Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98 -0594
DEVELOPMENT L � s
OPMENT SERVICES DATE ISSUED: 09 /24/98
PARCEL: 29112DC -00100
SITE ADDRESS...:157O5 SW 72ND AVE
SUBDIVISION :SOUTHERN PACIFIC TIGARD INDUST ZONING:I -L
BLOCK • LOT •002 JURISDICTION: TIG
Project Description: Installation of 2 branch circuits. Job No. 2064 -295.
- -- 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 1st W/O SRVC OR FDR.: 1 PER HOUR : 0
401 - 600 amp • 0 EA ADD'L BRNCH CIRC: 1 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
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA PKWY #300 -WMI PRMT $ 40.00 DEB 09/24/98 98- 309456
PORTLAND OR 97224 5PCT $ 2.00 DEB 09/24/98 98- 309456
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 42.00 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'l Service
Phone #: 684 -3600 Wall Cover Elect'l Final
Reg #..: 000522
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 Bore 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 through OAR 952- 001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
•
Permittee Signature: 4N41 _ Issued B :
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 INSTALL TI ONLY �
SIGNATURE OF SUPR. ELEC'N: ,�Q�QQ,�,�.�Q � C�IJ�( �4`'�J DATE: 9 10 2 4 1 4Y /
LICENSE NO: ?6 1 tO -
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
SEP -24 -98 THU 10:34 AM PHOENIX ELECTRIC CO FAX N0, 15036843611 P. 02
. -w
CITY OF TIGARD Electrical Permit Application wan Ch a
13125 SW HALL BLVD.
TIGARD OR 97223 Rec'd rg-
Date Recd
Phone (503) 639 -4171, x304 Date to P.E. -
Inspection (503) 639 -4175 Print or Type Date to DST -
Fax (503) 684 - 7297 Incomplete or illegible will not be accepted Permit cif -
Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development
Number or Inspections per permit allowed
��
Name (or name of bus \ i � f `i 1 n t �+�
Address m f bu ; ss) �- / , Serviee included: Items Cost Sum
� '- 't 4 4a, Residential -per unit
+
City/State/4P ' . .,`\ o - _ `I . 1000 sa, ft or less $110.00 •
Each additional 500 sq. It or 4
Commercial Residential ❑ portion thereof '" $2500
a� .�\ (� 1 , Limited Energy $25.00 �� 1
� 1 _`C ^ , eft/ `, � , Each Manul'd Home or Modular
2a. Contractor installation only, 1 Dwelling Service or Feeder $� o�
(Attach copy • ._ ( current licenses) ab. Services or Feeders 2
Electrical •n . ct• - ...i %I.N>` a ,
Installation, alteration, or relocation
AddrPc5 a •.M1k t - 200 amps or less $60.00
City 201 amps to 400 amps $60.00 - 2 •
Phone N. �� - 401 amps to 600 arras $120.00 2
Job No. ���` _s 601 amps to 1000 amps 2180.00 2
MI " ,I Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. _MM.-- Exp,Date Reconnect only $50.00 2
OR State CCB Reg. No. J • ' xp.Date 2
Installation, Temporary Services or Feeders
COT Business Tax or Metro No.
Exp.Date Insterlatlon, alteration, or relocation
200 amps or Tess $50.00
Signature of Supr. Elec'n - 201 amps to 400 amps $75.00 -��- 2
401 amps to 600 amps $1000 2
License Nc O Over 600 amps to 1000 volts, 2
Phone Nr Exp.Date see °b" above.
n n
4d. Branch Clrculta
New, alteration or extension per panel
2b. For owner installations:
a) The fee for branch circuits with
Print Owners Name purchase of service or
feeder fee.
Address_ Each branch circuit 55.00
City_ State Zjp b) The fee for branch circuits 2
Phone No, without purchase of
service or feeder lee.
The installation is being made on property I own which is not First branch circuit ( 235.00
-*,7' �- �b 2
Each additional branch circuit L_ $5.00 'c" (�C1 2
intended for sale, lease or rent
40, Miscellaneous
Owner's Signature (Service or feeder not included)
Each pump or irrigation circle 240.00 2
Each sign or outline lighting $40.00
3. Plan Review section (if required):* Signal circuits) or a limited energy 2
panel, alteration or extension 240.00 2
Please check appropriate item and enter fee In section 58. Minor labels (to) $100.00
4 or more residential units In one structure
Service and feeder 225 amps or more 4L Each additional
any Inspection veer
System over 600 volts nominal the allowable In any of the above
Classified area or structure containing special occu Per Inspection 535.00
g s
as described in N.E.C. Chapter 5 p ec pY Per hour $55.00
In Plant 55500
' Submit 2 sets of plane with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above lees 4
NOTICE 5% Surcharge (.05 X total fees) $
Su $ - ip
• PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 5b. Enter 25% of line Sa for
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal Review.? required (Sec.3) $ $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY �( _ $
TIME AFTER WORK IS COMMENCED. �L Trust Account # 1 '� �a 442 CO
Total balance Due
mnST51ELC98.APP no. mos
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � MST
BUP
r D p
1 4 t ( Date Requested c ' 1 1 ' �' (? AM PM BLD
Location 15 705 c� 1,Yl c Suite 2� MEC
Contact Person d tt d f b _/ �-ec h ((- 3 c'O PLM
Contractor Ph SW►R G
BUILDING Tenant/Owner 7 f{- /vf /�-� 41(r !�� -05
Retaining Wall ELR
Footing Acces
Foundation .4 e K p FPS
Ftg Drain SGN
Crawl Drain Inspec ' n Notes:
Slab - 44A cey ®.1/ /e74 c -+L SIT
Post & Beam
Ext Sheath/Shear Awl erc
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall _
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final falft
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
P T FAIL
ELECTRIC
Service
Rough In
UG /Slab
Low Voltage
F' - Alarm .
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 /1 7,4 /fir Inspector Ext
Other
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.