Permit OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00343
J DEVELOPMENT SERVICES DATE ISSUED: 7/23/02
- II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 25101 DC -01100
SITE ADDRESS: 07298 SW TECH CENTER DR
SUBDIVISION: ZONING: I -H
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (3) branch circuits for lights and 2 outlets.
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: 2 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:
CIRCLE A W PRODUCTS COMPANY ENCOMPASS ELECTRICAL TECH
ATTN: PHIL PINGSTERHAUS 7379 SW TECH CENTER DR
BY B -LINE SYSTEMS, INC PORTLAND, OR 97223
HIGHLAND, IL 62249
Phone: Phone: 503 - 684 -3600
Reg #: LIC 52288
ELE 34 -247C
SUP 3863S
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 7/23/02 $60.15 2720020000( Elect'I Final
5PCT CTR 7/23/02 $4.81 2720020000(
Total $64.96
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 rec e�ions to OUNC at (503) 246 -6699 or
1- 800 - 332 - 2344. \�
Permit Signature: Issue 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: 4,-41-19 DATE:
LICENSE NO: g-81,9S
Call 639 -4175 by 7:00pm for an inspection the next business day
JUL -16 -2002 TUE 03:57 PM FAX NO. P. 01
_-- Electrical PermitApplicati n
t . i 1 v r recoived 7 ( permit no.: UGC .�� . ! w ig, . • � .�-+_• �r� -
.1 )".' �� i City of Tigard , Ptoject/appl. no.: - e date: •
Add 13125 SW Hall Blvd, Tig Olt Q7 22�
City ofTigard � nZ Date issued: B Receipt no.:
Phone: (503) 6394171 p, ,��
Fax: (503) 598-1960 ..0.A w Case file no.: Payment type:
• Land use approval: sttIII TI TING S
.... '—
❑ 1 & 2 family dwelling or accessory Commercial/industrial 0 Multi - family 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement ❑ Other: 0 Partial
JOB SITE INFORMATION •
_Job address: 7a 2, Set). /2i, / d AO Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision: .
Project name :Skoe f Sip w 16 Description a,ld location of work on premises: _,4 •_ - ,l'i p» O (4 it f Aej . ,, .
Estimated date of completion/inspection: 4/4 hers a 6la T
•
Yob no: , . O0/ SSA Fee Max
Business name: __ .) . „ f' / i . _ . Description Qty. (ea.) , Total no. insp
� New residential - single or mu16- famllY per
Address: 57 // 4 60.1 4.94.-- dwelling unIL Includes attached garage.
City: 7 , I St ate:0 I ZIP: 97 Service include&
Phone:.96 ?— ;f(, • 1 Fax :s' T Zi I E- mail:. 1000 sq. ft. or less 4
�} �� Each additional 500 sq. ft or portion thereof
CCl3 AO.: ��c -y Elec. bus. lic. no: T t.imitedenergy, residential 2
i
Ctyty /m no �• / Limited energy, non- residential 2
7- /1
Each rnanufacwrcd home or modular dwelling
Signature of supervising electrician (required) Date Servic i 2
Sup. elect. name (print): R.10.a.04.-- Fvmex -_ License ne:3i S'- Services or feeders– Installation,
alteration or relocation:
200 amps or less 2
Name (print): B4 /)(jam 20 t amps to 400 amps 2
401 turps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on properry I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to Installation, aheraHon,orrrJocatios
ORS 4 47, 455, 479, 670, 701. 20 amps to or less 2
_ 201 amps to 400 amps 2
Owner's signature: Pate: 401 to 600 amps 2 •
Braoeh 4rcuits - new, alteration, .
or extension per panel:
Name: a fee for branch circuits with purchase of
Address: service or feeder fee. each branch circuit 2
City: State: MP B. Fee for branch circuits without purchas 2
of service or feeder fee, first branch circuit
Phone: Fax: • E-mail: Each additional branch circuit: 6.lat — /3;. 0
PLAN ILFVIEW (Please check all that apply) misc. (service or feeder not included):
O Service over 225 amps- commercial • O Health -care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1&2 O Hazardous location Each sign or outline lighting 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
0 System over 600 volts nominal more residential units in one structure alteration, or mansion* 2
• 0 Building over three stories . 0 Fenders. 400 amps or more *Description: ,
0 Occupant load over 99 persons 0 Manufactured structures or 1W park Each additional Inspection over the allowable In any of the above:
Cl Egress/lightingplan O Othen Per inspection I I I' I"
Submit sets of plans with any 011ie above. . Investigation fee
The above are not applicable to temporary construction service. Other . • •
•Nor all juriaicn'o credit cords, , . cstt jurisdiction n
rdiction for one Information. Notice: This permit application Permit fee $ !r
O visa ®/ expires if permit is not obtained Plan review (at _ %) $
Credit cord nu. _ within 180 days after it has been State surcharge (8 %) $
� L,. I r i accepted as complete. . T OTAL $
, l'y'lvTW�W s,4.
' sirinature Ammo 4444615 (6100=M)
I
CITY OF TIGARD 24 -Hour _
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested 5119 9 AM PM BUP
Location 7 a q 1 C_ �it�. �1�1 Suite MEC
° UU
Contact Person .t - Ph ( ) 1 Lv 3 6 ° PLM
Contractor Ph ( 23 ") II� 35-ELC �
BUILDING Tenant/Owner DUB n � d 5 ELC (t 4 /3
7 3
Footing J POI ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
4� — �� J Q �
Post & Beam
Shear Anchors U2_ _ / f
Ext Sheath/Shear
Int Sheath/Shear r
Framing
Insulation
Drywall Nailing
Firewall 1�� {{�`,D
C 1
Fire Sprinkler��� """^
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING � LV % 110 ■
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
111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SI ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
s
Approach/Sidewalk Date ■ / Q Inspecto AP .4.414.a.....1 /" Ext
Other:
Final DO NOT REMOVE this inspection record from the • b site.
PASS PART FAIL