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Permit
CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00711 A & DEVELOPMENT SERVICES DATE ISSUED: 01/24/2000 f I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103DD -01000 SITE ADDRESS: 13939 SW PACIFIC HWY * ** SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical for new retail building 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: 17 • W /SERVICE OR FEEDER: 207 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: 1 PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BC REAL ESTATE INVESTMENTS TUALATIN ELECTRIC BC NORTHWEST LP #707 PO BOX 655 BY BURKE & NICKEL WILSONVILLE, OR 97070 TULSA, OK 74135 Phone: Phone: 682 -2955 Reg #: LIC 00065650 O R I G I N A L SUP 3483S ELE 3 -26C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PLCK GEO 12/17/199£ $374.28 99- 319935 Wall Cover PRMT GEO 12/17/199E $1,497.10 99- 319935 Underground Cover 5PCT GEO 12/17/1995 $119.77 99- 319935 Elect'I Service Elect'I Final (additional fees not listed here) Total $3,181.63 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: /le i z e..,(41. 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: (SV ,��.C. cd � DATE: /7-1-y7 a LICENSE NO: .3y -V 3 S Call 639 -4175 by 7:00pm for an inspection the next business day w m /i6 1 CITY OF TIGARD Electrical Permit Application Plan Cher , /y, 13125 SW HALL BLVD. Recd By - TIGARD OR 97223 Date Rec'd II -A9-17 Date to P.E. -30 --/ Phone (503) 639 -4171, x304 7-'"' jA/10 ( Date to DST � Inspection (503) 639 -4175 Print of Type Permit # F:/ C I - t r y :: `� 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) 1 4- , •. \c«e n5 Service included: Items Cost Sum 4 ' Address \ 3 9 31 .5......) P S: C. 1--1JA 4a. Residential - per unit City /State /Zip -- - r' \Sp elk CA, 9 7 aa_3 1000 sq. ft. or less $ 117.75 4 Each additional 500 sq. ft. or portion thereof $ 26.25 1 Commercial Residential ❑ Limited Energy $ 60.00 Each Manned 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 °1d �\.c,\ c� Electrical Contractor ''x ex F,I�C.,fir i C '7 200 amps or less I $ 64.25 O1 a -'''...2 Address �O C��5 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City W i \ScMJ►\1.12_ State 0 R. Zip Cl - 7o7O 601 amps to 1000 amps 1 $ 192.50 1 C 2.50 2 Phone No. Co Q Z - 9-r-L55 Over 1000 amps or volts $ 363.75 2 Job No. 1,736- . / Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 3 - g4A3C- Exp.Date 1 Oa 0 A. 4c. Temporary Services or Feeders OR State CCB Reg. No. 6651,0S0 Exp.Date 4- Zo - Oa r F' Installation, alteration, or relocation ' COT Business Tax or Metro No. -.D e 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n i��, 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, License No. 3LI63s 4 Date \O- \ -Ot firj see "b" above. Phone No. (pal- a� �A 4d. Branch Circuits l/ OY / New, alteration or extension per panel _�� .w a) The fee for branch circuits -j 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit a o? $ 5.35 - f_j Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 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 9 0f ge � Si ga � e Each sign or outline lighting $ 42.75 i:�i Signal circuit(s) or a limited energy panel, alteration or extension $ 60.00 3. Plan Review section (if required):* Minor Labels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above 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: D . Enter total of above fees /�/ * Submit 2 sets of plans with application where any of the above apply. , • G Surcharge (.05 X total fees) E2,04 3 .. Not required for temporary construction services. Subtotal $ NOTICE 5b. Enter 25% of line 5a for Plan Review if required (Sec. 3) 5 $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due 3/g • is \dsts \forms \electric.doc . 07/11/2000 Activities for Case #: ELC1999 -00711 2:12:16 PM Assigned Hold Updated . Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received - 11/22/1999 DRA RECD No Hold BON 11/30/1999 ELCC003 Permit created 11/30/1999 BON DONE No Hold BON 11/30/1999 Check conditions of approval before issuing this permit. ELCC102 Plans routed to Plans Examiner 11/30/1999 BON DONE No Hold BON 11/30/1999 ELCC110 Plans checked /approved by PE 12/03/1999 BP PASS No Hold DGW 12/03/1999 ELCC115 Approved plans routed to DSTs 12/03/1999 BP PASS No Hold DGW 12/03/1999 ELCC700 Ceiling Cover 12/03/1999 12/03/1999 04/19/2000 CD PASS No Hold AKJ 04/19/2000 passage corridor ELCC720 Wall Cover 12/03/1999 12/03/1999 04/19/2000 CD PASS No Hold AKJ 04/19/2000 wall cover except pac hwy side of bldg ELCC725 Underground Cover 12/03/1999 12/03/1999 02/18/2000 BRP PASS No Hold AKJ 02/21/2000 ELCC730 Elect'I Service 12/03/1999 12/03/1999 05/22/2000 CD PASS No Hold AKJ 05/22/2000 ELCC799 Elect'l Final 12/03/1999 12/03/1999 07/10/2000 CD PASS No Hold CD 07/10/2000 ELCC920 Miscellaneous action - No Hold DGW 12/03/1999 ELCC920 Miscellaneous action No Hold DGW 12/03/1999 ELCC120 HOLD (explain in notes) ' 12/17/1999 GEO HOLD No Hold GEO 12/17/1999 Hold pending release and issuance of SIT and BUP. ELCC117 DST Post - Review complete 01/11/2000 DEB DONE No Hold DEB 01/11/2000 ELCC201 Hold Release to Ready Status 01/11/2000 DEB DONE No Hold DEB 01/11/2000 Okay to issue per both PLN & ENG, SIT has already been issued. ELCC500 (F)Issue permit 01/24/2000 KJP DONE No Hold KJP 01/24/2000 ELCC725 Underground Cover 02/27/2000 02/27/2000 02/25/2000 CD PASS No Hold AKJ 02/27/2000 parking lot standard ELCC720 Wall Cover 04/27/2000 BRP PASS No Hold AKJ 04/27/2000 ELCA700 Rough -in 05/08/2000 BRP PASS No Hold AKJ 05/08/2000 routine -rough in pass ELCA700 Rough -in No Hold AKJ 05/09/2000 ELCC700 Ceiling Cover 05/25/2000 CD PASS No Hold AKJ 05/25/2000 main store area only ELCC700 Ceiling Cover 05/31/2000 CD PASS No Hold AKJ 05/31/2000 ELCC800 Case Finaled 07/11/2000 HAP DONE No Hold HAP 07/11/2000 • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /ZS S D AM PM BLD Location 1 3q 31 P4L Suite MEC Contact Person / Mail ( /I !A. Ph (P ?g -2227 121 Contractor - t - u a /a--fi :J ltd Ph (4 Z - SWR BUILDING Tenant/Owner ELC 1q9-.06--)// Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: / Slab (A/4 !7 S SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation �/ Drywall Nailing p N '�. 4 Firewall Fire Sprinkler Fire Alarm / Susp'd Ceiling 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 sEtECTRICAT Service =In In Low Voltage Fire Alarm 400 PART FAIL 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 ins pect - no access ADA Approach /Sidewalk Date 212,C /cV Inspector Ext Other 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 / BUP Date Requested 2 i % %bb AM PM BLD Location / 3's I P4( fr-i/t/31 Suite MEC l Contact Person Pi-a i Ph /b — Z-Zi27 PLM Contractor � Ph SWR BUILDING Tenant/Owner Cl/i45 Th j 4112, /97 1 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 Susp'd Ceiling 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 ;LECTRICAL' Service Rough In (Ta Low Voltage Fire Alarm PASS 'ART FAIL SIT 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 / (. D Approach /Sidewalk Dt e a!�' Other Ins 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 / BUP Date Requested ested s g/ ©0 AM PM BLD Location (; -/ 31 P 111 L ', 1 Suite MEC Contact Person in l Ph CP 7 ' Z7 2 7 PLM Contractor Ph X d SWR BUILDING Tenant/Owner ELC (q -! q 00 - / f 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 Q CJ Susp'd Ceiling � � �Q U �j 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 (ZLECTRIC ►L Service g • ab Low Voltage • rm PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before nspectio Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA — pr_ Other Approach/Sidewalk Date✓ — � '1 Inspector f` • Other 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 BUP Date Requested �/2�/00 AM PM BLD Location 3 q 3 q Pa C Suite MEC Contact Person f 1 J Ph 4 7 27 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 1 qqg -0o7 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 Susp'd Ceiling 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 EICEIME Service g n_W GJQ ,v /slab Low Voltage F inal PASS ART FAIL SIT ackfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pa .t City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access ADA Approach /Sidewalk 2 Other Date /� 7-- 4 1 Inspector 'JAY � 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 C� BUP Date Requested L1// //00 AM PM BLD Location 3q 1 04 e_ r1i Suite MEC Contact Person Ph C/ 7f - Z22;2 PLM Contractor 11)4 /4'/, Ph SWR BUILDING Tenant/Owner 14)¢6 ELC /9/9-007// 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 ,p Drywall Nailing et,N1 a t( K � r/�� f;'LV Firewall L ✓ Fire Sprinkler --C/ ,QL' <) 6 I kJ Fire Alarm n �+ Susp'd Ceiling - c (j � . l7 PA 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 PAS_ PART FAIL IiECTRI S W4 .1 lab Low Voltage Fire Alarm Fin ASi "ART FAIL 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 D ate 4/ /9 Ch") Inspector 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 BUP Date Requested S /2, /00 AM PM BLD Location (?j- 9 q Pea. �� Suite MEC Contact Person YLLI)J Ph 07b o 2ZZ7 PLM Contractor Ph k v SWR BUILDING Tenant/Owner ELC I / p qq--CO 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 / i Fire Alarm Susp'd Ceiling 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 PAASSS PART FAIL ervice oug 1A)A1—Q Slab Low Voltage Fire Alarm i'ePP 'ART FAIL 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 r ' nspection RE: / ] Unable to inspect - no access ADA Approach /Sidewalk Other Date .) Inspector 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 �n BUP Date Requested S(ZS W AM PM BLD Location R 3 / pot (, Cd Suite MEC Contact Person Ph Of PLM Contractor Ph SWR BUILDING Tenant/Owner ELC (999 " 7 / / 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 /Ct± �-" J / f?' /�Q,� �4' Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 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 L, rvice oug �Ce t.; i5ia Low Voltage Fire Alarm Fi (r 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 Date Other D Inspector _ _ 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 BUP Date Requested s /WOO AM PM BLD Location 1 9 3 / PGGe , Suite p MEC Contact Person II A Ph & 7g�222 7 PLM Contractor ' 9 Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: i Foundation //� �� FPS Ftg Drain [ CS N 5 SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 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 RT FAIL LECTRIC Rough In UG /Slab - Low Voltage Fire Alarm PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i for call or rens ection RE: Fire Supply Line [ ] p ` [ ] Unable to ins pect - no access - ADA Approach /Sidewalk Other Date 6 Inspector _ / €pct • Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISI N 24 -Hour Inspection Line: 639 -4175 Business Line: 6 4171 MST BUP Date Requested 7 by AM PM BLD Location / 3 f 3 f 54e- /24 Cl y ( C Suite MEC Contact Person G,.., c/ Ph 7,% 27--)7 PLM Contractor / Ph SWR BUILDING Tenant/Owner (�LJ //tQ� ELC ���� Do 7/ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: -11.44 ` SGT Slab 'l`t.✓ — SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Ae.t/t c� Fire Alarm Susp'd Ceiling 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 ECTRICAL Rough In UG /Slab Low Voltage Fire Alarm •S 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 7 - (. Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.