The URL can be used to link to this page

Permit CITY O F T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2002 -00432 In DEVELOPMENT SERVICES DATE ISSUED: 8/30/02 - J 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134BC-00300 SITE ADDRESS: 12220 SW SCHOLLS FERRY RD SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical service for monument sign connection. 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: 1 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: GREENWAY TOWNE CENTER CAPITOL ELECTRIC CO INC 12220 SW SCHOLLS FERRY 12810 NE AIRPORT WAY UNIT 1 PORTLAND, OR 97230 Phone: Phone: 255 -9488 Reg #: LIC 048748 SUP 3132S • ELE 26 -496C FEES Required Inspections Type By Date Amount Receipt Rough -in PRMT CTR 8/30/02 $121.85 2720020000( Elect'I Final 5PCT CTR 8/30/02 $9.75 2720020000( Total $131.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 .6699 or 1 -800- 332 -2344. Permit Signature: Dti /9-Afpze',4 j -7 OA / Issued By: 0‘.59).7247eJ-1- 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: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day '? Electrical Per • , ^ � n 7 ;, , OFFICE USE ON Ll' Ir-1 ° 1 . �. Date received:? zero Permit no.: ,/ 2 -iQ 32 "`� Projecdappl. no.: Expire date: Aj City of Tigard Date issued: Receipt no.: rifu CITY OF TIGARD Address: 13125 SW HALL BLVD, TIM CID, 6 9 Case file no.: Payment type: Phone: (503) 639 -4171 Fax (50198i126Q� �i4 qn Land use approval: 3 LD C DIVISION TYPE OF PERMIT ❑ 1 & 2 family dewlling or accessory ❑ Commercial /industrial ❑ Multi- family ❑ Tenant improvement In New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORNIATION Job address: 12220 SW SCHOLLS FERRY City: TIGARD _Bldg. No.: Suite no.: Tax map /tax lot/account no.: Lot: IBlock: N/A I Subdivision: Project name GREENWAY TOWN CTR. (Description and location of work on premises: MONUMENT SIGN CONNECTION @ NORTHWEST Estimated date of completion /inspection: Job no: 22 -1110 Fee Max. Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp Address: 12810 NE Airport Way New residential - single or multi - family per City: Portland State: OR ZIP: 97230 - 1029 dwelling unit. Includes attached garage. Phone: 503- 255 -9488 (Fax: 257 -7121 IE -mail: darrell@cepdx.com Service included: CCB no.: 48748 'Elec. bus. lic.no: 26 - 496C 1000 sq, ft, or less $ 145.15 4 City /metro lie. Each additional 500 sq. ft. or portion thereof $ 33.40 8/26/02 Limited energy residential $ 75.00 2 Signature of supervising electrician (required) Date Limited energy, non - residential $ 45.00 2 Sup. elect. name (print): Richard Martin License no.: 2865 -S Each manufactured home or modular dwelling I'ROI'ER•I OWNER Service and/or feeder 5 90.90 2 Name (print): Services or feeders - installation, Mailing address: alteration or relocation: City: I State: IZIP: 200 amps or less $ 80.30 2 Phone: Fax: IE - mail: 201 amps to 400 amps $ 106.85 2 Owner installation: The installation is being made on property I own 401 amps to 600 amps $ 160.60 2 which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2 ORS 447, 455, 479, 670, 701. Over 1000 amps or volts $ 454.65 2 Owner's signature: Date: Reconnect only $ 66.85 1 ENGINEER Temporary services or feeders - Name: installation, alterations, or relocation: Address: 200 amps or less S 66.85 2 City: State: ZIP: 201 amps to 400 amps $ 100.30 2 Phone: Fax: E -mail: 401 amps to 600 amps $ 133.75 2 PLAN REVIEW (Please check all that apply) Branch circuits - new, alteration, ❑ Service over 225 amps-commercial ❑ Health -care facility or extension per panel: ❑ Service over 320 amps- rating of 1&2 ❑ Hazardous location A. Fee for branch circuits with purchase of family dwellings ❑ Building over 10,000 square ft. four or service or feeder fee, each branch circuit $ 6.65 2 ❑ System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase ❑ Building over three stories ❑ Feeders, 400 amps or more of service or feeder fee, first branch circuit: 1 $ 46.85 46.85 2 ❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: S 6.65 ❑ Egress /lighting plan ❑ Other: Misc. (Service or feeder not included): Submit sets of plans with any of the above. Each pump or irrigation circle $ 53.40 2 The above are not applicable to temporary construction service. Each sign or outline lighting $ 53.40 2 Signal circuit(s) or a limited energy panel, alteration, or extension* 1 S 75.00 75.00 2 'Description: DATA TO SIGN Each additional inspectionover th allowable in any of the above: Per inspection I I $ 62.50 I I Investigation fee Other ❑ Visa 0 MasterCard Permit fee $ 121.85 Credit card number: / / Notice: this permit application Plan review ( ) $ Expires expires if a permit is not obtained State Surcharge 8% ) $ 9.75 Name of cardholder as shown on credit card withing 180 days after it has been $ TOTAL $ 131.60 Cardholder signature Amount accepted as complete. .,s CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP Received Date Requested /0! , AM PM BUP Location / 2 2. 2 (7 S o f( t x Suitte MEC Contact Person R �h Ph ( ) ' J / I2 — 3'A 3y PLM Contractor c p E -i --i*. Ph ( ) SWR BUILDING Tenant/Owner ELC — nv Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: k O66 SIT Post & Beam C S lei ✓> i i2G Shear Anchors j �o��, t ��, (c)-viP/ X A4 Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final Ilk A PASS PLUMBING FAIL aFriffillirrM117 �� `Jib _. Post & Beam W 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 Ro� Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA n ! Approach/Sidewalk Date (l) '—�� Inspector . t L4y(/ Gi) p Ext Other: V Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION Business Line: (503) 639 -4171 MST - • / BUP Received _ Date Requeste � !� AM PM BUP Location tide MEC Contact Person., Ph ( ) //D 3 33 f PLM Contractor ( .c I E7Fe'r' c Ph ( ) SWR LL ?, BUILDING Tenant/Owner ELC - , 4 1 C ) 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 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof , • Other: - - - a • - _ - 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 ELES3ICAL Rough -In UG/Slab Low Voltage Fire Alarm PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Sf 1r El Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date 2 L l P r-`- Inspector _ S Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART . FAIL