Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00279 DEVELOPMENT SERVICES DATE ISSUED: 6/4/99 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S 113AD -01900 SITE ADDRESS: 16640 SW 72ND AVE B -10 SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L BLOCK: LOT : 009 JURISDICTION: TIG Project Description: Electrical TI 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: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 18 PER INSPECTION: 201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES STONER ELECTRIC 15350 SW SEQUOIA PKWY 1904 SE OCHOCO STREET STE 300 MILWAUKIE, OR 97222 TIGARD, OR 97223 Phone: Phone: Reg #: SUP 4025S ELE 26 -122C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT BON 5/11/99 $230.00 99 -15286 Wall Cover Elect'l Service PLCK BON 5/11/99 $57.50 99 -15286 Elect'I Final 5PCT BON 5/11/99 $11.50 99 -15286 Total $299.00 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 -6699 or 1 -800- 332 -2344. Permit Signature: j ` ✓v . i • Issued By: 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: Call 639 -4175 by 7:OOpm for an inspection the next business day \,/ 1111111, P lan C h: # - �� IiF TkARD E lectri c al Permit Application , • 13125 SW HALL BLVD. RECEIVED Recd Byll J► Date Redd � - � ` ter 71GARD OR 97223 � 199 Date to P.E. G-11-4 Phone (503) 639 -4171, x304 APR 1 Print or Type Date to DST ;- Z? -9, Inspection (503) 639 -41 CU MMUN DE�S iplete or illegible will not be accepted Permit q Fax (503) 684-7297 (--,Pr yM 1. Job Address: 4. Complete Fee Schedule Below: Ms Name of Development / Number of Inspections per permit allowed Name (or name of business) PR cisi �:� lw rc t y- Service Included: items Cost Sum 1 Address ) ( 4 t , St 7e44,7 4a. Residential - per unit q � n // 1000 sq. ft. or less $110.00 4 City /State/Ztp gn-- i v % 7 Z `- _ Each addilionai 500 sq. ft. or Commercial Residential portion thereof $25.00 1 limited Energy $25.00 Each Maned Homo or Modular Dwelling Service or Feeder 565-00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor"' ' L installation, alteration, or relocation I � 2 - 7 0! 5e- l�,F 200 am or less $80.00 2 Address 2 01 amps to 400 amps _� $80.00 _ 2 City State 17 Zip 97 2ZCZ- 401 amps to 600 amps $120.00 2 Phone No. 2 601 amps to 1000 amps $180.00 2 Job No. 354/. / s Over moo amps or volts 5340.00 _. 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 247 23 Exp.Date loll / OR State CCB Reg. No. 44523 Exp.Date 3/2,0 1e4D 4c. Temporary Services or Feeders COT Business Tax or Metro N. •c . IC. Exp.Date Co It 114 lns amps t les alteration, or relocation $50.00 2 200 / � 201 amps to 400 amps $75.00 - 2 Signature of Supr. E1ec'n // . _ , _ _ ►■..._ 401 amps to 600 amps 5100.00 2 Over 600 amps to 1000 volts, License No. .3 4.96, Exp.Date %o li`oi see "b" above. Phone No. Z 3 `3 (::_. 4d. Branch Clrcult5 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. Each branch circuit / 55.00 90 Q� 2 Address b) The foe for branch circuits City State Zip without purchase of Phone No. service or feeder tee. First branch circuit 535.00 2 The installation is being made on property 1 own which is not Each additional branch circuit 55.00 -r 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature _ Each pump or irrigation circle 540.00 2 Each sign or outline lighting 540.00 2 3. Plan Review section (if required):* Signal elrcuit(s) or a limltad energy panel, alteration or extension x• 2 Minor Labels (10) 5100.00 _ 1 Please check appropriate item and enter fee in section 58. 4 or more residential units in one structure 4f. Each additional Inspection over ›e:- Service and feeder 225 amps or more the allowable In any of the above System over 500 volts nominal Per Inspection - 5 00 Classified area or structure containing special occupancy Per hour $55 00 as described in N.E.C. Chapter 5 In Plant . * submit 2 sets of plans with application where any of the above apply. S. Fees: 2 3o Not required for temporary construction services. 5a. Enter total of above fees $ - j jO 5% Surcharge (.05 X total fees) $ 24 50 NOTICE • Subtotal 5b. Enter 25% of fine 5a for S75D .\ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) 5 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY Account # $ 299 TIME AFTER WORK IS COMMENCED. Total balance Due i \OSTS\ELC98.APP Flay WM CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7-20- AMA PM BLD Location j (e (' ( f D ' 77! — Suite / MEC • Contact Person be an4-4 1)1. Ph � J�' ZS3 PLM Contractor UU Ph SWR BUILDING. Owner pre,C. ( ')4 '7 . ELC 1 qqq- Z7c1 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: /,� �� �''� �"'- SGT Slab WI) SIT Post & Beam n I e ^ 12 Ext Sheath/Shear �( ' W Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall 4A016 44 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Cis)4 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 _FART FAIL (LECTR Service Rough In UG /Slab Low Voltage Fire Alarm 7 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 reinspection RE: [ ] Unable to inspect - no access ADA Q' Approach /Sidewalk Other Date V i p Inspector F;t 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 7 - ) - q 9 AM PM BLD Location 1 (.0( 040 '77. (10'... Suite &ID MEC Contact Person ( . ' (, Ph :31-7.,s?) PLM Contractor Ph S1NR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: gg SGN Slab a1- lA �✓� ^� SIT Post & Beam Ext Sheath/Shear n Int Framing th/Shear i 9 k 'tt )2 D 0 °�" { .M , .; !I � /volt ' Gc ,0 _ Insulation � t t Drywall rewalll Nailing &C-C- �� � 9 ! 00/.. � '" '"r � � 'CAW- 41 Cam•! s y Fire Sprinkler Fire Alarm Susp'd Ceiling 6-Lc.- 9G1 - �� gAJA -c.� C eza Roof qq--oo) 02 _,) 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 CXLECT Service Rough In UG /Slab Low Voltage Fire 411arm na PASS PART FAIL SITE Backfill /Gading Sanitary Sewer Storm Drain [ J Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector P 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 Date Requested ( -q61 AM PM BUP �7 �l BLD Location 1 (O�� D Ci � - Suite �J --/ t� MEC Contact Person le)G Ph ► - 2,533 PLM Contractor Ph SWR BUILDING na Owner PiT [. --k�l V • ELC J -c l ( ' °Q'Qj) I Retaining Wall ELt r !a 1 ? [— ooz8O Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: ��qq SGN Slab �� f.'1 pyoy SI T Post & Beam Ext Sheath /Shear 4 i 9R-Ca"),/,6 '7"-•- Int Sheath /Shear Framing - Oft! Cr? Insulation /� Drywall Nailing LG L- CS. 9 - C> / z.S (gin/ /r L 9 c •rooi Firewall / /6/446 Fire Sprinkler ‘leir-e,.)t Fire Alarm � Susp'd Ceiling . �� Q //'/_ Roof Misc: Final PASS PART FAIL PLUMBING > 17U.A! ' C4 :6) 7W. so 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 ECT IC $Thvrce r Rough In UG/Slab Low Voltage Fire Alarm I. SS PART FAIL BackfilllGrading 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 reinspection RE: [ ] Unable to inspect - no access ADA Appro Other ch/Sidewalk / t; ` %� �C,I Ext Other Date (U 9�/ Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.