Permit CITY OF TIGARD ELECTRICAL PERMIT
..,--4101191- a. , \ DEVELOPMENT SERVICES PERMIT #: ELC98 -0361
1 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07 / 01 / 98
PARCEL: 1S136DB -02501
SITE ADDRESS...:11632 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK LOT • JURISDICTION: TIG
Project Description : Climate Control /Westside Dance Academy
- -- 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 • 1 W /SERVICE OR FEEDER: 5 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 • 0 > =4 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only : 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
WESTSIDE DANCE ACADEMY type amount by date recpt
11632 SW PACIFIC HWY PRMT $ 85.00 JSD 07/01/98 98- 306995
TIGARD OR 5PCT $ 4.25 JSD 07/01/98 98- 306995
Phone #:
Contractor:
BACHOFNER ELECTRIC INC - $ 89.25 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'1 Service
Phone #: 233 -2006 Wall Cover Elect'1 Final
Reg #..: 044569
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 ap oved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than d. s. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules ar set f • OAR 952 -001 -0010 through OAR 952 'j'': ►':7. , u may obtain a copy
of these rules or direct questions to Old by cal ing (50312'. -19:
Permittee Signature '/ / % Issued By: ��A
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 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + ++ + + ++
RECEIVED 1
CITY OF TIGARD Electrical Permit Application Plan C,//
13125 SW HALL BLVD. JUL -1 1999 Rec'd By r' .
TIGARD OR 97223
Date Rec'd ��i
COMMUNITY DEVELOPMENT Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Print or Type
Inspection (503) 639 - 4175 Incomplete or illegible will not be accepted Permit # E/,G n7 e /
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Climate Control Number of Inspections per permit allowed
Name (or name of business) Westside Dance Academy Service included: Items Cost Sum
I
Address 1 1 6 3 2 SW Pacific Hwy 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City/State /Zip Tigard n r e 9 7 2 2.3 Each additional 500 sq. ft. or
Commercial ® Residential El 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 Bachofner Electric, Inc. Installation, alteration, or relocation
200 amps or less 1 $60.00 60 nn 2
Address 5 5 S1 Ma i n 201 amps to 400 amps $80.00 2
City Portland State Or ZIP 9721 401 amps to 600 amps $120.00 2
Phone No. 2 3 3 200 6 601 amps to 1000 amps $180.00 2
Job No. 6911 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 26-451c Exp.Date 10 / 1 / 98
OR State CCB Reg. No. 4 456 9 Exp.Date 3/6/00 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp. I ate Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n A / 401 amps to 600 amps $100.00 2
License No 2 8 0 8S Exp.Date 1 0 9 8 Over 600 amps to 1000 volts, see "b" above.
Phone Nc. 233 -2006
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 25.00 2
City State Zip b) The fee for branch circuits
tY p without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circui $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. 5. Fees:
85.00
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 4 - 2 5
NOTICE • Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
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 # $ 89.25
Total balance Due
1: \DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD Electrical Permit Application Plan Ch k#
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 - Date Rec'd (_) /9 ' A
Date to P.E.
Phone (503) 639 -4171, x304 Print Of' Type Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # (" ( �% r,' - J(f
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Climate Control Number of Inspections per permit allowed
Name (or name of business) Westside Dance Academy Service rt'cl ded - Ite Co t Sum
Address 1 1 6 3 2 SW Pacific Hwy 4a. Residential - per unit
1000 sq. ft. or less 00 4
ti City /State /Zip Tigard Ore 97223 Each additional 500 sq. ft. or
Commercial ® Residential ❑ portion thereof $25.00 _ 1
Limited Energy $25.00
Each Manuf'd Home or Modular •
> ` - ■ - 4 Dwelling Service or Feeder ' ".$68.00 2
2a. Contractor installation only: •
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor Bachof ned Electric , Inc . Installation, alteration, or relocation
Address 5 5 S E Main 200 amps or less A- $60.00 .F n _ 0 n 2
201 amps to 400 amps $80.00 2
City Pnrf 1 anA State pre Zip 9721 4 401 ampsto600amps $120.00 2
Phone No. 233-2006 601 amps to 1000 amps $180.00 2
Job No. 6 1 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 26-451c Exp.Date 1 0 /1/ 9 8
OR State CCB Reg. No. d 4 5 i Q Exp.Date 1/6/RR 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp. ' ate Installation, alteration, or relocation
•
:200 amps or less $50.00 2 ,,, 201 amps to 400 amps 75.00 _ Signature of Supr. Elec'n _A `` = 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 28085 Exp.Date 10 98 see "b" above.
Phone No 2 3 3 - 2 0 0 6 4d. Branch Circuits
2b. For owner installations: f New, alteration or extension per panel
a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 25.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circui $5.00 2
intended for sale, lease or rent. ( 40. Miscellaneous . a .
(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. 5. Fees: 85.00
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 4 25
NOTICE • Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
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 # 89.25
Total balance Due $
1:\DSTS \ELC96.APP Rev 9/96
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
'r' BUP
I
`t Date Requested � / AM PM BLD
Location 1/(03 vZ S(A) Pit 1� Suite � MEC
Contact Person l - ° _ Ph macro PLM
Contractor- 4 Ph SWR /_
BUILDING Tenant/Owner C/(/ - no& '
ELC —03(
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 1 Q,✓L - S^ e ,.& SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 1 M n�; �� (�j � . 3 I /� — C h
Firewall 1/
Fire Sprinkler C�G /c U l4 4' e S 9 Zo , 3 I pS —
Fire Alarm /�
Susp'd Ceiling /16 - C - 6 v A /CI e g —
Roof
Misc:
Final C v ,
PASS PART FAIL t�
PLUMBING
Post & Beam
Under Slab
Top Out /
Water Service r e [J r /�� S / 14 S � Q C` I / (J!/1 —
Sanitary Sewer
Rain Drains
Final _
PASS PART FAIL /� j GtJ� r K - #
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P FAIL
E CTRICAL
Service
Rough
UG /Slab In
r Low Voltage
Fi- rm
el k FAIL
SITE
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 7 — �J Q
Other Date / L Inspector Ext 4 C
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
60,47(