Permit CITY O F iIGARD ELECTRICAL PERMIT
PERMIT S: D 03
DEVELOPMENT SERVICES
DATE ISSUED: 03/19/98
11. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 15136AD -04000
SITE ADDRESS...:115O7 SW PACIFIC HWY #C
SUBDIVISION •VILLA RIDGE ZONING:C —G
BLOCK • LOT •007 JURISDICTION: TIG
Project Description : Installation of 208 amps or less service and 13 branch
circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 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 (1O)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 1 W /SERVICE OR FEEDER: 13 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
MIKE'S ELECTRIC type amount by date recpt
17050 SW SHAW ST PRMT $ 104.00 DRA 03/19/98 98- 304256
BEAVERTON OR 97007 5PCT $ 6.25 DRA 03/19/98 98- 304256
PRMT $ 21.00 DRA 03/19/98 98- 304255
Phone #:
Contractor:
MIKE'S ELECTRIC $ 131.25 TOTAL
17050 SW SHAW STREET
REQUIRED INSPECTIONS
BEAVERTON OR 97007 -1813 Ceiling Cover Elect'1 Service
Phone #: 649 -6991 Wall Cover Elect'1 Final
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 - 001-0010 thro .1 OAR 952-001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
•
Permittee Signature: ,i/, . _ :/, _di," Issued B : j A1i /L _I,i. _
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: , A1' „QQ e—w DATE : —/ q
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
'++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application ( a ---
13'125 SW HALL BLVD. Raevc�"dBy o
6rupelq,C077•-- � Date Rec'd 3-11 O
TIGARD OR 97223 4, mAu L ______
Phone (503) 639 -4171, x304 r 1 ate o
Print or Type CO�s�h1UNI DatFto t
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Wefmi % #Y >Q �C O��s
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) Edward Jones Service included: Items Cost Sum
Address 11507-C S W B a c i f i c Hwy 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip Tigard OR 97233 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 11 I K E' S ELECTRIC Installation, alteration, or relocation
Address 1 7 0 5 0 S W Shaw St . 200 amps or less 1 $60.00 60.00 2
201 amps to 400 amps $80.00 2
City Tigard State fl R Zip q 7 nn 7 401 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
Reconnect only $50.00 2
Elec. Cont. Lice. No. 34 Exp.Date 1f1/9R
OR State CCB Reg. No. 05020 9= xp.Date 3/99 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 3A 2 3 Exp.Date 1 / 9 9 Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n� 4.� 0 �1��, 201 amps to 400 amps $75.00 2
1 401 amps to 600 amps $100.00 2
J Over 600 amps to 1000 volts,
License No 4230 S Exp.Date see "b" above.
Phone 649 -6991
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or f
Print Owner's Name feeder fee.
Address Each branch circuit 1 $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 2
The installation is being made on property I own which is not Each additional branch circuit $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
O
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: I ' ' v
Not required for temporary construction services. 5a. Enter total of above fees $ p.s
5% Surcharge (.05 X total fees) $ G •
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 # $,_
Total balance Due I 1 ? ' S
I: \osTS \ELC96.APP Rev 9/96
•
2/24/00 Activities for Case #: ELC98 -00125
3:24:47 PM • •
• Assigned Hold Updated
Activity Description Date 1 Date 2 • Date 3 To Done By Disp. Level By Updated Notes
ELCC001 APPlication received 3/17/98 DEB MAIL DRA 3/17/98
ELCC003 Permit created • 3/17/98 DEB MEMO DRA 3/17/98 Applicant sent in a check for the
• wrong amount, contacted
contractor and they are to send
• in a check for the difference.
ELCC730 Elect'I Service • 4/20/98 BRP FAIL J'H 4/22/98 Main breaker to have additional
fastener. ART384- 16(f).
ELCC799 Elect'I Final 4/20/98 BRP FAIL • J *H 4/22/98 Caulk or seal around panel and
sheetrock 1/8 -inch max.
permitted.
ELCC500 (F)Issue permit 3/19/98 DEB DONE DRA 3/19/98
ELCC799 Elect'I Final • 5/11/98 BRP PASS B'P 5/11/98
ELCC730 Elect'/ Service 5/11/98 BRP PASS • B'P 5/11/98
ELCC800 Case Finaled 6/10/98 • JT . 6/10/98
•
•
•
•
•
•
•
•
•
•
•
Page 1 of 1
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: * — 1 g' A.M. P.M. MST:
Location: 115 D7 1` i_u_ L C , 13UP:
Tenant: ( Vf Suite: Bldg: MEC:
Contractor: _ThzhQO Phone: 6 7 % -Ip _l ( 1 PLM:
Owner: Phone: ELC: qr-Okig
ELR:
STT:
BUILDING BLDG (con't) PLUMBING MECHANICAL .('TRICAIIS SITE
Site Post/Beam Post/Beam Post/Beam Cover :_ Sewer /Storm
Footing 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 Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved i Approved
Appr /Sdwlk Not Approved Not Approved Not Approved of A v Not Approved
FINAL FINAL FINAL FINAL
N : 1 L r -. ♦ ,v - d 1 ,h , - 1 - r
lT -A T'- 3 9- -i (F).
l /k fS 5'e_.Q / QYt vr7 d Mh I a14C 6' PAL rce_16
A - it rVl c , w er n i r ec
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: reinspection
Date: - AO - / ne 2 Page of
1507
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 v
Date Requested: ..5 8- 98 A.M. P.M. MST:
Location: / 1507 51A) f BUP:
Tenant: Site: Bldg: MEC:
��9
Contractor: L .-,QEJ Fie_ i(_ cj Phone: 09-q--6 / / PLM: v.
Owner: Phone: ELC: V I
< C:7'1, n C2 ' " ELR:9 Q•- 0 i t 7
i
Biadm ...&1Z714.kt Ld 7,e4-i�t.. Cam/ SIT:
BULLbIN BLDG (con't) PLUMBING MECHANICAL L SITE
Site Post/Beam Post/Beam Post/Beam over /Service Sewer /Storm
Footing 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
Approved Approved Approved cApprov, Approved
Appr /Sdwlk Not Approved Not Approved Not Approved �� ved Not Approved
FINAL FINAL FINAL 'C t AL FINAL
OC mc3 /vl q WO it CY'ele el o n el i) J
Ce3rroc / o
7 4—Y rh I / -- .1-7- - -� — 0/J 7 — A s S
O Call for reinspection / Reinspection fee of $ required before next inspection 1 Unable to inspect
Inspector: j Date: Q p Page of