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Permit - a, CITY OF TIGARD ELECTRICAL PERMIT U ,,,r�' ,Ak ,4\ DEVELOPMENT SERVICES PERMIT #: ELC98 -0644 �! +� '.. 131 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: i ¢� /;�3 / 98 PARCEL: 19135DD -03301 SITE ADDRESS... :11945 SW PACIFIC HWY #202 SUBDIVISION •HOFFARBER TRACTS NO.1 ZONING:C —G BLOCK • LOT •002 JURISDICTION: TIG Project Description: Add five (5) 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 (10)...: 0 - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0 201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0 401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 4 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 CASH STORE type amount by date recpt 11945 SW PACIFIC HWY PRMT $ 55.00 GEO 10 /23/98 98- 310270 SUITE 202 5PCT $ 2.75 GEO 10/23/98 98- 310270 TIGARD OR 97223 Phone #: Contractor: COMMERCIAL ELECTRIC CORP. $ 57.75 TOTAL 10928 NE KILLINGSWORTH REQUIRED INSPECTIONS PORTLAND OR 97220 -1097 Elect'1 Service Phone #: 255 -9822 Elect'1 Final Reg #.. 000061 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 through OAR 952- 001 -1987. ou may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. / / Permittee Signature : 4 l C7 sued By. A'r /i 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 C SIGNATURE OF SUPR. ELEC' N : 0-'1-1'47 DATE: r � - � 3- 4'.:5 LICENSE NO: / F yS S ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ROM,:.,COMMERCIAL ELECTRIC PHONE NO. : 503 255 9822 Oct. 23 1998 03:46PM P1 CITY OF TIGARD Electrical Permit Application Plan Check IS 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Reed Phone (503) 639 -4171, x304 Date to P.C. Inspection (503) 639 -4175 Print or Type Date to DST Incomplete or illegible Permit t fGl -m- 0041 Fax (503) 684 -7297 p gible will not be accepted _ Caned_ _ 1. Job Address: 4. Complete Fee Schedule Below; Name of Development _ Number of Inspections per permit allowed Name (or name of business) C- ti- <) Tr) ILL': Service included: Items r Cost Sum Address I t SUL Pi C arts'i 1 S f Tt 442 - 0 ?-- 4a. Residential - per unit 1000 sq. ft. or l 4 o City /State/Zip. - 1 4 --ttRD biz_ st 10.00 r Each additional 500 sq. ft. or Commercial f4 Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 Each Manned 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 COMMPRCT_. ET.T?CTRTC:AT, CORP . Installation, alteration, or relocation Address 10928 N.B. KILLTNGSWORTH 200 amps or less - $60.00 2 201 amps to 400 amps $80.00 2 - CiyPORTLAND State OR Zip 97220 401 amps to 600 amps $120.00 2 Phone No. 255 -9822 601 amps to 1000 amps - $180.00 2 Job No. ,29 & Li Over 1000 amps or volts - $340.00 2 Elec. Cont. Uce. No. 26- 33C Exp.Date 10/1/99 Reconnect only - $50.00 2 OR State CCB Reg. No. 61 4,5 Exp.Date 1/12`00 4e. Temporary Services or Feeders COT Business Tax or Metro No. 2024 Exp.Date, 1/1199 Installation. alteration, or relocation 4.r_ r` 200 amps or less $50.00 2 Signature of Supr. Elec'n y (0 „.� 201 amps to 400 amps 375.00 2 401 amps to 600 amps 3100.00 2 License No. il S Exp.Date ie(t 1 0 1 O se above o1000volts. Phone No. 255 -9822 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchaso of service or Print Owners Name feeder fee. Address Each branch circuit S5.00 2 b) The tee for branch circuits City State Zip without purchase of Phone No service or feeder fee. ' First branch circuit I $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 rant. 4o. Miscellaneous (Service or feeder not included) Owners Signature Each pump or irrigation circle 340.00 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 x.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: 9,:i1-1-vr,. Not required for temporary construction services. Sa. Enter total of above fees $ 5% Surcharge (.05 X total foes) $ NOTICE • Subtotal $ Sb. Enter 25% of line Se for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reruimd (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ 1S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 0 TIME AFTER WORK IS COMMENCED. ❑ Trust Account #7 s Total balance Due $ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP l651 Date Requested ) )O - ' / 9d' AM PM BLD Location I f "/ e U/'5 c U / �/ % Suite 2 0 2. MEC Contact Person `f 4• ' Ph 2 90 0--D PLM ` ,_ � �" Contractor Ca7'h. /x&L C 2iLL (b Ph SWR i1(� BUILDING Tenant/Owner 7 CASH ��,e 7I?{) 7 / Retaining Wall ELR Footing Access: �Q� �Q Foundation _ U _ •_ U h " FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab Cs C l2, SIT Post & Beam Ext Sheath /Shear v Int Sheath /Shear Framing Insulation Drywall Nailing Firewall / it / Fire Sprinkler l/1 Y j f e— . V f t Fire Alarm ,p Susp'd Ceiling A- _ ( 1 : 2 --) Roof � -- / Misc: ZyL Final PASS PART FAIL PLUMBING I , 1 11 1 P , ��� 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 CICTRICAL Service ough Irk a Low Voltage Fire Alarm F. ASS 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date /O 6.4174 Inspector .a- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 �Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / 9 i BUP S (J / Date Requeste • 1 AM PM BLD Location - i / _ ;,ti �.A._ 1 Suite MEC � • / P Contact Person � .: r /UL _ _ � PLM Contractor _ ai. ,` J r _ _/ ', Ph 5 76 p 0 SWR BUILDING Tenant/Owner I, G / ' ELC 4 / M.� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain AA SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation ,, Drywall Nailing Aij��"`, r At'..."7--1---. Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final C& e..... 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 PAS T FAIL CTRI Service Rough In UG /Slab Low Voltage F•rP larm i 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 Other Date / 1p - 9f Inspector �� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.