Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00166
r� DEVELOPMENT SERVICES DATE ISSUED: 4/15/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 160
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: (3) branch circuits for tenant improvement. Job No. 9937
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: 2 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 2808S
ELE 26 -451C
FEES Required Inspections
Type By Date • Amount Receipt Rough -in
PRMT CTR 4/15/02 $60.15 2720020000( Elect'I Final
5PCT CTR 4/15/02 $4.81 2720020000(
Total $64.96
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 - I •• ted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0080. may obtain coo '- s of these rules or direct questions to
Permit Signature: Iss ed By: , - i;44' A1A(�i 14.014QQ
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: J 12S t in--. DATE:
LICENSE NO: �X'e0RS
Call 639 -4175 by 7:00pm for an inspection the next business day
Electrical Pit Application
er m A Datere:dved: y�� Paraitno.: €,(,�/etv2 -Deep -
_14.. City of Tig ECE1�0ED Project/appl no.: .
City Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date i Receipt no.:
Phone: (503) 639 -4171 �} 7 Case file no.: Payment type:
Fax: (503) 598 -1960 APR 1
Land use approval: Ci i Y OF I ICi ��
aimmummiii 1 & 2 family dwelling or armory Cl Camnsaciavmdustrial O Multi- family 0 Tenant improvement
CI New construction 0 Addition/alteration/replacement CI Other. 0 Partial
Job address: 6650 SW l tWIU Bldg. no. Suite no.: Tax mapltax lot/account no.:
Lot: IBlocic • ISubdivision: PO
Project name: pegs I Description and location of work on premisesumr impRmbiaur
F imat r4 date of corn. - .'Onimspection: JO I I:I: SCIICUI I.
-' `- -( 0\ 1 12 - \( (lit.: \l.'PI.IC \:I\ --- Ma:
Job no 9937 Qty. (tor Total so. imp
Business name: Bachofner Electric, Inc: Newndaeatbe- doele« per
Address: 55 SE Main St. aiweR.gtdil. Wades slembedpraEe.
City: Portland I State: OR 171P: 97214 Servidetadrloth 4
Phone: 503 - 233 -2006 Fax: 233 -2963 IF, nail: 1000 sq. R or less Led ditiocci 500 sq. ft. or poilion thereof
Elec. bus. tic. no: 26-451C ��, mad 2
CCB no.: • 44569
City/metro lie. no.: 2536 _ Limited energy, non-residential 2
�! r� �f� borne or modular dwell
_ electrician (regair�
n Service and/« feeder 2 .
Sup. ekes. name W. Bachofner License 2808S
aberadast or relocation
*amps or leas 2
201 amps to 400 amps 2
Name (print): 401 amps to 600 amps 2
Mailing address: 601 an to 1000 amps 2
City; I State: I ZIP: over 1000 amps or volts 2
Phone: Fax: 1E-mail: Reoomect etdy 1 ..
Owner installation: The illation is being made on property I own Tspata<7tasvioearteeieva- • ImtaBdiwt;dterafioa . ar raloeatloe
which is not intended for sale, lease, tent, or exchange according to 200 amps or less 2
ORS 447, 455, 479, 670, 701. • 201 amps to 400 amps 2
Owner's • pate: 401 to 600 2
Branch dradts - sew, alteatioa,
sr extend= per poeb
Name: A. Fee for branch circuits with purchase of
Address: service or feeder foe, cads branch circuit 2
aty; I State. • B. Fee for branch circuits without purchase
122P of 'evictor feeder foe. OMbranch circuit: 2
Phoney Fax: E-mail: Each a dditional breath circuit .
I'l.: \\ I21_\ II. \\ (I'I &:i.c click). all Iltat applN) hike. (Service erfederaotiacrdd): 2
O Seek:cover225 mge-eo®ad Padsp s"or seird=ci� •
ad 0 Health- cmefaalitp 2
O Service over 320ampscatiogof 1 ec2 O Hnatdoosloation Eeach sign or outline lighting
Emit OBai {dmg over lope square feet four « Sigma was)« a limited energy panel. 2
O System ova600volenominal moreresidarialwritsin re situation, extension'
O Buitdmg over three stories O Fades. 400 amps «mom aDesaipaon:
O Occupant load over 99 persons O Manufactured structure or RV park Each add iaapediou over tae allowable In any of the above:
O Efressilightie8Ptim 0 Other . Per inspection I I 1 L_--
Submit _ acts of plans with soy of the above. Investigation fee
The above are not applicable to temporary construction service. .. timer
Permit fee $
t in }at.a v wee at
eaap cle wads, plane m *Midi= far more Notice: This permit application
co
O Visa O MasteCard expires if a permit is not obtained Plan review (at %) $
Ova card =then I / within 180 days after it has been State surcharge (8%) $ `'
Expires accepted as � TOTAL $
those d esa bolder as Cosa on credit card .
$
cameleer a AMOCO( 440-46c.15 (6(01:01.0.5
See avers
c e 'cii
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•
Electrical Permit Fees: • Limited Energy Fees:
TYPE OF WORK INVOLVED - RESIDENTIAL ON&
Complete Fee Schedule Below: Restricted Energy Fee_. __.- ......_.._... _._ $15.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS) '
Service Included: Items Cost Total 4. check Type of work Involved:
Residential - per unit
1000 sq. IL or less $145.15 4 ❑ Audio and Stereo Systems
Each addlional sq. R a $33.40 1
El Bum Alarm
Limbed Energy $76.00 •
Each Man Flume or M •
eS odular 1:1 Garage Door Opener•
Deana Service or Feeder $90.90 2
Services or Feeders ❑ Heating. Ventilation and Air Conditioning System'
krstalta5a4 alteration, or relocation
200 amps or less $80.30 2 El Vacuum Systems'
• 201 once b 400 amps $108.85 2
401 amps b1830 amps $160.60 2 Other
amps to 1000 amps $240.60 2 .
Over 1000 apps cr volts - $454.65 2
Rammed only $66.86 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 966.85 2., (SEE OAR 918260-260)
201 saps b 400 amps $1000 2 Check T of Work Irhvoly ed
401 amps b 600 amps • $133.75 2 Type
Oar 600 arms in 1000 vow,
see NV above. ❑ Amp and Stereo Systems
Brunch Circuits ❑ . Boiler Controls New. alteration or emersion per panel
a) The fee for launch dreults ❑ Clod( Systems •
with purchase of servke or
feeder fee.
Each branc oiwk $6.65 2 ❑ Data Telecommunication Installation
b) The be for branch circuits
without pradraseofservice ❑ Fire Alarm Installation
orfeederkw ::-
First branch oinwit / 646.85 HVAC
Each adu88onai branch draft $6.65 Y, - , El '
Miscellaneous [] Instnunentation
(Service or feeder not lnctrded)
� pump or
o w � 0 ❑ Intercom and Paging Systems --
Mond cicult(s) or a inked energy ❑ Landscape Irrigation Cantor panel, attendforh or extension $75.00
Wince Labels (10) $125.00 ❑
Each additional inspection over Medical
the allowable In any of the above ❑ Nurse Calls
Per Inspection 96250
Pl
Per ant $62.50 In plane 973.75 igh • ❑ Outdoor Landscape Lting
In
Fees: ❑ Protective Signaling
Enter total of above fees $ ro 0 • I S ❑ Other
8% State Surcharge $ 4, ?/ Number d Systems
25% Plan Review Fee
• No licenses are milted. Licenses are required for at other Installations See flan Reviser sector on 9
front d applk alion. (04.1 Fees:
Total Balance Due = Enter total of above fees • 9
❑ Trust Account i 8% State Surcharge $
. -- • • • , • - - Total Balance Due :
•
•
oasts on C- taa.aoo to+o9/00
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 - 4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
L/ BUP
Z
Received Date Requested - AM PM BUP
Location CO SZ) D fir[(• MEC
Contact Person �'Y'\- �L__42 . Ph ( ) ? ?es PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner P ELC 0 ad 1 Co c
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT �..
Post & Beam ,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 1
Framing
Insulation C \1 P1 PkSSIZ
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
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
Fire Alarm
P AS Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date `��4 — 0 Z Inspector l c� a P _9 c — .._ Ext
Other:
Final DO NOT REMOVE this inspection record from th ob site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING - Inspection Line: (503) 639 -4175 -
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received / (4—Date Requ ted y 1 AM PM BUP
Location Ol l Q J Suite /400 MEC
Contact Person Ph ( ) ' 5 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC c90 ; /
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 \%)\14\\ , 1 Wwz, 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
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 0 _ „ pQ
G/Slab
Low Voltage 0.12A-A;
Fire Alarm (/
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector - L _ s Ext
Other:
Final DO NOT REMOVE this inspection record from the • ' site.
PASS PART FAIL