Permit CITY OF TIGARD ELECTRICAL, PE
PERMIT #: ELC200 7
, :* DEVELOPMENT SERVICES DATE ISSUED: 3/20/00
2. �j' ,.��i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC-00300
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Refeed parking lot light with cut circuit (near Carl Jr's). Job No. 62- 11613.
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 HMI 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: 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 CHRISTENSON ELECTRIC INC
BY BURNHAM PACIFIC PROPERTIES 111 SW COLUMBIA
ATTN: JOHN WATERS STE 480
SAN DIEGO, CA 92101 PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 000458
SUP 3289S
PLM 2468S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
5PCT DEB 3/20/00 $3.00 0000789 Elect'l Final FYPPRFD
PRMT DEB 3/20/00 $37.50 0000789
Total $40.50
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 p
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 OUNC at (503) 246 -1987.
PERMITTEE'S SIGNATURE 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 ONLY O
Nib
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
r
BUP - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls _ Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors EL R - Restricted Energy Permit
Roof nailing 1 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation •f Inspection Description Date Passed By
Drywall nailing Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
•
� , CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00117
iyAr DEVELOPMENT SERVICES DATE ISSUED: 3/20/00 •
13125 SW Hall Blvd., Tis�ard, OR 97223 (503) 634, �
PARCEL: 1S134BC-00300
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD
SUBDIVISION: O ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Refeed parking lot light with cut circuit (near Carl Jr's). Job No. 62- 11613.
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 HMI 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: 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 CHRISTENSON ELECTRIC INC
BY BURNHAM PACIFIC PROPERTIES 111 SW COLUMBIA
ATTN: JOHN WATERS STE 480
SAN DIEGO, CA 92101 PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 000458 •
SUP 3289S
PLM 2468S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
5PCT DEB 3/20/00 $3.00 0000789 Elect'l Final
PRMT DEB 3/20/00 $37.50 0000789
Total $40.50
•
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 copie • - - - es or direct questions to OUNC at (503)
246 -1987. /
PERMITTEE'S SIGNATURE ISS D BY:
• ,,
� l
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: -e- ����°`�"' "'4 DATE:
LICENSE NO: 87 3 S
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan C ck # � .
• 13125 SW HALL BLVD. Rec'd y
RECEIVED Date Rec'd 6-.:90-e)0
TIGARD OR 97223 Date to P.E. • _
Phone (503) 639 -4171, I; • r R 2 0 2000 Date to DST
Inspection (503) 639 -41 Print of Type permit # e'GC 0
Fax (503) 598- 196OoMUNIn( DEVELOPMENjncomplete or illegible will not be accepted Called
VJob Address: REFEED PARKING LOT LIGHT 4. Complete Fee Schedule Below: •
WITH CUT CIRCUIT (NEAR CARL JR'S)'
Name of Development Number of Inspections per permit allowed
Name (or name of business) GREENWAY TOWN CENTER Service included: Items Cost Sum •
Address 12272 SW SCHOLLS FERRY RD 4a. Residential - per unit
Ci /State2'I . TIGARD OR 1000 sq. ft. or less $ 117.75 4
p Each additional 500 sq. ft. or
portion thereof $ 26.25 1
Commercial a Residential ❑ Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders •
. information for COT data base). Installation, alteration, or relocation
Electrical Contractor C:HRTSTFNSON F.T.F.C.TR TNC' 200 amps or less $ 64.25 2
ddress 111 SW COLUMBIA, SUITE 480 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City PORTLAND State OR Zip97201 - 5886 601 amps to 1000 amps $ 192.50 2
Phone No. 241 - 4812 Over 1000 amps or volts $ 363.75 2
Job No. 62 - 11613 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 26-34C Exp.Date 10 O S . 4c. Temporary Services or Feeders
OR State CCB Reg. No. 458 Exp.Da - 5 3 Installation, alteration, or relocation
COT Business Tax or Metro No. _416 � ..D - e 12/00 200 amps or less $ 53.50 2
�� / 201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n , / 401 amps to 600 amps $ 107.00 2
i Over 600 amps to 1000 volts,
License No. b e) 3 Exp.Da e 10 / 01 see "b" above.
Phone No. 241 - 4812 4d. Branch Circuits
New, alteration.or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit $ 5.35 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone No. First branch circuit 1 $ 37.50 37.50
Each additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent. - (Service or feeder not included)
Each pump or irrigation circle $ 42.75
Owner's Signature Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
• 3. Plan Review section (if required):* panel, alteration or extension $ 60.00
Q "/• Minor Labels bels (10) $ 107.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable In any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees:
5a. Enter total of above fees $ 37.50
* Submit 2 sets of plans with application where any of the above apply. 5% Surcharge (.05 X total fees) 8% $ 3.00
Not required for temporary construction services. Subtotal . $ 40.50
5b. Enter 25% of line 5a for -
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 40.50
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account #
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 40.50 /
i:\dsts\forms\electric.doc