Permit CITY OF TIGARD ELECTRICAL PERMIT
I. n � r ,� A, DEVELOPMENT SERVICES PERMIT #: ELC98-0077 0
8
OR (503)639-4171 M 78
PARCEL: 1S136AD -04000
SITE ADDRESS...:11507 SW PACIFIC HWY #D
SUBDIVISION -VILLA RIDGE ZONING:C —G
BLOCK • LOT •007 JURISDICTION: TIG
Pro.j ect Description : Add eleven (111 branch circuits to an existing commercial
tenant occpy.
- -- 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
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: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/O SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 10 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
BENCHMARK MORTGAGE type amount by date recpt
11507 —D SW PACIFIC HWY PRMT $ 85.00 GEO 02/19/98 98- 303435
TIGARD OR 97223 5PCT $ 4.25 GEO 02/19/98 98- 303435
Phone #:
Contractor:
MIKE'S ELECTRIC $ 89.25 TOTAL
17050 SW SHAW STREET
REQUIRED INSPECTIONS
BEAVERTON OR 97007 -1813 Ceiling Cover Underground Cove
Phone #: 649 -6991 Wall Cover Elect'1 Service
Reg #..: 000502
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- m10 through OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503124 -1987.
Permittee Signature: � Gy p Issued By• r
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
S I GNATURE OF SUPR. ELEC' N : 0 6 - DATE: .1 - "l
LICENSE NO: 1
S
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY CIF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. . Rec'd By
TIGARD OR 97223 ` Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 D ate to DST
Print or Type
Inspection (503) 639 -4175 Permit # 46.1l 11 0 - o
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) Benchmark Mortgage Service included: Items Cost Sum
Address 1 1 5 0 7- D SW Pacific Hwy 4a. Residential - per unit
T1 and 1000 sq. ft. or less $110.00 4
City /State /Zip 9 Each additional 500 sq. ft. or
Commercial ® Residential ❑ portion 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 NIKE'S ELECTRIC Installation, alteration, or relocation
Address 1 7 0 5 0 S W Shaw S t. 200 amps or less 2 -
201 amps to 400 amps $80.00 2 -
City Beaverton State OR Zip 97007 401 amps to 600 amps $120.00 2
-
Phone No. 649-6991 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts - $340.00 2
3 4 -1 ± 8 C 1 0 -1 - 9 8 Reconnect only - $50.00 2
Elec. Cont. Lice. No. Exp.Date
OR State CCB Reg. No. 5 0 2 0 9 Exp.Date 3-18-99 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 3 623 Exp.Date 1-1 Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
- Signature of Supr. • -c 'n • KAN /... AZ 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 4 2 3 0 S Exp.Date see "b" above.
Phone Nc. 6 4 9- 6 9 91
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.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit / $35.00 8: 2
The installation is being made on property I own which is not Each additional branch circuit i D $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. S. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ 85.00
5% Surcharge (.05 X total fees) $ 4.2E
NOTICE Subtotal $ 8 9 • 2
Sb. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 89 . 25
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 #
Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: a- .2.6. - 9 e A.M. P.M. MST:
Location: /M i) 7 /04.r.,f } C 4/IA?, BUP:
Tenant: // Suite: Bldg: MEC:
Contractor: M /k(S Eieci`Yl C Phone: PLM:
Owner: Phone: ELC: c i9'L7 C 77
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam uvcr, Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line 411 Itou - UG Sprinkler
Foundation Insulation Sewer Hood/Duct nnect 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
Approved Approved Approved ADO , =e Approved
Appr /Sdwlk Not Approved Not Approved Not Approved of Approv .. Not Approved
FINAL FINAL FINAL F I .1 FINAL
S ' b », i I Cher w/ n5 op / ql e_l Qfl d A r n c 11 ci re V I /` S
7 1 ' 6 0 In / /0Y) d / Yisi CLec ri 1 n‘sp 00 r pco
•40 042 q4' ea,- -s ? Aa ve h e. e,-, oG VI 41 4._Cl .
il0,es I'D Z e_ r (5io1 In wq 1 / — f-RT- 3 ?D - 3.3
O Call for reinspection D Reinspection fee of $ required / before next inspection O Unable to inspect
Inspector: P Date: 2— b^ 9P Page of
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: it —WI A.M. P.M. MST:
Location: / 1507 plc ) Pa:alc -c. hk� BUP:
Tenant: EDUV -P ti 00 65 Suite: C Bldg: MEC:
Contractor: . 1 U i i( ,i Phone: PLM:
Owner: Phone: ELC: e; //P - 106 7 7
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover ervice Sewer /Storm
Fooling Roof UndFl/Slab 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 /Alm Crawl/Found Dr Heat Pump Low Volt I 41f'1 /
wait/pc
//
Approved Approved Approved Ap i o Approved
Appr /Sdwlk Not Approved Not Approved Not Approved ∎' of Approv • s Not Approved
FINAL FINAL FINAL F I 1 FINAL
F 7 / . 0 A- T //VG 4 7 ) , 1 v/ C am ' S -- g e p e e , r h /-7-r 4 , 3 - / d 0bJ
/ --4. Ce) -37 0 - zo . 3 76 - z 1 NEC
I 4s/ !I Lis / of ,gox &_..)c lieii cjprs -- g J/n
C 04cl Q rAVnci / 9 no/ 9` ✓7Z xe.5 - c aiz1Y:h
6DX e . d i v di Yl /ol lid_ZIYi D p
cl e ✓ ( r- P S j ;I D 1 Y e,I y / h ,o Pi a is / e qn el SCyc, cJ
vi of ,_5 Ll
,_�� r
•
O Call for reinspection einspection fee of $ required before next inspection Cl Unable to inspect
Inspector: Date: 2 1) `" q fd Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requ ted - AM PM BLD
•
Location / / So 7 0-64 p9 Suite 7) MEC
Contact Person Ph PLM
Contractor /� / /1f -5 Ph - l / SWR p
BUILDING en t/Owner ELC q 0 DO 7 7
Retaining Wall ELR
Footing
Foundation Access: 1 �1�- -Cif i 1 (� FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab . SIT
/ /
Post & Beam
G �� -
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab 51.4n
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
Service
Rough In
UG /Slab
Low Voltage
Fir- • -rm
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date, ' Q� Ins ecto - l 4 _ dr tozi I , Ext Other P _ _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job sit4,