The URL can be used to link to this page

Permit A. CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00423 DEVELOPMENT SERVICES DATE ISSUED: 7/27/00 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD-00100 SITE ADDRESS: 11705 SW PACIFICI HWY D SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 4 branch circuits. 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: 3 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC CROSSROADS PROPERTIES, KEC ELECTRIC INC BY WYSE INVESTMENT SERVICES CO 2110 NW ALOCLEK DRIVE 200 SW MARKET ST STE 345 SUITE 614 PORTLAND, OR 97201 HILLSBORO, OR 97124 Phone: Phone: 439 -0904 Reg #: LIC 000992 SUP 4489S ELE 34 -426c FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 7/27/00 $53.55 0004039 Elect'l Final 5PCT DEB 7/27/00 $4.28 0004039 Total $57.83 • 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 ado•ted b the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0080. You may obtain co ' -s of these r or direct questions to OUNC at (503) 246 - 1987. . 411° PERMITTEE'S SIGNATURE X ISSU i BY l , ' / / J J • ` — 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. A� nn ELEC'N: � DATE: ✓ LICENSE NO: — -!:/�- Call 639 -4175 by 7:00pm for an inspection the next business day 03/23/00 THU 09:10 FAX 503 598 1960 CITY OF TIGARD q_ 1-C_ , OYlP - a?) 0 0002 _ CITY OF TIGARD Electrical Permit Application Plan Check# 13'115 SIN HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd . Phone (503) 639 -4171, x304 Date to P.E. Inspection (503) 639 -4175 ;1 Date to DST Print of Type Permit # • : FaX (503) 598=1960 Incomplete or illegible will not be accepted Called • 1. Job Address: 4. Complete Fee Schedule Below: • Name of Development of Inspections per permit allowed • Name (or name of business) f'l 6 -..o,rJ . 6 , ee ' $$ Service included: Items Cost Sum 1 Address / / ©5 S c�..V4 C (/c,C e' /:✓ , ` !L/ / 4a. Residential - per unit CjtL /State /Zg t ;/--�( 87 ✓' � 1000 sq.,ft. or less $ 117.75 4 ` ' Each additional 500 sq. ft. or • ^' . / Commercial LId / ' : •Residen El portion thereof $ 26.75 1 Limped Energy $ 60.00 • Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base/ Installation, alteration, or relocation Electrical Contractor % %` Lt- z CecTi, 200 amps or less $ 64.25 2 Address ,/ ((Q ,t4 A. , �r G 4 /( . / 201 amps to 400 amps $ 85.50 2 City !C/ /CS /5n w State �� Zip 0 4-1 401 amps to 600 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 _ 2 Phone No. el e 7 o 4 _ Over 1000 amps or volts $ 363.75 2 Job No. / Reconnect only $5 53.50 2 Elec. Cont. Lice. No. 2 4- /../266' Exp.Date /D/ e0 • 4c. Temporary Services or Feeders OR State CCB Reg. No 51„ZC 7 Exp.Date /O /.ta00 Installation, alteration, or relocation COT Bus ness Tax or Metro No. '? 3 ;1 Exp.Date 4/ vo i 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n ce `� 401 amps to 600 amps $ 100.00 2 Over 800 amps to 1000 volts, • License No. eelC Exp.Date it,/; ; / see "b" above. Phone No. rf) S .09 p ' 4d. 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 $ 5.35 2 Address b) The fee for branch circuits v; ., without purchase of service ity State Zi Zip or feeder tee. Prone No. First branch circuit I $ 37.50 3 ?, 5 b Each additional branch circuit 3 $ 5.35 /4 t o5 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 - _ $ 42.75 Signal circuits) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 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 $ 50.00 In Plant $ 59.00 - Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5 • Fees: SSA 6a. Enter total of above fees $ * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ Vilf _.. Not required for temporary construction services. Subtotal $ NOTICE 5b. Enter 25% of line 5a for Plan Review if required (Sec. 3) $ 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 # ,' AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ lA t \forms \ei ecc4r.dec CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested F - // AM PM BLD s � Location f 70 ) St./ �G c l 7 Suite MEC Contact Person Ph .5 7(4 PLM Contractor Ph SWR BUILDING % Tenant/Owner ELC 2t/ •- o Z� 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 Q s 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 (ELECTRICA Service Rough In ‘ Wi g UG /Slab Low Voltage Ei g- .Alarm ASS PART FAIL S Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: a le to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date y Other Ins Xt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -417k . • Business Line: 639 -4171 MST BUP Date Requested r e �� AM PM BLD Location // 703 SW pact( F 1 o Suite p MEC Contact Person ROC- ' • Ph , it 1 j •/39 o9D'/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC ;SOO ., C 2-, 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 Fire wall el)0,11 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 ECTRICAL Rough In at/'' UG /Slab Low Voltage Fire Alarm ir 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 Other Date 2 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.