Permit CITY OF TIGARD ELECTRICAL PERMIT
,
PERMIT #: ELC2000 -00106
�l � DEVELOPMENT SERVICES DATE ISSUED: 03/15/2000
I II 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
PARCEL: 25101 DC -03800
SITE ADDRESS: 07180 SW SANDBURG ST 100
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of six (6) 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: 5 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:
WILLIAM MCCORMACK BACHOFNER ELECTRIC INC
7415 SW FAIRWAY LOOP 55 SE MAIN
WILSONVILLE, OR 97 PORTLAND, OR 97214
Phone: Phone: 233 -2006
Reg #: LIC 00044569
SUP 2808S
ELE 26 -451C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT GEO 03/15/200C $64.25 0000676 Elect'l Final
5PCT GEO 03/15/200C $5.14 0000676 *' •
Total $69.39
ORIGINA
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 • NC at (503)
246 -1987. /
PERMITTEE'S SIGNATU ISSUED BY: `! e
OWNER INSTALLATION ONL
The installation is being ade on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
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CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: C DATE: 3 �J-
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
03/15/2000 10:18 5032332963 BACHOFNER ELECTRIC PAGE 02
CITY OF TIGARD Electrical Permit Application Plan cnedr,#
13125 SW HALL BLVD. Recd By •
TIGARD OR 97223 ._ Date Recd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639.4175 Print of Type Permit E b°_ a000 -00%4,
Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule_ Below; •
Name of Development _ Number of Inspection' per penult allowed
Name (or name of business) t4hrecfc Mc ific \ • Service Included: Items Cost Sum
Address 7180 Bed I .4 4e. Residential - per unit •
Each ad it or less S 117.75 4
• City/State/bp Tigard. CR
Esdh adeiNormal 500 sq. R. or
portion thereof 5 26.25 1
Commercial ® Residential ❑ Limited Energy $ 60.00 •
Each Word Home or Modular
2a. Contractor Installation only: , Dwelling Service or Feeder 5 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 agictErer Electric. Rm. 200 amps or less $ 644.25 2
Address SF Malin amps to 400 amps $ 85.50 2
401 amps to 600 amps 5 128.50 2
City Fortlard State Zip 97214 801 amps to 1000 amps $ 192.50 2
Phone No. (503) 23,3-2004 Over 1000 amps or volts $ 363.75 2
Job No. 8407 Reconnect only _ $ 53.50 . 2
Elec. Cont Lice. No. 25 - 451C Exp.Date .4c. Temporary Services or Feeders •
OR State CCB Reg. No. • 44;44 Exp.Date Installation, alteration, or relocadon
COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps 5 80.26 2
Signature of Supr. Elec'n a 401 amps to 600 am $ 107.00 _ . 2
Over 600 amps to 1000 volts,
see "b" above. •
License No. 2I308S Exp.Dat
4d. Brunch Circuits
Phone No, 233 . New, alteratlon extension per panel •
a) The fee for branch circuits
2b. For owner Installations: u✓idr purchase of service or
Mader tire.
Print Owner's Name Eadt 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 5 37,50 37 Sit
. . Each additional branch circuit S S 5,35 26..75
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 circult(s) or a limited energy
• 3. Plan Review section (If required) : ' pane alteration or extension $ 60.00
Minor Labels bels (10) $ 107.00
Please check appropriate Item and enter fee in section 58. 4f. Each additional Inspection over
4 or more residential units in one structure the allowable In any of the above
Per inspection $ 50.00
Service and feeder 225 amps or more
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 • $ 64.25
Submit 2 sets of plans with application where any of the above apply. (.05 x total fees) $ 5 -14
Not required for temporary construction services. S total $ •
NOTICE 5b. Enter 25% of line Se for
Plan Review it reouired (Sec. 3) S
• PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subroter 0.3; r ifruL4.1" $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR �[ 6O I �
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ TruSt Account # /"� I L , �t •
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 69.39
■nwwra
l : \dsts \forms\eloctric.doc 5 3
06/09/2000 Activities for Case #: ELC2000 -00106
10:29:13 AM
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Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 03/15/2000 GEO RECD No Hold GEO 03/15/2000
ELCC003 Permit created 03/15/2000 GEO DONE No Hold GEO 03/15/2000
ELCC730 Elect'I Service No Hold GEO 03/15/2000
ELCC799 Elect'I Final 03/29/2000 CD PASS No Hold AKJ 03/29/2000
ELCC500 (F)Issue permit 03/15/2000 GEO DONE No Hold GEO 03/15/2000
ELCC720 Wall Cover 03/16/2000 CD PASS No Hold AKJ 03/16/2000 front office and warehouse
receptacle
ELCA800 Case finaled 03/29/2000 AKJ DONE No Hold AKJ 03/29/2000
• Page 1 of 1 .
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2.i 00 AM PM BLD
Location - 7 I VD So / Suite `DO 1 MEC
Contact Person 3U S Ci Ph 7, 3 3 =200(0 PLM
Contractor / A L ' Ocn/Q / S7e- c_2ri''(L Ph SWR �v
BUILDING Tenant/Owner ELC 2�.Y3 C�
Retaining Wall h_ JO I
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
Fire wall / ` ��
Fire Sprinkler �� [�
Fire Alarm
Susp'd Ceiling
Roof &t; Misc:
Final
PASS PART FAIL
PLUMBING C 0 i/theZe-;?
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
E CTRIC
—
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
412) 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 27
Other Date 3 - Inspector Ext
Final
PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.