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Permit 4.1,,, CITY OF TIGARD E LECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0566 m�n�~n�m~��xnmnn�"�n v�n�xx�x��n�m� D ATE ISSUED 09/21/98 �� 13125 SW Hall Blvd., �a�ORg�3��41� : PARCEL: 28112DC-01400 SITE ADDRESS...:15875 SW 74TH AVE SUBDIVISION....:CREEKC��}E INDUSTRIAL PARK ZONING:I—P BLOCK..........: (// JURISDICTION: TIG Project Description: Electrical addition ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS....: 0 0 — 200 amp.......: 1 . 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......: 0 W/SERVICE OR FEEDER: 3 PER INSPECTION.....: 0 201 — 400 amp......: 0 1st W/O 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 -------- LOY CLARK PIPELINE type amount by date recpt 16880 SW SILER RIDGE LANE PRMT $ 65.00 B 09/21/98 98-309305 BEAVERTON OR 5PCT $ 3.25 B 09/21/98 98-309305 Phone #: Contractor: — COMMERCIAL ELECTRIC CORP. $ 68.25 TOTAL 10928 NE KILLINGSWORTH REQUIRED INSPECTIONS ----- PORTLAND OR 97220-1097 Ceiling Cover Elect'l Service Phone #: 255-9822 Wall Cover Elect'l Final Reg #..: 000061 This perait 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 1:4 days of issoance or if work is suspended for core 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 952101 through OAR 952 You may obtain a copy of these rules or direct questions to MC by calling (503)246-1987. Permittee Signature: en____ VAKY : - _ - _ . Arfj Issued By:_ ^ ^ Kv c-----"" — 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: C y\ DATE: LICENSE NO: +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ I Call 639-4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++�+++++++++++++++++++++++++++++++++ N . 4 CITY OF TIGARD Electrical Permit Application Plan Check 1 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # i LC t 05 - (P(, Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Cit . it'1J/z4/ Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum Address /S /,r S. & • 7V 7-4 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City /State /Zip Each additional 500 sq. ft. or Commercial Residential El Limited thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor COMMERCIAL ELECTRICAL CORP . Installation, alteration, or relocation Address 10928 NE KTLT,TNGSWOR'U-: 20 amps to or less $60.00 2 - 201 amps to 400 amps $80.00 2 City PORTLAND State OR Zip 97220 401 amps to 600 amps $120.00 2 Phone No. 255 -9822 601 amps to 1000 amps $180.00 2 Job No. 2 R � Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 26 - 33C Exp.Date 10/01/ 98 Reconnect only $50.00 2 OR State CCB Reg. No. 6145 Exp.Date 01 12 00 4c. Temporary Services or Feeders COT Business Tax or Metro No. 2024 Exp.Date 1© 99 Installation, alteration, or relocation i . s - ®® / 200 amps or less $50.00 2 201 amps to 400 amps 75.00 Signature of Supr. Elecn r /�.1 4 amps to 6 00 amps $ 100.00 2 � � Over 600 amps to 1000 volts, License No. , Exp.Date see "b" above. Phone No. 4d. Branch Circuits 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. S Address Each branch circuit 3 $5.00 /5,101) 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circui $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 - * Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a. Enter total of above fees $ 4,5-..90 5% Surcharge (.05 X total fees) $ .3 . 2S NOTICE Subtotal $ 4.07. 2-5" 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 6S 2s Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP „ Date Requested ,0," -5 - • AM x PM BLD Location /5E 75 £? L) 7`t�' l� � �(/`� - Suite MEC Contact Person Ill / SP ? Ph 5S — 9 O ��-- PLM Contractor Ph SWR q BUILDING Tenant/Owner C" EE* V / C(/t/ �� 2 G ' 5b 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 i Insulation Drywall Nailing _ _ ��— Firewall / Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof Misc: Anal 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 rs;::Senrica -> ] P Rough In UG /Slab Low Voltage Fire Alarm Fin. 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 Date � i Other a +�- �n Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.