Permit A - CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00097
•
01 DEVELOPMENT SERVICES DATE ISSUED: 3/8/02
" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S110DB -00703
SITE ADDRESS: 15348 SW PACIFIC HWY
SUBDIVISION: WILLOW BROOK FARM ZONING:
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Install branch circuit for sign.
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: 1
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:
SFP -B LIMITED PARTNERSHIP NEW TECH ELECTRIC
1015 MADRAS HWY 6950 NE CAMPUS ST
PRINEVILLE, OR 97754 HILLSBORO, OR 97124
Phone: Phone:
Reg #: 60-64$1-8600
SUP 2113s
ELE 26 -418c
FEES Required Inspections
Type By Date Amount Receipt Elect'I Final
5PCT CTR 3/8/02 $3.75 2720020000(
PRMT CTR 3/8/02 $46.85 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 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 ordirect questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: a , c o Issued By: 1 L ex
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: C r� -�-� DATE:
LICENSE NO: 2 \ 3 c
Call 639 -4175 by 7:00pm for an inspection the next business day
03/06/02 WED 14:46 FAX 503 648 3131 NEW TECH ELEC 0 001
:iij .
• Electrical PermitApplication
• - - Datereceived: 8 o Permit no.: F2cdoo 1 -o d ti:), 7
•: = T g
t 1l City of Tigard Project/appl.no.: Expire date:
Ciry of Address: 1312.5 SW Hall B R ECEIVED Datciissued: By: 05 [Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval; - MAR 0 6 2002
O 1 & 2 family dwelling or accessory )(C omrncrcial/iadustrial ❑ Multi-family CI Tenant improvement
CI New construction 0 Addition/alteration/replacement O Other. ❑ Partial
- JOB SITE IWTORA1ATION '
Job address: 1SV4e & {Lai VIrLo , Bldg. no.: Suite no.; Tax map/tax lot/account no.:
Lot•. 'Block: Subdivision:
. Project name: I Dcscri( tion and location of work oa premises: ( iC
Estimated date of completionrmspection:
CONTRACTOR APPLICATIO,
Job no: sri Ai Pee Km
B name: New Tech Electric Description Qty. (ea.) Total n I
New re tdmtisl - single or Rudd-family per
Address: • 1 5O IN t,,CatilaLSI.Obl dwewngun unelud6'aoached
City: Hillsboro StatelOR 21P 97124 Seriaeloclule&
Phof33- 64B- 19007Fak48 -3131 E -mail: 1000 sq. h. orless • 4
CCB no.: 41868 10/1,5IC lElec. bus. lic. no 26 -418C - EoCh eddi e r g y,r side tt°rp°rton
Limited energy, residential 2
/i OZ
City/metro lie. no.: 10 Limited energy, oontsddendal 2
(/ /0 , o Each manufactured home or modular dwelling
Slgnatwe of supmvining elearlclen (required) Date Servrce and/or feeder 2
sup. elect nun* (ptina:, _ , +/ l �. �i.Li lysmseno: l gS Services or feeders—Installation,
alteratloa or relocation:
1'I(OPERTY OWNER 200 amp orless 2
Name (print): � c 5 ' W t1� -r1 IQ, L. Q.n 4.r 201 amps to 400 amps 2 -
401 amp6 to 600 amps 2
Mailing address: 4 534 g so PG.C4 Ir�w 601 ampsto 1000 amps 2,
City: T; vt. State: D LJ ZIP: r] a s d - Over 1000 amps or volts _ 2
Phone: et a % ' Fax: 9lo5- O % I E_rnaili Roconneetonly _ 1 _
Owner installation: The installation is being made on property I own � Temporaryservices Of feeders
which is not intended for sale, lease, rent, or exchang: according to lnslallafiay alteration, orrelocation:
200 amps
ORS 447, 455.479, 670, 701. to o 400 2
201.mps 00 amps 2 -
Owner's Signature: DPie: 401 to6aoampa - Z
' ENGINEER IIIIIIIIIIIr ih embeircults- new,alteptia
or extension per panek ,
Name: A. Fee for brooch circults'with purchase of
Address: • • service or feeder fee, each branch circuit 2
City: FState:: J: edP: B. Foe for (ranch circuits without purchase A , - gs � w fic
of service or feeder fee, first branch Circuit: 1 Lite k) 1
Phone: Pax: E . Each eddigotml branch circuit: .
• PLAN REVIEW (Please check all tli t apply) Mice. (Service or feeder not Mehl ded):
O Servlee oves225emps•commercid 0 Realth-mot facility Each pump or irrigation circle 2
. 0 Service over 32o amps-rating ofl&2 0Ka:udousioraacn Each sign or outline lighting 2
family dwellings O Braiding over 10,300 square feet four or Signal cuont(s) ore limited energy panel.
O System over600 volts nominal more residential units in one structure alteration, or extensions _ _ 2
D Building overuaee stories O Feeders, 400 amps or mom • ametipdoo: .
O Occupant load over 99 persons 0 Manufactured sin axures or RV park Each additional Inspection over the allowable in any of the above: .
o Egressnigluingplao O Other. Perimpmrion
Submit _ gets u(plans with any of the abore. -Investigation fee -
Tbe shove are not applicable to temporary cansti action service. _ Other
Not all juriadcticee aavpt omit rands, plane call juriadaim for more INS amnion. Notice:'Ihis permit application Permit fee • $ fi r. '
O vies O MasterCard expires if a permit is not obtained Pl an review ( at — CO $ -
Ci It card rumba: / / within Igo da s after' . as been State surcharge (896) .... $ 13 . 1
PapJrs as cum . eta. OTAL $ 5n' I� 0
Name of cardhotdrr as rSeaa, as Credit eyed
s Tit Account ft 41868 -
e[gnature Amcof • 440.4615 (600/COM)
CITY OF TIC3ARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 3 r AM PM BUP
Location / 3 /4 Suite MEC
Contact Person /(,� Ph ( ) 7(09 937 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 2 '6
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall F1 t \ b iJ s `
Fire Sprinkler r
Fire Alarm
Susp'd Ceiling
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
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
41
FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line I
ADA a
Approach/Sidewalk Date Z Inspect . �/ ' .a.. �. I Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL