Permit city TI G A R D L CTPIGAL PERMIT
PERMIT #: GAL ELC2000-00324
DEVELOPMENT SERVICES E
DATE ISSUED: 6/14/00
s -' M 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC-00500
SITE ADDRESS: 12388 SW SCHOLLS FERRY RD
SUBDIVISION: PP1993 -057 ZONING: C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: 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: SIGNAUPANEL:
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:
MCDONALD'S CORPORATION J + J ELECTRIC INC
036/0002 PO BOX 813
PO BOX 66207 ALBANY, OR 97321
CHICAGO, I L 60666
Phone: Phone: 541 - 928 -7695
Reg #: SUP 3252S
LIC 00000322
ELE 22 -3C
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT JMT 6/14/00 $37.50 0002935 Elect'l Final
5PCT JMT 6/14/00 $3.00 0002935 }P Cr.fi
Total $40.50
m
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 OUNC at (503) 246 -1987.
PERMITTEE'S SIGNATURE 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: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
i
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors EL R - Restricted Energy Permit
Roof nailing Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation Inspection Description Date Passed By
Drywall nailing Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final _ Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
J Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
CITY OF T I GA R D ELECTRICAL PERMIT
�' • PERMIT #: ELC2000 -00324
Az''lfrrtA C IA DEVELOPMENT SERVICES DATE ISSUED: 06/14/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S 134BC -00500
SITE ADDRESS: 12388 SW SCHOLLS FERRY RD
SUBDIVISION: PP1993 -057 ZONING: C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: 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+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MCDONALD'S CORPORATION J + J ELECTRIC INC
036/0002 PO BOX 813
PO BOX 66207 ALBANY, OR 97321
CHICAGO, IL 60666
Phone: Phone: 541 - 928 -7695
Reg #: SUP 3252S
LIC 00000322
ELE 22 -3C
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT JMT 06/14/200C $37.50 0002935 Elect'I Final
5PCT JMT 06/14/200C $3.00 0002935
Total $40.50
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 OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ( f ISSUED BY: )can
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
. 01/19/00 WED 17:37 FAX 503 598 1960 CITY OF TICARD la 002
Cin of TIGARD Electrical Permit Application rn1
n Check #
O
13125 SW HALL BLVD. By MOW 1 a
TIGARD OR 97223 RECEIVED Date Rec'd
/0V
Phone (503) 639'4171, x304
. Date to P.E.
Date to DST
Inspection (603) 639-4176 Print of Typ�AY 2 4 2000 Permit Si,� U. 2-x00 _bt3a
Fax (503) 598 -1960 Incomplete or Illegible p Called
�1 I T UCYiLOP1PItNT
1. Job Address: 4. Complete Fee Schedule Below: •
• Name of Development Number of Inspections per permit allowed
Name (or name of business) /Me/VA/440S Service Included: Items Cost Sum y
Address 44388 541 .Sr.4o c.C.S Freir 4a. Residential - per unit
City /Stete/Zip 14'4,21 Cie 97.223 woo sq. ft. or less _ $ 117.75 4
i Each additional 600 sq. ft. or
portion thereof $ 26.25 1
r . Commercial ® Residential ❑ L imited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor Installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
Information for COT data base?, . Installation, alteration, or relocation
Electrical Co tractor :7 i -./ r ILIC re,G 200 amps or less $ 64.25 2
Address VO . B /3 201 amps to 400 amps $ 85.50 2
City l.0 State Zip y 73.2 / 401 amps to 600 amps $ 128.50 2
601 amps l0 1000 amps $ 192.50 2
• Phone No. '//- .28- '74 .) Over 1000 amps or voila $ 383.75 2
Job No. .200 a SFS Reconnect only $ 53.50 2
Elec. Cont. Uce. No. /2 3C Exp.Dale /0 - 0f 00 4c. Temporary Services or Feeders
OR State CCB Reg. No. J22 Exp.Date en ;17-4 2 Installation, alteration, or relocation
COT Business Tax or Metro N En Dale 200 amps or less
- $ 63.60 2
`�c� --- 201 amps to 400 amps $ 80.25 2
401 amps to 600 amps $ 107.00 2
Signature of Supr. Elec'n . .. Over 600 amps to 1000 volts,
License No. . ?2.5.2 S Exp.Dat /0 -0/ QZ see "b" above.
Phone No. SLIP garY 74 95 4d. Branch Circuits
New, alteration or extension per panel
a) The foe for branch circuits
2b. For owner Installations: with purchase of service or
feeder fee.
Print Owner's Name • Each branch circuit $ 5.35 2
• • Address b) The fee for branch chculls
City State Zip without purchase of service • or feeder fee.
Phone No. First branch circuit X $ 37.60 . ? 7
Each additional branch circuit $ 5.35
The Installation Is being made on property I own which Is not 4e. Miscellaneous -
Intended for sale, lease or rent. (Service or feeder not included)
Each pump or InlgaUon circle _ $ 42.75
Owner's blgnature Each sign or outline lighting $ 42.76
Signal dreult(s) or a limited energy
3. Plan Review section (if required):* pane alteration or extension $ 00.00
f
� Minor labels (10) S t87:88
•
Please check appropriate Item and enter fee In section 58. 41. Each additional inspection over /4Z4,
4 or more residential units h one structure the allowable in any of the above
Service and feeder 226 amps or more Per inspection $ 60.00
Per hour $ 50.00
System over 600 volts nominal In Plant • $ 59.00
Classified area or structure containing special occupancy as
described In N.E.C. Chapter 6 5. Fees: •
e. Enter total of above fees $ 37
* Submit 2 sets of plena with appllcaUonrvrhere any of the above apply. po or, Surcharge (.@6X total fees) $ 3 0
Not required for temporary construction services. Subtotal ' Or $
6b. Enter 25% of line 6a for
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS ❑ Trust Account Si
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ , __ ss
l :\dstslfonnslelectric.doc
JAN - 19 - 2000 17 42 503 598 1960 P.002