Permit -A CITY OF TI G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00107
A. -"I � l � � DEVELOPMENT H O PMEN� r S O ERV SERVICES
639 -4171 DATE ISSUED: 2/23/01
PARCEL: 2 S 103AD -02300
SITE ADDRESS: 10880 SW PATHFINDER WY
SUBDIVISION: PATHFINDER ZONING: R -4.5
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Installation of 1 branch circuit.
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: 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:
CECCACCI, TRACE & GAILA OWNER
10880 SW PATHFINDER WAY
TIGARD, OR 97223
Phone: 503 -639 -4768 Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 2/23/01 $46.85 2720010000( Elect'I Final
5PCT CTR 2/23/01 $3.75 2720010000(
Total $50.60
•
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 -1987.
____W
PERMITTEE'S SIGNATURE 7-�� 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: r4. -- DATE: 2 72- 372
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
02/05/01 MON 13:31 FAX 503 598 1960 CITY OF TIGARD I_j00
Electrical Permit Application
Date received: x/23`0 / Permit no.: tie Z00 /440 107
_! 1'l{ City of Tigard Projectlappl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By no.:
Phone: (503) 639 -4171 .
Fax: (503) 598 -1960 • Case file no.: Payment type:
Land use approval:
I TYPE OF PEIEIIIT
ciWi & 2 family dwelling or accessory 0 Commi. rcialIndustrial 0 Multi - family 0. Tenant improvement .
0 New construction 0 Addi tics/alteration/replacemetit U Other. ❑ Partial
I JOB SITE INFORMATION
Job address: ion(' SW At ft, 'nder way_ Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: Subdivision:
Project name: . I Description and location of work on premises: a4 I 6Pasd cirrit/I . -Ar bpi iii 6
Estimated date of completion/ins , • tion: Z 2 , 0
CONTRACTOR APPLICATION FEE SCHEDUI(.E
.lob no: Fee Max
Business name: 0 14//1f r Description • Qty. (ea.) Total ao.lnsp
New residential - single or maltMamily per
Address: dwellingtmiLIncludesattachedgarage. •
City: • I State: I ZIP: Servlceindude&
_ Phone: I Fax: I E -mail: _ 1000 sq. ft. or less 4
CCB no.: I
Each additional 500 sq. ft. or portion thereof
Elec. bus. lic. no:
Limited energy, residential 2
City/metro lic. no.: .
ty Li mited energy, non- residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): License no: or feeders
PROPERTY OWNER alteration or relocation:
,, 200 amps or less 2
Name (print): Tr a C t C n e CC a ct i' 201 amps to 400 amps 2
Mailing address: 10 Mkt I SW Perth A fr 4/ 401 amps to 600 amps _ 2
,' q r a( State: 0 (Z ZIP :1 yL Over r 100 amps ps amps 2
City:
T y I ( 7 3 • Over 1000 amps or volts . 2
Phone:' oa, -6;4 -1176 A Fax: co; - -9yg #E -mail: Ce • ce uQCC 1 � Reconnect only 1
Owner installation: The installation is being made on •iroperty I ownitfic, Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange: according to CO" installation, alteration, orrelocation:
ORS 447, 455, 479, 670 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Daze: Z ZZ Of 401 to 600 amps 2
i Branch circuits- new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: • . service or feeder fee, each branch circuit 2
•
City: State: 2$P: B. Fee for branch circuits without purchase ) y6 ` y6 gS
Phone: Fax: •E - mail: of service or feeder fee, first branch circuit: 1 i 2
Each additional branch circuit:
PLAN REVIEW (Please check all that apply) M1sc . (Service or feeder not included):
CI Service over 225 amps-commercial 0 Health -care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1&2 0 Hazardous location. Each sign or outline lighting 2
familydwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential to its in one structure alteration. or extension* 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured stru:tures or RV park Each additional Inspection over the allowable in any of the above:
O Egress/lightingplan 0 Other
Perinspectiori ( 1 I i
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary contraction service. Other
Not all jurisdictions accept aedit cards, please call jurisdiction for more infamalion. Notice: This permit application Permit fee $
0 Visa 0 MasterCard expires if a permit is not obtained' Plan review (at _ %) $
Credit card number. • / 1 within 180 days after it has been State surcharge (8%) .... $ 3,7C
&pires accepted as complete. TOTAL $ 5 e 6 o
Name of cardholder as shown on credit card
Cardholder signature Amornt
440 -4615 (6l001COM
/G,o}1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 7Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �✓ AM PM BLD
Location / O 9& sw �� /h A^ Suite MEC
Contact Person Ph 631 4 /77 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 2e4/-0 U /O 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear •
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL /V n
PLUMBING
Pos
r S Beam
U ab 2 ' � 6 7 PM
ndr l
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
T FAIL
.ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line lease call for reinspection RE: A Unable to inspect - no access
ADA
Approach /Sidewalk Date 3 - ,29- CLAIr4•Lf. 6 l Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
c z/�
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
3 BUP
3
Date Requested - 3® AM PM BLD
Location /0 egO Sw QG id-.._ w
Suite MEC
Contact Person Ph 5 - y y,li f' PLM
Contractor CDl.v nl Ph SWR
BUILDING Tenant/Owner ELC &U/ — GU /U 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam /
Ext Sheath /Shear /
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler Ile 7" —
Fire Alarm
Roof Ceiling
Roof /
Misc: / h 4 4. S , C'
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
EL •
Service
G /Slab
Low Voltage
Fire Alarm
Ofill PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] 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: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D 3 3 ' o/ Inspector Other iy121 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.