3dr. nn PrnrRrty f overt which 18 not First branch circuit - -,:'- c ^t -'
Each additional hr
irrlgrvled for sale, a„r..h circuit $5:53,50r( ∎•1 -_J -.) 19059 or tent.
I eisvo -r';; SiwiaturA - _ •_- _ _ . _.. .. .. . - ....` 450. Miscellaneous
(Service Or leader riot , IIctudpd)
E9UIr pump 01 irrl9atr�n circle Sa r.
3. plan Review section (if required):- Each Alan or outline rightioo 0 0 - • - •• -. 2
8lgnef clrcuil(a) nr a limited energy tan or) _
Itloaeg check appropriate Item a panel, aNa►atlun or (monition Sett or)
4 01 more residential units In Due structure ' ee In 9 @Otle7tl S9. M inor Labels _
(t01 -
StOn.trn
_
. . 4 C rn owl feeder nc amps or more 4 1. 114eh additional Inspeerlon over
System over 600 v0115 rtor iirtal
the allowable In any of the above
a•: rleAcribed in N.F.C. Chapter 5 9 special occupancy Par inarreoffon
E35.
Pqr Hour 1'9
fn Plant ;5` (No '�trbrtrit 2 .eta of plans with application where any of the above apply. 5. F - - S55 nn = -
t,Irwd tor cnnatructinn cAry y Fees:
ices. 6e. Enter total of ahoy fee n
r' rnr ��)
Nc�'ncF
3% Surcharge 5 - � C gar
harge (.A5 X total fees) S
I'E I? ,tr "I t Subtotal �� _ -
t EGUr�E VOID IF WORK OR CONS f RUCI ION AUTNORIZt?O lg Sb. Enter 23% of line See for $
Plan Review if required (Sc. e3) 9
r jr .I r;' 1 kiEl ICED WI t klr4 180 DAYS, on IF CONSTRUCTION OR WORK
'1 :•�r•EI•tC,Et7 OR Alt
4 NUONEL) FOf4 A PE14101) OF 180 nA ANY
VS AT Subtotal
SZ'
I lr" `I I rrt nrtic IS cnmm NcFn g ---
0 Tnrst Account a _
1N Total balance Due $ ...Z
.. ........ _. . .- -_ -- - Jam ,
1/25/00 Activities for Case #: ELC97 -00838
4:16:41 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 . To Done By Disp. Level By Updated Notes
ELCC001 Application received . 12/22/97 TER RECD BON 12/24/97
ELCC003 Permit created 12/24/97 B DONE BON 12/24/97
ELCC799 Electl Final 12/26/97 BRP FAIL _ B'P 12/26/97 Supervisor Electrician mmust
sign permit label.
ELCC117 DST Post - Review complete 12/24/97 B DONE BON 12/24/97
ELCC400 (F)Ready to issue 12/24/97 B PASS BON 12/24/97
ELCC500 (F)Issue permit 12/24/97 DRA DONE DST 12/24/97 •
•
ELCC799 Elecil Final 1/1/98 12/30/97 BRP PASS J *H 1/1/98
ELCC800 Case Finaled 12/30/97 BRP PASS J'H 1/1/98
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Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: /. -`) Ci ` CI 7 CL F' 3
e9
A.M. (-- P.M. MST:
�/ _ /
Location: � J1 �C� - � I�t- / '/'Yl �rXiC/1_. �CC/L • I y " 3.5 7 S ,� / Ct < / �� .
Tenant: (�C- l j.'C- 1.."(y., S ( GZ j /
�' / / �- Suite: Bldg C:
Contractor: (.�L / ��',/� I� A Phone: _3/ (; — PLM:
U � p 3 (y
Owner: / ' L 7 / Phone: ELC: c / 7- 6 .3 (1
C'7�- . f % f 4 6U/ Q 4140 ELR:
/ A-L C.0 SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICALS SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
•
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved oved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved No - ved Not Approved
FINAL FINAL FINAL , INAL � FINAL
//104- 1— — O l<
(-**--( C...)-- - .
O Call for reinspection Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: l —(30 ` g P Page of