Permit CITY OF T ELECTRICAL PERMIT
A, DEVELOPMENT SERVICES PERMIT #: ELC98 -0679
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11 / 1 `/ 98
PARCEL: 2S11OAA -00700
SITE ADDRESS...:14O3O SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Description: Tigard 76 Unocal
- -- 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
I 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 JSD 11/12/98 98- 310731
SACRAMENTO CA 95818 5PCT $ 1.75 JSD 11/12/98 98- 310731
Phone #:
Contractor:
OREGON ELECTRIC CONST /GROUP $ 36.75 TOTAL
1010 SE 11TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'l Service
Phone #: 234 -9900 Wall Cover Elect'l Final
Reg #..: 203
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 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules e t for in OAR 952-001 -0010 through OAR 952-001 ':7. You may obtain a copy
of these rules or direct questions to OUNC calla g l 2
��
Fermittee Signatur I ssued By 4
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
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Community Development ELECTRICAL PER IT PPLICATION
13125 SW Hall Blvd. r I /Z 5Ng GL5 ` -G
Tigard, OR 97223 Planck/Rec. # �9� � ��
- Permit # H,
/ J j A Phone (503) 639 -4171 Date Issued / ///49
CITY OF TIGARD FAX (503) 684 -7297 Issued by
TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: JOB NO. 781 0 8 4. Complete Fee Schedule Below:
Name of Dev$ . ,• nt Unocal Number of Inspections per permit allowed
Address /= :; SW Pacific Hwy_ Service included: Items Cost(ea) Sum
City /State/Zip Tigard, Oregon 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
-
Name (or name of business) Unocal Each additional 500 sq. ft. or i
portion thereof $25.00
Commercial L`:l' Residential ❑ Limited Energy $25.00
Each Manul'd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor Oregon Electric Group 200 amps or less $60.00 2
Address 1 01 0 SE 1 1 th 201 amps to 400 amps $80.00 2
City Portland State Or . Zip 9 7 21 4
401 amps to 600 amps $120.00 2
City p 601 amps to 1000 amps $180.00 2 -
Phone No. 2 3 4-9 9 0 0 Over 1000 amps or volts $340.00 2
Contractor's License No. 2 6-9 5 C Reconnect only $50.00
-
Contractor's Board Reg. No. 0 3 4c. Temporary Services or Feeders
i r Installation, alteration, or relocation 2
Signature of Supr. Elec'n ��f ' - 4 200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
License No. 2841 S hone No. 535 2655 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above.
4d. Branch Circuits
Print Owner's Name New. alteration or extension per panel
Address a) The fee for branch circuits with
City State Zip purchase of service or feeder tee. 2
Each branch circuit $5.00
■ . • Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit 1 , $35.00 35.00 2
Each additional branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 -
4 or more residential units in one structure Minor Labels (10) $100.00 -
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing the allowable in any of the above
ining special occupancy
as described in N.E.C. Chapter 5 Per inspection $35.00
-
Per hour $55.00
-
In Plant $55.00
Submit 2 sets of plans with application where any of the above
9 apply. Not required for temporary construction services. 5- Fees:
NOTICE 5a. Enter total of above fees $ 35.00
5% Surcharge (.05 X total fees) $ ] . 7 5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 3 6 . 7 5
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account # $
POST
Balance Due $ '3 6 7 5
worcnoomd.NM.°prm.epp
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
l BUP
Date Requested // 43/9 AM PM BLD
Location /V03 0 .Sc.c.J /.QC ,44s% Suite MEC
Contact Person /� Ph PLM
Contractor )re £/e€ Ph 2.3V— 9900 SWR
BUILDING Tenant/Owner . 76 WnC.,9L ELC 9� — 6 75
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 C"� --� p,.
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
PAS T FAIL
Service
Rough In
UG/Slab 0�
Low Voltage
Fire Alarm
Fi
l o 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 inspect - no access
ADA
Approach /Sidewalk Date 1//.0, Inspector y Ext
Other
•
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.