Permit CITY OF TIGARD
,44, DEVELOPMENT SERVI
ELECTRICAL
PER
PERMIT #: ELR98 -0072
DATE ISSUED: 03/11/98
PARCEL: 28112DA 01400
SITE ADDRESS...:O665O SW REDWOOD LN #390
SUBDIVISION °PACIFIC CORPORATE CENTER ZONING:
BLOCK • LOT • JURISDICTN: TIG
Project Description : Add signal circuit or a limited energy panel, alteration or
extension to an existing commercial tenant occpy.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE/ IRRI GAT. .
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..:LIM ENERGY::X
TOTAL # OF SYSTEMS: 1
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 40.00 GEO 03/11/98 98- 304016
SUITE 300 SPCT $ 2.00 GEO 03/11/98 98- 304016
TIGARD OR 97224
Phone #:
Contractor:
HONEYWELL INC $ 42.00 TOTAL
15495 SW SEQUOIA
STE 100 REQUIRED INSPECTIONS
PORTLAND OR 97224 Low Voltage Insp
Phone #: 968 -3333 Elect' 1 Final
Reg #..: 000578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001-0010 through OAR 952401 -0080. You may obtain copies of
these rules or direct uestio. t (5031246 -1987.
Issued by 1, Permittee Si nature .� ,"
� a
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 Electrical Permit Application Plan Check #
43125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST ` �/C�
Inspection (503) 639 -4175 Print or Type Permit #.L-I- -/2 'cr.)-�
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development TO e irf its f Number of Inspections per permit allowed
Name (or name of business)�aca r OS f' lay g(:)„,
r Service included: Items Cost Sum
Address (o (o So S (j f7 d w Dort- L n , SS l e 4a. Residential - per unit .
r) 7 �/ Each additional 500 sq. ft. or
1000 sq. ft. or less $110.00 4
City /State /Zip
1 Q n �. I �! a
11 Limited thereof $25.00 1
Commercial El Residential
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all urrent licenses) 4b. Services or Feeders
Installation, alteration, or relocation
Electrical Contractor i• • • 200 amps or less $60.00 2
Addres /5 so s- Roia, � / oa 201 amps to 400 amps $80.00 2
City State ()R Zip ri � l 9 7 7 y 401 amps to 600 amps $120.00 2
Phone No. SC) ' - 65? - 3 .. 0 601 amps to 1000 amps $180.00 2
Job No. a I £ / 9 Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. C f o j Reconnect only $50.00 2
OR State CCB Reg. No. 05 . a, Exp.Date / 2 4c. Temporary Services or Feeders
COT Business Tax or Metro No. . - Exp.Da e / / 9 Installation, alteration, or relocation
�� '' �y p 200 amps or less $50.00 2
201 amps to 400 amps Signature of Supr. Elec'n C„ � ir i.
nepRr / /, 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. .2 .2 Le .TI. F Exp.Date 10-1° 9 9 see "b" above.
Phone No. `J !Q 8 " 330 - 0
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 2
The installation is being made on property I own which is not Each additional branch circui $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 q • 0
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 4f. 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
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: Q • D O
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ -,:72. • 0 O
NOTICE • Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan 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 # 4 / 0 v
$
Total balance Due
I:\DSTS \ELC96.APP Rev 9/96
05/26/2000 Activities for Case #: ELR98 -00072
1:21:38 PM
Assigned Hold • Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 03/11/1998 GEO RECD GEO 03/11/1998
ELRC003 Permit Created 03/11/1998 GEO DONE GEO 03/11/1998
ELRC725 Low Voltage Inspection 03/11/1998 12/20/1999 BRP PASS RB 12/21/1999 Honeywell Installation- OK
ELRC799 Elect'I Final 03/11/1998 05/23/2000 CD PASS AKJ 05/23/2000
ELRC500 (F) Issue permit 03/11/1998 GEO PASS GEO 03/11/1998
ELRA845 Request inspection research 05/19/2000 ST DONE No Hold ST 05/19/2000
ELRC800 Case Finaled 05/23/2000 AKJ DONE No Hold AKJ 05/23/2000 •
•
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Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date / Requested S/z yn 1 0 AM 7 PM BLD
Location (-? ( n 6 f ?LLi) a) <it Suite t `ri
) 0 MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC p -7
Retaining Wall ELR R b -0�
Footing Access: �j �/
Foundation j/ n �LJ11/ L�N v FPS
Ftg Drain C•� 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
CTRICAL )
Service
Rough In
UG /Slab
Low Voltage
F' larm
Final
ASS 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 S z_3 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
ST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /i�- Q 4F AM PM BLD
Location v� � 5 e_divodc/ L , Suite () MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 7 p
R -D00 ?,2,
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 / / /
/ — 6
Fire wall L / h� /le-c/ ek7! v �TDI v Gue_ �?
Fire Sprinkler y —
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
• RT FAIL
e ..
Rough In
UG /Slab
(Cow- oftage,
Fire Alarm
Fi
ASS PART FAIL
SI
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 I - �f'
Approach /Sidewalk Date I 2d ^ ` Ins ect or E x t
Other p
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.