Permit T ,r CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00167
DEVELOPMENT SERVICES DATE ISSUED: 4/2/04
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 180
SUBDIVISION: PP1996 -048 ZONING. I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: (2) branch circuits.
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 WIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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 1769S
FEES ELE 26 -451C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 4/2/04 $53.50
[TAX] 8% State Surcharge 4/2/04 $4 Rough -in
Elect'I Final
Total $57.78
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 OAR 952 - 001 -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 - 332 -2344.
Issued By: Permit Signature: 1 #� ,4-fixt.
OWNER INSTALLATION ONLY Y �
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: /? (79 S
Call 639 -4175 by 7:00pm for an inspection the next business day
04/01/2004 11:22 503 9 BACHOFNER ELECTRIC PAGE 01
E1 ect ical Permit An Ion ,� 1
•_� C O I till OI I It I: I 'si O.I.
City' of Tigard MQ� J G Q. - a Rallied
13125 SW Hall Blvd., Tigard, OR 97223 ` F �� �� ; �/ Pe rmit No,� o , _45,e,/4, 7
Phone: 503.639.4171 Fax: 503.598.1960 \(� C? W '47 • r',
.• ' .I Plan te/ B y Other Permit:
Inspecton Line 503 639 4175 G N" r
Internet www.e tlg8rQ or u5 se \)' 1. Date � tune cif See page 2 !or
5. i i I Dlaattn a_ ■ r F .(4 e „ l/r L) f c i SuD hllororm
. ;', t t " ∎∎ %, V < I r ,. L ,{ t I I h I { .. , , . r + r ; Ir , , : , ew construction ❑ Addition/alteration/replacement ! r 1 ( ;r,; ° -1 L3 -! $ se r, ; •
❑
Please check all that apply: U
0 Demolition ❑ Other: ['Service over 225 comm'1
GPs, ['Hazardous location
y ❑Service over 320 amps - rating DBuildng over 10000 ft,
1' n m ...,r.. ::' `r )" y %" r ` • of I and 2 dwellings 4 or mote new reside
❑ I -and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building DSystem over 600 volts nominal units in one structure
❑ Multi- family 0 Master builder 0 Oth ❑Building over three stories ❑Feeders, 400 amps or more
i , V , ` , OcC anti d over 99 persons ❑Mangy uteri structures or
- r r '' "..1:i'''''''' t .;.d ,' , 4I 4 { : ,./ ''• 1 ,
( w
� . „ ,. , � . ,., i , .1 f . a ,I f . ;r , II I ❑ Egress/It tm plan RV
Job no.: 1613 Job site address. 6650 SW REDN... L. . , I - DBealth'ce facility DOther.
Submit 2 sets of plans with any of the above.
City/State/ZIP: TIGARD, OR J -1613 The above are not applicable to temporary txatstnraion service.
Suite/bldg. /apt no.: 180 Project name: $IOGIFT T.I.
"' ` ` ' I ` ` l u
p ge a p Q4'• Fee Thal ••
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ti, or less 145.15 ' 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel n0.: Limited energy, residential 75.00 2
' . ;< J t Limited energy, non-residential 75.00 2
n . ._. - r:. 1j ,, ..._ v t ir' 'r , -c' , :, K r ..� ..: awal {,...,...
�..- , . "1t. . ''l 1 „- h, f J i !...: Each manufactured or modular
TENANT I • . dwelling, service and/or feeder 90.90 2
Services or feeders installation. alteration, and/or relocation
200 amps or less 80.30 2
. ' ' I . +r - ,:. ,.:!,',(..:1•,•,,.1•.,- § I d' , ' s" � I t ' . ,' s` - „' , t ` ).., 201 amps !0400 amps 106,85 2
401 amps to 600 trap$ 160.60 2
Name: 601 amps to 1,000 maps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders Installation, alteration, and/or
Phone: ( ) l Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: Th installation is being made on property that I own which is not 201 snips to 400 lumps 1 I 100.30 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75
Owner signature: Date: Branch circuits- 3 io n 2
its new, tlteratioa or extension. per parcel
d - ." ? ,. r t - s ,n Vii.,,,'
. , „ J I r . ,,' , V.'','",''; Lr :.. i . , ;,r =; f^ r ,:.J ii{ ,I i i . . A. Pee for branch circuits with
" service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 t-tio 25 2
Address: each branch circuit 1
City/State/ZIP: lZlP: Each add'I branch circuit 1 6.65 (0 2
t Miscellaneous (service or feeder not included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax :: ( )
E-mail:
•
outline lighting 53.40 2
Signal circuit(s) or limited-
' � , I ' t 1. ; , ,t t ,1 ,,,-4,,1, ,r , f +, !.4:2; , 1 i { ' ,,,;1,,..,, 1 ;, energy p a or
extension. Describe:
Page 2 2
Business name: BACHOFNER ELECTRIC, INC,
Address: 55 SE MAIN Each additional Inspection over allowabk in any of the above
Per inspection 62.50
City/State/ZIP: PORTLAND, OR 97214 Investigation per hour (I hr min) 62.50
Phone: (503) 233 - 2006 Fax: (503) 233 - 2963
Industrial plant per hour 73.75
CCB Lie.: 44569 'i�t:nh4 1 .4rrn ii t ° _,.... ' ....' ... . ' < , .'.: , . 1 N-
Electrical Lic.: 26-45 IC Suprv. Lic.: 17695 Subtotal s5 s
Su Suprv. Electrician signature, (25% 1
p gn required: � . Plan review (25 /o of permit fee)
Print name;
Date: 4_ State surcharge (8% of permit fee) . , _ 44: ROGER A - BACHOFNER 1 4 TOTAL. PERMIT PEE E 7 - 74g
Authorized signature: Thb permit application aspires ii'a permit if not obtained within 180
days after it has been accepted as tomplete
Print name: Date; • Fee methodology set by Tri- County Building Industry Service Board
•• Number et inspections per permit allowed.
is lauildinglPermits\ELC.DermirApp die I2/OS 440 -461 ST(IOIOLCOMNBO
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location (U 1p . ) ' ' he-r1 -4 Suite l MEC
Contact Person Ltia. A Ph ( ) Flo 9- PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 43-Le ELC V-66767
Footing
Foundation ELC
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
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
G/Slab
ow Voltage
F = Alarm
talr* PART FAIL
0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line \' � Est
Dat V Inspector 1 '
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL