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CITY �4,�F T I G A R D -- ELECTRICAL PERMIT
PERMIT#: EL-C1999-00705
UEVEL()PME. NT SERVICES DATE ISSUED: 11/23/1999
13125 SW Hall Blvd.. r loard,OR 97223 (503)639-4171 PARCEL: 2S104BB-08200
SITE ADDRESS: 14250 SW NORTHVIEW DR PARK
SUBDIVISION: RUSSEL'S SCHOLLS FERRY ZONING: C-N
BLOCK: LOT : OOA JURISDICTION: TIG
Proiect Description: Temporary service to 200 amps
RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HMI 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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
1000+amp/volt: >z4 RES UNITS: >60L VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: !`55 AREA/SPEC OCC:
Owner: Contractor:
ALBERTSON'S INC #576 PHOENIX ELECTRIC CO
PO BOX 20 7379 SW TECH CENTER DR.
BOISE, ID 83726 TIGARD, OR 97223
Phone: Phone: 684-3600
Reg#: LIC 00052288
SUP 41405
ELF 34-247C
FEES _ J^ Required Inspectiono
Type By Date Amount Receipt Elect'I Service
PRMT BON 11/23/199f $53.50 99-319970 Elect'I Final
SPGT 90N � 11/23/199£ $4.28 99-319970 ORIGINAL Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Mr.rdcipal Code,State of OR. Specialty Codes and all other<rppicable lam.
IL A l work will be done in acrvrdance with approved plans. This permit will expire if work is not started witthln 180 days of issuance or I work is
aC suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Orogon Utility Notification Center. Those
N rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Y'nu may obtain or pies c",hese rules or direct questions to C t1NC at(503)
246-1987.
J PERMITTEE'S SIGNATURE �2 l C' rC 1 ISSUED BY:co 1-*R
C1 OWNER INSTALLATION ONLY _
J The installation is being mada on property I own which is not intonded 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 Inspectinn the next business day
NOV-22-99 MCN 02:58 PM PHOENIX ELECTRIC CO FAX N0, 15036843611 P. 02
CITY OFHALL on w
13125 SW HALL Electrical Permit Application C
BLVD, Redd By
TIGPMD OR 97223 DO*Rsi d (� �
Phone(503)639.4171, x304 Date to P.E.
Inspection(503)639-4175 Date to D
Pring of hype perrw a
Fax(503)598-1960 Incomplete!or Illegible will not be accept-ed Called
-- ---------
1. Job Addn3ss://--% 4. Carnplete Foe Schedule Below:
Name of Development L ybWd avis
prmit all, d
Name(or name of businass) Sefvice included. (turns Cost Sum I
Address 'i^1 1 1�J Y Resfdendel-per unit
City/State/Zip IWO sq.n,of less >t 4
Each rMiflonsi 500 sq.IL or
Commercial Residential r Residential ❑ portion Ihernot ��
����----++++ i.nniied Energy ! 80.00
�l�C� Each Manurd imam.or Modular
Z ntrac r Installation only: Dr'efling Service or Feeder ! n 75 2
(Prior to permit Issuance,applicants must provldrz contractor license 4b.Services or Fee" _
informadon for COT e). InstapsNon,aMsrallon,or rttaoeNon
Electrical LQritr r200 ampu or foss ! a4 26
AddrlsA•-r)�� ,alt_) 201 amps!o 400 arrps
City tate �p^_ _ '_�� 401 amps to 800 amps f 1Tl.50 `
901 amps to 100!1 amps — -- 2
Phone p _ $ 1sz5o
l Owr 1000 amps or volts —�� s 38319 �'�`— 2
Job No, Recenned only S s9-BO — 2
Elec.Cont- Lice. No. xp.Dafe 4c.Temporary 3arvlow or Feeders --
OR State CCB Reg.No. Exp,Date Installation,alteration,or fivommUon
COT Business Tax or Metro No Exp.Date 200 amps or logs
to 400 amp& ! 50^Lr ! 53,50 1- = z)
ps 2
201 am255'-�!
Signat,+re of 3upr. Oejc'n - 401 amps to 6Wamp ! 107.00 — t
Over am amps to 1 o00 VON%.
License No 0SExp.Date No"b"etrolm.
Phone No 4d,Bra.vh C11mo,
New 4Nei411611 or rtMneion per panel
't The °�%"' °"'"`h x""I`'
2b, For owner installations:
"411116vu►halo elaawibe w
•
Allied w No.
Print Owner's Name Ead brandy clrruh 5 6.33 2
Address, �� �"� e)The 'ee for branch ir*md$
City --Zip w thu 1purahaae ofeervioe
�
Phone No. orIlesdsrfw►.
Fp:ON"drQA ! 37,50
Each adldiNemel brsndr olrcull "'""! 9.35
The installAtion is being made on property t own which is not �. Mlecaltse.ous
Intended for sale, lease or rent. (Service or feeder not 1r+derded)
Each pur;n or Irrigallon do 2
Owner',;Signature y - Each sign or o;aNno Iigwdnq ! 4275
slival dlrcult(s)W a tireltrrd onerly
3. Plan Review section (If required):* panel,aftaratlon or aMenelen ��_9 90,00
Minor Labels 110) ! 107.00 --
Na ?lease check appropriate item and enter fail In section 66. 41 Loch additional fr spoctlon swr
_ 4 or rnore residential units In one structure the allowable In any of the abeirs
— _Service and feeder 225 amp!or more Per Inspection — t 50.00 `
Systerr.over 600 volts nominal Per hqur f 50.00
_Claeufrted area or structure containing special cca�pan'cy asIn Plant f 59.00------- _
desatbed In N,E.C-Chapter 5 5 Fees:
W sa-Enter total of ableer S
—j Submit 2 sem of plane with appflcat)on where any of the above apply. 8urye(, I(fiu APPS) S
I Not required for tarnporery construction servleas. SubteW 5
NOTICE Sit.Enter 2511 of Ane fe for
Plan RerMv y re titigg(Ser.3) S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subiohll S
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTriN OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF ISO DAYS Trust Ace ntint!
AT ANY TIME AFTER WORK IS COMMENCED, reent balance Due
S
I Jilt\rvrmAclectrie.doe
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 11394171
BUP
Date Requ sted �= c�V M ✓ PM BLD
Location 0 Suite MEC ._
Contact Person Ph PLM _
Contractor Ph Std _
BUILDING TenanYOwner I� -Dl?705�
Retaining Wall ELR
Footing Access / FPS
Ftr An `)s SDN
Cr m Drain Inspection Notes:
Slab _ _ SIT
Post A Beam
Ext Sheath/'.hear
Int Sheath/shear
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sp,inkler
Fire Als.,m —
Susp'd CeilinW
Roof
Final
PASS PART FAIL _
PLUMBING
Post&Beam -
Under Slab
Top Out — -- ----
Water Service
Sanitary Sewer — — - --"" —
Rain Drains
Final ---
PASS PART FAIL
MECHANICAL — —�
Post&Beam -- ----- — t - ---
Rough In
Gas Line -- -- —
Smoke Dampers
Final
P ? FAIL
ECTRIC
Rough In
UG/Slab
Low Ve'tage
Fire!,;arm _
Fin
m AS PART FAIL
0 SITE-
Lu
�--
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Rninspedion fee of E —raquired before next 6,spection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line [ ] p —-__ _ [ ]Unable toinspect-no awes=
ADA
Approach!Sidewalk
Other Date i _Inspector Ext
Final
L PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
Date Requested I �'r�u 9% AM PM BUP
` BLD
Location � ✓ � 0Ul �. PL- Suite
MEC
Contact Person Ile_ Ph St 9- 7/9 L(' &XC PLM
Contractor _ Ph SWR _
BUILDING Tenant/Owner _ - ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SON
Crawl Drain Inspection Notes:
Slab _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation �—
Drywall Nailing
Firewall
Fire Sprinklerf �-=` �
Fire Alarm 11
Susp'd Ceiling
Roof
Misc:
Final
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
Service
A099KInKf _
UG/Slab
Low Vcltage
F e Alarm
nVa
Lo PASS PART FAIL
W S r
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
Aoproach/Sidewalk Date Ins to:
Other __- P� az� _Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.