Permit CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00072
�� DEVELOPMENT SERVICES DATE ISSUED: 2/22/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 100
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical work for commercial tenant improvement.
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: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 17 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: •
PACIFIC REALTY ASSOCIATES BACHOFNER DATACOM INC
15350 SW SEQUOIA PKWY #300 -WMI 55 SE MAIN ST
PORTLAND, OR 97224 PORTLAND, OR 97214 -3346
Phone: Phone: 233 -7873
Reg #: LIC 111978
ELE 26 -953CL
SUP 2808S
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 2/22/02 $159.90 2720020000( Wall Cover
Elect'I Final
5PCT CTR 2/22/02 $12.80 2720020000(
Total $172.70
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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: ,, „"mw e0}-i70,1 Issued By: 47y1
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:_
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
1 p -000 3
Electrical Permit A2plication
1VED ived: 1 0 2 Pcnnit no. ,a'490isa..
City of Tigard Projecf/appLno.: Expire
city oingan Address: 13125 SW Hall Blvd zd. R 9, Date issued: By: Receipt no.:
Phone: (503) 639 -4171 1' ���� jj
Fax: (503) 598 - 1960 Case file no.: Payment type:
QTY of MAW
Land use approval: RJR,nnvel nivreoN
11 IT (.)l PI
0 l & 2 family dwelling or accessory 0 Conunennalimdustrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement Cl Other. O Partial
Job address: 14945 SW SI7O OIA PARKWAY Bldg. no.1R33 Suite no.: /00 Tax mapltax lot/account no.:
Loc IBlock: • ISubdivision:
Project name: UMD TECHNOLOGY I Description and location- of work on preni ises: ELECTRICAL — TENANT IMP . '
Estimated date of cons 'tinfmspection:
Fee Mss.
Job Hoc 9848 p{sa Qty. (ea) Total too. imp name: Bachofner Electric, Inc: New tedaenttd -stogie «,,,mob y per
Address: 55 SE Main St. dwellimmdt.Indoks readidgrage.
City: Portland 1 State: OR I ZIP: 97214 Seniceloa.ierf
Phone: 503 - 233 - 2006 I Fax: 233 - 2963 1E 1000 sq. R or less 4 Each additional S00 sq . g, or panicle thereof
MB no.: 44569 I Elec. bus lie. oo: 26 -451C limitedeaergy.residential 2
1. City /metroli 1141 2536 [ Limited energy, non-residential 2
la / • 02 - 2 Each mmataemred harm « modular dwelling
Signature of sapavisiug • • (required) Dw, za y
a. Savieeand/ «feeder 2
Services or feeders —Installation,
Sop.de W. Bachofner License 2808S attentbuorrelocatiom
200 maps or less 2
201 amps to400amps 2
Name (print): 401 amps to 600 amps 2
Mailing addrest: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: Fax: (IImail: ReO0mw(1onl l ..
Owner installation: The installation is being made on property I own Te y.rvim arfeder■ -
tstsOdloe.altrsal sr•.orsefoed lac
which is not intended for sale, least;, rent, or exchange according to 200 amps «less 2
ORS 447, 455, 479, 670.701. 201 asps to 403 amps 2
Owna's signature: Date: 401 to 600 2
Branch dreads -s ew,al<esatiaa,
or eatntida per park
Name: A. Fee for branch circuits with purchase of
Address: see lee or feeder fbe, each Ixaarb circuit 2
, 1 State: • I ZIP: B. Fee for breach circuits without purchase 1 16.8 2
of service or feeder fee, first brooch circuit:
Phone: Fax: E -mail: Each additional branch circuit 17 1 11 n
I'1.: Itl_\ IL\\ (Please check all that :111)1%) Misc. (ServIceorfeederaoti )c
Rxhpump«hrigatiandale 2
O Suvloeavwr225 a�eorsemcid O Health-case facility Each p� or outline lighting 2
0 Service over 320 amps of l52 0 Hazardous location Si gnorou toraGmtiedeaeagypaael,
ydwdhergs eet four Of
0 Syetemover 600 volts nominal Cl O residential snits in one atrocmre altaatiaa, oranemias* 2
0Buildmg over dace storks 0 Feeders, 400 amps or more •Deaaiptioa
0 Occupant load over 99 persons 0 Manufactured wsctures or RV park Each additlsod Impeetion over the alswabte In any of cite a
0 EftrasnillblingPhel O Odrer. Pa inspoetim , 1 1 1
Submit sets of plans with any of ibe above. Invesdgatioa (cc
The above are not applicable to temporary construction service. Otter
Permit fee $ 159 .90
Not NI petalled= wow erode ends. pine ad past ease forme laramrrian Notice: This permit application Plan review (at _ %) $
expires if a is not obtained 12.80
ovisc O lMastac rd / / within Igo days after it h been State surcharge ( 896 ) .... S
Credit card ` expires accepted as complete TOTAL $ 172.70
Name d erabotder as draws co midi cod .
$
Cardholder dorm= Amami 440-4615 (6001COM)
•
Electrical Permit Fees: Limited Energy Fees:
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 Check Type of Work Involved:
Residential -par unit
1000 sq. fL ail less $145.15 4 ❑ Audio and Stereo Systems
Each additional portion 500 « $33.40 1 ❑ Burglar Mann
tinted Energy $76.00 • •
Each Mad Hems or Modrdar ❑ Garage Door O
Dwelk Service or Feeder $9060 2
Services or Feeders ❑ Heating. Ventilation and Air conditioning Systems
kwbtaion . alteration. or relocation
200 amps or less $80.30 2 ❑ Vacuum Systems
201 amps b 400 amps $106.85 2
401 amps b 600 amps $160.60 2
601 amps to 1000 arms $240.60 2 ❑ Other
Over 1000 snips or volts $454.65 _ 2
Reconnect oily $6625 _ 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Insulation. slmrallon. or mloca8on Fee for each system____ .............. __ . _. $75.00
200 anms or less $66.85 _ 2 (SEE OAR 918260 -260)
201 amps to 400 amps $100.30 ___ 2 Type Work Involved
401 amps b 600 amps $133.75 2 Check
Oner600 amps to 1000 volts,
see 'V above. ❑ AudO and Stereo Systems
Bosch Circuits
New. aiaraion or extension per panel ❑ . Boner Centrals
a) The be for branch druids .
❑ Clock Systems
with paslme Green** or
fbedsrfse.
Each branch circuit $6.65 2 ❑ Data Telecommunkatton Installation
b) wtthoutprchseof Fire Alarm Installation
arlreedr ❑
First IMO data 1
- $4685 -94 3 . Q 5 ❑ HVAC
Each additional trash dad 1 $6.65
Miscellaneous .
0 Instnumentaticn
not irhduded)
Czech pump or irrigation circle $53.40
Each or mane fling $53.40 Systems ❑ Intercom and Paging Systems _
Signal clam(s) or a Smiled energy • ❑ Irrigation Control
panel. *terabit or ehdenskm $75.90
Lima Lebels'(10) $125.00 ❑
Each additional inspection over Medical
the allowable In any of the above El Nurse Cads
Per irhspectlon $62.50
Per hour
to Plant $73.76 5 • ❑ Outdoor Landscape Lighting"
Fees: ❑ Protective signaling
Eider total of above fees $ 1 59.9 0 ❑ Other
8% State Surcharge $ 1 7 Rn Number of Systems
25% plan Review Fee • No licenses are required. Licenses are required tor al other tutaltetlans
See "Plan Rabe section on $
front d application. Fees:
Total Balance Due $ 172 • Enter total of above fees • $
❑ Tsui Account 8 8% State Surcharge $
' Total Balance Due $
i:ndtat;lfanmhsle- fees.doe 10/09/00
CITY OF TIGARDI 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
•
Received Date Requeste 3 02 ( AM PM BUP
/� �. Location / % 5. t Suite MEC
9 Contact Person Ph ( )g 6 7 ?o p sit PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner iQ ELC 31 a Q �,0Z
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT �.
Post & Beam
Shear Anchors
V
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall (: 1 N O L
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
C../
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
UG/Slab
Low Voltage
Fire Alarm
ina ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
SI ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line —
ADA D ate, — /- / /
Approach/Sidewalk Inspect �� L . Sri Ext
Other:
Final DO NOT REMOVE this inspection record from he Job site.
PASS PART FAIL