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Permit CITY OF TIGARD ELECTRICAL PERMIT T . �� DEVELOPMENT SERVICES PERMIT #: ELC98 0616 f `� DATE ISSUED: 10/09/98 -__ " '-. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25112DA -00800 SITE ADDRESS...:15055 SW SEQUOIA PKWY #140 SUBDIVISION • ZONING:I —P BLOCK • LOT JURISDICTION: TIG Project Description: Installation of 7 branch circuits. n - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS : 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 500SF...: 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 (10)...: 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/0 SRVC OR FDR.: 1 PER HOUR • 0 401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 6 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 PARKWAY PRMT $ 65.00 DEB 10/09/98 98- 309886 TIGARD OR 97224 5PCT $ 3.25 DEB 10/09/98 98- 309886 Phone #: Contractor: BACHOFNER ELECTRIC INC $ 68.25 TOTAL 55 SE MAIN REQUIRED INSPECTIONS PORTLAND OR 97214 Elect'l Service Phone #: 233 -2006 Elect'l Final Reg #..: 000445 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 t OAR 952 -001 -1987. You may obtain a copy of these rules or direct questions to OUNC calling (503)246 -1987. Permittee Signature: e�.e .4� Issued B • A .,• NeuitioAJ 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: CONTRACTORIN ION ONLY SIGNATURE OF SUPR. ELEC' N : .�,Q� � (/ r D-�� DATE: / ° - ` �� LICENSE NO: 98` I r ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Electrical Permit Application t clP Plan c 13125 SW HALL BLVD. s_' - � Date Recd to ` __ TIGARD OR 97223 Phone (503) 639-4171, � Date to P.E. ( ) 9 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # e G e- 92 -Ole / 4 Fax (503) 684 -7297 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) Emcon Service included: Items Cost Sum I Address 1 5055 SW Sequoia Prkwy Ste l ag- 4a. Residential - per unit City/State/Zip Ti ard, Ore 97224 1 achaddtional 500 $110.00 4 ty p Each additional 500 sq. ft. or Commercial ® Residential El Limited thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor Rar�hnfni r F.1 pr- f-ri Inc I , orrelocation � 200 amps or less $60.00 2 Address 5 5 RP. Mai n 201 amps to 400 amps $80.00 2 City Portland State orc Zip 9 721 4 401 amps to 600 amps $120.00 2 Phone No. 233-2006 601 amps to 1000 amps $180.00 2 Job No. 7 2 1 A Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 2 6- 4 51 r Exp.Date 1 0/ 1/ 9 9 OR State CCB Reg. No. 44569 Exp.Date 3/6/0 0 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.D Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n - 201 amps to 400 amps - $$750.0.000 2 401 amps to 600 amps 10 2 Over 600 amps to 1000 volts, License No 2 R n RR Exp.Date 1 I 1 / 9 9 see "b" above. Phone No 2 3 3 2 0 0 6 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit 6 $5.00 1 0.0 n 2 b) The fee for branch circuits City State Zip without purchase of Phone No. First b an h circuit fee. 1 $35.00 35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a. Enter total of above fees $ 65.00 5% Surcharge (.05 X total fees) $ 1_7c NOTICE Subtotal $ - 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF COREeelitrtaR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ 6 8 . 2 5 OCT 0 9 1998 Total balance Due COMMUNITY DEVELOPMENT I: \DSTS\ELC96.APP Rev 9/96 2/4/00 Activities for Case #: ELC98 -00616 2:28:32 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 APPlication received 10/9/98 DEB MAIL DRA 10/9/98 ELCC003 Permit created 10/9/98 DEB DONE DRA 10/9/98 ELCC799 Electl Final 10/23/98 BRP PASS J *H 10/23/98 ELCC500 (F)Issue permit 10/9/98 DEB DONE DRA 10/9/98 ELCC720 Wall Cover 10/20/98 BRP PASS B'P 10/20/98 Rough in approved. ELCC800 Case Fineled 10/23/98 BRP PASS J *H 10/23/98 • Page 1 of 1 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ,-%) -P /6/4- Date Requested /643/7/ AM PM BLD Location / 7 5z,J Seliu.Dl& PL u, Suite /2 MEC Contact Person / `f-i? Ph —a, -2-G O 6 PLM Contractor C A Le.r ‘- c , Ph SWR BUILDING Tenant/Owner ELC ?Ifr6 /4 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 l 11 4 47s� 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 ELECTRICAL Service Rough In UG /Slab Low Voltage Fir Alarm S PAS PART FAIL STTE BackfilUGrading 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 /OZ Inspector L4 A ./ Ext %( Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.