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Permit A f cm( O T I GA R D ELECTRICAL PERMIT PERMIT #: ELC2002 -00265 iftooporri DEVELOPMENT SERVICES DATE ISSUED: 7/8/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01300 SITE ADDRESS: 06640 SW REDWOOD LN 2ND FL SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Electrical for commercial TI. 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: 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: 36 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: PACIFIC REALTY ASSOCIATES BOONES FERRY ELECTRIC INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 628 PORTLAND, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: Reg #: §10 LIC 88482 ELE 3 -223C FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT BLD 7/8/02 $286.25 HAND Elect I Final PLCK BLD 7/8/02 $71.56 HAND 5PCT BLD 7/8/02 $22.90 HAND Total $380.71 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 ow :u s-a• opted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001- 80. You may obtain c• ies of these rules or direct questions to Permit Signature: n • � C��., sued 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: >110 DATE: LICENSE NO: A761 5 Call 639 -4175 by 7:00pm for an inspection the next business day • , 1* A Electrical Perm , . ,../ _ J a : „,.-; Date received: V/3�0 Z Permit no. ( 00.2 00 :2/05 _, „:11",•ill'lh City of Tigard 1�11�� Project/appl.no.: Expire date: CityofTigard Address: 13125 SW Hall Blvd Ti 9/223 2002 Date issued: Bykl I Receiptno.: Phone: (503) 6394171 , C`" l Y Ui 1 i 1 , Case file no.: f Paymenttype: Fax: (503) 598-1960 BUILDING- Dr, 31.3 r Land use approval: C4/o7 04.,6 T/ exPi2�� , 'OzDLa -Dap 9.4, 1 . TYPE OF PERMIT ❑ I & 2 family dwelling or accessory ❑ Commercial/industrial O Multi - family ■ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial • JOB SITE INFORMATION Joh address: ( -} 0 S y ReA Ly . Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: / 0 6IR 72,At-n// GL /A/ /e.... Project name: pm( ... ((-(o , I Description and location of work on premises: a ,1A p t n0 r 1 Z, Estimated date of completion/inspection: C i — 25 -0 IMP 41a ', e. . CONTRACTOR APPLICATION , FEE SCHEDULE • Job no: Fee Max Business name: Description Qty. (ea.) Total no. insp R n n n Q a Ferry. Electric e c t r i c New residential -single or multi- family per Address: P.O. Box 62 8 dwelling uoit . Includes attached garage. City: Wilsonville I Statep R I ZIP: 97070 Service included: Phone /82 - 4 936 (Fax: 68 -7 94W - mail: l000 ft. orless 4 CCB no.: 88482 ( Elec. bus. lie, no: Each additional 500 sq. ft. or portion thereof 3— 2 2 3 C I Limited energy, residential 2 V netro lic. no.: n n n 2 fl 9 1 Limited energy, non- residential 2 v ii. G...(2— O Z. Each manufactured home or modular dwelling Nor Signs re of supervising el rFian (required) Date Service and/or feeder 2 S = el. ct. name (print): --Jan Herron License no. g Services or feeders - installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): 20I amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only I Owner installation: The installation is being made on property I own Temporary servicesorfeeders - . which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ''' . ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: (ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: I — Wo — 2 Phone: • Fax: E -mail: Each additional branch circuit: ? ( r ob2'91± • PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not Included): O Service over 225 amps- commercial 7 Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps - rating of I &2 • Hazardous location Each signor outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* 2 O Building over three stories ❑ Feeders, 400 amps or more *Description: O Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan 0 Other: Per inspection I I I I Submit ( sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other I ( — ' Not all jurisdictions accept credit cards. please call jurisdiction for more information Notice: This permit application Permit fee ., $ 2 �1 5 3 Visa 0 MasterCard expires if a permit is not obtained Plan review (at 2. %) $ 7 1 `'lQ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card �' Cardholder signature Amount 440 -4615 (6,VO /COM) • 1 4 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY p Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems' Each additional 500 sq. ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder . $90.90 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 1:: 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 . Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 • 200 amps or less $66.85 2 (SEE OAR 918-260 -260) 201 amps to 400 amps $100.30 2 • 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. ❑ Audio and Stereo Systems Branch Circuits New, alteration or extension per panel ❑ Boiler Controls a) The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation . (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 p Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels (10) $125.00 Each additional inspection over El Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. — Fees: Total Balance Due $ I Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received // Date Requested gic -`7 AM PM BUP Location Suite MEC Contact Person Ph ( ) PLM Contractor s • I Ph ( ) �o rl �' �, 3� SWR BUILDING Tenant/owner P 42 ELC o - 6 Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL • P PMW PLUMBING _ f + . _ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Filarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE Please call for reinspection RE: • ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 122 Inspector - _ Ext Other: I Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL