Permit A, CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00019
kit DEVELOPMENT iB
r S SERVICES I (503) 639 -4171 CES DATE ISSUED: 01/11/2000
13125 PARCEL: 2S101 BB -00400
SITE ADDRESS: 11844 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical TI
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:
SPIEKER PROPERTIES LP RURAL ELECTRIC INC
4380 SW MACADAM AVE STE 100 5285 NE ELAM YOUNG PKWY
PORTLAND, OR 97201 HILLSBORO, OR 97124
Phone: Phone: 648 -6696
Reg #: LIC 00047478
SUP 4062S
ELE 34 -82C
•
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT BON 01/11/200C $37.50 00- 321081 Elect'I Final
5PCT BON 01/11/200C $3.00 00- 321081 ORIGINAL
Total • $40.50
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 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.
PERMITTEE'S SIGNATURE ISSUED BY: '
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: &K. Of (C-4.4111 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan check #
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 • Date Recd 1 l I - WO
I Date to P.E.
Phone- (503}6-39-4171, x304
• Date to DST
Inspection (503) 639 -4175 Print of Type.._ Permit # G1�2 7 Vt'
Fax (503) 598 - 1960 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) Pnt•rrri "qPq 'RPM- A rar Service Included: Items Cost Sum 4
Address 11844 SW Pacific Hwy 4a. Residential - per unit -
CitylStatPf7ip _ Tigard, Or 1000 sq. ft. or less $ 117.75 4
Each additional 500 sq. ft. or
Commercial Residential ❑ portion thereof $ 26.75 1
Limited Energy S. 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 RURAL ELECTRIC , INC . 200 amps or less $ 64.25 2
Address 5285 NE Elam Young Pkwy #A900 201 amps to 400 amps $ 85.50 2
City Hillsboro State OR Zi p 97124 401 amps to 600 amps $ 128.50 2
Phone No. 503/648 -6696 601 amps to 1000 amps $ 192.50 2
JOb N0. _ M00 -017KC Over 1000 amps or volts $ 363.75 2
Reconnect only 9 53.50 2
Elec. Cont. Lice. No. 34 -82C Exp.Date 4c. Temporary Services or Feeders
OR State CCl3Reg_ No. 47478 Exp.Date • installation, aleeration; orrelocatiorr
COT Business Tax or Metro No. 5287 Exp.Date 200 amps or less - 53.50 2 -----7 201 amps to 400 amps $ 80.25 2
Signature of Supr. EIeC'n 401 amps to 600 amps $ 100.00 2
Over 600 amps to 1000 volts. •
License Nth 4062 -S Exp.Date see "b" above._
Phone No. 503/648 -6696 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 foe:
Print Owner's Name • Each branch circuit _ 5. 5.35 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee. •
Phone No. • First branch circuit
1 $ 37.50 17_Sn
Each additional branch circuit $ $.35 _
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
OwnerSSigtlatura . , Earhsigmor nntlinp lighiing _ f 42.75
Signal circuit(s) or a limited energy .
3. Plan Review section (if require*** tI, (t on or extension $ 60.00
r>,bersttor a 100.00
•
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over •
4 or !WIC residertiai structure'
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50.00
System over 600 volts nominal. • • In Plant • $ . 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5_ 5_. Fees:__ .
5a. Enter total of above fees $ 37.50
* Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 3.00
fdof construction services. Subtotal $ 40.50
•
lib. Enter 25% of line 5a for
NOTICE Plan Review if required(Se�3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 4n5n
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 $ 40.59 _
is \dsts\forms\el eciric.doc
1 /20 /00 Activities for Case #: ELC2000 -00019
1:31:19 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCA001 Application received 1/11/00 BON DONE No Hold BON 1/11/00
ELCA003 Permit created 1/11/00 BON DONE No Hold BON 1/11/00
ELCA730 Elect'l Service 1/11/00 1/11/00 No Hold BON 1/11/00
ELCA799 Elect'l Final 1/11/00 1/11/00 1/14/00 BRP PASS No Hold AKJ 1/18/00
ELCA500 (F) Issue permit 1/11/00 BON DONE No Hold BON 1/11/00
ELCC800 Case Fine 1/18/00 AKJ DONE No Hold AKJ 1/18/00
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (I `'/(xa AM PM BLD
Location 11N ` uG /-/t/t) U _ Suite MEC
Contact Person i 1 Ph (P i- I T - (o(n PLM
Contractor Ph SW
BUILDING Owner 12 Y�Jl ELC ZDLD _47
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 / P7 /
Susp'd Ceiling � 4 S .s-
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
ILECTRIqD
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
SS ) 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 / / — 00 Inspector Ext
Other Date p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.