Permit CITY OF T' G A R D ELECTRICAL PERMIT
P ERMIT #: ELC1999 -00240
ar11I DEVE ard, S 2CES 639 -4171 DATE ISSUED: 4/22/99 Blvd.. PARCEL: 1 S136CD -00100
SITE ADDRESS: 11705 SW PACIFIC HWY A .
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical TI
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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: 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:
PACIFIC CROSSROADS PROPERTIES, BECK ELECTRIC INC
BY WYSE INVESTMENT SERVICES CO 9318 SE CHURCH ST
200 SW MARKET ST STE 345 CLACKAMAS, OR 97015
PORTLAND, OR 97201
Phone: Phone: 656 -7396
Reg #: SUP 1326S
LIC 00002629
ELE 3 -5C
FEES Required Inspections
Type By Date Amount Receipt Elect'l Service
PRMT BON 4/22/99 $35.00 99- 314756 Elea! Final
5PCT BON 4/22/99 $1.75 99- 314756
Total $36.75
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Speaalty 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.
Permit Signature: 4/ Issued By: 1 6, / /
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:
CONTRA CTOR I SIALLATION ONLY
(� & r /
SIGNATURE OF SUPR. ELEC'N: 1C 111 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
4 -22 -1999 6.42AM FROM BECK ELECTRIC 503 656 4397 P. 1
. s RECEIVED
A'R 2 2 1999Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Halt Blvd.
CO ' DEVELOPMENT Tigard, OR 97223 Planck/Rec. #
Permit # L f 'I -A0
e1 II Pho (503) 639 -4171 Date Issued
` --' FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772 Issued by
Inspection (503) 639 -4175 • _
1. Job Address: 4. Complete Fee Schedule Below:
Name of De �� ( Q ,I Number ot Inspections per permit allowed
Address //105 /705 .W t 4C[ c , /-wy A service inducted: Items Cost(ea) Sum I
CiCity/State/Zip City/State/Zip y�,ec� 0 9 7223 ll E 4a. Residential - per unit 4
10 6 l< era • S110.03
/Ci( 94.1.1-)j Each add* r * 500 ,eq, ft. or 1
Name (or name ti ;onion Residential ❑ `uncial Energy °°
. Lads Minted Home or Modular 2
. t)'re4ng Sonia or Ferns X8.00
2a. Contractor installation only: /! sew or Feeders
I�fte* ahora2ion, or nbr�ion 2
Electrical COn7adar e G=. -,4 g / � mv
zao en .r lase seoao 2
Address 93/8 SC u,e c k 201 ems to 400 amp/ Sao 2
City � ' /acK4»,oS State 04 Zl . 97D)5
401 amps to e0o ampr $120.00 2
P 601 amps to 1000 amps �— $18OAO 2
Phone No. /p.57.0 1j9 (r Oyer 1000 amps or VQ • t;yto.o0 2
Contractor's License No. ,'r-5l� Qe001" 1°a °ny ' 00
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Contractors Board Reg. No, 02(0 R i 4c. Temporary Serviced or Feeders
' lr (! 4 � � t/ " Ira oll�on. a�taraCon or rsla®men 2 2
, Signature of Supra Elec n ! 200 or 550.00 2
License No. /3A0 9 ne No. l0�70-73 9� _ 4o $1 en 3100.00
Omer ®o enpe to 1030 volts
2b. For owner installations: e. 'V above. .
4d. Branch Circuits
Print Owners Name _ Wear. alteration or erstsneion par vans+
Address a) 11 an)
tae (or be) circuits ee we
p4ovhsa■ of serrKS ar *maw 1Va. 2
Ci State Tap Each brareti circuit �, $5 co
Phone No. b) The Ns PP t >arrh•crauita add e
The installation is being made on property I own which is pashas of ev1° °e'*ow �s o0 35. OZ) 2
not intended for sale, lease or rent. b' `"`
Each addtional brand, chard 36.00 •
Owner's Signature se. 1Gace8aneous
(Service or feeder not included) - 2
3, Plan Review section (if required): each wmo of if rklidiin Oita go= 2
Each sign or outline lighting $40.00
VIM dreyd(e) or a lineal energy 2
Please check appropriate item and enter fee in section 58. pine, aaereen or Cderss+ea 540.00
4 or more residential units in ono structure Wier Labels (10) 5100.00
Service and feeder 225 amps or more
System over 600 vaults nominal cif. Each additional inspection ever
Classified wee or structure containing special occupancy the allowable in any of the above .
as descnbed in N.E.C. Chapter 5 Per inspection x'00
Par hour $550
M Plant i6s.0o
Submit 2 sets ot plane with application where any of the above
apply. Not required for temporary construction sterilises. 5, Fees:
NOTICE 5a. Enter total of abov fees $ 3676D
. 5% Surcharge (.05 X total fees) $ ! 7.5"
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 3 fo, -75
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of litre A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Rev if required (Sec.3) S
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ �.....--_
COMMENCED. ® Trust Account ea (pal $ 36, 7S
• Balance Due $
m
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
OS/ BUP
Date Requested AM PM BLD
Location 1 / 2 OS & _ n -C-- Suite MEC
Contact Person kCtt i 1t Ph (pct 73/10 PLM
Contractor Ph SWR
BUILDING Tenant/Owner 1 ( laGZ-44 ELC ( 9 �giie� n
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /�
Slab SIT
Post & Beam
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
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
Fire larm
mal
S PART 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
Other Date , rt Inspector 1.�. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.