Permit CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -0053
1, �I 1 I DATE ISSUED: 02/03/98
41- 13125 SW Hall Blvd., Tigard, OR 97223 503 639.4171
PARCEL: 2S102CC -00700
SITE ADDRESS...:13599 SW PACIFIC HWY
SUBDIVISION • ZONING:C -G
BLOCK • LOT • JURISDICTION: TIG
Pro.j ect Description : Add two (2) branch circuits to an existing commercial tenant
occpy.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 - 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 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/O SRVC OR FDR.: 1 PER HOUR • 0
401 - 600 amp : 0 EA ADD'L BRNCH CIRC: 1 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 OF TIGARD type amount by date recpt
13599 SW PACIFIC HWY, SUITE C PRMT $ 40.00 GEO 02/03/98 98- 303000
TIGARD OR 97223 5PCT $ 2.00 GEO 02/03/98 98- 303000
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 42.00 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Underground Cove
Phone #: 684 -3600 Wall Cover Elect'1 Service
Reg #..: 000522
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. You may obtain a copy
of these rules or direct questions to (1IANC by calling (503)246 -1987.
Permittee 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 �i
SIGNATURE OF SUPR. ELEC' N: e DATE: pZ - 3 D
LICENSE NO: ,V /7V 5 _
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
'++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
FEB -03 -98 TUE 01:04 PM PHOENIX ELECTRIC FAX NO. 503 684 3611 P,02/02
w
CITY OF TIGARD Electrical Permit Application Plan Check #
Rec'a By
13125 SW HALL BLVD. Date Redd
TIGARD OR 97223 Date to P.E.
L.ie (503) 639 -4171, x304 Print or Type Date to DST
Inspection (503) 639 -4175 Permit # EC9 Cr - C% '3
Fax (503) 684 - 7297 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 ' , A. n A. ...; _ • • Service included: Items Cost Sum
Address \ "$S `�1.t.-.) t' ,4. c • `L\-1/4 _ 4a. Residential - per unit
I / 1000 sq. ft. or less $ 110 . 00 a -
City /StateRip & L cr- a-)- Each additional 500 sq. ft. or _
portion thereof $ 25 . 00 1
Commercial Residential ❑ Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $88.00 2
2a. Contractor installation only: 4b. Services or Feeders
cop - I current licenses ,, •
or relocation
Electrical Contracto .. _ 4 Installation, alteration, 200 amps or less 160.00 2
Addr -? g•-,IA ' • c - '0,'",- Y lZt 201 amps to 400 amps $80.00 2
City - .::.et -- t,. State . • -- 401 amps to 600 amps $120.00 2
Phone W. ' . ",...\- - okk ) 601 amps to 1000 amps $180.00 2
Over 1000 amps or volts $340.00 2
Job No. 17 �- Reconnect only $50.00 2
Elec. Cont. Lice. No. - ---..-., Exp.Date I v/Rk
OR State CCB Reg. No. Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. _ IL Exp.Date t 3' Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps 575.00 2
Signature of Supr. Elec'n - 401 amps to 600 amps 5100.00 2
Over 600 amps to 1000 volts,
'tense No. 4f/4t05 Exp.Date see "b" above.
Phone No. ,p -( 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 Owners Name • feeder fee.
Each branch circuit $5.00 _ 2
Address b) The fee for branch circuits
City State Zp _ without purchase of •
Phone No. service or feeder fee.
First branch circuit \ $35.00 34..c..1.?... 2
The installation is being made on property I own which is not Each additional branch circuit ....1._ • $S.00 t 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
,5 Signal circuit(s) or a limited energy
3. Plan Review section (if required). panel, alteration or extension $40.00 2
Minor Labels (10) 5100.00
Please check appropriate item and enter fee in section 58.
4 or more residential units in one structure 41. Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above $35 00
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour 855.00
as described in N.E.C. Chapter 5 In Plant
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: C.)1,-) Net required for temporary construction services. Sa. Enter total 01 above fees $ , ,
5% Surcharge (.05 X total fees) $ m " `
NOTIC • Subtotal S
5b. Enter 25% of line 5a for
WITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r uir (Sec.3) $
176T COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY � 'a\ $ I S ° l�
TIME AFTER WORK IS COMMENCED. 14Trust Account # �
Total balance Due
l b CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: p — 10 '- q d A.M. P.M. MST:
Location: I3 - ! .�j L AO . ,. a -•a�L BUP:
Tenant: 7 -ik. / 4 1 f � �a S u i te: Bldg: MEC:
Contractor. 'dl W Iv / /..i I' ' '� Phone: &3 4' -3600 PLM: p
/
Owner Phone: ELC: �0 0D5
ELR:
4 i / .S11 / /A /&.. b / SIT:
BUILDING BLDG (con't) df PLUMBING MECHAM on ' CTRIC • ` SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service a Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling o 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 w Volt
Approved Approved Approved Approv -. Approved
Appr /Sdwlk Not Approved Not Approved Not Approved ru..•.,., • ved Not Approved
FINAL FINAL FINAL INAL FINAL
4 ,5 - 7 . — i - / - - 4 I .
rim ---------
....."... ____
O Call for Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: , �� Date: . /Z) — Page of
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3 "— C) � A.
- M. P.M. MST:
Location: /3.5 9 P4 C'ipi c A 4. 4- BUP:
Tenant: 7`1 -M A A QnJ 114 J Ch h 1 C Suite: Bldg: MEC:
Contractor. J0 D e »/'( F GI r/ L' Phone: PLM: Q
Owner: Phone: ELC: 9 Q a — 0t3
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Stone
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 /AIm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
( s P F i4 r( /e-c/ 2 -! d 9 P
•
•
0 Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: ial Date: 3--041 g Page of