Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00018
DEVELOPMENT SERVICES DATE ISSUED: 1/15/04
' II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 160
SUBDIVISION: PP1996 -048 ZONING. I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Electrical TI, (5) branch circuits. Job No. 1391
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: 4 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 BACHOFNER ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 55 SE MAIN
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Phone: 233 - 2006
Reg #: LIC 44569
SUP I769S
FEES ELE 26 -451C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1/15/04 $73.45
[TAX] 8% State Surcharge 1/15/04 $5.88 Rough -
Elect'I Final
Total $79.33
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in O - ' ` -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or
1 -800 -. 2 -2344.
Iss ed B y: Permit Signature: ALL f
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: —A DATE:
LICENSE NO: e2 2 60$ .
Call 639 -4175 by 7:00pm for an inspection the next business day
01/14/2004 14:37 5032332963 BACHOFNER ELECTRIC PAGE 01
Electrical Perril __ • 4, FOR OFFICE USE ONLY
- Re ceived e9Glb 8
Date/B . 1 / D �_ :� Permit No.:C.1.- N -6
Planning Approval Silk
City of Tigard I p P Re Permit No
13125 SW Hall Blvd. JAN 1 LOOT Plan Review Other /
Tigard, Oregon 97223 Datr/B ; Permit No.: .: .. - GDDO
Phone: 503 -639 -4171 Fax: 5( 4 I c . - :' ` Post•Review Land Use
Date/B : Case No.:
Internet; www.ci.tigard.or.us BUILDiNG DIVi -: ► , •P I I Contact J See Page 2 for
24-how Inspection Request: 503 - 639 -4175 - Name/Method: // • • Su • • temental Information.
''j�``y, �{J'; ,,...,�.. .� - N - - r „ � sec :�"v 17 'TT� 7 , J T - ; h�3r` -e a , e. ,.,:, ,. ;.,. i:
d`gi :A ^ �L^ u ' /. :� t`(i;1. .O' : f) d.� -t il!" yri+ Pi-',.:-':. i..: \ i',_ +1 7.,,f :::z 1 . � :1'1}L�
III New construction I Demolition • Savior over 225 amps- U Halthearo facility
commercial • Hazardous leaden
IM Addition/alteration/ ) lacement I ■ Other: ❑ Service OWN 320 amps -rating of (] Building over 10,000 square feet,
'
��.�� 7t�,�q :� e ' !r • ; i +; ': r a t k t i' _ %:' - ;�J� &. 2 fam11 dwellings four or more residential units m
ti tl '�•tF!se7dtel�Tl:=� '�ni �' .:. i, 'C -- .I )' ` :��'. . ..., . ... , : ,� i� 1 ° "
I I I & 2 -Famil dwellin : I ■ Commercial/ ndustrial O System over 600 volts ttominal exle IMMUNE
❑ Building over three stories 0 Feeders, 400 amps or Ore
I I EME4.STILLEalaill III MUlti -Fami 1:1 Occupant load over 99 persons ❑ Manufactured structures or RV park
IN Master Builder I ■ Other: D Egrets/fighting P� O O�:
� ._ Sabel _ sets of plan with any of the above.
B�r_ �(l. •�.. :�['C, I�: , J.E�`�l . li . l� :), l!i ` i C .�?_h (ter i ,�, „ f to .(I cable to tem.. a astructlon service.
7be above are no '
Job site address: • . t ... ... _ .. yy .34 ` ' . . i ' i_ : :,rif'1(7• 7vD.%; <°i. : :_': :! .' >cs... -.
Suite #: B1 e : J - .t. #: , t Number of Inspections per permit allowed
Description Qty Fee (ea.) Total
lard ect Name: 4116 e.' 11: :+ : ctrl u' • New reesldentlalwingle or mall-family per
Cross street/Directions to job site: etwaWng unit indudea attached garage.
Service Included:
1000 sq. it or lets 14515 4
Each additional 500 act. it or portion thereof 33.40 1
Limited ene�Lreaideetisl 75.00 2
Subdivision: Lot #: Limited _, non residential 75.00 2
Tax ma . • I #: home or modular dwelling 90.90 2
;, .i .,) E i i'1 - 11. : `..'t ).ii-';'`.. - _` S L '. , . i +F,
b:. :; '_r!1fs; r . Services or faders- Installation,
Y t 4 r alteration or relocation:
200 amps or less _ 80.30 L2,
201 amps to 400 e®pe 106.85 2
. 401 amps to 600 asa _ 160.60 2
-
601 to 1000 240.60 2
P.1".. .'. ..; 1 . ... :i..` i '1' !.1 ; .5 , n i ._. .. -_ ;r:: Over 1030 amps or volts 454.65 2
Name: Reconnect cub 66.85 2
Address: Temporary services or feeders - Installation,
alteration, or rdocstiun. 66.85 1
Ci /State/Zi .: 2C0 tea a •
201 amps to 400 amps 100.30 2
Phone: Fax: 401 to 60o.ta�s 133.7E 2 ,
t_ .'';l c( i . 1i::.'.'.. �E.: I �i��i ,(ar'�) :' l�1 _,,;:r; _ ��,3 ' :i:"�� / ..'. - �....I � ; �, . .. '
.. B ranc h c i rcu its -new, alteration, o r
Name: extension per panel:
A. Foe for barb circuits with purchase of 6.65 2
Address: service or feeder . - each bench cwv.at
Ci /State/Zi e : B. Fee for branch circuits without purchase of
=vice or feeder fee. feat branch cinntlt 1 46.85 d As R Si_?
P h o n e : Fax: E a c h additional Watch c it 4 - 6.65 'K y rt, 2
E-mail: Miao.(Sat- ire or feeder not included): 2
V. Farb er r sr 'on t:brcle _ 53.40
F. , �� . ' .. ,t( ,o'ia . : : ..�. .. 53.40 , 2
Each all Or Ofhtltne lishdtes
Job No: • - signal eireull(s) or a limited energy panel,
alteration, or extension Page 2 2
Business Name: BACHOFNER EIIBCTRC s INC , Deescription:
Address: S E MAIN Ealh additional Inspeetloo over the allowama In antof the above.
Ci /State/Zi • : PORTLAND OR 97214 Per inssxclion per dour bpi& t tom) _ 62.50
Phone: 503-233-2006 Fax: 503- 233 -2963 levestirodon fee:
CCB Lic. #: 4456 Lic. #: 26 . - , . � ;c;i. .,1 .1I,.. - ' . .. .
Supervising electrician - Subtotal $ 45
si •r , ture - e aired: Plan Review (25% of Permit Fee) S
.d .111-4771”. ∎ . : \4 • e � : t :� State Surcharge ( 85 of Pe rmit Foe) S �$R_—
TOTAL PE 9
RMIT FEE f 7. 33�
Authorized Notice: This permit application expires If ■ permit Is not obtained within
Signature: Date: 180 days after It bas been accepted as complete.
'Fee methodology set by Tr6County Building Industry Service Board.
(Please print name)
iADstsWermit Formt\ElePermitApp.doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Received Z � q g Date Requeste 2 7 2) - 6 AM PM BUP
Location 66 5) d - &v7/Gd." 5-4e 67 6) MEC
Contact Person - -4/k. 1/47 4, Ph ( J D VPLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner Cr. el —06C) ) p
Footing
Foundation ELC
Ftg Drain Access: 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 -
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer 7
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 iee
Service
Rough -In
UG/Slab
Low Voltage
're Alarm
final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE El Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date, )-- — . C3 V Inspect. / — — Ext
Other:
Final DO NOT REMOVE this inspection record rom t = ob site.
PASS PART FAIL