Permit CITY OFTIGARD
„„,„ ,:, 1 DEVELOPMENT SERVICES ELECTRICAL PERMIT
� PERMIT #: ELC97 -0142
- ° = --- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171
DATE ISSUED: 03/11/97
PARCEL: 2S112DA -01400
SITE ADDRESS...: 06650 SW REDWOOD LN #200
SUBDIVISION • ZONING:
BLOCK LOT •
Project Description: INSTL 3 BRANCH CIRCUITS
5040/J# 5731
- -- 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 ° 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 - 400 amp : 0 1st W/0 SRVC OR FDR.: 1 PER HOUR : 0
401 - 600 amp : 0 EA ADD'I_ BRNCH CIRC: 2 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 PACIFIC REALTY type amount by date recpt
15115 SW SEQUOIA PKWY PRMT $ 45.00 TAT 03/11/97 97- 2915:1.0
STE 200 5PCT $ 2.25 TAT 03/11/97 97- 291510
PORTLAND OR 97224 -7199
Phone #: 624 -6300
Contractor: --
BACHOFNER ELECTRIC, INC. $ 47.25 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS -•
PORTLAND OR 97214 Ceiling Cover Underground Cove
Phone #: 233 -2006 Wall Cover Elect'1 Service
Reg #..: 000445
This pernit is issued subject to the regolations contained in the L77)1LT ={i/
Tigard Municipal Code, State of Ore. Specialty Codes and all ather Permi ee S i gnat ' e
applicable laws. All work will be done in accordance with
approved plans. This periit will expire if work is not started
within 180 days of issuance, or if work is suspended for !ore LA4 v. u i / u
than 180 days. Issued, By.
- -- - - - - - -- - - -- -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 INSTALL.ATION ONLY - - -- --
SIGNATURE OF SUPR. ELEC' N : DATE:
LICENSE NO:
Call for inspection - 639 -4175
l'
I
Community Development ELECTRICAL PERMIT APPLICATION .
A 13125 SW Hall Bh'd.
Tigard, OR 97223 Planck/Rec. #
Permit # «��0f
x '4. :"1' ' f I ' Phone (503) 639 -4171 - .. 1/
:� 1 Date Issued
ja '�' �' FAX.(503) 684r7297 , . • Issued by -
CITY OF TIGARD TDD No. (503) 684 -2772
��
Inspection (503) 639 -4175 . •
I, '
• 1 . Job Address: 4.. ,Complete Fee Schedule Below: '
•
Name of Development HL GREEN Number of Inspections per permit allowed
•
Address 6650 SW Redwood Lane Suite 20C Serviceinduded: Items Cost(ea) Sum
City/State/Zip Portland, OR 97224, 4a: Residential - per unit 4
. 1000 eq. ft. or less 61 10.03
Name (or name of business) Imagebuilders s'�1 thereof sq. ft. or
portion $25.00 1
Commercial IN Residential ❑ - Limited Energy $25.00
'
'Each Maned Home or Modular 2
Dealing Service or Feeder $66.00
2a. Contractor Installation only: .. - 4b. services or Feeders
Installation. alteration. or relocation 2
Electrical ContractorBachofner Electric 200 amps or less smog 2
Address 55 SE Main 201 amps to 400 amps $80.00 2
City Portland State OR zip 97214 4 01 amps to 600 amps 6120.00 2
601 amps to 1000 amps 6160.00 2
Phone No. 233-2006 Over 1000 ewe or rifts • $340.00 2
Contractor's License No. 26-451C , Reconned only $50.00
• Contractor's Board Reg. No. 44569 / ' 4c. Temporary Services or Feeders
- / Installation. alteration. or relocation 2
Signature of Supr. Elec'n 4, . ' _. � k g 200 amps kiss $50.00 2
License No. 1 769S 6 9 S Phone No 0 I • 201 � to 400 an ps 675.00
I 401 amps to 600 amps $100.00
Aver 600 amps to 1000 volts
2b. For owner Installations: see le above.
4d. Branch Circuits
Print Owner's Name N. alteration or extension per panel
Address ' a) The fee for branch circuits with
p oshoso or,«vtee or feeder Are. 2
City State Zip Each branch aroma $5.00
Phone No. b) The lee for branch circuits without
The installation is being made on property I own which is purchase of service or loafer fro. 1 2
not intended for sale, lease or rent. Fret branch circuit 635.00 3 5.0 0 2
Each additional branch circuit $5.00 1 U . Ulf
Owner's Signature 4e. Miscellaneous •
(Service or feeder not included) 2
3. Plan Review section".{if required): Each pump or irrigation arse $40.00 2
• Each sign or outline lighting $40.00 -
Signal cimuit(s) or a limited energy 2
Please check appropriate item and enter fee In section 5B. . panel, alteration or extension 640.00
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 inspection $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: -
5a Enter total of above fees $ 45.00 • NOTICE 5% Surcharge (.05 X total fees) $ 2 . 2 5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 4 7. 2 5
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 $ 4 7.2 5
6/10/99 Activities for Case #: ELC97 -00142
1:16:18 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 3/11/97 3/11/97 TAT 3/11/97
ELCC003 Permit created 3/11/97 3/11/97 TAT 3/11/97
ELCC700 Ceiling Cover 3/11/97 4/14/97 MJR PASS MJR 4/14/97
ELCC720 Wall Cover 3/11/97 4/14/97 MJR PASS MJR 4/14/97
ELCC730 Elect'I Service 3/11/97 TAT 3/11/97
ELCC799 Elect'I Final 3/11/97 5/21/97 MJR DIS MJR 5/21/97 they have outstanding fire
alarm permit
ELCA500 (F) Issue permit 3/11/97 TAT PASS TAT 3/11/97
ELCC799 Elect'I Final 6/11/97 BRP PASS J *H 6/16/97
ELCC800 Case Finaled 6/17/97 JT 6/17/97
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