Permit CITY OF TIGARD ELECTRICAL PERMIT
' 1 . G�m�e „_•y, DEVELOPMENT SERVICES PERMIT #: EL'C98 -0683
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=' !L e= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1 1 / 13/98
PARCEL: 25112AD -01000
SITE ADDRESS...:14945 SW SEQUOIA PKWY #100
SUBDIVISION ZONING:I —P
BLOCK ° LOT JURISDICTION: TIG
Project Description: Add three t3) branch circuits.
- -- 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 (1O)...: 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/O SRVC OR FDR.: 1 PER HOUR 0
401 — 600 amp . 0 EA ADD'L BRNCH CIRC: 2 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
PACTRUST type amount by date recpt
15115 SW SEQUOIA PKWAY PRMT $ 45.00 GEO 11/13/98 98- 310780
SUITE 200 5PCT $ 2.25 GEO 11/13/98 98- 310780
TIGARD OR 97224
Phone #:
Contractor:
RED'S ELECTRIC CO INC $ 47.25 TOTAL
2002 SE CLINTON ST
REQUIRED INSPECTIONS
PORTLAND OR 97202 Elect'1 Service
Phone #: 233 -6467 Elect' 1 Final
Reg #..: 000044
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 DUNE by calling ( )246 -1987. /
// ,
Permittee Signature: Issued By. - � ��,.,rf`,//
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: #—/ 3'��
LICENSE NO: 5"V — S
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
11 -12 -1998 4:58PM FROM RED'S ELECTRIC 503 233 1281 P.1
Community Develop . ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. 1? se Call W '/,'ri PI
.vv
Tigard, OR 97223 Planck/Rec. /e4 #
C
Permit*
�'» "`�l Phone (503) 639 -4171 . Date Issued f te 9 r - C/ C ;Pg - 3
FAX (503) 684 -7297 Issued by -
CITY OF TIGARD TOD No. (503) 684-2772
Inspection (503) 639 -4175
1, Job Address: 0 4. Complete Fee Sched Below: •
Name of Development et - 7CID Number of Inspections per permit allowed
Address Jay SW ? Service included: Items Cost(ea) Sum
City /State/Zip _/fm, t 4a. Residential - per unit 4
�^ ry �" L � / 1000 sq. fl. or less • $110.00
Name (or name of business) C1t9eore_ SR- /4 ? ''- Each additional 500 86. ft. or
portion thereat $25.00 1
Commercial Residential ❑ Limited Emmy $25.00
Each Maned Home or Modular 2
• Mooing Senn® or Feeder . $66.00
2a. Contractor installation only: 4b. Services or Feeders •
i / Installation, alteration, or relocation 2
• Electrical Contractor ?..e S /� o 200 amps or less . 56000 2
Addr Ss . �r ) - S� - / D„� ,S 201 Army to 400 amps $60.00 2
City 401 amps to 800 amps 5120.00 2
Ci oy 11.sv _ State62// _ Zip y7�ay 601 amps to 1000 vnrz 5160.00 2
Phone No. • X33 - X6F ' Over 1000 amps or volts $340.00
Contractor's License No. 0 .7-6 6 •••.512,c...- •••.512,c.•••.512,c...- Reconnect only $50.00
Contractor's Board Reg. No. 4 1 4 eo!„? ... 4c. Temporary Service or Feeders .
Installation, alteration. or relocation 2
Signature of Supr. Elec' - . - .. .. - #' 200 amps or less 55 2
y i 201 amps to 400 amps 575.00 2
License No.�Q5S S Phon o. _ �� 401 ,, to 600 amps $100.00
Pray 600 amps to 1000 volts
2b. For owner installations: - see `b' aboea. •
4d. Branch Circuits
Print Owner's Name Nov, alteration or extension par panel •
TM lee for branch circuits with
Address
City State Zip purchase of eery e• or leader tee. 2
Each branch circuit $5.00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is putcham of service Of *Wig fee, o 2
Feat branch circuit • $35.00 2
not intended for sale, lease or rent. Each additional branch circuit 56.00 0
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 circuit(s) or a limited energy 2
Please check appropriate item and enter fee in aeetion 5B. panel, alteration or extanoon 540.00
4 or more residential units in one structure Minor Labels 00) $100.00
- . S ervice and feeder 225 amps or more
System over 600 volts nominal 4t. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in shy of the above
as dOscribed in N.E.C. Chapter 5 Par irepection $35.00
Per hour $56.00
In Plant 555.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Sa. Enter tots) of above fees $ h15
5% Surcharge (.05 X total fees) $ s
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. III Trust Account # $ l
•
I
1 l Balance Due 0q 1 1 4-13 $ a7 0
► •
CITY OF TIGARD BUILDING INSPECTION DIVISION \ MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 \
BUP
Date Requested AM PM BLD
Location I l `1 S SP 4 /41)1't 066, ) Suite /00 MEC
Contact Person 0 Ph �/� PLM
Contractor WP.4 S �_ Ph 233" . 7 SWR
BUILDING Tenant/Owner _rFA/C,4912-e-g 501,3 ELC 9 f -O XaZ.. Retaining Wall ELR
Footing �/
Foundation �[`� //-a - 9d FPS
Ftg Drain NOT REQUES - SGN
Crawl Drain Ir FOUND DURING RESEARCH
Slab NO INSPECTION(S) FOUND IN FILE SIT
Post & Beam
Ext Sheath /Shear ,3 -
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
.EtEtTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
d r ij k 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
Other Date 3 3 Inspector Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.