Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00692
DEVELOPMENT SERVICES DATE ISSUED: 11/25/03
�� jlll 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 220
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Tenant Improvement
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: 1 W /SERVICE OR FEEDER: 12 PER INSPECTION:
201 - 400 amp: 1st W /O.SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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
[TAX] 8% State Surcharge 11/25/03 $12.81
[ELPRMT] ELC Permit 11/25/03 $160.10 Ceiling Cover
Wall Cover
Total $172.91 Elect'I Service
Elect'l Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or
1 -800- 332 -2344.
Issued By: ± Permit Signature: AI . , �
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
11/25/2003 12:47 5032332963 BACHOFNER ELECTRIC PAGE 01
Electrical Permit Application
Planning Approval Sign
City O� Tigard E Date/By: Permit No.:
13125 SW Hall Blvd. EU Plan Review Other
Tigard, Oregon 97223 inn Date/By: Peter&No.:
Phone: 503- 639 -4171 Fax -2) 1980' Date/By:
Land Use
Date/13y: Case No.:
Internet: www.ci.tigard.or.us y I l l' •i I i ` Contact /Ens.: El See Page 2 for
24 -hour Inspection Request -15� b - - J Narne/Method: I Supplemental Information.
BU1LD
�'' :,d„ .{ _ E �;. k, 1 2Ir, u;1)`i i , r` ' ' ` ;• i.,. )l . f . T : x.`11.7 .r:,. a!� ± '.9 _ a .,:u
_ r , " f 'rri�r'a�: �1.� k•. :7�:,�J..iC ?i1$;ii irW. .G.�.`•: �"�. , ^' � ' aS;.Lf. :• ` '1 .
New construction ■ Demolition —❑ Service over 225 amps- ■ Health-care facility
Addition/alteration/r •lacement ■ Other: CARv `°I ❑ B u ilding ale 10,000 •
_ ._ ❑ Service over 320 antps•rating of ❑ Building over 10,000 square feet,
T `f -.'rt 't°� ";' ; ;, s 2'? aJEi.'; 1 r • r ; ti !''i ( ' s+'' "k ';y,: '41'''' I & 2 family dwellings four or more residential units in
1 & 2 -Famil dwellin _
. 1 1.
.2� :...1. J...- . /.. .. . .'.. : I'v �i.
M Commercial/Industrial ❑ System over 600 volts nominal one structure
Accessory Building Multi-Family 0 Building over three stories ❑ Feeders, 400 amps or more
1 •Y $ Y ❑ Occupant load over 99 persons 0 Manufactured structures or RV park
Master Builder • Other: ❑ Egress/lighting plan ❑ Other:
t - •
��•�- 1 . ;-.1' t- � Submit _ sets of plans with any of the shove.
? L i ' 4. � :ice i,�;,1•,3' ,.i��� ;lk.?... .,,° ufl1 E ta :ai r : :
' fire above are not a . ■ IlcaWe to rem nary construction service.
Job site address: 6650 SW REDWOOD LANE ". ;,.',: : s .4 < .' a :t 111. : , _;1,-,,, , . , ,r' ';;‘;_::=,,,:t;;.,7,! '
�ni� , ''•tic.;
Suite #: 220 I BIdgJApt. #: Number of inspections per permit allowed
Project Name: CSB SYSTEMS Deseripti Q ty j Fe WO Total
Cross street/Directions to job site: dwelling unit Includes attached ache fg per
,) dwelltrII roil. Includq attached garage.
Service included:
1000 y4.& or less 145.15 4
Each additional 500 sq. ft. or portion thereof 33.40 1
Subdivision: I Lot #: Limited energy, residential 75.00 2
Limited energy, non residential 75.00 2 -
Tax mar a arcel Each man or modular dwelling 9090 2
r _
rtllciUtl h10mE
s ;kl'��'I `. � Ira fcf I }= I IS, � e ° tai I . , ; . j�l service anNorfeeder
� l N
Ytlt; ..I.F :., .. t . ....... Services or leaders - hntanatton,
TENANT I MPROVEMVHT alteration or reloeadon:
( 200 amps or less 1 80.30 11 0 h (g
201 amps to 400 amps 106.85 2
401 amps to 600 am a 160.60 2
}} . 2 601 � ..: 1,I, .'- .' - '' ..- l i�\ 1!t 1�6A 1 : 1 ? a � t ! !�4 d . 111 i; ; ` �� I � ! ' ...- Over 1� 2
...... . ......,.... < � units or 454. 65
Name: Reconnect 66.85 2
Address: Temporary services or feeders - installation, .
alteration, or relocation:
City /State/Zip: 200 amps or leas 66 I
201 amps to 400 amps 100.30 • 2
Phone 401 to 600 amps 133.75 2
v lrar .,,,J-,,, �Mi e t . , ' ..1: I .t : ..... • . D l f 7 1
. r Fj
_ G ■ '. , il <? k! f : _ .!tfY}i.. II+S a�1.,.YlK� 1 rlui �- i, ...1.... ,, : .1 .,••• '.., .. ! : •,. ,, .. � y.n. _: B ranc h Cirellitf -Hew, a lt era ti on , or
Name: I extension per pond:
(-- • A. Fee for branch circuits with purchase of , 6 6S , .8� 2
Address: i service or feeder file, each branch c
City / State/Zip: B. Pee for beeneh circuits without purchase of
• service or feeder tee, first branch cradt 46.85 2
Phone: I Fax: Each additional branch circuit 6.65 2
E -mail:
Mice. Berries
or feeder not loci
. .,. :.,. : ,, c . - - . C ±r..., ,..h. or'nitted 'knitted= pump ache
5340 2
r 53.40 2 • "' I ,>. > , t �' ,,,;,,.., (, .t :., ,.,. I „ill: , , , . ........ ,.. , - Feth sight Or OWlitle hghdng
..
Job No: signal circuit(s) ore limited energy panel,
• Busi Name• alteration, or extension Page 2 2
AAcuaEt E'R KeRcc lc . 3 =Ie peacriPtiOn:
Address: 55 SE MAIN
Each additional 1 , • action over the allowable In an of the above:
City/State/Zip: ponert,AND, OR 97219 Per inspection per hour (min. I hour 62.50
Phone: 503 - 233 -2006 Fax: 503 - 233 -.2963 Investigation fee:_
CCB Lic. #: 445_69. Lic. #: 75 4K1 f. other ;.- �1r �'(bl r I �.: i . . . 1�
J.:.Y..
Supervising electrician Subtotal $ 6 c .1 SZ_,
signature required: Plan keview (25% of Permit Fee) S
Print Name: ROBERT, BArRnP>• #: 1 69S State Surcharge (8% of Permit Pee) $ • t Z •g 1
TOTAL PERMIT FEE S p 2, . gJ,_ •
Authorized i Notice: This permit application expires If a permit Is not obtained within
Signature: I Date: 180 days after It has been accepted as complete.
*Fee methodology set by Tel- County Building Industry Service Board -
(Please print
i :\DstsPPcn - nit Form s\ElcPetmitApp.doc 01 /03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -417
�
BUP
Received Date Requested c1
� / a —1 AM PM BUP
Location Suite 2 ZZ) MEC
Contact Person Ph ( ) PLM
Contractor S... . -1_41 -h ( ) 2- 33 - 2 00 f° SWR
BUILDING Tenant/Owner ELC 3 -006?
Footing 1)>6'
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Sr Anchors g Ext Ext Sheaea th//Shear ( )S �`
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 r; . "` =`
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
►) PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA D ate " ' ` I 3 f Inspector �n I1 ( , Ext
Approach/Sidewalk ) p `'
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL