Permit ` 4 CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00199
ar DEVELOPMENT SERVICES DATE ISSUED: 4/23/01
44- •rt. �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 •
PARCEL: 1S136CB-04400
SITE ADDRESS: 08500 SW SPRUCE ST
SUBDIVISION: ZONING: R -7
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of Service or Feeders 200amps or less. 06 -2352
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
JAPANESE INTERNATIONAL BAPTIST CHERRY CITY ELECTRIC
8500 SW SPRUCE ST PO BOX 12668
TIGARD, OR 97223 SALEM, OR 97309
Phone: Phone: 503 - 399 -7609
Reg #: ELE 37 -620C
LIC 91668
SUP 1388S
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 4/23/01 $80.30 2720010000( Elect'I Final
5PCT CTR 4/23/01 $6.42 2720010000(
Total $86.72
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 workis ribrstarted within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to rules adopted lithe Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You y obtain copies of these rules questions o OUNC at (503)
246 -6699 or 1.800- 332 -2344.
Permit Signature: X 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:
CONTRACT • R INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: �� �' I ' o � DATE:
LICENSE NO: (3 (�U/J
Call 639 -4175 by 7:00pm for an inspection the next business day
CCE)ERVICE SALEM 5035408147 04/20 '01 12:00 NO.214 03/03
%.qty or risara Zoo2 r Electrical Permit Application
D atereceived: il a3 0, eearnieno.: t...:kd /mo /qg
•
,, j_"''' City of Tigard eroject/appl.00.: Expire date:
CltygfTigard Address: 13125 SW Hall Blvd. Tiga OR 97223 Doteissaad: B)r. I Receipt no.:
Phone: (503) 639.4171 •
Fax: (503) 598 -1960 f As file an.: Payment
Land use approval: , .
TYPE Of rERMI r
0 1 & 2 fondly dwelling or accessory 0 Comenereial/industrial 0 Multi-family 0 Tenant improvement
0 New cotlsnuc ion 0 Addition/alteration/replacement 0 Other _ 0 Partial
1OR SITE INFORMATION
Job address: 8500 s Tigard, OR Bldg. no.: Suite no.: Tax map/rax Iodaccount no.:
Lon 'Block: I Subdivision:
Project name: Japanese Intemationa Descr ipt1dn and location of work on premises
Estimated dare of co,. Jeflon/iins. - don:
CONTRACTOR AI'1'LICA JON FEE .SCII
Job no: 06 -2352 e Fee Kix
Business name: Cherry City �CtL'1C in Q4'• (m) Total _ no. iasc
Neweelidenrel -si gieorbdGEatdkper
Address: P.O. Bole 12668 _ dnetllagsit Leeh+dmseloebel garage.
City: S `Sane: 0R IMP: 97309 sarvitwadaaad: .
Phone :503 - 566 -560 Fax:503- 540 - 81447E -maid . 1000 sq. R. or less 4
CCB no.: _21668 I Elegy bus. lie. no: 37 -6200 • Each addetioaat 500 sg. ft or pour00 thereof
Ltaaired energy. rrsideatbd _ 2
metro no ' Limiaed .a®- uaiduui4 -, Z
/ `�
_412.3/01. Baca manafoaand hareem modular dwelling
Sign= supervising daeaician (required) Data S°'iotandlorfeeder 2
Sup. eiect name (Ora John ottai Liemsera: 5 Sergi/imam foaat:owI quallairma,
altaali000rrelocation:
7.00 amps se less 1 . 80.3C 2
Name (print): ! 201 amps to 40Daaspe t
Marlin addzeas aol m 600 turps 2
!� _ • 601 news to 1002 s 2
Cigr I smote: IMP: owe- loon WW1 or volts 2
Phone: I Fax: I E-mail F�naceSaaly I
Omer installation: The inlataliai£on is being made on property I awn s empararyservirei sr feeders - '
Which is not intended for sale, lease, rent. or exchange a hotting Co ' " adi06 ' °Crel0°t4O " °
ORS 447, 455. 479, 670, 701. arias 2
201 amps to 400 amps 2
Ownds sigrI lire: Dal= 40I to 600 arups 2
_ I:hz-du ei>ms� _zeiv, alter -eon.
OT e>aratgea p r j d
Name: , , A, Fs for booth cirmias tint purchase of
Address: , sa ri:e or feeder fib sash breach circuit 2
(ice I State: - I ZIT+; B. Fee for brain circuits WMtait purcbsoc
Phone F $ mi l ; : ofseri¢ feeder .ileabranchdrmlt 2
Eachaddttioud breach circuit
11I'ae.(SeRIcr off not Wailed):
0 Scrvim over225 anape epAunerdal 0 Haahlczefadllq ' Etch pantoriaigazion circle 2
0 Ser.ice aver 320 amps - acing of Ida 0 Hazardous )oonon ', Earn sign or aniline lighting 2
slimly dwellings 0 Downs ova 10.000 acme reel fwr ix- SiFpal ifs) or • rim mar/ pone 1.
0 Sys ,em over 6mvoltznornirutl morc=War:oalanllslaorecsan®re alteration,orexamsson 2
0 Banding over three stories O Fun. 400 autpsorm:re •Thcatiripdar
000.vpaatlood 0 ManolSearRd:vo cmesorRYpai: Etch addiaoml Bellolt over the allowable In
O agraslightingplan 0 Otter
&mlt _sets of plans with any of the abbe. ' It,vesuon fee ! 1 1
ab
The above are net applicable to temporary eoastreettkn aeMee: Other
r•a on Juuied►aioo mein c wits eaQ; pie= sett Jmia1faloo far tease iiEacmarioo: Nooits: This permit application Pt:trnit fee ------- S O.'°
0 vise 0 MasterCard =pins if a permit is not obasirled Plan 1 O`M (ac _ °,b) $
Croat axe ---1.--L4– within 180 trays a it has been state surcharge (8%) .... $ 6.42
"' scarred es complete- TOTAL S 86.72
— !dare a aeemmtee as g: owe on ate card
s
C+.mraaQ osszr = -
$69.39 already paid with check II 4546 6404613 ¢ rob°
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 4 -1-5 A'M PM BLD
Location gre)1) Sw qYt. C-' / Suite MEC
Contact Person C �j li w c d Ph 47 ;'-. 7 9r- PLM
Contractor Ph 3 ° - /G- eo Ll SWR
BUILDING Tenant/Owner ELC -
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
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
q
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__P_ART FAIL
4 1-ECTRICAL ��
ervice
Rough In
UG /Slab
Low Voltage
F' - Alarm
Th
SS PART FAIL
'STrE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. P. 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 ate /
Other ,�v " Inspector K, i• _ i,, _ �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
7.1 /JP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
•
Date Requested 4 Z / ' AM PM BLD
Location em 5 G*J S yN GQ� St Suite MEC
Contact Person 06-1 Ph 9 ).) 9'& •PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC Zia /— /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 Q / 4.5*
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam \ /
Under Slab
Top Out
Water Service 6 (.1 Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line ` \
Smoke Dampers
61
k\c /-1-.12
Final
_Fqcc PART FAIL
ELECTRIC
Service
Rough In
UG /Slab
Low Voltage
Fir- • larm
4;0 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 Date L 7_( sp Inspector
O afi)c:4--.1--i Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.