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Permit r CITY OF T ELECTRICAL PERMIT i�� 1, D EVELOPMENT SERVICES PERMIT #: ELC98 -0668 X11 DATE ISSUED: 11/05/98 p 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25112DA -01400 SITE ADDRESS...:O665O SW REDWOOD LN #200 SUBDIVISION •PP1996 -048 • ZONING:I -P BLOCK • LOT :002 JURISDICTION: TIG Pro j ect Descri pt ion : Installation of 2 branch circuits. Job no. 7305. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS 0 0 - 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 5O0SF...: 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'L BRNCH CIRC: 1 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 PACIFIC REALTY ASSOCIATES type amount by date recpt 15115 SW SEQUOIA PKWY PRMT $ 40.00 DEB 11/05/98 98- 310589 STE 300 5PCT $ 2.00 DEB 11/05/98 98- 310589 PORTLAND OR 97224 -7199 Phone #: Contractor: BACHOFNER ELECTRIC INC $ 42.00 TOTAL 55 SE MAIN REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Cover Elect'1 Service Phone #: 233 -2006 Wall Cover Elect'1 Final Reg #..: 000445 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0018 through OAR 952- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: ,V._ A! 1_I. 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N : _ /O /( d-�,a DATE : LICENSE NO: c$D g 5 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD I� rical Permit Application Plan Check 13125 SW HALL BLVD. ��c' Rec'd By TIGARD OR 97223 ate Rec'd 1 / - S NO V 0 5 1999 � Date to P.E. •"----' Phone (503) 639 -4171, x304 Pft -° Date to DST Inspection (503) 639 -4175 COMMUNITY DEVELOPMENT Print or Type R4: Permit # .L&9 le -o4ob g Fax (503) 684 -7297 yncomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Imagbui lders Number of Inspections per permit allowed Name (or name of business) Imagebuilders Service included: Items Cost Sum WoO I Address 6 6 5 0 SW Red t) L n il 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City /State /Zip Tigard Ore 9 7 2 2 4 Each additional 500 sq. ft. or Commercial © Residential 1=1 Limited thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor Bachofner F1 enf ri r Tnr� _ I alteration, or relocation 200 or 201 amps to less $60.00 2 Address 55 SE Main 201 amps to 400 amps $80.00 2 City Portland State Ore Zip 97214 401 ampsto600amps $120.00 2 r P ; hone No. 7 'I 1 - 2 0 0 6 601 amps to 1000 amps $180.00 2 C �Ob No. 7305 i Over 1 000 amps or volts $340.00 2 Elec. Cont. Lice. No. 26-451C Exp.Date 10/1 / 9 9 Reconnect only $50.00 2 OR State CCB Reg. No. 44569 Exp.Date 3/6/00 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation // 200 amps or less $50.00 2 Signature of Supr. E� 201 amps to 400 amps $ 100.0 2 g 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No 2 it ORS Exp.Date 10/1/9 9 see "b" above. Phone No. 2 3 3 - 2 0 0 6 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. - Address Each branch circ $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. First branch circuit fee. 1 $35.00 35.00 2 The installation is being made on property I own which is not Each additional branch circuit ^ r $5.00 5 _ (l (l 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 40.00 Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 2.00 NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 42.00 Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 6/10/99 Activities for Case #: ELC98 -00668 1:16:46 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 11/5/98 DEB MAIL DRA 11/5/98 ELCC003 Permit created 11/5/98 DEB DONE DRA 11/5/98 ELCC720 Wall Cover 11/6/98 CD PASS CD 11/6/98 (2) offices, one outlet in each ELCC799 Elect'l Final 11/30/98 CD PASS CD 11/30/98 ELCC500 (F)Issue permit 11/5/98 DEB DONE DRA 11/5/98 ELCC800 Case Finaled 12/1/98 CD PASS J *H 12/1/98 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /� AM PM BLD Location (e 6 Sp l=-46J 0-Er-JO LU Suite 4, MEC Contact Person Ph PLM Contractor g1 ■ Ph Z3J- 2 o SWR BUILDING Tenant/Owner ELC Gy ' -© � Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Cq— Roof ' Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final P FAIL gEtTRISAV - Service Rough In UG /Slab Low Voltage Fire V I' PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk D Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.