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Permit
CITY OF T I GA R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00514 hA DEVELOPMENT SERVICES DATE ISSUED: 10/17/01 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134BC-00300 SITE ADDRESS: 12220 SW SCHOLLS FERRY RD SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of (84) branch circuits. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 83 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: BPP RETAIL LLC ELECTRICAL DIMENSIONS INC BY BURNHAM PACIFIC PROPERTIES PO BOX 12146 • ATTN: JOHN WATERS 3961 N WILLAMS AVE SAN DIEGO, CA 92101 PORTLAND, OR 97212 Phone: Phone: 282 -7255 Reg #: LIC 44008 • SUP 2964S ELE 26 -432C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 10/17/01 $645.65 2720010000( Wall Cover Elect'I Final 5PCT CTR 10/17/01 $51.65 2720010000( Total $697.30 • • 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 -0080. You may obtain copies of these rules or direct questions to Permit Signature: Issued By: -l• 4 ,64a) 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. C • NTRACTOR I ■ STALLATION ONLY • SIGNATURE OF SUPR. ELEC'N: - ice' /� L TL I : ./. / DATE: / LICENSE NO: /�� • Call 639 -4175 by 7:00pm for an inspection the next business day • • r Electrical Permit Applicat r . ■ Aii, Date received: I 1 1 0 Permit no.: J? l9/ — 0 ,052 '" ltli �� P ro'ect/a I no.: l:x ire date: ,L , C of Tigard , PP P City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By`: -j I Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: . TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other. 0 Partial • JOB SITE INFORMATION Job address: (Z2g..40 4vv 44.440(46 Famy C .p ' Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: I Subdivision: Project name: 1,Ariwfifitat ril'y I Description and location of work on premises: MI46. (,({i14(b6 our OF C* S , L1 M111tJb, Estimated date of completion/inspection: ,: - G- CONTRACTOR APPLICATION FEE SCI I EDU.E Job no: 41 17 Fee Max Description Qty. (ea) Total no. insp Business name: V cINIPK15IGN5 /*LC,, New residential - single orntapi•familyper Address: 'PO 13 iiii.41 dweilingunit. Includes attached garage. City: TN:4 1,0b I State: ORZ( ZIP: cl ?212. Service include& 2 �Z r 1 –fo l i sq. ft. or less • 4 Phone: Fax: p E -mail: 1 Each additional 500 sq. fc or portion thereof CCB no.: 4$$00 8 I Elec. bus. lic. no: 7.4 - 4324... • _ Limited energy, residential 2 City/me s li - . no.: I 74 Limited energy, non- residential 2 City/my /��� (0 / / I Each manufactured home or modular dwelling !— Service and/or feeder 2 Si:nature of supervising a ectrician (required) Date . Services or feeders installation, Sup. elect name (print): ib. Ger _ License no: 96 y'S alteration or relocation: PROPERTY OWNER 200 amps or less 2 201 amps to 400 amps 2 Name (print): 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: [Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services orfeeders • which is not intended for sale, lease,. rent, or exchange according to i�tallatlori ,alteration,orretouattion 2 200 amps o less ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 s 2 . Branch circuits - new, alteration, or extension per panel . Name: • - A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State:. • . I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E - mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Serriceor feeder not included): or imgation circle 2 um Each pump ❑ Service over 225 amps-commercial . O Health -care facility Eac 2 U Service over 320 amps- rating of 18:2 U Hazardous location Each sign or outline lighting • family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, U System over 600 volts nominal tmre residential units in one structure alteration, or extension' 2 0 Building over three stories Q Feeders. 400 amps or mote *Description: O Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional Inspection over the allowable in any of the above: 0 Egress/lightingplan 0 Other: Per inspection ( I 1 I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ & e/S, (93 Not all jurisdictions accept credit cards. please call jurisdiction for more information. Notice: This permit application Plan review (at — %) $ 0 Visa 0 MasterCard expires if a permit is not obtained �� • Credit card number: / / within 180 days after it has been State surcharge (8%) .... $ Expires TOTAL as comp TOTAL $ . Name of cardholder as shown on credit earn $ Cardholder signature Amount 440 -4615 (610111COM) 1 Electrical Permit Fees: Limited Energy Fees: 1 �, TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total `I' Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems — Each additional 500 sq. ft. or ❑ portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00 — Each Manut'd Home or Modular Door Opener* Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 Vacuum Systems 201 amps to 400 amps $106.85 2 El 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 amps $240.60 , 2 Over 1000 amps or volts $454.65 2 • Reconnect only $66.85 2 TYPE OF WORK INVOLVED - COMMERCIAL ONLY Temporary Services or Feeders Fee for each system $75.00 200 or less less Installation, essn, or relocation $66.85 2 (SEE OAR 918-260 -260) 200 amps 201 amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts. and Stereo Systems see "b" above. Branch Circuits • . - ❑ Boiler Controls New, alteration or extension per panel • a) The fee for branch circuits Systems with purchase of service or ED feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service [2 Fire Alarm Installation or feeder fee. $46.85 a �o . �� First branch circuit HVAC Each additional branch circuit 3 $6.65 7, Miscellaneous • ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s) or a limited energy Landscape Irrigation Control* panel, alteration or extension . $75.00 Minor Labels (10) $125.00' ❑ Medical Each additional inspection over the allowable In any of the above Calls • Per inspection $62.50 Per hour $62.50- - In Plant $73 75 El . Outdoor Landscape Lighting" r Fees: ❑ Protective Signaling _ S L Enter total of above fees $ 6. El Other 8% State Surcharge $ ___IL ___ Number of Systems 25% Plan Review Fee ' No licenses are required. Licenses are required for all other installations See 'Plan Review' section on $ front of application. / 3 p Fees: Total Balance Due $ f��- � — Enter total of above fees • $ ❑ Trust Account x 8% State Surcharge $ Total Balance Due $ • i:\dsts\fomiskic- fees.doc 10 /09/00 - - CITY OF TIGARD_ 24 -Hour �. BUILDING - Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested --( AM PM BUP Location " -a - -• __ ,� _� � i uite MEC / Contact Person Ph ( ) er Z - SS" PLM Contractor B to8 . L . (�a3 ) a. D A - L) ) 4 �' SWR BUILDING Tenant/Owner . 1 � ELC ,VDU/ GDS / Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT . �► Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire wall p 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 L olt D0DI - dd J,o Low Voltage Fire Alarm ma ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL SITE L Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA te- a Approach/Sidewalk Date Q `c �� Inspect �s� ��� — ! Ext Other: Final DO NOT REMOVE this Inspection record from the ob site. PASS PART FAIL CITY OF CARD 24 -Hour BUIL • Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested �'� �, AM PM BUP Location / a` a a FdA4t / Suite L MEC Contact Person -&" 1-0-& 4 _Ph ( Q ) g 2- 7a3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC x00 00,5/g Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ( C r �l StO Drywall Nailing �V .1 J 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 Servi oug Gl UG/Sla Low Voltage Fire Alarm Fin - Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ig PART FAIL S Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 0 9 - .P-71 ` 0 L_ Inspect Ext Other: Final DO NOT REMOVE this inspection record from th Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour � ING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location / ‘9 Suite Ref MEC Contact Person v Ph ) - ' 7 2 - S ') PLM Contractor Ph ( ) SWR '! BUILDING Tenant/Owner ELC 4 040 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear � ' • Framing X /1)07 -; t v G6 /G7074-a/ pc 121 , L Insulation Drywall Nailing Fire wall /aloe? /_ e, " v 7t G l i Fire Sprinkler 'D !� Fire Alarm Susp'd Ceiling n 1 kP rp A Roof Other: Final J - ic,Li Gn_ �/ PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer /� - i' , Rain Drains 4 V4y"n .6b r' c) C • ) / s� 4 QC- • Catch Basin /Manhole • ; •L �� Manhole . Storm Drain Shower Pan - C A Kph 1 l Other: Final PASS PART FAIL MECHANICAL Post & Beam D /= � Rough -In i (/',/ 6). r; UX !/' (_//j y , Gas Line — Pj� `/X Smoke Dampers (/� Final PASS PART FAIL , ELECTRICAL 11,420,e A;7___44-- CO/ AP r, t. S�OC3� Service UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. y� c'► ( lair FAIL MP El Please call for reinspection RE: Unable to inspect – no access Fire Supply Line � ADA Approach/Sidewalk Date /' l Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. . PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24*lour Inspection Line: 63' '75 Business Line: 639-4 BUP Date Requested / I-- ,v Cli AM M BLD Location LOn1 h ed 5 l - 7/ erfr) ES urte MEC Contact Person � j 7�r, h �Cls �tr� PDc LM Contractor L�'cfrir.4 if ylpAiVeryt4 Ph SWR BUILDING Tenant/Owner ELC O "• %ice ' Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: I► Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing 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 Fire Alarm i.� PART FAIL TE 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 Other / f Inspector • . dor F:� .� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / / /'1 AM PM BLD Location I Z Z 2 (� aley Fet uite r `/ MEC Contact Person Ph 2— 7 2- 5 PLM Contractor Vrfr2cp/ Ii.1c? nns Phh '� "� X `t (° SWR BUILDING Tenant/Owner d., Ce/ryJJ ll - ELC Z2 / GG sI y� 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 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 UGISTa Low Voltage Fire Alarm Final PASS PART (V' SITE 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 Other Date / / "" 1 4 1y ©/ Inspector /-- /o y d Ext Final �/ PASS PART FAIL DO NOT REMOVE this inspection record from the job site.