Permit ELECTRICAL PERMIT
C ITY OF TIGARD PERMIT C
DATEISSUED :09 /27/96
'.COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 2S1 13AB -00800
SITE ADDRESS... — = �5 J 74TH AVE
SUBDIVISION....: 115Th ZONING:I—P
BLOCK...... LO'T...... > ...... .
Project Description: Installing two 200 amp, one 1000+ amps services or feeders,
eight branch
circuits.
- --- 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
L.IMITED ENERGY.....: 0 401 — 600 amp.......: 0 SIGNAL /PANEL 0
MAIN. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10>...: 0
-- - - - -SE R•V I CE /FEEDER - - - -- . ----BRANCH CIRCUITS -- -ADD' L INSPECTIONS - --
—
0 200 amp....... 2 W /SERVICE OR FEEDER: 8 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 : 1 1=4 RES.UNITS........: > 600 VOLT NOMINAL_..:
Reconnect only.....: 0 SVC /FDR >= 225 AMPS.. :X CLASS AREA /SPEC OCC.:
Owner: ---- -- _. - - - - - -- FEES --
JADCO LTD type amount by date recpt
16055 SW 74TH AVENUE PRMT $ 500.00 CJS 09/26/96 96- 284427
PLC}'-. $ :125.00 CJS 09/26/96 96-- 284427
TIGARD OR 97223 5PCT $ 25.00 CJS 09/26/96 96- 284427
Phone #:
Contractor: -- -----
ELECTRICAL DIMENSIONS INC $ 650.00 TOTAL
PO BOX 12146
3961 SW WILLAMS AVE REQUIRED INSPECTIONS
PORTLAND OR 97212 Wall Cover Elect'1 Service
Phone #t: 503 -282 -7255 Underground Cove Elect' 1 Final
Reg #..: 44008
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itt ee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started i
within 180 days of issuance, or if work is suspended for more •
than 1B0 days. 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: _.n2J1,2 DATE: ��
LICENSE NO:
Call for inspection — 639 -4175
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' Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # 19.-Cg6-06t
44111400000 Date Issued 4 T- 7-
� l Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 .
Inspection (503) 639 -4175
1. Job Address: I 4. Complete Fee Schedule Below:
Name of Development J,. Q C D LT b Number of Inspections per permit allowed
Address � / ( 1 Service included: Items Cost(ea) Sum
''�'�
City /State /Zip T / /-R0 alb 4a. Residential - per unit
11 1000 sq. ft. or less $110.00 4
Name (or name of business) Ur, h 4.i O to N GA ba Each additional 500 sq. ft. or
portion thereof $25.00
Commercial Residential ❑ Limited Energy $25.00 1
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
• r r 4b. Services or Feeders
Installation, alteration, or relocation
Electrical contractor0 eGI - � - le..AL ' Zit VYI N,51 OM 5 INC 200 amps or less $60.00 120 2
Address (f..)(3 , �3 BrIx. j 2 / 4"4 201 amps to 400 amps $80.00 2
J 4 01 amps to 600 amps
City I DI�.`[1 A N� State OE Zip �7a /� $120.00 601 amps to 1000 amps $180.00 2
Phone No. 2 by / /y Over 1000 amps or volts I $340.00 2
Job NO. Reconnect only
$50.00 2
contractor's license NO. 6 - 4-3 ZG 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 00 Installation, alteration, or relocation
Signature of Su r. Elec'n (---- 200 amps or less 2
License No. 64 Phone No. ZR2- S 201 amps to 400 amps $50.00
401 amps to 600 amps $75.00 2
Over600 amps to 1000 volts $100.00
2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. (� , 2
City State Zip Each branch circuit 8 $5.00 ►I�
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit $35.00
Each additional branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00
4 or more residential units in one structure Minor Labels (10) $100.00
. Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00
Per hour $55.00
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services: 5. Fees:
5a. Enter total of above fees $ �,� ''
NOTICE 5% Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ i 2
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. wordlcomdev\eIec- ❑ Trust Account #
$
prm.app
Balance Due $
7/ ' \
•
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7 OFFICE WAREHOUSE AREA = 8360 SF. .:. • 1
AREA al FIRST FLOOR O1ICE °i AREA = 932 SF. • • • � • . • 1 1
(TWO STORY SECOND FLOOR OFFICE °i AREA = 932 SF. . • N -W 5' • FIRST FLOOR OFFICE P2 AREA = 1813 S.F. ELECTRICAL • • -�� • + . • - • • `' SID) = WA K \ \
SECOND FLOOR OFFICE °2 AREA = 1813 SF. TRANSFORMER poi
iihtl ,,. • - . • •GREENED 10'x11 ' � • . • +
• • PIE • STRI AN ACCE - , mi. MPSTER LOGATIO� � , . 1
• • E. O.
E:FE -- PAVEMENT • • •
• . R TO SHT. 0.1 •�
1 I
,R TO SH . • • i OFF ICE / • ... -. 16 '^ � 1 t !-2� _ , ____ 2'
AREA o: 1 = GYGLE . • . $ ' I _— 20\ ' 1 •
_ ! (TWO STORY) PA ING RACKS • - i•
PEDESTRIAN I - • -1-- v .
•
T POLE ACCESS ' ,f (SEE /G -l) : 25 � \ •
REFER TO HG. SII
ACCE5SIDILITY • . ; 1 . � 1. \ \ (- `F L7U i17Q t
NOTES ON SHT 02 �/\ • • • • . • • • HG. PA INC y�� CURB RAMP
AtAilk • - . . • • . RK (SEE DTI . 9 /G -) s
A.G \ _ — _� — _ —� — .g — _ / REFER TO SHT. 02 / 0 G n « ;a_ 1 `1 y U
.` PAVING ` I i �1 .� MANNOL1 i �' ■ pP , Ni0 PG-E \
■
CONCRETE (. \. \ 1 .� T"
n SIDEWALK I , .\ \ � vV �^.
`"--, AND CURB \G -11 \ KS) c 7. I I
CATCH !BASIN _ C �'•.
�-_� ,- _ _ �CSEE 1/C-1) EXT G FIRE
` ® HYDRANT . I � � LIGHT POLE = F- �., -- EXTRUDED CUR r ___ 1 *11.
, • • 1 u I I
. B. I
\ �� E.O. EXT'G I NEW CON. r_ 'E J
- - \ \ PARKI I APPROACH Y1 i I- �I
, ) _ �\��\ �... OT CREMOVE EXT'G G ' 41 1
'/ /� �` \ --. I SIDEWALK) 1i1, iN I II\
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 7 ` ,) 0 7 7 A.M. P.M. MST:
Location: / 5 7 7 2 5 7 BUP:
Tenant: c.J D CD Suite: Bldg: MEC:
Contractor: Phone: PLM:
Owner: Phone: ELC: 76 �� "Y-Y /
,/
✓- 2r'U / c-c cfj7raD!)'t- 4. ELR:
J SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved , • ■ .. ed Not Approved
FINAL FINAL FINAL FIN J.. FINAL
:2,7 j c ( ( ,
-- ( 4 --r i
• / 7 „...-- - - - 7 c - - " - - ---.... )
7 Kr ---._"
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: /` c ( A (,{ vi g _ Date: 7 3 —7 7 Page ( of /
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover/ ervice FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: Q G �
Date: 10 - [ — ! (o A.M. P.M. Entry:
Address: J ( 0 5 S SW 7c-( �L(-t
Tenant: cJ/�}!'XC.o 1 Ste: MST:
BUP:
Con /Own: 24 Z' 7 ZJ MEC:
PLM:
°- C./ ELC: '
THE FOLLOWING C RRECTIONS ARE REQUIRED: ELR:
- • n
MOW, !1 .�
C
Inspector: A/ ( y - Date:
- ?'-
K APPROVED DISAPPROVED/CALL FOR REINSP. CF CO