Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2001 -00095
1 4, DEVELOPMENT SERVICES DATE ISSUED: 2/12/01
I
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
Proiect Description: Relocate paint desk to front of the store. Job #79630
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: 11 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 ELECTRICAL CONSTRUCTION CO
BY MARSHALL + STEVENS INC PO BOX 10286
ATTN: MELISSA SHAPIRO PORTLAND, OR 97296
PHILADELPHIA, PA 19103
Phone: Phone: 224 -3511
Reg #: LIC 049737
SUP 2986S
ELE 26 -45C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 2/12/01 $120.00 2720010000( Elect'I Final
5PCT CTR 2/12/01 $9.60 2720010000(
Total $129.60
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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
02/ 1 11:24 15032953012 E C COMPANY PAGE 02
•
Electrical Permit Application
Date received: Permit no•: i.?M /..Oiry 95
a.I' i'i! City of Tigard Pro ect/appl. no.: Expire date:
City of Tiijord Address' 13125 SW Hall Blvd. Tigard, OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 6394171
Fax: (503) 598 -1960 Case file no.: Payment type:
Laud use approval:
TYrh: OF PF.RTIIT •
U 1 & 2 family dwelling or accessory l } ommcrcial/industt'ial O Multi-family 0 Tenant improvement
Q New construction ' . . D Addition/alteration/replacement O Other. Cl Partial
.108 S VI V I N I I1,1TION
Yob address: i 4 $DO _ W SE dor..0 l a.." PLW3 Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: ISu vision: J
Project name:- < 1_4 pee r) Description and location of work on premises: re 10 a.+mi' pair)!- _ e.S k..._
Estimated date of corn • letion/ins • ction: • ti tip,. 0
Job no: ' . '" , Jj • Fee • Max
Business name: i On Mee • 421 0 , ' Description Qty. (ea) Total no. !nap
Address: Ste New residential -single ormalti -fau�y per
Id )t: 102 Ste d, vegin . Includes attached garage.
City: p ,i I State: 0/4 ZIP: 4 727(,, Service included
Phone, .- 44 Fax. - _ 50 f , E -mail: 1000 sq. ft• or less 4
CCB no.- ef El lie. (* •.,l�:G� Each additional 500 •. ft_ or • onion thereof
/ ✓ t, - • • us. e. no 2 S. Limited energy, residential 2
City/met no.: 6 1 9 0 •' • .• 7 Limited energy, non-residential 2
AA ; 2 1' -U/ Each manufactured home or modular dwelling •
Signature o supervising electrician roquirod) Date Service and/or feeder 2
Sup. elect. name (print): (i ' S t License no: () 4 Services or feeders— installation,
J /w L alteration or relocation:
PROPERTY OVI N Let 200 amps or less 2
. ■ / ' r' 201 amps to 400 amps • 2
401 =pa to•600 amps 2
Mailing address: 0 C.nr or l- . ► 1 N . 601 atop%to 1000 amps . 2
City: -- ri( i l e uJ 1 I QJ I State: kik I ZIP: q $ 1 R 6 Over 1000 mope or volts -. - 2
Phone: J • — - I Fax: E -mail: Reconnectonl I
Owner installation: The installation is being made on property L own Temporary services orfeeders- -
which is not intended for sale, lease, rent, or exchange according to IrretaUagon , alteration, orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps Cr less 2
201 amps to 400 amps 2
Owner's signature: . ._ Date: 401 to 600 am •s 2
ENG IN LLlt Branch circuits - new, altetotlon,
or extension per panel: •
Name: A. Fee for branch circuits' with purchase of
Address: service or feeder fee, each branch circuit _ 2
City: [state: 1 ZIP: B. Fee for branch circuits without purchase iftS5/.
of service or feeder fee, first branch circuit: I r 2
Phone: Fax: E-mail: Each additional branch circuit: • _ l 1 ■ ' • "
PLAN it1 %1' (!'leasee check all that alrplp) Mtsc . (Service or feeder not included):
O Service over 226 amps- Commercial Cl health -care facility Each pump or inigarion circle 2
O Service over 320 amps - rating of 182 Cl Hazardous location Each signor outline lighting 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, •
❑ System over volts nominal more residential units in one structure alteration, or extension° 2
CI Building over three storm 0 Feeders, 400 amps or more •Description:
O Occupant load over 99 persons Q Manufactured swCWres or RV park I additional inspection over the allowable to any of the above:
O Egress/lightingplan • Q Other. Per inspection _ I I r
Submit — sets of plans with any of the above. Investigation fee •
The above are not applicable to temporary construction service. Other —
Not all jtnisdictions accept credit cards, please call itmsdieuon for more infomomriom Notice: This permit application Permit fee $ WQ • (JO
o Visa O MasterCard expires if a permit is not obtained Plan review (at A. 95) $
Credit and mnnoer: I / within 180 days after it has been State surcharge (8%) .... $
:LOitl)
• Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
Cardholder signature Amount ., 440-4615 (6/00/C0 441
•
CITY OF TIGARD BUILDING INSPECTION `DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP
Date Requested jo l — J AM PM BLD
Location / ef ) UU SW 5: J ccG � a Suite • MEC
Contact Person �/ Tr- — ' it"-Ph SZO - 3 5 yO PLM
Contractor E C (rc; jS1 3 / • Ph SWR
BUILDING Tenant/Owner 1 ` 7 P o ELC 2 ?/ -Goo S j
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: // Q /
Slab �� e.( ° s� 71e--- 9 a i� I doi, SIT
Post & Beam
Ext Sheath/hear 7o 14 .
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ,t •
Roof
Misc: -�
Final 62Q__)
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 -
T FAIL
- ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage •
F e Alarm
Fin
. 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Z C U / Inspector E
Final
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.