Permit ELECTRICAL PERMIT CITY OF TIGARD ELCIT C: EPERMT�Z104
' COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUED: 01 /0 /96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 2S112DA -00400
SITE ADDRESS...: 06650 SW REDWOOD LN #150
SUBDIVISION • ZONING:I —P
BLOCK • LOT •
Project Description: Tenant improvement, adding 2 services ((200 amp) with 22
branch circuits.
Commercial— office improvement for unit 150 (Ins. Co. of North America).
- -- 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 • 2 W /SERVICE OR FEEDER: 22 PER INSPECTION • 0
201 — 400 amp • 0 1st W/O SRVC OR FDR.: 0 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
PACTRUST /FOR INS. CO OF N. AMR type amount by date recpt
15350 SW SEQUOIA PRMT $ 230.00 JMH 01/02/96 96- 274485
#150, 6650 SW REDWOOD LANE 5PCT $ 11.50 JMH 01/02/96 96- 274485
TIGARD OR 97224
Phone #: 503- 624 -6300
Contractor: -- -- - --
BACHOFNER ELECTRIC INC $ 241.50 TOTAL
55 SE MAIN '
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect' 1 Service
Phone #: 503 - 233 -2006 Wall Cover Elect'1 Final
Rep it.. : 44569
This permit is issued subject to the regulations contained in the 111°‘' a _Met - �1_�
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t e e Gig at ure
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started Sti6C4tit within 180 days of issuance, or if work is suspended for more
than 180 days. sued By
- -- -- OWNER INSTALLATI N 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 SUP R. ELEC'N: _0 ,p_ DATE: �/D �9�
LICENSE NO: _ a.808S- tom. 8.1die !LA. motile ______ - --
Call for inspection — 639 -4175
I
jcb #4545
Community Development ELECTRICAL PERMIT APPLICATION
T
13125 SW Hall Blvd. ra - 7,jt(Q�
Tigard, OR 97223 Planck/Rec. # -I(p '`'(O
, , �.
Permit # i'. -0111'
►l ;r) j i Phone (503) 639 -4171 Date Issued fA MI.rlli /i nd
FAX (503) 684 -7297 _
/
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by 10
Inspection (503) 639 -4175
1. Job Address: L -t - ODOD 4. Complete Fee Schedule Below:
Name of Development ti ' N Number of Inspections per permit allowed
Address 6650 S.W Red ccd Leine #150 Service included: Items Cost(ea) Sum
City /State/Zip Ticerd, Ott 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
-
Name (or name of business)Irm»�ne cb. of N. rici Each additional 500 sq. ft. o r 1
portion thereof $25.00
Commercial ® Residential ❑ Limited Energy $25.00
- Each Manufd 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 Bacbofrer Elxl-ric. Inc. 200 amps or less 2 $60.00 120.00 2
Address 5 S.F. Min St. 201 amps to 400 amps $80.00 2
- 401 amps to 600 amps $120.00 2
City Portland State C)C Zip 97214 601 amps to 1000 amps $180.00 2
Phone No. 233 -2006 Over 1000 amps or volts $340.00 2 -
Contractor's License No. 26-.451C Oh /16 Reconnect only $50.00
- Contractors Board Reg. No. %_.a • , 9 , 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec ��,./ 200 amps or less $50.00 2 -
License No. 28085 Phone No. .0 2006 201 amps to 400 amps $75.00 2 - p 401 amps to 600 amps $100.00
t o// I q O Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above.
Print Owner's Name 4d. Branch Circuits .
New, alteration or extension per panel
Address a) The fee for branch circuits with
City State Zip purchase of service or feeder fee. 2
Each branch circuit 22 $5.00 110.00
Phone No. b) The lee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
First branch circuit $35.00 2
not intended for sale, lease or rent. 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 special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspectio $35.00 -
Per hour $55.00
-
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ 230-00
5% Surcharge (.05 X total fees) $ 11 5n
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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 # $
Balance Due $ 241.50
radband.NN.cpm.app
05130/2000 Activities for Case #: ELC96 -00004
3:37:23 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 01/02/1996 JMH RECD J *H 01/02/1996 •
ELCC003 Permit created 01/02/1996 JMH RECD J* I-1 01/02/1996
ELCC500 (F)Issue permit 01/02/1996 JMH PASS J'H 01/02/1996
ELCC500 (F)Issue permit 01/02/1996 JDA PASS JDA 01/02/1996
ELCC510 (F)Reprint permit 01/08/1996 JDS PASS JDA 01/08/1996
ELCC720 Wall Cover 01/09/1996 MJR PASS MJR 01/09/1996
ELCC700 Ceiling Cover 01/19/1996 • MJR PASS MJR 01/19/1996 no permit for computer cable
ELCC799 Elect'I Final 02/02/1996 MJR PASS MJR 02/02/1996
ELCC800 Case Fineled 02/02/1996 MJR YES MJR 02/02/1996
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION NOTICE S i
Inspection Line (Rec-O-Phone): 639 -4175 Business Phone: 639 -4171
Inspection: 9 71.ZT ,
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall / _ Gyp. Bd.
2 a ect,
Date Requested: ) 7 - I l 4° Time: AM PM
Address: l.o S ,- rzTd'�
Builder: Permit #: C ?6 "0 O 0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
" i 3 3 ZQ
l �u 1c P7 �5� r.-,2 ' - 1` s �20�
Inspector:�%��/ � ij ep-r ( t.(� Date:
APPROVED DISAPPROVED AAPPROVED SUBJECT TO ABOV.
_Call For Reinsp. f)-17