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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00671 u • DEVELOPMENT SERVICES DATE ISSUED: 11/09/1999 I 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639 -4171 PARCEL: 2S112DC -01400 SITE ADDRESS: 15875 SW 74TH AVE SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P BLOCK: LOT : 004 JURISDICTION: TIG Project Description: Install 1 service /feeder 200 amps or less and 30 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: 1 W /SERVICE OR FEEDER: 30 PER INSPECTION: 201 - 400 amp: 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: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC AMERICAN PROPERTY COMMERCIAL ELECTRIC CORP. PACIFIC SANTA FE CORP 10928 NE KILLINGSWORTH • 17700 SW UPPER BOONES FERRY PORTLAND, OR 97220 -1097 PORTLAND, OR 97224 ORIGINAL Phone: 503670 -5416 Phone: 255 -9822 Ren #' LIC 00 006145 SUP 1745S ELE 26 -33C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT KJP 11/09/199 $224.75 99- 319641 Elect'I Final 5PCT KJP 11/09/199, $17.98 99- 319641 Total $242.73 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 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 /F7 SIGNATURE OF SUPR. ELEC'N: &' -- � het DATE: 1 / /g' LICENSE NO: /° 'S Call 639 -4175 by 7:OOpm for an inspection the next business day 08/2 3/9 9 MON 11:27 FAX 503 598 1960 CITY OF TIGARD 41002 CITY OF TIGARD Permit Application Plan Check# 13.1 SW HALL BLVD. Recd By Date Recd TIGARD OR 97223 REC1rls r Date to P.E. Phone (503) 639 -4171, x304 Date 10 DST Inspection (503) 639 -4175 NOV 0 5 1999 Print of Type Permit # El Ll 6 1 6 1/ -n01.07 Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called COMMUNITY DEVELOPMENT 1. Job Address: /�9 4. Complete Fee Schedule Below: Name of Development Ce&Z / t VI Sd Number of Inspections per •errnttallowed Name (or name of business) 6'.41 eaiv, . Service Included: Items Cost Sum Y 5 Address /,_ A - 6 S, ` &I 72 / rA 4a. Residential - per Lntt te City /State /Zip / , 4/V d..0 6/d 1000 sq. ft. or less S 117.75 4 J Each additional 500 sq. ft or portion thereof S 26.75 1 Commercial $ Residential ❑ Limited Energy 5 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or raider $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feede. s Information for COT data base). Installation, alteration. o relocation Electrical Contractor CinMiv RCT - ^,T, FT,FCTRTC 200 amps or less / s 64.25 6 25" 2 Address 10928 N F. KTT,T,T NGSWORTH • 201 amps is 400 amps 5 85.50 2 City PORTT,ANT) State OR Zip 97220 401 amps to 1 $ amts 128.50 2 / 601 amps to 1000 srrpa 5 192,50 2 Phor.e No. 503 -255 -9822 Over 1000 amps or volts S 383.75 2 Job No. 4 1 8 1 5 1, Reconnect only $ 53.50 2 Elec. Cont. Lice. No. • :26 - 33C Exp.Date /0 -) - DU s p. � 4 Temporary Services or Feeders OR State CCB Reg. No. 6145 Exp.Date /- /2.- bO Installation, aiteratton, o• relocation COT Business Tax or Metro 2024 Exp.Date i -1 -t6 200 amps or less $ 53.50 2 201 amps to 400 amps S 80.25 2 401 amps to 800 as $ 107.00 2 .t i Signature cf Supr, Elec'n �P ��P� Over 600 amps to 1000 volts, / 7 rare "b" above, License No. 6 D ! t� P• to /6/00 4d. Branch Circuits Phone No. i 2L - a.- New, alteration or extension per panel a) The fee for branc:n circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuk. 3 S 5.35 _ /6 1 2 b) The fee for branch circuits • Address without purchase of service City State Zip or feeder foe. Phone No. First branch circuit $ 37.50 Each additional brunch c rcutt $ 5.36 The installation is being made on property I own which is not 4e. Miscellaneous Intended for sale, lease or rent. (Service or teecer not included) Each pump or irrigation :Irate $ 42.75 Owner's Signature Each sign or outline ligh:ing $ 42.75 Signal circult(s) or a Ilml;ed energy panel, alteration ores tenoicr. $ 60.00 3. Plan Review section (if required): * 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 Per inspection S 50.00 Service and feeder 225 amps or more Per hour 5 50.00 System over 600 volts nominal In Plant 5 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 6 5. Fees: 5e. Enter total cf above fries $ 2 7 * Submit 2 sets of plans with application where any of the above apply. ,�'7 (.0i3X total fees) $ / rap Not required for temporary construction services. Subtotal $ P"2 . 1.3 5b. Enter 25% of line 5a for NOTICE Plan Review If required (Sec. 3) $ PERMITS BECOME VCID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WOR.4 IS SUSP ENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # / ry2 AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 27 G � i 73 is \dsts'd5rrns`.et ectr ic. doc - CITY TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171 i /c9-V(9 BUP Date Requested AM PM BLD Location 15-r7 5 7(1 Suite MEC Contact Person arArti c5Y Y 1A-At Ph 516 96)- • PLM Contractor.(,- Du.ce-- Ph `/E'd�" SWR BUILDING Tenant/Owner ELC t 9q q Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes. SGN Slab L � 0 �� + 3 01 4 4 - to (_ M SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall / / /� Fire Sprinkler pp! C e_ g �-( q ` / - s 1 S 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 ELECTRICAL Service Rough In (, UG /Slab Low Voltage , (� Fire Alarm Fina A 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 Approach /Sidewalk Date / / ( Inspector � �i� ` _ /// /A _ Ext Other 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 II BUP Date Requested �(� 3Ul q(/ AM PM BLD Location / 5- 8 -7 --- � � / - Suite MEC Contact Person l ,15YV\ YIN—VC/La-L.- � , ��xC_, Ph (5 PLM Contractor // �� Ph SWR BUILDING Tenant/Owner Lo f1 ELC /q5 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Note p (NC_ Slab / � (� SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 4 �J Roof Aa, '"/ 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 ELECTRICAL Service o g I CISU viria Low Voltage Fire Alarm F' - 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 Approach /Sidewalk Date //3 Inspector Ext Other 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 /(81 '? AM PM BLD Location e s7 5c4 Suite MEC Contact Person Cwt rx -elCc 2� C- Ph 9 er PLM Contractor Ph SWR BUILDING' Tenant/Owner ELC (' 47) 40 ' Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 57 Y 17 / ? 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 1 1 P ASS PART FAIL ELECTRICAL • j Service) Rough In UG /Slab Low Voltage Fire Alarm - ag t, 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 411, ADA Approach /Sidewalk D ate [? ' Other i�' 0 0 - 7 F Inspector 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 (c AM PM BLD Location /5517 .Xc) 7 44 Suite MEC Contact Person CAM Y TCC L Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC (qc X Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Note�(�. • SGN Slab D C/L/ art a SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling `e — a ve Y ✓l Roof ' OM/ 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 P FAIL 1L A .E S C TRIC�L� Service' A N Rough �i�2 1 UG /Slab �` Low Voltage ,Fir Alarm ! PASS I • 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 Approach /Sidewalk Date P- Inspector Ext Other 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 l BUP Date Requested 1/t t q AM PM BLD Location S '7 - I ` I C1 Suite MEC Contact Person Comm. Ph 2 g2, PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 11 9' OD(4 - Retaining Wall ELR 1qF9- 03281 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 /— Misc: Final PASS PART FAIL PLUMBING / / s i -- Post & Beam Under Slab Top Out Water Service )V e- Sanitary Sewer Rain Drains C on / Q n �� G �l( Final PASS PART FAIL �� /� — r► ii AO • i / • MECHANICAL giOAPria Post & Beam 1 Rough In Gas Line Smoke Dampers Final PASS PART FAIL CTRICA'L� Service UG /Slab Low Voltage larm S 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 nn Approach /Sidewalk /�^ y ���'/ Ins / ,, / _ /// _�. Other Date `` // Inspector /., _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.