6950 SW HAMPTON STREET STE 130 f
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6950 SW HAMPTON STREET O 00
CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT#: ELC2002-00566
DEVELOPMENT SERVICES DATE ISSUED: 10/24/02
1312.5 SW 4all Blvd.,Ticiard. OR 97223 (503) 639-4171 PARCEL: 2S101AD-03100
SITE ADDRESS: 06J5f)SW HAMPTON ST 130
ZONING: MUE
SUBDIVISION:
BLOCK: LOT: JURISDICTION: TIG
Project Description: Install 6 branch circuits and low voltage for data telecommunication
RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'I_ 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNA'.IF W IEL:
MANF HM/ SVC/FDR: 601+arnps - 1000 volts: MINOR LABEL_ (10):
--SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS r
0 - 200 amp: W/SERVIC:E OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT:
601 - 1000 amp: _ _ _ PLAN REVIEW SECTION
1000+amo/volt: -4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>-<225 AMPS: _ CLASS AREAISPEC OCC: _ _J
Owner: Contractor:
WESTON INVESTMENT CO E C COMPANY
2154 NE BROADWAY PO BOX 10286
PORI LAND, OR 97232 PORT LAND OR 97256
Phone: Phone: 503-552-5503
Reg #: ELE 26-45C
FEES
Description Data Amount
Required Inspections
[EIAIRM'I'l ELC Pennit 10/24/02 $155.10 -`
[TAXI 8°�State't'ax 10/24/02 $12.40 Low Voltage Inspection
Rough-in
Total $167.50 Elect'I Final
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 vlork will be done in accordance with 6pproved pians. 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 Carter Those
rules are set forth in OAR 952.001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC et(503)
246-6699 or 1.800-3 2-23
Issued By: _LIQ Prrmit Signature:
__ OWNER INSTALLATION ONLY
The installation is being made on property I own which is no. intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. Et_EC'N: tljT l 440T _ DATE:_
LICENSE NO:
Call 639-4175 by 7:00pm for an i;,spection the next business day
10/21/2002 13:02 5032205321 EC SAFETY PAGE 02
F lcctriad Perinit Application
Dace received -d _G;y- Permit no. a �,
City of Tigard t Project/appl. no.: Ex0ire d
City oJ'Tfgard Address: 13125 SW Halt illi �tg;if _ ate:
p —
Phone: (503) 639-4171 ' �"rra°.•�"✓� Date issued: 816Recei t no
Fax: (503) 598-1960 Case file no.: Payment type;
i
Lund use approval•
1 I & [ family dwelling or acoessor�, FJ Commercial/industrial OMulti-family �Tenant improvement
J New construction oMAddiiil)n/aiterattoltirepla(Tment .)Other: J Partial
Job address: 5-0 n0f7Y1 Bl no,: I Suite no. Tax map/tax lottaccount no.:
Lot: I Block: Subdivis,on: "� r -��•.
Project name (r)' - n CU_1Descilown and location of work on premises:
Estimated date of cog IetioNi^s ectjorr: 16 -
M
7-Add
�Q—? vee Maxme: �/� ^�� -,rrplan (ea Tosai noArrip
Newronidenffal °Ingleormultl•fumilrprr
dwell ing uni L Includes snached ger age.
City: r State: ZIP: senlreIncluded:
Phone
Fax • E-mail: 100)±qft_nr less 4
CCH no.: Elec.bus.lip.n0: _ Each additional 500 aq.R.or portion thereof
0 li .n Limited energy, rosidwilal 2
Cl
��^ Limitod anergy, nooresidiential 2
/ Each menufactured home or modular dweliing
n
Siyattare of supo ing elcctrtcian Qu ft. r. Date Servicc and/or fecdet
sup.elket.rut"!Pring: License no: _ Services or feeders-lnslallatlan,
slteradon or relocotloat
200 amps or irss 2
Name(print)! 201 to 400 amp# 2
Mailing addreRK: 401 s to 600 ams 2
601 amts to 1000 amps 2
City; State! ZIP. Over 1000 smiss or volts 2
Phone: Fax I E-mail t:corurcct only I
Owner installation; The installation is being made on property i own Temporary services or feeders-
which is not intended for sale lease,rent,or exchange according to 4111!ailst ovs,aireratlon,orrelocation:
ORS 447,455,479,670,701. 200 ams or less 2
201 sm a to 400 ams 2
OwnCr's sl tura: Date: 401 to 600 ams 2
aranch rlrcults-new,siterstion,
or rzlensian per panel:
Name: A. Fce for branch circuit with purchase of
Address: service or foeder fee,each branch circuit 2
City: State: ZIP: B. Pee for branch circuifswtllinul purchase I
Phone: Fax: E-mail. of servirc or feeder Poe,first branch circuir M&C LV 2
Each additional branch circuit:
Mise.(Service or heder not Included)-
*Servico over 225 »rips commcrnol Q Health-care fociliy Each pump or ungation circle 2
*Service over 320 amps-noting of 1&2 O Hatsrdous location Each sign or ouilina lightoil 2
fkmdy dwellings U Building over 10,000 square feet four or Signal circuit(s)or n limited energy panel,
O System over 600 volts nominal more rt sidcrtnal win in one structure alteration,or cKlension"r -
Q Building over deer,Storiess rJ Feeders.400 amps or more Descriptions ���r �F►„
O Omq+am load mer 99 persnna ❑Manurocturcd structures or RV park Csehadditional impecdono•es the milowableinauloflbeabove:
O Egtesallighting plan O Other! Per Iro action
Submit_ sett of plant WIM any of me abet!. nvmligstion fee �-
L The a'$etc ore not apalicsble to tensporary tommuctlon serrlce. Other __
Not all; tun see°pr creNt vartlr•please ran juritdietion for mon innmsdem. Notice: This permit application Permit fee ............ .....S I�_
Plan re (at
Q Vias bfestcrCard <R6 expires If tl permit Is not obtained State SIRChaf t 8%
Gedlt cud rumba _ / / within 180 days alter it has been B ( ) •. S I
_-Rama
_ aspires sampled as complete. TOTAS
amt o}•ardho ar as shown an rYadit crud
Il� Cardholrkr 9_n lure s Amount H0+615 Allmram)
CITY OF TIGARID 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPEICTIOt DIVISION Business Line: (503)639-4171
SUP -
Heceived _ _ Date Requested -- AM PM SUP _
Location L, Suite y MEC —
Contact Person 4 Ph( ) _ `� J "� PLM —_
Contractor --- 19 Ph(. ) SWR
BUILDING TenanVOwner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes SIT -- ---
Post& Beam
Shear Anchors
Ext Sheath/Shear
riath/Shear
Framing --
Insulation '
Drywall Nailing -- ---- -- - _ -- --
Firewall
Fire Sprinkler -- ------ -
Fire Alarm
Susp'd Ceiling - ----- --— ---
Roof
Other.------ - --— -- --. _ �.
Final
PASS PART FAIL — - - - -
PLUMBING
Post&Beam
Under Slab --- ------- ---- -
Rough-In
Water Service - ----- — ----- --
Sanitary Sewer
Rain Drains -- --- --
Catch Basin/Manhole
Storm Drain ---_----------- _ _ -
Shower Pan
Other: ---- ---- ----
Final �--^- _-
PASS PART FAIL
EC -- -- - - --
MHANICAL -
Post&Beam
Rough-In - ---- - - -
Gas Lina
Smoke Dampers - - - - -
Final
PASS PART FAIL -- - —
ELECTRICAL
Service -- -�- - --
u
Low Voltage -
Fire Alarm
Reinspection fee of$. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PARI___FAIL
SITE _ --_ _ __ C 1 Please cell for te;inspection FIE: - - _ Unable to inspect-no access
Fire Supply Line
ADA ,/ ?,,
Approach/Sidewalk DOW -r�i-�j -- ImWeetOft
Final DO NOT REMOVE this Inspection record front the job site.
PASS PART FA4'_,�