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Permit CITY OF TIGARD ELECTRICAL PERMIT 4 1 DEVELOPMENT SERVICES PERMIT #: ELC98 -0176 °'°� "�'j DATE ISSUED: 04/09/98 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S1O2CC -00700 SITE ADDRESS...:13599 SW PACIFIC HWY SUBDIVISION • ZONING:C —G BLOCK • LOT JURISDICTION: TIG Pro.j ect Description : Tigard Animal Hospital job *3023 -7 - -- 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: 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 TIGARD ANIMAL HOSPITAL type amount by date recpt 13599 SW PACIFIC HWY, SUITE C PRMT $ 35.00 JSD 04/09/98 98- 304801 TIGARD OR 97223 5PCT $ 1.75 JSD 04/09/98 98- 304801 Phone #: Contractor: PHOENIX ELECTRIC CO $ 36.75 TOTAL 7379 SW TECH CENTER DR. REQUIRED INSPECTIONS TIGARD OR 97223 Ceiling Cover Elect'l Service Phone #: 684 -3600 Wall Cover Elect'l Final Reg #..: 000522 This permit is issued subject to the regulations contained in t Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with api oved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 .ays. A , r, ION: Oregon law requires you to fo , w the rules adopted by the Oregon Utility Notification Center. Those rules .re se forth �R 952 - 001-0010 through OAR '987. You may obtain a copy of these rules or direct questions to OUNC allin' ( ', =) 46- ' 1 /` Permittee Signatur-• ' Issued By: 4.1 71100 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: DATE: LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ...APR- .09 -98 THU 07:18 AM PHOENIX ELECTRIC FAX NO, 503 684 3611 P.03/03 • CITY OF TIGARD Electrical Permit Application Plan Ch ." Reed =y ! � • 13125 SW HALL BLVD. Date Rec'• /J<� • Date to P.E. _ _ -_ -. TIGARD OR 97223 Date to DST _ -. Phone (503) 639 -4171, x304 Print or Type Permit ii �� ‘:, Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Called Fax (503) 684 -7297 1. Job Address: 4. Complete Fee Schedule Below: 1 Name of Development Number of Inspections per permit allowed • i I �' fi Name (or name of business _ _4.. ., . - r ? lliVI • / - S erv i ce in cluded: Items Cost Sum I , r e, 4a. Residential - per unit Address V7-) - N. • c' Sc... 1000 sq. ft• or less $110.00 City/State/Zip \ N /\O ` 1 �'�" r� - Each additional sq. tL or $25.00 _ -- l E portion thereof f $25.00 Commercia Residential ❑ Umited Energy Each Manuf d Home or Modular Dwelling Service or Feeder $68.00 -- 2a. Contractor installation only: - 4b. Services or Feeders (Attach copy o .current licenses) Installation, alteration, or relocation • Electrical Contractor r �•= 1. ��� • ' ' 200 amps or less $80 • 201 amps to 400 amps $80.00 ddress `�'` 512o.o0 601 amps to 1000 amps State AL zip 1 - � >; 401 amps to 6o0 amps City Nat. .� �, _ 5 - Phone p ' i - O ver 1000 amps or volts 5 • Job No. ` O`.'J - Reconnect only $s0•o0 • Elec. Cont. Lice. No. , - �' -1G Exp.Date 4c. Temporary Services or Feeders OR State COB Reg. No. '? Exp,Dat Date Installation. T llation• aryrSeovi Services relocation COT Business Tax or Metro No. ExP 200 amps or less $50.00 201 amps to 400 amps• -- Signature of Supr. Elec'n �� 401 amps t o 600 amps $ 100 00 Over 600 amps to 1000 volts, License Nc y/� S Exp.Date see "8" above. Phone Nc - - n 4d. Branch Circuits • New, alteration or extension per panel 2b. For owner installations: a ) The fee for branch circuits with purchase of service or !seder fee. Print Owner's Name Each branch circuit $ 5.00 Address b) The fee for branch circuits State Zip without purc of Phone No. service or feeder fee. Firs branc circuit � $35.0 (•`` ' • Each additional branch circuit $5.00 _ -. The installation is being made on property I own which is not intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) $40.00 Owner's Signature Each pump or irrigation circle $4o 00 - Each sign or outline lighting * Signal circuit(s) or limited energcircuit(s) a limit $40 � 3. Plan Review section (if required): panel, alteration a limit nsion $ 0. o0 Minor Labels (10) Please check appropriate item and enter fee in section 5B. Each additional ional inspection over 4 or more residential units in one structure af 4f. allowable any of the above Service and feeder 225 amps or More `• System over 600 volts nominal Per inspection $55,00 - $55.00 Classified area or structure containing special occupancy Per hour In Plant - as described in N.E.C. Chapter 5 " 5. Fees: c t i t_ , 2 sets of plans with application where any of the above apply, 5a. Enter total of above fees $ Not required for temporary construction services- 5% Surcharge (.05 X total fees) $ Subtotal $ NOTICE Sb. Enter 25% of line 5a for if r equired (Sac.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK . S ubtotal �� IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY / ` rut Trust Account t►. $ C . 9q.... 3 6 ticiP TIME AFTER WORK IS COMM NCED. Total balance Due • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: `-/- /7 - 92 A.M. P.M. MST: Location: 13.5'9 9 5 , (.J . yeR-e-, Lr G /1u! y, BUP: Tenant: /� Suite: Bldg: MEC: Contractor: --)0 / J / NO tn/i x' Phone: (o ''q o y - 3 Co O PLM: Owner: Phone: ELC: 9 $ - ©/ 76, ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved No roved Not Approved FINAL FINAL FINAL ( FINALS FINAL - L / - / / / 4 ,10 , i , / ..42.4 < D At ....6 d, / � — 2V - Y • O Call for reinspection einspection fee of $ required before next inspection O Unable to inspect Inspector: Date: /-- /7 %P Page of 4 f - /S' /0.' CO aJni CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 1 4 — / CO — V A.M. P.M. MST: Location: /35 ! p / p ,$&() Aciieri' , BUP: Tenant: U / Suite: l_.-' Bldg: MEC: Contractor: LJ ITA , A L JZ.21A.4 Phone: 6 & /— 3 600 PLM: � •� / Owner: Phone: ELC: qa _O� / 62 .. ! Ll / • 4 I / s / . / / ELR: 04 -Site) I SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL LECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cuver/Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Au. • -. Approved Appr /Sdwlk Not Approved Not Approved Not Approved of :.. Not Approved FINAL FINAL FINAL INAL" FINAL /t - y ,X-C C — c-#9- /L . O Call for reinspection einspection fee of $ required before next inspection O Unable to inspect Inspector: Date: 4// Page of s • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 4_ Zo - 994 A.M. P.M. MST: Location: /3,575 Sc.c7 4/4-G /6 m 7. 7 - BUP: Tenant: Suite: n', / Bldg: MEC: Contractor. J ©at) / / %Lp e_,�/ i� Phone: to ,J' 7- - , 3 6 o o PLM: Owner: 6` Phone: ELC: 9,- 0/7(, ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL CILECTRICA3) SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation . Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Lo . olt Approved Approved Approved Approved Approved Appr /Sdwlk • Not Approved Not Approved Not Approved .. __.:., . _. Not Approved FINAL FINAL FINAL ' IN FINAL 6∎Cii tG - 4s5. / L O Call for reinspection ' spection fee of $ required before next inspection O Unable to inspect Inspector: Date: it_ 20 -97 Page of