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Permit CITY OF TIGARD ELECTRICAL PERMIT , DEVELOPMENT SERVICES PERMIT #: ELC98 -2087 j ` � .!13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: : 22 / 23 / 98 . PARCEL: 2S112DC -00100 SITE ADDRESS...:15705 SW 72ND AVE SUBDIVISION -SOUTHERN PACIFIC TIGARD INDUST ZONING:I - -L BLOCK..........: LOT •002 JURISDICTION: TIG Pro.j ect Description : Installation, alteration or relocation of a 200 MP or less service /feeder and ten (10) branch circuits for an existining commercial tenant occpy. - -- 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 ° 1 W /SERVICE OR FEEDER: 10 PER INSPECTION • 0 201 — 400 amp 0 1st W/0 SRVC OR FDR.: 0 PER HOUR ° 0 401 — 600 amp - 0 EA ADD'L BRNCH CIRC: 0 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 TETRA PLASTICS type amount by date recpt C/O NIKE_ PRMT $ 110.00 GEO 02/23/98 98- 303495 ONE BOWERMAN DRIVE 5PCT $ 5.50 GEO 02/23/98 98- 303495 BEAVERTON OR Phone #: Contractor: CAPITOL ELECTRIC CO INC $ 115.50 TOTAL 12810 NE AIRPORT WAY UNIT 1 REQUIRED INSPECTIONS PORTLAND OR 97230 Ceiling Cover Underground Cove Phone #: 255 -9488 Wall Cover Elect'1 Service Reg #..: 000487 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 through OAR 952 -001 -1987. You nay obtain a copy of these rules or direct questions to OUNC by calling ( )246 -1987. Permittee Signature: Issued By: 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: DATE: LICENSE NO: 2 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Lail b,SJ -411b by f:OVJ p.m. tor an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Plan Check # 13125 SW HALL BLVD. ELECTRICAL PERMIT APPLICATION Rec'd By TIGARD, OR 97223 Date Rec'd s. Phciiie (503) 639 -4171, X304 Date to P.E. Inspection (503) 639 -4175 Date to DST Fax (503) 684 - 7297 PRINT OR TYPE Permit # b Q S - C -- "CC S.-7 INCOMPLETE OR ILLEGIBLE WILL NOT BE ACCEPTED Called 1. Job Address: - . COMPLETE FEE SCHEDULE BELOW: Name of Development Number of Inspection per permit allowed ervice Included: Items Cost Sum Name (or name of business) TETRA PLASTICS • a. Residential - per unit 1000 sq. ft. or less $110.00 4 Address 15705 SW 72 ND Each Additional 500 sq. ft. or portion thereof $25.00 1 City /State/Zip TIGARD OR Limited Energy $25.00 - - - -- Commercial -X Residential- Each Manufd -Home or- Modular - - - - - - - - - Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) • b. Service or Feeders Electrical Contractor CAPITOL ELECTRIC CO., INC. Installation, alterations or relocation Address 12810 NE AIRPORT WAY 200 amps or less 1 $60.00 $60.00 2 City PORTLAND State OR Zip97230 -1029 201 amps to 400 amps $80.00 2 Phone No. (503) 255 -9488 401 amps to 600 amps $120.00 2 Job No. 9897 601 amps to 1000 amps $180.00 2 Elec. Contr. Lic. No. 26 -496C Exp. Date 10 -1 -98 Over 1000 amps or volts $340.00 2 OR State CCB Reg. No. 48748 Exp. Date 8 -22 -99 Reconnect only $50.00 2 COT Business Tax or Metro No. 00004542 Exp. Date 10 -1 -98 12/ �[ • c. Temporary Services or Feeders Signature of Supr. Elec'n Installations, alterations or relocation 200 amps or less $50.00 2 License No. 2865- 7 Exp. Date /0i / a6 201 amps to 400 amps $75.00 2 Phone No. (503) 255 -9488 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts see "b" above. 2b. For owner installations: d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with City State Zip purchase of service or feeder fee Phone No. Each branch circuit 10 $5.00 $50.00 2 b) The fee for branch circuits without The installation is being made on property I own which is not purchase of service or feeder fee. intended for sale, lease or rent. First branch circuit $35.00 2 Each add'nl branch circuit $5.00 2 Owner's Signature :. Miscellaneous (Service or Feeder Not Included) Each pump or irrigation circle $40.00 2 3. Plan Review section (if required): * Each sign or outline lighting $40.00 2 Signal circuit(s) or a limited energy Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 2 4 or more residential units in one structure Minor Labels (10) $100.00 Service & feeder 225 amps or more System over 600 volts nominal • f. Each additional inspection over Classified area or structure containing special he allowable in any of the above occupancy as described in N.E.C. Chapter 5. Per inspection $35.00 -- - - -- - P - er_ - - $55.00 ' Submit 2 sets of plans with application where any of the above apply. In Plant $55.00 Not required for temporary construction services. . Fees: PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 5a. Enter total of above fees $ $110.00 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 5% Surcharge (.05 X total fees) $ $5.50 IS SUSPENDED OR ABONDONED FOR A PERIOD OF 180 DAYS AT ANY Subtotal $ $115.50 TIME AFTER WORK IS COMMENCED. 5b. Enter 25% of line 5a. for Plan Review if required (Sec. 3) $ Subtotal $ $115.50 Trust Account # otal balance Due $ $115.50 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business �"" Line: f t 39 -4171 �v Date Requested �g AM �' PM BUP BLD Location 1 S7 05 7 2 144 Suite MEC Contact Person I ✓l t 1/V [/U1`0/11W1S Ph 22 ? $'2r„/ PLM Contractor / Ph gam— SS 2 SWR BUILDING • p a Owner e �PL�'oh ELC 9( -cog ) Retaining Wall 70® /i6 - 7 0 O.% 1 Z ELR -% Q 9-00-1) � Footing Access: Foundation £LC. 9 _� , OLD , FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation • / �- Drywall Nailing _ �O / l� �� Firewall / / / • 4/ Fire Sprinkler . v ��_ _i �_ _ . . . - _ 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 PASS PART FAIL Service Rough In / , UG /Slab 4t15W Fir arm Ina SS PART SITE BackfilUGrading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ 1 Please call for reinspection RE: [ I Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other D ate /-/.3 - 7Y Inspector i _ _ _ _ _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested y- AM PM BLD Location IS - 705 "72c' Alm., Suite MEC Contact Person 14OC j . — 2 'gygr PLM Contractor fa'f41-6 Ph SWR BUILDING en Owner 'r�� 960/J+7 ELC g9 g7 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing • Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof C�Q 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 PASS PART FAIL C.ECTRICA Service Rough In UG /Slab Low Voltage Fire larm -i AS PART FAIL SITE 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 - ..3 O 9 r Inspector .vt Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.