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Permit r CITY OF TIGARD ELECTRICAL PERMIT \ DEVELOPMENT SERVICES di PERMIT #: ELC97 -04e2 ;, DATE ISSUED: 07/22/97 13125SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL_: 2S1 11 BD- 027ili0 SITE ADDRESS... :14650 SW 97TH AVE SUBDIVISION.... :CLOUD CAP ZONING :R -3.5 BLOCK.. . LOT.. ...... .. :9 JURISDICTION: TIG Project Description : Add signal circuit or a linited energy panel, alteration or extension - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- NISCELLANEOUS---.--- 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.......: 1 MANF. HM/ SVC /FDR..: 0 SOH-amps-1000 volts.: 0 MINOR LABEL ( 10) ...: 0 - - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 -- 200 amp......: 0 W /SERVICE OR FEEDER: 0 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 C I RC: 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 - --- -- TIGARD-TUALATIN SCHOOL DIST. type amount by .date recpt 13137 SW PACIFIC HWY PRMT $ 40.00 GEO 07/22/97 97- 297425 TIGARD OR 97223 SPCT $ 2.00 GEO 07/22/97 97- 297425 • Phone #: Contractor: -- -- - - -- BACHOFNER ELECTRIC, INC. $ 42.00 TOTAL 55 SE MAIN ------ REQUIRED INSPECTIONS - - - - - -- PORTLAND OR 97214 Ceiling Cover Underground Cove Phone #: 233 -2006 Wall Cover Elect'l Service Reg #..: 000445 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 I 3)246 -1987. Permittee Signature: _ I ssued 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 SUP R. ELEC' N: 6 DATE: ,9,92 9 LICENSE NO: a T�� J 5 4 -4-1- l- -l- +4- ++ +-h-l-t-h-I--F -h-h-l--F-F-F-M-F-I ++++- I--I-- F- h- hi-- i--l-- h- Fi--I-- H- h- h- h- F- h- I-- F- Fi- -l--t- -i^-M- h-h-:- ++ +-I--l--h-t ++ ++ +-I--i + +-F-M++ Call 639 -4175 by 6 :00 p.m. for an inspection needed the next business day +++++++ + + ++ + + + + +++ + + ++ ++ + + ++ ++ + + + ++ +-} +++ +-F + + + + +++ +++ + + ++++ +-I + + + + + +++ + + + ++ + ++ ++ Community Development ELECTRICAL PERMIT APPLICATION . ' 13125 SW Hall Blvd. • Tigard, OR 97 Planck/Rec. # Permit# E4Cq .' - x 'i��l Phone (503) 639 - Date Issued FAX-(503) 684 -7297 , , . * Issued b CITY OF TIGARD TDD No. (503) 684 -2772 by . Inspection (503) 639 -4175 . .4. ,Complete Fee Schedule Below: 1. Job Address: P Name of Development Twality Middle School .._ Number of Inspections per permit allowed • Address 1 4 6 5 0 SW 97th Service included: Items Cost(ea) Sum City/State/Zip Tigard, Oregon 4a Residential - per unit 4 1000 sq. tt. or less $110.00 Each additional 500 sa n. or Name (or name of business) $26.00 1 Limited Energy $25.00 - - Commercial Residential ❑ ' Each Monad Home or Modular 2 I)weling Service or Feeder $68.00 2a. Contractor installation only: . • 4b. Services or Feeders Installation, alteration, or relocation 2 Electrical Contractor Bachofner Datacom, Inc. 200 amps or less $60.00 2 Address 55 S.E. Main 201 to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 City Portland State OR Zip 97214 601ampso1000amps $180.00 2 Phone No. (503) 233 -2006 ' • Over 1000 amps or volts $340.00 2 Contractor's License No. 2 6 - 9 5 3 CLE , Reconnect only $50.00 • Contractor's Board Reg. No. 1 1 19-7; ' 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Supr. Elec'n , L - 200 amps or less $50.00 2 - License No. 2808S Phone No. 2/-2006 i 201 amps to 400 amps $75.00 2 401 amps to600amps $100.00 Over 600 amps to 1000 volts 2b. For owner installations: see le abOVe. 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address • a) The lee for branch afOuits with purchased service or feeder be. 2 City State Zip �h branch a $5 Phone No. b) The lee for branch circuits without ' The installation is being made on property I own which is . purchase of serv1Ce or feedef fee. 2 branch circuit intended for sale, lease or rent. Fist branch $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 ocin gation circle $40.00 2 - Each sign or outline righting $40.00 Signal cirarit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension 1 $40.00 4 0 . 0 0 4 or more residential units in one structure Minor Labels ( $ 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 $ 40.00 NOTICE 5% Surcharge (.05 X total fees) $ 2.00 Subtotal $ 42.00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF ply Review if required (Sec.3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ Balance Due $ 42. 0 — nAJA - L (TY '4.' . ° ° 1 ‘)L-L112'(APN- Z re-t 7LIVAC-- CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: �5 3 A.M. P.M. MST: Location: N 14 (p 5 0 iLL) q BUP: Tenant: , / 1 MIA u At tA _ . ! Ch /llA " Suite: --�� // Bldg: MEC: Contractor: _ .411 , , . . _ ,(/ sl Phone: a.3 3 — �O C) 6 PLM: Owner: _ / Phone: ELC:9 7-0 Li g _____ 4 +� i F > 1j ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL CELECTRI SITE Site Post/Beam Post/Beam Post/Beam Cover7Service Sewer /Storm Footing Roof UndFI/Slab Rough -In ( ■Water Line Slab Framing Top Out Gas Line . ��- r' UG Sprinkler Foundation Insulation Sewer Hood/Duct • econnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt. J' Approved Approved Approved App oved Approved Appr /Sdwlk Not Approved Not Approved Not Approved NotAppLyed Not Approved FINAL FINAL FINAL AL FINAL £ c✓J : L C ae . 1 • _„a1 —C Gf J n • .. --,, O Call for reinspectipn 0 Reinspection fee of $ required before next inspection 0 Unable to inspect 7 Inspector: �i� %f r ' ' mot " Lid, j Date: �. 5 `..-cr 7 Page / of 7 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 / U Date Requested: - ` - q 7 A.M. P.M. MST: 1/ Location: /4-6,5n W 97-Hi ( if e, BUP: Tenant: TWAI 1Y Suite: Bldg: MEC: Contractor: ! 4 / • / _ Phone: ..1.3<-/-75;;_i PLM: / ELC: er: Phone: �7� 70 Cl. :C0 7'I2int � f SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRIC SITE Site Post/Beam Post/Beam Post/Beam Coy- ervice Sewer /Storm Footing Roof UndFl/Slab Rough -In airlE6 J ' Water Line Slab Framing . Top Out Gas Line • ou: - UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling RainDrain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL .1 V t C cT, i Ce ) 1 /..--(7 co rip c c .) , --es . /1- . J () / , , 6/ r� , � , 7 • ! t 7 7 ., A -43 .A:::5(Aefl 5 e. ‘7c:s ... r / � °-e / �' �� i .-7 4 , I 7(4, S" / 4 _..._ A all for reinspection O Reinspection fee of $ required before next inspection 1,„ Unable to inspect Inspector: / c" 44 c et ,Rf.,, Date: ) 7--- 77 Page ( of i