Permit CITY OF TI G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00650
Sri DEVELOPMENT SERVICES DATE ISSUED: 11/01/1999
- I I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 12 D C -00100
SITE ADDRESS: 15705 SW 72ND AVE
SUBDIVISION: SOUTHERN PACIFIC TIGARD INDUST ZONING: I -L
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Install 10 branch circuits to existing commercial building. Job 78759
This is an addition to ELC1999- 00480.
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: 9 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:
PACIFIC REALTY ELECTRICAL CONSTRUCTION CO
15350 SW SEQUOIA PKWY #300 PO BOX 10286
PORTLAND, OR 97224 PORTLAND, OR 97296
Phone: Phone: 224 -3511 ‘ 1 1) \ I G
Reg #: LIC 049737
SUP 2986S
ELE 26 -45C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT KJP 11/01/199. $85.65 99- 319455 Elect'I Final
5PCT KJP 11/01/199c $6.85 99- 319455
Total $92.50
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.
PERMITTEE'S SIGNATURE ac.(a, ISSUED BY: X
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 l
SIGNATURE OF SUPR. ELEC'N: DATE: 1 / / i / 95
LICENSE NO: 2-5 4` $S
Call 639 -4175 by 7:OOpm for an inspection the next business day
' • 07/20/99 TUE 11:08 FAX 503 598 1980 CITY OF TICARD 4 002
CITY OF TIGARD Electrical Permit Applicatioir>, Pun ` •
.. " - - -- 13125 SW HALL BLVD. R a cy
t evE Date Reed
TIGARD OR 97223 pats to P.E. (503) 8394171. x304 ADDITION TO PERMIT #ELC 99- 0048(NO V
01 1 pewit • Elc /Q9y-oo6.5o
Oats to oST
inspection (503) 639-4175 Pfint of Type CO MMU ry �� .
Fax (503) 598 -1960 Incomplete or illegible will not be ace O EVELOPM EN T c
Job# 78759 (Jeff L) 10 -26 -99 •
1. Job Address: Addition to # ELC 99 -00480 4. Complete Fee Schedule Below:
r • Name of Development Nike Number of Iropswons per permit showed
Name (or name of business) Nike Service included: Items Cost . Sum
Adder 15705 SW 72nd Avenue 4a. -penult
1000 sq. R or leas $ 117.75 4
City/State/Zip Tigard, OR ' Ea additional 500 sq. ft. or
i- -- portion thereof $ 2625 1
Corrwnercial n Residential ❑ " Limited Energy $ 60.00
• Each Mamda Home or Modular
2a. Contractor installation only: • - r>weitIng SerWm or Feeder $ 72.75 - - - 2
(Prior to permit issuance. appI1cars s must provide contractor license 4b. Services or Feeders
information for COT data base). - • Installation, alteration, or reiccatlon
Electrical Contractor E C COMPANY 230 amps or less • $' 64.25
4 a mps to 800 amps $ 128.50 2
2
Address
PO BOX IO26b • 201 amps to 400 amps $ 85.50 2
City PORTLAND State , OR Zip 97296-0286 601 amps to 1000 amps $ 152.50 2
• Phone No. ( 503) 224 -3511 . Over 1000 amps cr wits $ 363.75 2
• • Job No. . Redortned only $ 53.50 2
Elec. Cont Lice. No. 26-45C Exp.Date , 10/1/990° °/" 4c. Temporary services or Feeders
OR State CCB Reg. No. 49737 Exp.Date 6 e lnstaaation, atmration. or relocation
COT Business Tax or Metro a - i .. *
1 /1 /00 200 amps or test $ 53.50 2
i 201 amps
to 400 amps $ 8G.2S 2
Mr, �! r ` 401 amps to 8G0 amts $ 107.00 2
Signature of Supr. Bee 1 over 1300 amps to 1000 volts,
6 4-. see "b" above.
Ucense No S a- y5 S Exp.Date,"' 1 20 . l
4d.
Phone No. .003) 224 -3511 Mew, Branch �
, alteration of extension per panel •
a) The fee for branch circuits
2b. For owner installations: with purchase of semlce or
feeder fee.
Each branch dretlt 5 5.35 2
Print Owners Name b) The tee for brandy encode
Address without purchase of service "
Cry State Zip First branch circuit 1 $ 37.50 37.50. -- - -
Phone No. adrift:
tat adat branch dreuh _ 9 $ 5.35 4 _1 S
` The installation is being made on property t own which is not . 4e. Miscellaneous •
intended for sale, lease or rent. (Senei0e or tee not Included)
Each pu _ $ 42.75
pump or Irrigation arde
• Each sign a oUtete Igftling $ 42.75
Owners Signature Signal circuit(s) sr a United-energy
• . panel. attesauar a eextension $ 60.00
3. Plan Review section (if required): * •
Minor %abets (10) $ to7 00
- Please check appropda� item and enter flee in section 55• 41. Each addition) Inspection over
4 or more residential was in one structure
the aUovurabte in any of the above
Per inspection $ 50.00
�_ �
Senvioe and feeder 225 amps or more Per hour - $ 30.00
•
System over 600 volts nominal In Plant $ 59.00
Classiaed area or structure containing special occupancy as 5. Fees: $ 85.65
desutbed in N EC Chapter 5 6a Enter total of afore fees
• * Submit 2 sets of plans with application where any of the above apply. 7 AK Surcharge (.05 X total fees) 8% . 3
Not required for temporary construction services. Subtotal
6h Enter 25%otane 5a for $
NOTICE Plan Review if reaulred (Sec. 3) -
• PERMITS BECOME VOID F 1NORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED VA/MN 180 DAYS. OR IF CONSTRUCTION OR $
Y RK IS SUSPENDED ORABA FOR A PERIOD OF 180 DAYS ❑ Trust Account 0 92.50
,
AT ANY TIME AFTER WORK IS COMMENCE). Total balance Due ...��.
i ldmVoffn ale ctric.doc ,
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
I BUP
Date Requested 1( r a"a"��� AM PM BLD
Location /.57 ;(-4) •_7 - Suite MEC
Contact Person li&&. l/ / �� c� Ph 34 ( Be - a r/ PLM
Contractor '� 11 Ph ? 3�' 3 3SS XY SWR
N
BUILDING Tenant/Owner ( b- ioh Yz-- ELC (gi9'6-1) (o 5d
Retaining Wall ELR
Footing Access:
Foundation „ Q FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall /./ h 4 1 - �Q s
Fire Sprinkler
Fire Alarm
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
__ FAIL
■
Rough In
UG /Slab
Low Voltage
• arm
PART FAIL
S
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 Date // 2 7? ! ( Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.