Permit C ITY OF TIGARD ELECTRICAL PERMIT
i• PERMIT #: ELC2004 -00620
DEVELOPMENT SERVICES DATE ISSUED: 9/28/2004
' � f ± l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135BA-03302
SITE ADDRESS: 10520 SW CASCADE AVE
SUBDIVISION: OFFICE DEPOT ZONING: I -
BLOCK: LOT : JURISDICTION: TIG
Project Description: Relocate copy center (7) 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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 6 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:
MARX, ERNEST L + BARBARA R BACHOFNER ELECTRIC INC
TRUST 55 SE MAIN
2140 VELOZ DR PORTLAND, OR 97214
SANTA BARBARA, CA 93108
Phone: Phone: 233 - 2006
Reg #: LIC 44569
SUP 1769S
FEES ELE 26 -451C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/28/2004 $86.55
[TAX] 8% State Surcharge 9/28/2004 $6.93 Rough -in
Elect'I Final
Total $93.48
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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Issued By tjic,..67 Permit Signature: cs.40, g CN
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 7:00pm for an inspection the next business day
09/27/2004 12:27 5032332963 BACHOFNER ELECTRIC PAGE 01
Electrical Permit App VIC �I C ® I'llla` (11 1 f( I: 1.1.111.,
€:icy of Tigard @/ C o , D q _ 0 , mit Pen" i C/
1325 SW Hall Blvd„ Tigard, OR 97223 .. 7
Plan Review Other Per mit;
Phone: 503.639,4171 Fax 503.598.1960 2 as *' r'M ' :
7
ta, l l '
Inspection Line. 503.639.4175 1 20 0 i . ! . Date/By: See f
Internet www.ci.tigard,or.us CITY OF TIGARD Notified/Method: Suppre® ma P age tn 1 fo nnatten
,... .. , r a p ' - ,
• r C ' c' i f 'I ':i " "�:; f }klt 9!
l r � 5 ■ r r + IT rrc
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other; 5 amps, ❑Hazardous location
— 8
:;::': '; : ° , 10,000 sq. ft.,
•. ' Serv o
x ' r *?ic; :; _.:.
:. ... . ...... ..: • ,.:..,.,. ...,:.:. • :, .. �,:; >.. °: _ antral
. ......... ' ? :.; :...;, ' ..;,.:. •;.: '- {.'.,,. ❑ of I- and z family dwellings DBuildng more new residential '
❑ 1- and 2- fttmily dwelling ❑ Commorcia1/ ndustrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi - family ❑Master builder ❑ Oth er;
;persons d structures ,, .. , - <a +.00CUpant load over 99 n ❑Manufact
_....,., .• . . : ! . 2 .e' ' M' G` ".,'• ' ' f >i:.,. ,;ii i.''.'.....,;..-'.'}AV.;;,,,':: .
.
. : , , ,: , . DEgress/lighting pan RV park
Job no.: 201 1 Job site address: 1052t , ❑lip - facility °Other:
= p t Submit 1 sets of plans with any of the above.
City/State/ZIP: TIGARD OR 972 23 The above arc not applicable to temporary construction service.
Suite/bldg ap • ' Project name: OFFICE o ;r,:e sc r rtpti •: :' , : ,a< , ,, ,..,.. . ..
� • � Description Qty, Pee. Total
Cron street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq, ft. or less • 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel
no --
Limited energy, residential 75.00 2
() :• H.": •. ,.':.:; ::::: �... J .,.. 'a1ph1X .c1:.y .NN�a,1' W.y "i� ; .`:1:"' energy, non-residential 75.00 2
9 -:, "; � �r�:; <.� non -res cote a
.. ..: ., ::3..v . � .. ' ,, a . :. :. � F : ''. l :'�
.n k��: ; `tti . ::� .. ":;'ti�s,j�..
an
. , . , .:< ,.,.:...r ..... .... .. ... .......... ...... ... ",,.,.�,.,,,,,.., r. <:,:- „'�`: - �ca(''.y:: Each manuthctvred or modular
dwelling, service and/or feeder 90.90 2
' ' . y ” s • ' Services or feeders installation, alteration. and/or relocatio
200 amps or less 80.30 2
;. . v. .. ,. v1:J. ".,,...::'{.' ! 2�.0 ''''.'T x1J..1.�a.�.i.tii ,r,l..v : e�� .ul.J.IVVA:vN'..l ".191:!: fir,: "::'. :^
..i , :, • 4 . ,, { t,C a k , l t�f i. $ 1 r . „ ' ] amps tp 400 amps 105.85 2
''.'1'-:.^. 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
•
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 1 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: o or extension, r panel
. ' . .. , .. . ., , lc . x . p. :. �, . .. . ( ...., , , Y,..� ■ .. .. ..,},. M.',{ G �:;. ".a. ::ta : :p7„
,:,, ntw� alteration,
k c. ,., , 4 : , v':,: r "' },,,,n : , - _ ;',,,. : . , A. Fee for branch circuits each
::.. .. _ .. .,.. .:, s,: ".: : "::. asp: T S. ;..,f,,1AS2; ^•: ::.� ; .,< ., .,.. :' ..,. ,
. : :` , ",; ,, ; - ' " service or feeder fee, each
Business flame: branch circuit 6.65 2
B. Fix for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'1 branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax: ) Sign or minim lighting 53.40 2
E -mail: Signal circuit(s) or
:k"..:'.... . . ..... ... .... .^', .... °;'.,':;,> ,,: E, ,ee_ +,y. .f, icy
.. . :........... ...:..-... a.. - s'n, t1,' r.. i�;' %' . ',: ^ "`` ere scri limited-
i ,. ,.� .. . ..... ... . ...... lac:: a�::,:::. r, �:>::, �.; ��,,.,,':, �..,:,,,-.,,>. �: �:.., +,:,;, >., :,.. :,
Business name: BACHOFNER ELECTRIC, INC.
Descri Page 2 2
Address: 55 SE MAiN reach additional Inspection over Knowable in any of the above
Per inspection 62.50
City/State /ZIP: PORTLAND, OR 97214 investigation per hour (I hr min) _ 62.50 _-
Phone: (503) 233 -2006 Fax; (503) 233 -2963 Industrial plant per hour = 73.75 ,
CCB Lie,: 44569 EIMMEMOM . rlc 0.4 .. r s
95
Subtotal !'5
Suprv. Electrician signature, required: L / Plan review (25% of permit fee) �`}
Print name: ROBERT H . BACHOFNER Date: — 27— 04 State surcharge (8% of permit fee) I
Ai
TOTAL PERMIT FEE I f
Authorized signature; Ibis permit .ppiicetton expire, if a permit is not obta ned within ,
days after it h.e been accepted as ...pier*
Print name: Date: • Fee methodology set by Tri County Building industry Service Bwrd
" Number of inspections per permit allowed .
islBuildina \Permitsuu•LC- Permitapp.doe t2 /O 44 0. 4 615T( INO2/COM/Wln
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line ;:,x,03) 639 -4175 MST
INSPECTION DIVISION Business.Line: (503) 639 -4171
BUP
Received Date Requested ld AM PM BUP
Location /' SZ 0 Suite MEC
Contact Person ' 41.411_ Ph ( ) 2 - 33 .•.0O 7 PLM
Contractor ^- Ph ( ) SWR
BUILDING Tenant/Owner 6 4 o . i ELC ° 4- ( - 66(0?
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT ∎�
Post & Beam
ar Ancho w ,
Ext
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ,5 6�/� F
Drywall Nailing / 1 �' l
Fi rewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In J''�/o - trL{L
UG /Slab
Low Voltage I ,LC 0 "o c g o j �,�y � „P —
F're Alarm
.A' Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SI Please call for reinspection RE: _ ❑ Unable to inspect - no access
Fire Supply Line
ADA t ®� jQ V f�[{ / 6' ( � /UW"� D 1 Approach/Sidewalk In spector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL