Permit ...
. ..
CITY OF TR D ELECTRICAL PERMIT
^ '� DEVELOPMENT PERMIT
OR T SERV6CES DATE ISSUED: 11 /02/98
PARCEL: 2S110AA -00700
SITE ADDRESS...:14030 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Description : Alteration of electrical service.
- -- 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/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
UNOCAL CORPORATION type amount by date recpt
76 BROADWAY PRMT $ 35.00 DLH 10/14/98 98- 309978
SACRAMENTO CA 95818 5PCT $ 1.75 DLH 10/14/98 98- 309978
PLCK $ 9.18 DLH 10/14/98 98- 309978
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 45.93 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'1 Service
Phone #: 684 -3600 Wall Cover Elect' 1 Final
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 morean 180 days. ATTENTION: Oregon law requires you t. allow the rules adopted by
the Oregon Utility Notification Center. Those rule ar set fo th in OAR 952401 -0010 through OAR ', You I ai copy
of these rules or direct questions to OUNC y calling 503) -1987.
Perm ittee Signature: Issue•
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
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RECEIVEDElectrical Permit Application Plan Check #/� l
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 OCT 1
A-- 1998 D Rec'd /O /Y 7
-
Phone (503) 639 -4171, x304 Date to P.E.
DEVELOPMENT Date to DST /f - - - 9� 9 �( I
Inspection (503) 639- 4175C0MMUNITY Print or Type Permit # - Z-C 98.- O 6.27
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) . p'��lQ n'
� � 4y ) Nn
Service included: Items Cost Sum
Address ll► : � 4. - . . " 4a. Residential - per unit
J � 1000 sq. ft. or less p $110.00 4
City /State /Zip 1 )\ tom q
A
_ l a-> Each additional 500 sq. ft. or
x portion thereof $25.00 1
ommercial bC.l Residential ❑ Limited Energy $25.00
� _ y u p (4.7 Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. ntractor inst only:
(Attach copy II current licens =s) 4b. Services or Feeders
.� , Installation, alteration, or relocation
Electrical • r. Ct0 r N. I. _ ! • J♦ 200 amps or less $60.00 2
Addres l . � . W � _ - 201 amps to 400 amps $80.00 2
rsJn
City _ : Stat ar Zip ii/N . 401 amps to 600 amps $120.00 2
Phone No: Q , ON � 601 amps to 1000 amps $180.00 2
Job No. -30W , f ) Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No.
C2 Exp.Date /0 i 9 Reconnect only $50.00 2
OR State CCB Reg. No. a Exp.Date /Z z3 4c. Temporary Services or Feeders
COT Business Tax or Metro No. - _ Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No / 1 Exp.Date /0/ / see "b" above.
Phone Nc 01 -
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 lJ 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 41. 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
X 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: ..5-S .
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ _
NOTICE Subtotal $
5b. Enter Review of line 5a for
A4-3
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan lan 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 #
Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96
7/19/99 Activities for Case #: ELC98 -00627
9:24:44 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 10/14/98 DLH RECD DLH 10/14/98
ELCC003 Permit created 10/14/98 DLH DONE DLH 10/14/98
ELCC102 Plans routed to Plans Examiner 10/14/98 DLH SENT DLH 10/14/98
ELCC799 Elect'I Final • 11/6/98 CD PASS CD 11/6/98 wiring of propane pump
ELCC115 Approved plans routed to DSTs 11/2/98 CD PASS CD 11/2/98
ELCC117 DST Post - Review complete • 11/2/98 JSD PASS JSD 11/2/98 •
ELCC400 (F)Ready to issue 11/2/98 JSD PASS JSD 11/2/98
ELCC500 (F)Issue permit 11/2/98 JSD PASS JSD 11/2/98 Mailed permit and plans (one
sheet).
ELCC800 Case Finaled 11/6/98 CD PASS J *H 11/6/98
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171
BUP
115 1 ( a G
Date Requested / /- - [ 0 AM PM BLD
Location 1 <30 Sa) - ( ,.i - Suite MEC
Contact Person • ' Li Ph � PLM
Contractor Ph SWR
BUILDING Tenant/Owner 6e47,4071 762 EL C c 7GF - 06 D-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 (/./ ..4 .. 07e4c.C__. Pt-i_'' Firewall � l/
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING C1
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
P T FAIL
LECTRICA
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
` PART FAIL
BackfilUGrading
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 //A y Inspector r c i Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .