Permit CITY OF T ELECTRICAL PERMIT
.. �41wwll, DEVELOPMENT SERVICES PERMIT #: ELC98 -0041
� DATE ISSUED: 01/22/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 19134BC -00200
SITE ADDRESS...:12186 SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Description : Add eight (8) branch circuits to an existing tenant within a
commercial bldg.
- -- 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: 7 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
PGE type amount by date recpt
121 SW SALMON PRMT $ 70.00 GEO 01/22/98 98- 302712
PORTLAND OR 97201 5PCT $ 3.50 GEO 01/22/98 98- 302712
Phone #:
Contractor:
OREGON ELECT CONSTRCTN /GRP INC $ 73.50 TOTAL
1010 SE 11TH
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Underground Cove
Phone #: 234 -9900 Wall Cover Elect'l Service
Reg #..: 0026 -9
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 -0010 through OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)2 987.
Permittee Signature: Issued B • ALL/.
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: /- 2,' - f !7
1
LICENSE NO: � s
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
i
L. Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # GC f �
i��,�1 �, f � Date Issued
�) IT Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development PGE Number of Inspections per permit allowed
Address 12186 SW Scholls Ferry Rd. Service included: Items Cost(ea) Sum
City /State /Zip Port land , OR 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
Name (or name of business) PGE Each additional 500 sq. ft. or
portion thereof $25.00 1
Commercial DE Residential ❑ Limited Energy $25.00
Each Manurd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor Oregon Electric Group 200 amps or less $60.00
Address 1010 SE 11th Ave. 201 amps to 400 amps $80.00 2
City Portland State OR Zip 97914 401 amps to 600 amps $120.00 2
601 amps to 1000 amps
Phone No. 5()3/934 -9900 Over 1000 amps or volts $340.00 2
Job NO. 74755 Reconnect only $50.00 2
contractor's license NO. 26 -9 C 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 03 S Installation, alteration, or relocation 2
r. Elec'n of
Signature 'n ,r 4 i 200 amps or less
g p -" ? 201 amps to 400 amps $50.00 2 - License No. 2841s hone No. 7 ?4 ; -99on 401 ampsto600amps $75.00 2
Over 600 amps to 1000 volts $100.00
. 2b. For owner installations: see „b„ above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5.00
Phone No. b) The fee for branch circuits withou
The installation is being made on property I own which is purchase of service or feeder fee. z
not intended for sale, lease or rent. East additional l branch circuit � $5.00 .35 . UU
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
-
Signal circuil(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:
5a. Enter total of above fees $ 70.00
NOTICE 5% Surcharge (.05 X total fees) $ 3.50
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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. wwdtwmdeNeleo- ❑ Trust Account # $
wm•evn
Balance Due $ 73.50
6
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ? --.7d A.M. P.M. MST:
•
Location: - I i _4 . ./ I I ./ _!' A A _ . BUP:
Tenant: I Suite: Bldg: nn MEC:
Contractor: G� ` A LILT; I 41 I!, if Phone: �3 c/- 9 1 CO PLM:
• �g.� Q
Owner: Q7 Phone: - • 7 ELC: cm
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•, (/ /� / ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam over/Service Sewer /Storm
Footing Roof UndFl/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 Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approv Approved
Appr /Sdwlk Not Approved Not Approved Not Approved oved Not Approved
FINAL FINAL FINAL FIN ,£ FINAL
/ / ------- 1 4() .S
O Call for reinspection einspection fee of $ required before next ' tion O Unable to inspect
Inspector: Dater .2% 0 -- C e Page of
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