Permit CITY OF T ELECTRICAL PERMIT
PERMIT #: ELC1999 -00429
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- 13125 DEVE SERVICES ) 639 -4171 DATE ISSUED: 7/15/99
PARCEL: 2S 112AA -00900
SITE ADDRESS: 14140 SW 72ND AVE 100
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT : JURISDICTION: TIG
Project Description: Add nineteen (19) branch circuits.
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:
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: 18 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:
SPIEKER PARTNERS CHRISTENSON ELECTRIC INC
PO BOX 5905 111 SW COLUMBIA
PORTLAND, OR 97228 STE 480
PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 000458
SUP 3289S
PLM 2468S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT GEO 7/15/99 $133.80 99- 316887 Wall Cover
5PCT GEO 7/15/99 $9.37 99- 316887 Elect'l Final
Total $143.17 ORIGINAL
•
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.
Permit Signature: _ I Issued By:
!9 rte /
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 NSTALLATION ONLY
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SIGNATURE OF SUPR. ELEC'N: - DATE: 7 - � -
LICENSE NO: 55 73 - .5
Call 639 -4175 by 7:OOpm for an inspection the next business day
CITY OF TIGARD Plan Check #
0125 SW HALL BLVD. Electrical Permit AppliEfitR
Recd By
TIGARD OR 97223 JUL 151999 Date Recd
Date to P.E.
Phone (503) 639 -4171, x304
Inspection (503) 639 -4175 I DEVELOPMENT Pere it DST
Ins `
P ( ) Pr int of Permit # �G 4�?�- 60 y2
Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called
1. Job Address: SPIEKER PROPERTIES 4 Complete Fee Schedule Below: •
OWNER:
1 SW COLUMBIA PTL 97258 P
Name of Development 973 -5700 JAMIE MILLER Number of Inspections per permit allowed
Name (or name of business) POLYCAST Service included: Items Cost Sum
Address 14140 SW 72ND AVE 4a. Residential - per unit
City/State/Zip /State /Zi TIGARD O R 1000 sq. ft. or less $ 117.75 4
P Each additional 500 sq. ft. or
portion thereof $ 26.25 1
Commercial ® Residential ❑ Limited Energy $ 60.00
QUESTIONS? CONTACT JON WIMBER Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT data base). Installation, alteration, or relocation
Electrical ContractorCHRISTENSON ELECTRIC, INC. 200 amps or less $ 64.25 2
Address 111 SW COLUMBIA SUITE 480 201 amps to 400 amps $ 85.50 2
Cit State OR Zj 97201 -5886 401 amps to 600 amps $ 128.50 2
ty Zip 97201-5886 amps to 1000 amps $ 192.50 2
Phone No. 241 -4812 Over 1000 amps or volts $ 363.75 2
Job No. 61 -05985 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 26 -34C Exp.Date 10/99 . 4c. Temporary Services or Feeders
OR State CCB Reg. No. 458 Exp.Date 5/03 Installation, alteration, or relocation
COT Business Tax or Metro No. 995246 Exp.Date 12/99 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
401 amps to 600 amps $ 107.00 2
Signature of Sup Over 600 amps to 1000 volts,
see "b" above.
License No. 873S Exp.Date 10 /01 4d. Branch Circuits
Phone No. 241 -4812 New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owners Name Each branch circuit $ 5.35 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone No. i First branch circuit 1 $ 37.50 37.50
Each additional branch circuit - $ 5 96.30
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle $ 42.75
Owners Signature Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
if required):*
panel, Labels or extension $ 60.00
3. Plan Review section
( Minor Labels (10) $ 107.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees:
5a. Enter total of above fees $ 133.80
* Submit 2 sets of plans with application where any of the above apply. 5% Surcharge (.05 X total fees) 7 % $ 9.37
Not required for temporary construction services. Subtotal $ 1 L1.3 1 7
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 143_17
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account #
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 143.17
i:\dsts\ forms \e l ectri c. doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G� BUP
/ � DateRequested 1 �Z q AMPM BLD
Location / -11 Lf0 'Will 4 24-ue, Suite ( MEC
Contact Person (QI' Ph Trip � f �� ' PLM
Contractor Ph SWR Q
BUILDING Tenant/Owner ELC 1-19 1 J� `i /'
z,9
Retaining Wall ELR
Footing Access: / X Foundation O FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam .
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall on
Drywall Nailing
Fire wall n ,�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final ":1/12
PASS PART FAIL
PLUMBING oe
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
ECTRI
Service
Rough In
UG /Slab
Low Voltage
Fire • arm
4 ‘ie 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
Fire Supply Line [ ] Please call for -inspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 1 .0 .0 Inspector t
Other
Final
PASS PART FAIL D • N 4 T REMOVE this inspection record from the job site.