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Permit • CITY OF TI GARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00462 DEVELOPMENT SERVICES DATE ISSUED: 8/11/00 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 10 D C -02200 SITE ADDRESS: 15660 SW PACIFIC HWY A -4 SUBDIVISION: WILLOW BROOK FARM ZONING: C -G BLOCK: LOT : 011 JURISDICTION: TIG Project Description: 6 branch circuits. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIGARD, CENTER LP WILLAMETTE ELECTRIC INC 9777 WILSHIRE BLVD #609 PO BOX 230547 BEVERLY HILL, CA 90212 TIGARD, OR 97281 Phone: Phone: 624 -3631 Reg #: LIC 000750 SUP 1965S ELE 34 -283C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT BLD 8/11/00 $64.25 0004422 Wall Cover 5PCT BLD 8/11/00 $5.14 0004422 Elect'l Final Total $69.39 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty Codes and all other applicable laves. 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 1 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATUR 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 SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Rec'd By 'TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type '11 ----- Permit # & - 0O4 a_ Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1.. Job Address: 4. Complete Fee Schedule Below: I Number of Inspections per permit allowed Name of Development I tS un a enu e Name (or name of business) 1+F L. Service included: Items Cost Sum Address I S 6 (o 0 94. P4.( c N w y A - 4 4a. Residential - per unit Ci /State /Zi T t s t/k Rcl d rt _ 9 '?-Z 2 V 1000 sq. ft. or less $ 117.75 4 ty p Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial 0 Residential ❑ Limited Energy $ 60.00 Each Manufd 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 Electrical Contractor 1..i. I I ri .t, r 6t ae (TA , c /^- C- 200 amps or less $ 64.25 2 Address Po 1l pit 2...7495 1' 201 amps to 400 amps $ 85.50 2 City a.vr State 0A Zip a } 216 / 401 amps to 600 amps $ 128.50 2 tY . S in p / 601 amps to 1000 amps $ 192.50 2 Phone N6. 4 zv - 3(, 3 / Over 1000 amps or volts $ 363.75 2 Job No. VS (.p Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 34 - z Ira C_ Exp.Date ifs- (1-0 D 4c. Temporary Services or Feeders OR State CCB Reg. No. ? ,, s Exp.Date 6-4 -O / Installation, alteration, or relocation COT Business Tax or Metro No. / 51 ti Exp Date g -t - e i 200 amps or less $ 53.50 2 `n 201 amps to 400 amps $ 80.25 2 Si Signature of Sur. Elec'n _. 401 amps to 600 amps $ 100.00 2 9 p 1(0 Over 600 amps to 1000 volts, • License No. t S D - S Exp.Date I v - / - / see "b" above. Phone No. 1 - 3 4 1 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. S u Phone No. First branch circuit l $ 37.50 3 Each additional branch circuit $ 5.35 Z re 7 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 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels bels (10) $ 100.00 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: // z� 5a. Enter total of above fees $ 10 y * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ S ' `/ Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ _0 7 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due is \fists \forms \electric.doc 1- 8/22/00 Activities for Case #: ELC2000 -00462 4:28:39 PM Assigned Hold Updated , Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC003 Permit created 8/11/00 DLH DONE No Hold BLD 8/11/00 ELCC001 Application received 8/11/00 DLH DONE No Hold BLD 8/11/00 , ELCC700 Ceiling Cover No Hold BLD 8/11/00 ELCC720 Wall Cover No Hold BLD 8/11/00 i ELCC799 Elect! Final No Hold BLD 8/11/00 ELCC500 (F)Issue permit 8/11/00 DLH DONE No Hold BLD 8/11/00 ELCA510 (F) Reprint permit 8/22/00 ZZZ DONE No Hold ZZZ 8/22/00 ELCA510 (F) Reprint permit 8/22/00 ZZZ DONE No Hold ZZZ 8/22/00 ELCA510 (F) Reprint permit 8/22/00 ZZZ DONE No Hold ZZZ 8/22/00 • . 1 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION • MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AD — Zi AM F PM BLD Location / ) �i G G $ w f c r . 'v /-1,4- 7 Suite 4. q MEC Contact Person Ph G 2V 3 5/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC gee-4 G ((4 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 R 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 E A ..) C (31- Service Rough In UG /Slab Low Voltage Fire Alarm 4 PART FAIL fill/ radin Back G g Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before ne spection. 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 /6 �D / 2-- C 6 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION - - MST • 24 -your Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 9/2 l / Date Requested AM PM BLD Location I d s) %4 KILO Suite >r MEC n Person tact erso n Ph PLM Contractor �, C .� C� Ph ( ! ( J SWR BUILDING Tenant/Owner 420 2 e- oo Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam / /,� J/ / Vti-c-0 Ext Sheath /Shear -/-4) / y (,( J va - 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 P R FAIL ELECTRIC e �� Rough In (�Wu UG /Slab � Low Voltage Fire Alarm F. ASS 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 [ ] Please call for einspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Other Approach/Sidewalk 4 Date . Inspector `� / Ext Other Final — PASS PART FAIL D 6 NOT REMOVE this inspection record from the job site.