Permit • CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00291
r^ DEVELOPMENT SERVICES DATE ISSUED: 06/05/2000
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install six (6) branch circuits for tenant improvements
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:
PACIFIC REALTY ASSOC BACHOFNER ELECTRIC INC
15350 SW SEQUOIA PKWY 55 SE MAIN
SUITE 300 PORTLAND, OR 97214
TIGARD, OR 97224
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 06/05/200C $64.25 0002674 Elect'I Final
5PCT GEO 06/05/200C $5.14 0002674
Total $69.39 ORIGINAL
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 OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY:
OWNER INSTALLATION ONL'
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: 4 'CO Sr 5 cr
Call 639 -4175 by 7:00pm for an inspection the next business day
` ' C ity of Tigard Electrical Permit ApplicRfteVED Plan Check #
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd
Phone (503) 639 -4171, x304 MAY 18 2000 Date to P.E.
Date to DST
Inspection (503) 639 -4175 Print of Type cotiegom IDEVELUPUEa1 Permit # roe CRCoo -00 P9/
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 Inspections per permit allowed
Name (or name of business) • , , I ��� Service included: Items Cost Sum I
Address 14945 SW Sequoia Pkwy / ' II 0 4a. Residential - per unit
City/State/Zip Tigard 1000 sq. ft. or less 8 117.75 4
g Each additional 500 sq. ft. or
Commercial El Residential ❑ portion thereof 8 26.00 1
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 Bachofner Electric 200 amps or less $ 64.25 2
Address 55 SE Main St 201 amps to 400 amps S 85.50 2
401 amps to 600 amps $ 128.50 2
City Portland State OR Zip 97214 601 amps to 1000 amps $ 192.50 2
Phone No. 503- 233 -2006 Over 1000 amps or volts $ 363.75 2
Job No. 8556 Reconnect only $ 53.50 2
. Elec. Cont. Lice. No. 26 -451C Exp.Date _ 10 -2000 4c, Temporary Services or Feeders
OR State GCB Reg. No. 44569 Exp.Date 3 -2002 Installation, alteration. or relocation
COT Business Tax or Metro No. 04439 Exp.Date 12 -2000 200 amps or less , it 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Sur. Elec'n ,l.� i" 401 amps to 600 amps x 107.00 2
g p Over 600 amps to 1000 volts.
see "b" above.
License No. 2808S Exp.Date 10 -1-0t
Phone No. 501_733_74:m6
_ Ne w. . Ne Branch Circuits
alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owners Name Each branch circuit $ 5.35 2
Address b) The fee for branch circuits
wi thout purchase of service
City State Zip • or feeder fee.
Phone No. First branch circuit I $ 37.50 37.50
Each additional branch circuit 5 . $ 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 circuit(s) or a limited energy
panel, alteration or extension $ 60.00
3. Plan Review section (if required):* Minor Labels (10) $ ae.7'e8 •
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 S. 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. 7£�. Surcharge PM X total fees) S 5.14
Not required for temporary construction services. 7 Subtotal r off $
5b. Enter 25% of line Sa for
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
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 $ 69.39
i :ldslsl torms\c lect r ic. doc
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•
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (0/g/ a AM PM BLD
Location I 1 4 LfS Se4 IA,0 Suite I - ? 0 MEC
Contact Person k2 L, Ph "I T7 -0 2,22 PLM
Contractor /� c n ,� dP-Oln n cJ Ph SWR
t.7 I
BUILDING Tenant/Owner 6e- �j l/-� ELC `Z, tO
'2A /
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
Fire wall � G �� /,
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
CECTRlC
Service
0(oUgh 6 o D
UG /Slab ''�`''�
Low Voltage
Fire Alarm
r 1 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 w
Other Date �J Inspector �L 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 ( Requested 4 /2J/c AM PM BLD
Location it--1 1 1 4 S Se4 L1,0 )1 . Suite l - 70 MEC
/
Contact Person Iviae, Ph PLM
Contractor 4 6;9 1 G -#0 /A, /e../? Ph SWR
BUILDING Tenant/Owner 6 NA/4 jRq//L, ELC IWO - 0OZ9 1
Retaining Wall ,JJ ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: A
Slab CO ' Cfft . 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
Ii CTRICAy
Service
.- ough
ab
Low Voltage
Fire Alarm
Fin
S 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 ZC x'77 Inspector /Z../ 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 7/3 AM PM BLD
Location / ! Se P J r Suite I - 76 MEC
Contact Person 5" ( e) 6-Lc—Ph P- PLM
Contractor Ph SWR
BUILDING Tenant/Owner
ELC ?v" 0-0oZ`,/
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
j)/1\11(
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL ✓�
MECHANICAL (Yr
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
Backfill /Grading
Sanitary Sewer -
Storm Drain [ ] Reinspection fee of $ required before next inspection. P- -t City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: Unable to inspect - no access
ADA
A roach /Sidewalk
pP D 3' - .0 1 , 915 /
Other Date Inspector _ /�L ` 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
7 7 7 7 I Date Requested £' v 0 AM PM BLD
Location / f 15 tiro --r iveW'� Suite / '7 b MEC
Contact Person Ph 3 3 ,2 .04 6 / PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC .000
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
:g '
•
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
SS PART FA L 1
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 Date CO
a 0/ I s
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.