Permit CITY OF TIGARD ELECTRICAL PERMIT
,.. :iTY ; �� DEVELOPMENT � SERVIC 9 ES PERMIT IS E C 08/27998
PARCEL: 2S101DD -00600
SITE ADDRESS. :06700 SW SANDBURG ST
SUBDIVISION -SALEM FREEWAY SUBDIVISION ZONING:C —P
BLOCK • LOT °003 JURISDICTION: TIG
Project Description : Electricl - shell
- -- 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.: 0 PER HOUR • 0
401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 0 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
WESTERN FAMILY FOODS, INC type amount by date recpt
6700 SW SANDBURG PRMT $ 1845.00 DLH 08/18/98 98- 308366
TIGARD OR 97223 PLCK $ 461.25 DLH 08/18/98 98- 308366
SPCT $ 92.25 DLH 08/18/98 98- 308366
Phone #:
Contractor:
DYNALECT R I C $ 2398.50 TOTAL
2904 SW FIRST AVE.
REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect'l Service
Phone #: 503 -226 -6771 Wall Cover Elect'l Final
Reg #..: 066793
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-m10 through OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to O1NC by lling ( )246 -1987.
Permittee Signature: < 1 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 TALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : OTV ( DATE :
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +++
08/17/98 MON 14:55 FAX 503 598 1960 CITY OF TIGARD a 002
CITY OF TIGARD Electrical Permit Application Plan Check # - V7
13125 SW HALL BLVD. Rec'd By
Date Rec'd P / .
TIGARD OR 97223 Date to P.E. i - •
Phone (503) 639 -4171, x304 Print or Type
�� Date to DST
Inspection (503) 639 -4175 Incom lets or ills able will not be acce ted Permit # c' C-0 9 - O4
Fax (503) 684-7297 P 9 P called Fs 4077.4s,.-._4__.o
1. Job Address: 6.. • p 0 S cA) SANDQvRG i�. 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) ale S" Fe✓ 71 I) r;),„X 5 Service Included: Items Cost Sum
Address (. ! c56J 5 #9'�b.• S 7. 4a Residential - per unit
r- 1000 sq. ft. or less $110.00 4
City /StatelZJp , G 2 �7 97273 Each additional 500 sq. ft. or
portion thereof $25. 1
Commercial Residential ❑ Limited Energy $
Each Maned Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all Rurrent license) , 4b. Services or Feeders
Electrical Contractor ) �(H a Vie- / -vr/ Installation, alteration, or relocation
Address on 9 W �� ,� u { V 200 amps or less 7 $60.00 S Y O 2
201 amps to 400 amps $80.00 _ Y U 2
City ��n.. f l o •. State 8
..__zip 9 - 7 n I 401 amps to 600 amps $120.00 2
Phone No. D-2(,, - . (4 7 , / 601 amps to 1000 amps $180.00 2
Job No. 0 St l) 1 9 Over 1000 amps or volts -T $340.00 'i t.) 2
3 Reconnect only $50.00 2
Elec. Cont. Lice. No. ,G, S 9 C Exp.Date /D -I' 9 e
OR State CCB Reg. No. 0 (o7 4 3 , Fxp.Date S . 2-/ -00 4c. Temporary Services or Feeders
COT Business Tax or Metro No. A SY J Exp.Date / Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elwin amps to 400 amps $75.00 2
401 amps to 6 amps $100.00 2
-
Over 600 amps to 1000 volts,
License No. `i 9 Si) S Exp.Date /0 -/ - 98 see °b" above.
Phone No. 2 - 7 6 - G 7 , 1 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 circuit / - 9 $5.00 Co ys 2
) The fee for branch circuits
City State Zip without purchase of
Phone No, service or feeder fee.
First branch circuit $35.00 2
The Installation is being made on property I own which Is not Each additional branch circuit $5.00 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 circuits) or a limited energy t)
panel, alteration or extension $ 2
Minor Labels (10)
-
Please check appropriate Item and enter fee In section 5B.
4 or more residential units In one structure 41. 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 - $3500
Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.C. Chapter 5 In Plant
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ � , p_•e
5% Surcharge (.05 X total fees) $
NOTICE • Subtotal $
5b. Enter 25% of line 6a for $ ---.1611'72, 1--0
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 0 Trust Account #
TIME AFTER WORK IS COMMENCED. $
®-
Total balance Due
4/24/00 Activities for Case' #: ELC98 -00498
2:43:53 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 8/18/98 DLH RECD BON 8/20/98
ELCC003 Permit created 8/20/98 B DONE BON 8/20/98
ELCC102 Plans routed to Plans Examiner 8/20/98 B SENT BON 8/20/98
ELCC700 Ceiling Cover BON 8/20/98
ELCC720 Wall Cover 11/24/98 CD\ PASS CD 11/24/98 perimeter walls first floor only
•
ELCC730 Elect'l Service 12/15/98 CD PASS CD 12/16/98
ELCC799 Elect'l Final 2/11/99 CD PASS CD 2/11/99 ELECTRICAL FINAL
APPROVED EXCEPT FOR
UPS SYSTEM, CONTR. WILL
RESCHEDULE WHEN
COMPLETE.
ELCC115 Approved plans routed to DSTs 8/26/98 CD PASS CD 8/26/98 see attached revisions for panel
schedules
ELCC400 (F)Ready to issue 8/27/98 GEO. PASS GEO 8/27/98 Plans are rolled.
ELCC500 (F)Issue permit 8/27/98 B PASS DST 8/27/98
ELCC920 Miscellaneous action 8/31/98 CD PASS CD 8/31/98 service grounding electrode
system & elevator stub
ELCC700 Ceiling Cover 12/18/98 • CD PASS CD 12/18/98 1st floor restrooms & telephone
room
ELCC720 Wall Cover 12/18/98 CD PASS CD 12/18/98 1st floor restrooms & telephone
room - 2nd floor exterior walls
west half) (5) offices nw comer
walls.
ELCC720 Wall Cover 12/23/98 CD PASS CD 12/23/98 2nd fir. ne & sw offices - 1st fir.
kitchen walls & warehouse wall.
ELCC720 Wall Cover 12/29/98 CD PASS CD 12/29/98 2nd fir. south side offices - west
stairwell lighting
ELCC720 Wall Cover 12/31/98 CD PASS CD 12/31/98 east stairwell - 1st fir. n.e. area
walls & 1st fir. s.w. exercising
. rms.
ELCC720 Wall Cover 1/5/99 CD PASS CD 1/6/99 1st & 2nd floor spline areas -
2nd floor bathroom ceiling
ELCC700 Ceiling Cover 1/14/99 CD PASS • CD 1/14/99 2nd floor ceiling cover except
computer & board rooms = 1st
• floor meeting room ceiling cover
ELCC700 Ceiling Cover 1/15/99 CD PASS CD 1/15/99 warehouse ceiling
ELCC700 Ceiling Cover 1/20/99 CD PASS CD 1/20/99 1st floor ceiling - 2nd floor
board room
ELCC800 Case Finaled 2/18/99 JT 2/18/99
•
Page 1 of 1
CITY OF T'IGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM I/ BLD
Location • L� C) Al m AA A. /� _ Suite MEC
Contact Person • �\ / PhgO 4-74, PLM
Contractor J Ph 7
C� (Q SWR ^ 7 �
BUILDING Tenant/Owner ELC 9 6(9'f ,'
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 yYL CO/OS ,v 3.1 41 %t c A44 r
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
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
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fi - larm
IlitZ
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 Date Z '! ' 9 Inspector Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.