Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2001 -00179
1100r DEVELOPMENT SERVICES DATE ISSUED: 04/05/2001
�- II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S126BC-01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 120
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of sign 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: 1
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+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES TICE ELECTRIC
BY TC PORTLAND, INC PO BOX 15009
8930 SW GEMINI DR 2139 SE BELMONT ST
BEAVERTON, OR 97008 PORTLAND, OR 97293 -5009
Phone: Phone: 233 -8801
Reg #: LIC 166
SUP 2586S
ELE 26 -126C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 04/05/2001 $53.40 2720010000( Elect'I Final
5PCT CTR 04/05/2001 $4.27 2720010000(
Total $57.67
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 124(X—et fl (lam ISSUED BY: � I , / IA' "
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
04/05/2001 12:36 503 -872 -8290 TICE ELECT.SERV.DEPT PAGE 02
10/10/DO TUE 09 :00 FAX 503 598 1980 CITY OF TIGARD Q1002 •
•
Eiectriica1 t e` emit ADPlication
-�^ - IT�.`r[ WED . Datotcoalvedi/J /p/ perngpo.: Zp/ -06,
.'" City of Tigard Prolc 1 eire del:
c, ryajngard Address: 13125 SW Hall Blvd. T t O8 �l 0t boa Load: By: I Receipt no•:
Phone: ($03) 639-4171 Case file m.: Payment type
•
Fax: (503) 598 -1960 ',M 'MMUNITY OEVELOPMEii1
Land usd approval: .
111'L OF 1'1:10111
I 0 1 & 2 family dwelling or accessory gi CortunetvialAndustrial 0 Multi-family 0 Teti= improvement
i 0 New construction IRAddition/alterulotheplseement 0 Other: . t Pam
.1011SIlLINI )I 1:1'LION
... /: s54,.F111172Miltiffra Bldg. no.: State no.: MCFMT,71
. • • ' DIocJc Subdivision:
-
Pro act name: p,l f p � ¶p Deac and location of work on premises: Wire sign circuit
:: :Unlaced date oft= • letioroas • don; 4 [ I c O / O I •
• (:ON Tlt•\l`1012 , �Pi'1 , 1(.AIION . I SiIll.1)14.1:
Job do: ,__s . RN
' Business name: ' . e.. `a'ell - - t•! •eir .. pd'
Address. pn Saew 1 x009 dwdWt ers&ledadelettec edtpon e.
City: -. .. State: ,,. ZIP: . a a s SartMaoebbil b
•
Phone. • _ — .: aI�a:..1E =f�' [ 1'.L•hl E-mail: 1000 ..n. or lass
CCB no.: 166 Elec' btu" lie. no: 2 —1260 claw , memento apaAtmtbeeor ����
City /m ere lie. no.: 209 et ! Welted . ,scam redtlanu.l �M�
409 /�',if A /R /01 Eachrneau unwed harmer .. •alrr d Ming 111.11111111 111.11111111 s' • re of ptevlsla electrician a . • !Arad pate *Nike Wier reeds
Sup. elect wwsme a): - orrice. or ream ..le tallttloa.
C Jo to - ... -a 'bored= orraloadloo:
' 1'It(111:1(1'l' (MAI . 200 amps or Imo
2
Name (.tint): Washington Square 241 i'r+ 2
401 mops to t920 amps • •
Mailing address: 601 stops to 1000 amps 2
-
City: State: ZIP: Over 1000 mops et volts
Phone: Fax: &MAWL` Qaco.neetoaly 1
Owner installation: The installation is being made on property 1 own Tecepaes goorvie.e •
which is nor intended for sale. lease. tent. or exchagge according to b .t.lbe1oa, Wus,stk e s,errebe>alam
NO amps arias 2
ORS 447. 455, 479, 670, 701. 301 amps es 403 • Owners si:•.: • re: __ Dots.: .�... . _ ioltogoam - 1
ENGltit•a,at Bnod•,r"'.,a.w, rrt•TT'.
or swami= par lr.emlt
Name: A. Far for Winch dratdtm with parr-hue or
Address: service or taderfee, nth brunch dwelt
City: f Stets Imp B. Re for • Inch ahedb wAthoutpumbue
of .wive or fade fee, floe branch *wit
Phone: Fax: E-mail' Each soeleoeaI bnndadrcuic
FLAN itiv 11 :V (1 tLrcl. ;wll IL:AA :rpp01 i.e. Gorda or odor net lads 'tir
C1 Servitz w 225 arps•conuriercial 0 Hedwh•cararsdllsy fleet Bump or Iedled= circle
O
Service over 310 artlpa•ntlrwg of I d1
0 Harentiass bassi= Bach Ii orcaolme "PIRO
toed tydwdJinos 0 Building ewe IO,0173 Neer* figs lbw tip eiretSl(e)ora limbed mew panel, i
CI System over 602 valet nominal t rsddmtLl imitate arp.tradua abandon. eiastenslose • l 2
O Building aver throe atoAee O plwederm, amps denim ... _._ _ _ —.-_ _ __, ._---- -..._
O t�•eupad I vwd over 99 pawn, 0 Marattectuma aervaar s at RV parts '�;1!" • _ . , moor . at • way of via • - v.:
O ealcssrit.hungplan 0 Must Per lmovable -
Steba lr — solo of plans with any of the abase. Invent mica he •
The above are net ■ppllcable to temporary connnre6oa.er lea. • •
r vat a:t luritdtaloww leapt coda care& twem call tuiadimm to mace mtarm.da Notice: 711a permit application Permit fee ,... $ c'I dD
U yin 0 Mastercard expires Jell penult k not obtained plan rev ( at %) $ _..,...—
Crash our ,umber _ _ ., , 1 , within ISO day. attar It has -bets Statozur hargo (891) .•.• S 4. 27
L
— Kinn or carekdda as showy as mein nod � °'p1 ° —1----, =vied as complete .'1< OTAL $ 57.67 /
Cardheld� wi ;mature At.wms 404612 (6rt>wcupeu
04/05/2001 12:36 503 - 872 -8290 TICE ELECT.SERV.DEPT PAGE 03
rage z
9020 SW WaSHINGI'ON Square Rd #120 Contractor - Tice Electric
- Electrical Permit Fees: • Limited Energy Fees:
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee Below: Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total `1' Check Type of Work Involved'
Residential - per unit
1000 sq ft or less 5145.16 4 0 Audio and Stereo Systems
Each additional 500 sq. ft. or $33.40 1
portion thereof Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular Door Opener
Dwelling Service or Feeder 590,90 2
Services or Feeders Q Heating, Ventilation and Air Conditioning System"
Installation, alteration, or relocation
200 amps or less $80.30 2 va«,um systems'
201 amps to 400 amps $108.85 2
401 amps to 800 amps $160.60 2 Other
601 amps to 1000 amps' $240.60 2
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation F for each system $7
200 amps or less $66.85 2 �
. 201 amps to 400 amps ' $100.30 2 (SEE OAR 918-260 -260)
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see "b" above. n Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel Conlrgls
a) The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee. '
Each branch circuit $6.65 2
b) The fee for branch circuits El Data Telecommunication Installation
without purchase of service
or feedar fee. 0 Fire Alarm Installation i
First branch circuit $46.85
Each additional branch circuit _ $6.65 • HVAC
Miscellaneous ❑
(Service or feeder net included) Instrumentation
Each pump or irrigation circle $53.40 -
t adr sign or ou8me lighting 1 $53.40 ti�•dn n Intercom and Paging Systems
Signal circuits) or a limited energy
panel, alteration or extension $75.00 ❑
Minor Labels (10) $125.00 Landscape Irrigation Control'
Each additional Inspection over 0 Medical
the allowable In any of the above $82.60
Per inspection Nurse Calls
Per hour $62.50
In Plant $73.75 a
Outdoor Landscape Lighting'
Fees: ❑
53.40 Protective Signaling
Enter total of above fees $
CD Other
8% State Surcharge $ 4-27
Number of Systems
25% Plan Review Fee
See 'Plan Review' section on $ ' No licenses are required. Licenses are required for all other installations
front of application,
Total Balance Due $ - 57.67 Fees:
Eil Enter total of above fees $
Trust Account 0 166
8% State Surcharge $
Total Balance Due $
i :tdsts \forms.cic- fees.doc 10 /09 /QO
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
"/ BUP
Date Requested —/ AM PM BLD
Location 9 u Se./ ( 4/4s srj, /Ld Suite /' MEC
Contact Person Ph ( /l 7 L PLM
Contractor / / L C Ph SWR
BUILDING Tenant/Owner pr+ I Fl6-e S S ELC .260/ / 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
Fire wall
Fire Sprinkler
Fire Alarm
_ Susp'd Ceiling
Roof
Misc: •
Final (CdO.
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 PART FAIL •
E CTRICAL>
Rough In. 5/7n
UG /Slab
Low Voltage
•
- Iarm
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
Other Date / Inspector at _ - - Ext
Final
•
PASS PART FAIL -- D • NOT REMOVE this inspection record from the job site.
4 '
CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00179
�, �; DEVELOPMENT SERVICES DATE ISSUED: 04/05/2001
--- '�f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 120
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of sign 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: 1
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+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES TICE ELECTRIC
BY TC PORTLAND, INC PO BOX 15009
8930 SW GEMINI DR 2139 SE BELMONT ST
BEAVERTON, OR 97008 PORTLAND, OR 97293 -5009
Phone: Phone: 233 -8801
Reg #: LIC 166
SUP 2586S
ELE 26 -126C
FEES Required Inspections •
Type By Date Amount Receipt Wall Cover
PRMT CTR 04/05/2001 $53.40 2720010000( Elect'I Final
5PCT CTR 04/05/2001 $4.27 2720010000(
Total $57.67
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable laws.
II)
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,
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) /1
246 -1987. I
/ db
^
PERMITTEE'S SIGNATURE ISSUED BY: � /,
OWNER INSTALLATION ONLY d
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 b
SIGNATURE OF SUPR. ELEC'N: DATE: 0
1
LICENSE NO:
NI
Call 639 -4175 by 7:00pm for an inspection the next business day
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By I 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 ELR - 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
Drywall nailing Inspection Description Date Passed By
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
• Fireproofmg Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
-4 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
4 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 - BIT PLM SWR, ELC, ELR, MEC SIT PERMITS