Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00046
:a41, '�44 DEVELOPMENT P Tigard, DATE ISSUED: 02/02/2000
SERVICES (503) 639 -4171
PARCEL: 2S101 BD -00103
SITE ADDRESS: 07805 SW HUNZIKER ST
SUBDIVISION: ZONING: I -L
BLOCK: LOT : JURISDICTION: TIG
Protect Description: Install 2 branch circuits in existing commerial building.
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: 1 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:
H G M CO PHOENIX ELECTRIC CO
BY NORRIS BEGGS + SIMPSON 7379 SW TECH CENTER DR.
ATTN: BLAKE HERING TIGARD, OR 97223
PORTLAND, OR 97204
Phone: Phone: 684 -3600
Reg #: LIC 00052288
SUP 4140S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT KJP 02/02/200C $42.85 00- 321570 Elect'I Final
5PCT KJP 02/02/200C $3.42 00- 321570
Total $46.27
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 GA L ISSUED BY:
7• .
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: Z 7 / / ° `
Call 639 -4175 by 7:00pm for an inspection the next business day
JAN -31 -00 MON 05:22 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02
CiY OF TIGARD Electrical Permit Application
Plan Check#
13125 SW HALL BLVD. Rec'd By . ^_
TIGARD OR 97223 Date Recd
Phone (503) 639 -4171, x304 Date to P.E.
Date to DST
Inspection (503) 639 -4175 Print of Type Permit #6 ZOoc 000 A,
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called _
1
1. Job Address: 4, Complete Fee Schedule Below;
Name of Development`( � Y."; CA( r�, t \ a Number of Inspections per pen allowed
Name (or name of business) Service included: Items Cost Sim
Address c u._ a � � E `, ,la. R esidential - per unit
City /State /Zip 1000 sq, ft, or toss $ 117.75 4
Each additional 500 sq. ft. or "
portion thereof $ 26.25 1
Commercial Residential ❑ Limited Energy $ 60.00
a_ p c}� C...\+-- -' � � �f _ Each Manuf'd Home or Modular
a• ontractor ins aliation only: / _ Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
Information for COT • • to • ase). . Installation, alteration, or relocation
Electrical / Contr Or �`' �\ r -N 200 amps or less $ 64.25 2
Ad ,S..- ! , > .0 a Mt�� AA 201 amps to 400 amps S 65.50 2
City ( y , L S -te Zip f� `� 601 amps to 1000 amps 5 192.50
Phone No. i J ��4 - -- 7 d 1. -) Over 1000 amps or volts �' 2
-
$ 363.75 2
Job No. . ro Reconnect only $ 53,50
2
Elec. Cont. Lice. No, 1- - L T xp.Date . DD 4c_ Temporary Services or Feeders
OR State CCB Reg. No. ! ;■ Exp,Date 1 a I Instanation, alteration, or relocation
COT Business Tax or Metro No, aier - Exp.lDate 200 amps or less - $ 53,50 2
-' 201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n 6 _ 401 amps to 600 amps $ 107.00 2
I Over 600 amps to 1000 volts,
License No. G{/ ltOS Exp.Date I of I ( .
soo "b" above.
Phone No, L - : • 111A ) ad. Branch Circuits , •
New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of _service or
feeder fee.
Print Owner's Name Each branch circuit 5 5,35 2
Address _ b) The fee for branch circuits
City _ State Zip without purchase of service
p or feeder fee.
Phone No. _ rirsl branch circuit \ 5 37.50 , Z. .S Each additional branch circuit l $ 5.35 �~ : -7
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent, (Service or feeder not included)
Each pump or irrigation circle _ 42.75
Owner's Signature Each sign or outline lighting 5 42.75
Signal circuil(s) or a limited energy
3. Plan Review section (if required): panel, alteration or extension $ 60.00
Minor Labels (10) 5. 107.00
Please check appropriate item and enter fee in section 58. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above •
Service and feeder 225 amps or more Per inspection $ 50.00
_ System over 600 volts nominal • Per hour S 50,00
In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N.E,C. Chapter 5 . 5. Fees: _
5a. Enter total of above fees $ 4 -
" Submit 2 sets of plans with application where any of the above apply. '1 4 % Surcharge (.05 X total fees) 5
Not required for temporary construction services. Subtotal $ ,
NOTICE 5b. Enter 25% of line 5a for
Plan Review if required (Sec. 3) $ 7
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account # 3
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ � � ‘,917
•
i. \dsis\forms \efee ric.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested 2 -/? AM PM BLD
Location 1 0 S 1%1 Z.it A Suite ����ii MEC
Contact Person 3O Ph C- 1 - 44 ' &060 PLM
Contractor Ph SWR
7-41:0 660
Retaining BUILDING;., ; � Tenant/Owner �.4 ����� � �.I v ,G
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab -e - SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation / / Drywall Nailing (P0Ad C -� fi /�P S /k/Clrs`/�°
Firewall ` t�
Fire Sprinkler 6 /0 4
Fire Alarm
Susp'd Ceiling
Roof A' mi.: -
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
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
•
m ina
! •ART 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: [ ] Un e ct - no access
ADA
Approach /Sidewalk
Other Date I OP Inspector Ext
Final
PASS PART FAIL ' 0 N • REMOVE this inspection record from the job site.