Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98 -0131
%,, ;, DEVELOPMENT SERVICES DATE ISSUED: 03 /23/98 OR
PARCEL: 2S1O2CC -00500
SITE ADDRESS...:135O0 SW PACIFIC HWY #54
SUBDIVISION • ZONING:C —G
BLOCK LOT • JURISDICTION: TIG
Project Description : Service or feeder to 200 amps
- -- 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 • 1 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/O 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
COMPANION PET CLINIC type amount by date recpt
13500 SW PACIFIC HWY PRMT $ 60.00 B 03/23/98 98- 304321
STE 54 SPCT $ 3.00 B 03/23/98 98- 304321
TIGARD OR 97223
Phone #:
Contractor:
WESTSIDE ELECTRIC CO INC $ 63.00 TOTAL
1834 SE 8TH AVENUE
REDUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'1 Service
Phone #: 231 -1548 Wall Cover Elect'1 Final
Reg #..: 000133
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 - 0014010 through OAR 952- 001 -1987. You may obtain a copy
of these rules or direct questions to 01MC by calling (503)246 -1987.
Permittee : By:
rm Signat�re:(�1� � (1 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 �j
SIGNATURE OF SUPR. ELEC' N : !‘ {te' iI� � J► DATE : `5(
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check #
1.3125 SW HALL BLVD. Rec'd By_e2
TIGARD OR 97223 Date Rec'd Z
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST /,1�/
Inspection (503) 639 -4175 Print or Type Permit # I,1) -0 �1
(
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: /� 4. Complete Fee Schedule Below:
Name of Development C M I�RiI O Z (...L4)47.4.... Number of Inspections per permit allowed
Name (or name of business) Service included: Items Cost Sum
Address 1 ?5'0 O S w ?Ac k r .. }ivy Suta.. 4k 54 4a. Residential - per unit .
1000 sq. ft. or less $110.00 4
City /State/Zip 'TIGAAO C 111-7.3 Each additional 500 sq. ft. or
Commercial Residential El Limited 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 1n.)ElsT Saz. *c�tEcti R& Installation, alteration, or relocation 0,
(�34 �� �� 200 amps or less 1 $60.00 2
Address 201 amps to 400 amps $80.00 2
City F?CwtV#uo State Zip TVIII 4 401 amps to 600 amps $120.00 2
Phone No. 23\ - 15 601 amps to 1000 amps $180.00 2
Job No. .7,vti - 001 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 26 - ■'S5L Exp.Date
OR State CCB Reg. No. 1 Y6c (0 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
-
201 amps to 400 amps $75.00 Signature of Supr. Elec'n C r. - 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No / •S r J Exp.Date see "b" above.
Phone Nn 2 3/- /.S`'
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $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
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ &b' o0
5% Surcharge (.05 X total fees) $ 3'.''
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 # $ C 3 00
Total balance Due
I: \DSTS \ELC96.APP Rev 9/96
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0131
COMPANION PET CLINIC
13500 SW PACIFIC HWY Unit: 54
06/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
-- -- --- ----- - -- - --
ELCC001 Application received / / / / 03/23/98 RECD B 03/23/98 BON
BLCC003 Permit created / / / / 03/23/98 DONE B , 03/23/98 BON
ELCC500 (F)Issue permit / / / / 03/23/98 MAILED THIS DATE PASS B 03/23/98 BON
ELCC700 Ceiling Cover / / / / / / 03/23/98 BON
ELCC720 Wall Cover / / / / 04/06/98 rough in at walls approved. PASS BRP 04/08/98 DGW
ELCC730 Elect'1 Service / / ✓ / 03/25/98 PASS BRP 03/25/98 J *H
ELCC799 Elect'l Final / / / / 05/07/98 Pass as meeting the minimum code PASS BRP 05/08/98 B *P
requirements. Outlet in exam room not
extended through wall plate. art.
410- 56(e). 2 gang switch box not
level.Panel schedule not in permanent
ink or type.Tenant to assur that
corrections are made.Final was approved
due to opening schedule of tenant. Will
follow up on compliance issues.
ELCC800 Case Finaled / / / / 05/07/98 No final inspections slip. Approved per PASS BRP 05/18/98 J *H
note from TLP that Ben had approved on
050798.
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