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Permit • CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98 -0738 DATE ISSUED: 1 `/ 17 / 98 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S112DA -00700 SITE ADDRESS...:15115 SW SEQUOIA PKWY #135 SUBDIVISION ZONING:I —P BLOCK LOT • JURISDICTION: TIG Pro.j ect Description : Pacific Electronic Marketing TI J0B92065 -306 - -- 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: 1 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 PACIFIC REALTY ASSOCIATES type amount by date recpt 15350 SW SEQUOIA PKWY #300 PRMT $ 40.00 JSD 12/17/98 98 -31162 PORTLAND OR 97224 SPCT $ 2.00 JSD 12/17/98 98 -31162 Phone #: Contractor: PHOENIX ELECTRIC CO $ 42.00 TOTAL 7379 SW TECH CENTER DR. REQUIRED INSPECTIONS TIGARD OR 97223 Ceiling Cover Elect'l Service Phone #: 684 -3600 Wall Cover Elect' 1 Final Reg #..: 000522 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 th- 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules -fe set forth in OAR 952 - 001- m10 through OAR 952 -001 '87. You may obta' copy of these rules or direct questions to ODUNC b call -n, (503; . -1987. Permittee Signature: /L Issued B !� 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 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ DEC -17 -98 THU 01:45 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02 . • • • CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By `- TIGARD OR 97223 Date Recd inrifafi Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639-4175 Print or Ty Permit a - ik. - o Fax (503) 684 -7297 Incomplete or illegible will not be accept caned i lit<( 1. Job Address: 4. Complete Fee Schedule Below: Name of Development ` Number of Inspections per p p permit allowed Name (or name of busines n c_. f \(i rtf' , c( - j ^ Service Included: Items Cost Sum Address \:5\ 1' n (.� t 1‘O f - 4 e x STh 13< 4a, Residential - per unit 1000 sq, tt or less $110.00 City /State/Zip •ZA � .16... - '' .16... Each additional 500 sq. It. or 4 Commercial P7 Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy • II current Ilcens.$) 4b. Services or Feeders Electrical lC it ontractor , • _ 5 r • , l a Installation, alteration, or relocation � Address S) ` _WW11, 0 • f 1, - 200 amps or less $80,00 2 201 amps to 400 amps $80.00 2 CI ----% CWT Stat� Zip ) - 401 amps to 600 amps $120.00 2 Phone N -. 1_ 0 - e0 101.4‘..A. 601 amps to 1000 amps $180.00 2 Job No. :3D'S. `.9.C' (p -'51.) -o Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. - . r1C, zp.Date Reconnect only $50.00 2 OR State CCB Reg. No. - Exp.Date 4e. 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 amp $75.00 2 401 amps to 600 amps $100.00 2 J Over 600 amps to 1000 volts, License No. G��LT _ e� E=xp.Date, see "b" above. Phone No. 2` , - �, n (1( ) 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The too for branch circuits with purchase of service or Print Owner's Name_ • feeder fee. Address Each branch circuit $5,00 2 b) The (cc for branch circuits City . State Zip without purchase of Phone No. service or feeder foe. • First branch circuit I $35.00 ' ) z 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 540.00 2 Each sign or outline lighting $40.00 2 3, Plan Review section (if required):* Signal circuits) 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 58. 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 $ w 5% Surcharge (.05 X total fees) $ l NOTICE Subtotal $ WILICI • 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 CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ' `� �� DO TIME AFTER WORK IS COMMENCED. / Trust Account # . de ,$ Total balance Due 3 qZ,--5 i 1 (0 IADSTS1ELctG.ARP Roy Wet �• 8/15/99 Activities for Case #: ELC98 -00738 4:14:13 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To • Done By Disp. Level By Updated Notes ELCC001 Application received 12/17/98 JSD FAX JSD 12/17/98 ELCC003 Permit created 12/17/98 JSD • PASS JSD 12/17/98 ELCC799 Elect'I Final .12/29/98 CD PASS CD 12/29/98 outlet for copy machine ELCC500 (F)Issue permit 12/17/98 JSD PASS JSD 12/17/98 ELCC800 Case Finaled 12/29/98 CD PASS J`H 12/30/98 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP c h- - Z Date Requested / 2 � - � � q 5[ AM PM BLD Location c// S 5W 5 HAO'h2 uit�3 S MEC Contact Person a/A/W Ph OP/3400 PLM Contractor / ` / f,L€ - Ph SWR G BUILDING Tenant/Owner ELC D "07 2 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 r f , ? ��... , . Firewall ' Fire Sprinkler Fire Alarm Susp'd Ceiling / iLC� et--4 Roof Misc: Final I 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 6TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm 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 - E: [ ] Unable to inspect - no access ADA Approach /Sidewalk i Other Date i Inspector i< _ _ _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.