Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98 -0477
%,�. ,� i � 1 � DEVELOPMENT SERVI DATE ISSUED: 08/11/98 -4171
PARCEL: 291O1DA -00104
SITE ADDRESS...:13333 SW 68TH PKWY
SUBDIVISION :GTE ZONING:MUE
BLOCK • LOT • JURISDICTION: TIG
Project De scr i pt ion : Installation of 36 branch circuits on 3rd floor. Job no.
78298 -03.
- -- RESIDENTIAL UNIT - - -- ----TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION : 0
EACH ADD'L 5O0SF. °.: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY - 0 401 — 600 amp • 0 SIGNAL /PANEL 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 ist W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 35 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS • ) 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
FARMERS INSURANCE type amount by date recpt
4600 WILSHIRE BOULEVARD PRMT $ 210.00 DEB 08/11/98 98- 308168
LOS ANGELES CA 90010 SPCT $ 10.50 DEB 08/11/98 98- 308168
Phone #:
Contractor:
ELECTRICAL CONTRUCTION CO $ 220.50 TOTAL
PO BOX 10286
REQUIRED INSPECTIONS
PORTLAND OR 97296 Ceiling Cover Elect'l Service
Phone #: 224 -3511 Wall Cover Elect'l Final
Reg #. ° : 049737
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001-0010 thr. 952- 001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calli g (503)246 -1987.
Permittee Signature: ,/ /, • /_ 4 1 . 2' .' 140 Issued Ly: / .� - Z_
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 INSTAL TIO ONLY G
SIGNATURE OF SUPR. ELEC'N: _ c c0'�� DATE: 4� - / - a
LICENSE NO: o98/OS
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
07:08:96 11:53 12503 684 7 297 (ITY OF TIGARD [6002. oi)2
i Job# 78290L-03 (TN) , 8- -98
Community 7 Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. E-t, q _
Tigard, OR 97223 Permit # _ l
Al „ Date Issued 9- /f -9 $ ,`�i Phone (503) 639171 •
'� FAX (503) 684 -7297 RECEIVED
• CITY OF TIGARD TDD No. (503) 684 A UG Y),.. )%
c "
Inspection (503) 639 -4175 1 1 1998
1. Job Address: 4. 4 flpletevff a fhedule Below:
Name of Development Farmers Ins. - 3rd Floor Number of Inspections per permit allowed
Address 13333 SW 68th Parkway Service included: Items Cost(ea) Sum
City /State /Zip Tigard, OR 97223 4a. Residential_ - per unit
1000 sq. ft. et less 5110.00 4
Name (or name of business) • Each additional 500 sq. n. or
portion thereof 325.00
Commercial ' ! Residential 0 unWted Energy S25.00 1
Each Maned Home or Modular
tlweding Serves or Feeder 368.00. 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical ContractorELECTRICAL CONSTRUCTION CO. Installation, a48ra0ot. or relorstlen
Address P.O. BOX 10286 2O amps t lase x .0 00 0 2
City P ORTLAND State OR Zip • 7296
401 amp
m a o 600 ssnhps 5120.00 2
Phone No. 503 224 -3511 _ 801 amps to 1000 amps 514 0.00 2
Over loco auras or volts 3340.00 2
Job N0. -1 A , /�' RsOOnneponry $50.00 2
contractor's license NO. 26 - 45C jam.
4c. Temporary Services or Feeders
Contractor's Board Reg. No. 4 .2111111.11111/ Instailetion, alteration. or reioest,on
Signature of Supr. Elec'n • . IA I l�/�� zoo en,pe er leas 2
-
201 amps to 800 8818: 360,00 2 - License No. 2986s P one No(503)224-3L1 401 arms to400ems :75.00 2
-
Over 600 amps to 1000 von. 5100.00
2b..' For owner installations: see •b• above.
4d. Branch Circuits
Print Owner's Name New, 83erettee et extension tier vane
Address a) The tea for branch camas with
2
City State Zip prr►ceasee► Feeder Fee.
Each branch circuit 56,00
Phone No. b) The fee ter txancn excels without
The installation is being made on property I own which is purchase of service or feeder fee. 2
Fiat branch arum 355.00 Z r ikaa
not intended for sale, lease or rent. Each aaaalenal branch emit ± 58.00
Owner's Signature 4e. Miscellaneous
(SeMCa or feeder not Included) 2
3. Plan Review section (if required):
Each pump or irrigation circ a 540.00 2 - •
Earn alp er euulne bghting 340.00 2
Signal eirwrt(s) er e limited energy
Please check appropriate item and enter fee in section 5e. . panel. enerstion or .,tension 340.00
4 or more residential units in one structure Minor Labels (10) 3100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
es described in N.E.C. Chapter 5 Per DO ' ''�
Per hour 3.55.00
•
•
in Plant 355.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Sa. Enter total of above fees $ 210.00
5% Surcharge (.05 X total flies) $ 10.50
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Bubble! $
6b. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review N required (Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. - .s,.a..,..a,.e ❑ Trust Account # S
.rot
Balance Due $ 220.50
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
15 70751 Date Requested C I -- i 6 - L ti AM PM BLD
Location 1 33 3 3 68 7 Pkuize Suite MEC
Contact Person • f ( t _ii ., / Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner FA/WE ' 1 Iv S . ELC qR-041
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam l / ��
ST U�
Ext Sheath/Shear /
Int Sheath/Shear
Framing
Insulation ,F} /�Q
Drywall Nailing "?1,e(41 �,t �-f!k % � ,y _iiI.-
Firewall / # ,
Fire Sprinkler ,, - —. ,i1.■1 in •... i _ '
Fire Alarm _
Susp'd Ceiling ���. /�-�
Roof
Misc:
Final �
PASS PART FAIL r �^'*--
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
PAR FAIL
ELECTRIC
r
Rough In
UG /Slab
Low Voltage
Fire Alarm
ellp
PART FAIL
E
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 ap 794/ Inspector �� _
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.