Permit CITY OF T'IGARD ELECTRICAL PERMIT
� ,,1 .:
,, � DEVELOPMENT SERVICES PERMIT #: ELC98 -0307
"�� I ' I DATE ISSUED: 06/04/98
— °:_.. 13125 SW Hall Blvd., Tigard, OR 97223 503 639.4171
PARCEL: 2S112AA -00900
SITE ADDRESS...:14140 SW 72ND AVE #100
SUBDIVISION -NELSON BUSINESS CENTER ZONING:I —H
BLOCK • LOT • JURISDICTION: TIG
Project Description : Add electrical to existing tenant in commercial bldg.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 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 1st W/0 SRVC OR FDR.: 1 PER HOUR : 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 9 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
TECH GROUP type amount by date recpt
14140 SW 72ND PRMT $ 80.00 GEO 06/04/98 98- 306285
SUITE 100 5PCT $ 4.00 GEO 06/04/98 98- 306285
TIGARD OR 97223
Phone #:
Contractor: *
GUILD CONSTRUCTION $ 84.00 TOTAL
7508 SW OAK
REQUIRED INSPECTIONS
PORTLAND OR 97223 Ceiling Cover Underground Cove
Phone #: 293 -3276 Wall Cover Elect'1 Service
Reg #..: 109116
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- %1- m10 through OAR 952 -001 -1987. You ay obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987. / /
6---- ,
,11" Permittee Signature: Issued By: A41 �. /
i
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: 0713 DATE: '
2 �r
LICENSE NO: - /$6O - � S
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 ' t G
� (�O �f / D Date to DS
Inspection (503) 639 -4175 Print or Type �� Permit #
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development - re c h, G ro u A Number of Inspections per permit allowed
Name (or name of business) Tc oL a ro Service included: Items Cost Sum
Address 1 t ')' 1 4l) 5W 1 Z" d 1 o 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State/Zipli q ix r n R Each additional 500 sq. ft. or
Commercial Residential ❑ portion thereof $25.00 1
/ Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor 6 ; u ; I d E I e r ir r c C. a 1 Installation, alteration, or relocation
Address -. 7i, ? 2 $t�1 ( S c. k 200 amps or less $ 2
201 amps to 400 amps - $880.00 0.00 2
City For et r+ d State 0 R Zip q'7 223 401 amps to 600 amps $120.00 2
Phone No. 7..q 1 - .3 2'1 I•, 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. LL, -q Srb C. Exp.Date i of t / q 8' Reconnect only - $50.00 2
OR State CCB Reg. No.1 0 ° t I I b Exp.Date N 4c. Temporary Services or Feeders
COT Business Tax or Metro No 45 4- Exp.Date • Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps 75.00 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 3' G $' 5 Exp.Date in/) / 9 R see "b" above.
Phone No. " R 7 8' 4 / 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee. 4S
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit 1 $35.00 3 d 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required): * Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $ 100 . 00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
-
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ $0. 00
5% Surcharge (.05 X total fees) $ 4 • ey
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ ry if. oo
Total balance Due 0
I:\DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q-15-0 � MST
BUP
/1/4 / Date Requested 42 ,/5-.9/ AM C � /� BLD
Location � �/4 G��it,/ 7e / /Gf Suite KtO MEC
Contact Person ti �//// /�" , � . `" " �. Ph PLM
Contractor � k<.A- d _ FILc..( Cc U2 t Ph 3 f6 C _ 7 ?3 7 SWR
BUILDING Tenant/Owner ec. 1.4 Po- i L 50,-J 431* D30 7
Retaining Wall ?d U
Footing Access.
Foundation ✓� [ . FPS
Ftg Drain
Crawl Drain Inspection Notes:
Slab / 721-171.000 SGT
SIT
Post & Beam /
Ext Sheath /Shear � i
Int Sheath /Shear
Framing
Drywall on ' e_ 9
Drywall Nailing a p_ 030-7
Firewall -�^-
Fire Sprinkler CL- !�, e_ 9f - Q� 9
Fire Alarm
Susp'd Ceiling Roof 42)
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
FAIL
Service
Rough In
UG /Slab
Low Voltage
• - _ arm
Fin -
(t PART FAIL
•
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date / l "-/- 9e Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.