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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00501 V DEVELOPMENT SERVICES DATE ISSUED: 08/13/2003 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AD -00900 SITE ADDRESS: 14800 SW SEQUOIA PKWY SUBDIVISION: ZONING. I -P BLOCK: LOT : JURISDICTION: TIG Project Description: JOB NO. 934081 -767 Tenant Improvement, work located above check out 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: 0 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 WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 6 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: HOME DEPOT USA INC CHERRY CITY ELECTRIC BY MARSHALL + STEVENS INC 8100 NE ST JOHNS ROAD D -104 ATTN: MELISSA SHAPIRO VANCOUVER, WA 98665 PHILADELPHIA, PA 19103 Phone: Phone: 360 - 571 -4411 Reg #: ELE 37 -620C LIC 91668 FEES SUP 3486S Description Date Amount Required Inspections [ELPRMT] ELC Permit 08/13/200: $161.75 [TAX] 8% State Tax 08/13/200: $12.94 Ceiling Cover Wall Cover Total $174.69 Elect'I Final 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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1 -800- 332 -2344. Issued By: Permit Signature: 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 SRVICE SALEM 5035408147 04/20 '01 12:00 NO.214 03/03 ° C,rE 1/4.1Ly OT iiga Q f01 nn ElectricalPermit ApplicatzoII Date received. 1' Teg a I �:'. -i!�� City of Tigard lircjacs1appLna.: —,, in Expire date: _ CrryofTigard address: 13125 SW Hall Blvd, Tigard, OR 47223 Date Issue& w ar Receipt no.: Phone: (503) 639-4171 . Fax: (503) 59g -1960 Case the em_ Payment type: • Land use approval: - • • Drl Or rEinur O I & 2 fondly dwelling or accessory C3 Commeteial/industtial 0 Multi- family 0 Tenant improvement 0 New construction 0 AdditIonfalreraticereplacement O Other _ ❑ Partial Trl?B SITE li\fOILivI 17701 11.E Bldg no.: Suite no: Tax - • to lot/amount no.: IleallIIIIM : kick: RC.' ' .1" -,. t1\ swore — Desctiptidn and location of work on _, •• - . / 1 1 • .. ____ Estimated dare of co • , letion/iins • - • oa: ,......" , - ' , . / i 21 (OT4R ACTOR .AI']'LICA - 110N. FEE C IEf UJE tif. 1 � lox Bvsil)e6S name: • ,- Cl Electric i ' Tonal no. �lasv Address: : 03 NE- St Johns load ate D-l0 . Ctty: 'anoouver Stare: WA ZIP: 98665 Seawkoatritufeth Phone: 1 .C.TiVe:31 1 11 r.'.IZi4ee4[1 _ moo , ft. or less CCB no.: • 1668 Elea bus. Iic. no' 37 -6200 aril adds Toad 500 ft or • • • n Therms �� � _ Limited enemy, testa mat MiiiiMM 2 metro, - 1 j•;mitmmcrgY.non- nsideawoa __ 2 `1i� i , / 4: !ILO Barb m®ofmurtd horse or modular drliing Si.. , ( , o ' AY. isinG e l e c e itiaa (re • uir d) Dal Ser•ira onmarfmier ■� 2 Sop,. elect. name (pclntx John Orton License teat 3486 5 see. ariort o reedeea_tlb�+ll�oo, al tes IIII■ siiea re t do o Qua — Y- RoFER1 -O�1 NEi— - - - -- emu : • • orbs 2 Name (ptin r• P__-1 ■ • 3 ( 201...... e400 $ MIMI Z Mattis_ add - - 401 : -• -, to 690 • Mme_ 2 601 to 10t0 MOM r 2 . _ Ste: zip: Ove1000 .•... sorvolts __ 2 Phone: Fa.= Email: Vermont= • • MIIIIIIIIMIIIIE© Owner installation: The installation is being made on prvpczry I oven Temporarylotuleer screed= • Which is not ins endad lease, for sale. le rent. or exchange according to snalIett,oll fion,orr °iO1tiO • ORS 447, 455. 479, 670, 701. zoo oriss 2 201 ,irapsm400airipa MEM _ a • Ownds signature: Dale . - 401 to 600: • . 111.11111111 _ 2 ENG { Beandianmies- Dew,alter+Aon, Name: - - _ al mama= per paock• A Fen for broach en' cans with purchase of II Address: savior or feeder fee, cede barge circuit 2 Cl State: - ZIP: B. Fee for branch dromtp Wl4►eUt purchase Phone- Fax: E-mail: of aavid or fee desfee. fits branch drmlt Li1o. . • Y: ,J• .1. .,, • _ I ,5•• 0 / Itiriar•/t - • I LAN I1E's 1E% 4rlc> i r :tit 113:e1 I•I.I 0 Servimover 225ampe.aptpnetdal 0 Ilastdf nsfadUty ' �� Z 0 Ser+is aver 320ampsisfingof l&2 �o 0 ii+doosloeuion , Ea=signorm mane '_r 2 throllydwciUaga 0 Building ara 1o.WQ Nam teetfoer Signal oixme [s)orulimicodatcrbyp®el• lillM r' � 0 SysiemoverGODvoi snoeninal morn tmidontial mils in one =aarn altemtion.orestereon• ❑ Building aver three ato 1 uS ❑ Fecdcts 403 imps or more 9 .: - . O C mupantloadover99aumanx 0 M.mufxn>Rd=roan=orRvpark O Esiltghdngplan Cl Other. Subedit _____ set; of *as with any of the a6ine. L,veati 'coke The abrtie are net applicable to re nposaay constructiku im!i - Other Ifs ea bitisGhaia s cas=t a mlit exQt ply cat f eeieteim tar ma,. vEamabav_ 1401:1= Z s pens& upplicazion Permit fee._ .. ... ..... ...._. $ � _./ . 0 Viso 0 Mss erCord aspires if a permit is not obtained Plan =view (at , p) S ctesDi =at =at= —...-1----1.-:,— •within 180 days after it has been Stale surcharge (a%) .. $ 13, 9 LI 14� �otax BA dams ea caesst "rd as complete. TOTAL ............. .......__ $ 174 (eft — S • • / CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503.) 639-4175 INSPECTION DIVISION Business Line: (503) 639 -4 MST BUP Received Date Re nested $ I AM PM BUP Location cfgo d Suite . MEC Contact Person Ph ( ) 6 0 8"' T? LAS PLM Contractor � _ Ph ( ) SWR BUILDING . Tenant/Owner °`� Y''Le ELC 3 — 00-Co 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 (7..-2 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 in` ❑ Reinspection fee of $ required before next inspection. Pay at City . Hall, 13125 SW Hall Blvd. • PART FAIL SITE D Please call for einspection RE: Q Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date �� Inspector ! Ext Other: Final DO NOT REMOVE this inspection record from_ a job site. PASS PART FAIL