Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00734
DEVELOPMENT SERVICES DATE ISSUED: 12/22/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 150
SUBDIVISION: PP1996 -048 ZONING. I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Install 8 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 W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 7 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 #: L1C 44569
SUP 1769S
FEES ELE 26 -451C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/22/03 $93.40
[TAX] 8% State Surcharge 12/22/03 $7 Rough -in
Elect'I Final
Total $100.88
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: jig / Lt '
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 7:00pm for an inspection the next business day
12/22/2003 07:50 5032332963 BACHOFNER ELECTRIC PAGE 01
Electrical Permit Application FOR "1' `SCE t `I. (1 \1.1
Received Electrical r
RECEIVED : . .�-- D J Permit No.: , 3 .00 r73
City of Tigard
RECEIVED Aj1'1 Sign No.:
13125 SW Hall Blvd. ' `' / i f • .,.. 7 Plan Review Other
Tigard, Oregon 97223 Date/Ely; Permit No.:
-
Phone: 503-639-4171 Fax: 503 - 598 -1960 Post- Review Land Use
iTY OF - 11315D I '� Date/By: Case No.:
vv
Internet: ww.ci.tigaid.o[ -> f Contact Jinja.: 1 El see 2 for
24 -hour Inspection Re uesiltiib �`'�9� -14 Namo Method: Supplemental Information. j
RE 4 `' •4 .ax. .Ld c5:d : *;;:(• :'S i:r Si r,...Y:: •aMs4 ?k tr.Q�i�i :' � r..�iM4i '. � °. ^�•p
III New construction IN Demolition Service over 225 arms- Healtispre facility
commercial 0 Hazardous location
'/ AdditionJalteration/r • lacertment IN Other: Q Service over 320 amps- rating of ❑ Building over 10,000 square feet,
•` t i;4i a i; t a 7 ','r I i CIb) •..,1 ,, 'ni 1 , fii: `:` 1 & 2 family dwellings fore or more residential units In
1I 1 & 2 -Famil d wellin: 111 Commercial/Industrial D System over 600 volts: nominal one structure
❑ Building over three stories CI Feeders, 400 amps or more
1 - U Accesso Buildin : 1 ■ Multi- Famil [] occupant load over 99 persons ❑ Manufactured structures or RV park
II Master Builder 1I Other: ❑ Egress/lighting plan ❑ Other:
„- .� Submit _ sets of plans with any of the above.
,_ . a LL:i i �).; %:'t.; ... . ; `'. , 1;�. - :rw , The above are not • liable tot ,..L,,,J, construction service.
Job site address- 6650 SW REDWOOD 150 ^..''} �c , ., '•st t,;s,1,.; -z,. :. r :' ' .
Suite #: Bld _ JA • t. #: Number of Inspections pm:permit allowed
Pro•ect Name: THOM FAGLIE LASER CENTER . Descriptloa Qty pet (ea.) Total 1
New restdendaMisele or multi-family per
Cross street/Directions to job site: dwelling ann. Includes attached garage.
Service Included:
TENANT IMPROVEMBET 1000 ea. R- orlesa 145.15 4
Each additional 500 eq R. orpoeaon thereof 33.40 t
Limited atm; residential 73.00 2
Subdivision: Lot #: limited energy. non residential _ 75.10 2
Each eearwfacnred hems or modular dwelling
• , . , , , .,, / H . ' service "'Met fader 90.90 2
:7 }, ,' _ r ; ? oj 1 i c , `r'ai Sereioes or faders - tnstallatioa.
alteraloa or relocations
200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
401 auras to 600 vnpe 160.60 2 2
R ' `I 7 u Ptj1 ? i,ti;'.J "':i !tt :i. i .... _.. 601 to 1000anm
1��,.�• 7 : {�c . Over or volts 454.65 2
Recom 66.85 2
Address: Temporary services or feeders - Installation,
alteration, or relocation: t
Ci /State/Zi .: 200 amps or less
201 amps to 400 amps
100.30 • 2
Phone: Fax: 401 to 600 amps - 133.75 •
2
E R. ^r i?lf i .4 ti a?: : _` : ..._ ' .. ... . _ ..' . : Ch /.P ' ,r,' I ' : : 1 i ) ':'... - , !L - Branch circuits - new, alteration, or
Name: extension per panel:
A- Fee for bench circuits with purchase of 6.65 2
Address: service or feeder (jug each branch circuit 6
Cl /State I • : B. Fee Relaunch circuits without pediva of
savior or Rieder foe. first brooch cwt 1 46.85 , 2
Phone:
Fax: Each
branch circuit — I 6.65 41a.56 2
E -mail: Misoo.(spviee a feeder not included).
Eaeh�emep a irrigation cock . 53.40 li z
EC : , ... •n . ,,: Each ilgeN or oerlirte 2i2hIi rg 53.40 2
Job No: ' 1 304 signal cireatit(s) or a limited energy panel,
ahaadoo, or suasion page 2 2
Business Name: r BACHOFNER `FLEICrRIC, INC. Desa'Ip
Address: SE MAIN Each additional I over the allowable is any of the obsve r
Ci /StateiZi • : PORTLAND OR 97214 ter Inspection tier ha,rsmin. 1 hour) 62.50
Phone: 503-233-2006 Fax: 503-233-2963 investbation fcc
CCB Lic. #:44569 Lic• #: •• '
Supervising electrician . _ Subtotal S i
si . : lure - • wire d: . _ / Plan Review (25% of Permit Fee) S r .
� :� :T>r� m: ,. � � su+i i ce• : _� t!1 i . t :� State Surcharge (8% of P ifit Fee) V
TOTAL PERMIT FEE S
Authorized Notice; This permit appaeadon expires If a permit Is not obtain within
Signature: Date: 180 days after it bas been accepted as complete.
Fee methodology set by T i -Conaq Bonding In usury Service Board.
(Please print name) / OD , 8 g
CITY OF TIGARD 24 -Hour -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 1 AM PM BUP
Location 6 60.331 Suit 1 c`. v MEC
Contact Person f % .Oa Ph ( ) `‘-- PLM
Contractor Ph ( ) SWR C/
BUILDING Tenant/Owner ELC 3
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
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 E 2 -) c, 3 - G c,1 - - —l
Fi = • larm
AAVI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
.AS ›PART FAIL
SIT _ Please call for reinspection RE Unable to inspect — no access
Fire Supply Line / /
ADA Date ''K Inspecto AA La /. ' - Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record fr m the . site.
PASS PART FAIL