Permit CITY OF TIGARD
ELECTRICAL PERMT
ud i� ; ��, � DEV SERVICES PERMIT : ELC97I0831
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/22/97
PARCEL: 25.112DA -01400
SITE ADDRESS•• °:06.650 SW REDWOOD LN #200
SUBDIVISION -PACIFIC CORPORATE CENTER ZONING:
BLOCK • LOT • JURISDICTION: TIG
Project Description : Installation of four (4) branch circuits to commercial site.
- -- 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'L BRNCH CIRC: 3 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
IMAGEBUILDERS SOFTWARE type amount by date recpt
6650 SW REDWOOD LANE #200 PRMT $ 50.00 TJH 12/22/97 97- 301942
PORTLAND OR 97224 SPCT $ 2.50 TJH 12/22/97 97- 301942
Phone #:
Contractor:
BACHOFNER ELECTRIC INC $ 52.50 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 952-001-10 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: an %ph'e h;774Alma Issued By: 1,i.. '9141
OWNER INSTALLATION ONLY
The installation is being made on property own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : Ors appit ran DATE: /2/2Z/0
/S'7
LICENSE NO: 2808 — S
+++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++.+++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
is
Community Development ELECTRICAL PERMIT APPLICATION
.4 ' . A . ' 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # ON
Permit # (..-Q-qq d? I .
►' i j" Phone (503) 6394171 ,�, .;,� �� Date Issued 1_122 0 ) 1
FAX'(503) 6847297 Issued by }-1 m5'0r
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175 .
•
1. Job Address: 4. ,Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
•
Address 6650 Sw RFnWnOD LANE SUITE 200 Service included. Items Cost(ea) Sum
City/State/Zip PORT OR F 97 224 4a Residential - per unit 4
1000 sq. ft. or less $110.00
Name (or name of business) IMAGEBUILERS SOTFW RE - n n. or $25.00 1
Commercial ® Residential ❑ tinted Energy
' $25.00
Each Manurd Home or Modular 2
Deleting Service or Feeder $68.00
2a. Contractor installation only: . 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor RA('HnFNRR F.T,F('TR TC IDIr 200 amps «{MS $60.00 2
Address c F MAIN 201 amps to 400 amps $80.00 2 .
Cil pT r S Zip 401 amps to 600 amps $120.00 2
ty „ - 97214 sot amps to loco amps $180.00 2
Phone No, 503-233 2006 Over 1000 amps or volts 6340.00 2
•
26 �151�
Contractors License No. • , Reconnect only $50.00
Contractors Board Reg. No. 44 5 6 •// 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n _ • ' - 200 amps or
oleo �� 00 2
2
License No. n ; a x t Phone No. a _
i� � _. . _ - I 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner Installations: see le above.
4d. Branch Circuits
. Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits with
purchase of service or feeder fen. 2
City State Zip Each branch circuit $5.00
Phone No. b) The lee for branch circuits without
The installation is being made on property I own which is p ad service or feeder fie. 2
not intended for sale, lease or rent. Fist branch circuit 1 $35.00 35.00
Each additional branch circuit 3 $5.00 15
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review sectionr4if required): Each pump «irrigation circle $40.00 2
Each sign or outline righting $40.00
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00
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: • NOTICE 5a. Enter total of above fees $ c n . 00
5% Surcharge (.05 X total fees) $. 5_0_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
Subtotal $ �, 2 = 5 0
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. ❑ Tnist Account tl
$ 57 S
Balance Due $
•av
R ECEIVED
DEC 2 2 1997
COMMUNITY DEVELOPMENT
6/10/99 Activities for Case #: ELC97 -00831
1:16:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 12/22/97 TJH RECD TJH 12/22/97
ELCC003 Permit created 12/22/97 TJH PASS TJH 12/22/97
ELCC720 Wall Cover • 12/23/97 BRP PASS B *P 12/23/97
ELCC799 Elect'I Final 1/5/98 BRP PASS B *P 1/6/98
ELCC500 (F)lssue permit 12/22/97 TJH PASS TJH 12/22/97
ELCC800 Case Finaled 1/5/98 BRP PASS J *H 1/8/98
•
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Page 1 of 1
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639-4175 Business Phone: 639 -4171
Date Requested: . // /
/ 7) 9' A.M. P.M. MST:
Location: (7 C 5 ()/ St 0 6 _d j,L ( / . � i BUP:
Tenant: 1 M r' &( B l l2S , SOPT U ARE Suite: (> Bldg: MEC:
Contractor: 8 (1 A f Ih C � /Q ] Th.—'phone: v---3 3 - D--0 0 PLM:
v Q ! 7
Owner: Phone: ELC: I - 0 8 3
. / . /
/ :L 1- -0 /LLk L APL /./_// /1.:/i ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ( -- -- (ELECTRICAL - z-- :; SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spkh /Alm Crawl/Found Dr Heat Pump •w Vo
Approved Approved Approved Approv • • • Approved
Appr /Sdwlk Not Approved Not Approved Not Approved ' o • • •roved Not Approved
FINAL FINAL FINAL (FINAL FINAL
� /�v /D , //V.4�- 8 ��C 9 - .g `gL. C ,
C__C-
.
0 Call for reinspection Reinspection fee of $ required before next inspection . 0 Unable to inspect P1
Inspector: Date: 1 - P Page of