Permit CITY OF TIGARD ELFiFICALPERMIT
PERMIT #: CAL PERMIT 8
[► lr, DEVELOPMENT SERVICES DATE ISSUED: 6/5/00
--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DA -00300
SITE ADDRESS: 15230 SW SEQUOIA PKWY 120
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of four branch circuits. Job No. 8538.
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: 3 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 ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 55 SE MAIN
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Phone: 233 -2006
Reg #: LIC 00044569
SUP 2808S
ELE 26-451C
FEES Required Inspections
Type By Date Amount Receipt
Ceiling Cover
PRMT GEO 6/5/00 $53.55 0002691 Wall Cover
5PCT GEO 6/5/00 $4.28 0002691 Elect'I Service e t ��
Elect'l Final
Total $57.83
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 PI
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 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 O
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
BUP - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback - Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing I Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing -4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils -
Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
- Water service
SIT - Site Permit Sanitary sewer
J Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils J Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
A CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00268
°01I& DEVELOPMENT SERVICES DATE ISSUED: 06/05/2000
r �' II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 12 DA -00300
SITE ADDRESS: 15230 SW SEQUOIA PKWY 120
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of four branch circuits. Job No. 8538.
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: 3 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 ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 55 SE MAIN
PORTLAND, OR 97224 PORTLAND, OR 97214
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 $53.55 0002691 Elect'I Final
5PCT GEO 06/05/200C $4.28 0002691
Total $57.83 ORGtNAL
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: A d /"
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: z. DATE: ( -5 - O
LICENSE NO: $d am --s
Call 639 -4175 by 7:00pm for an inspection the next business day
, f
pity of Tigard -
Electrical Permit AppliciiMEIVED Plan C ectc
13125 SW HALL BLVD. Recd y
TIGARD OR 97223 MAY 1 8 p 20019 �p Date to P.E. Date Rec'd 5- / $moo
Phone (503) 639 -4171, x304 • Date to DST -
Inspection (503) 639 -4175 Print of Type COMMUNITY OEVELOPd7011 Permit # 844 -Arabs
Fax (503) 598 -1960 Incomplete or illegible win not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development • n- Number of Inspections per permit allowed
Name (or name of business) Spec Space Service included: items Cost Sum I
Address 15230 S.W. Sequoia Pkwy It 4a. Residential - per unit i
1000 sq. ft. or less $ 117.75 4
City/State/Zip Tigard Each additional 500 sq. ft. or
portion thereof $ 26.05 1
Commercial ® Residential ❑ 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 $ 85.50 2
401 amps to 600 amps $ 128.50 _ 2
City Portland State nR 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. 8538 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 $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of $U f. Elec 'n 401 amps to 600 amps $ 107.00 2
g p �� Over 600 amps to 1000 volts.
• see "b" above.
License No. 2808S Exp.Date 10 - -
4d. Branch Circuits
Phone No. gill 2113 - 2006 New. alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit $ 5.35 2
Address • b) The fee for branch circuits
without purchase of service
City State Zip _ or feeder fee.
Phone No. First branch circuit 1 $ 37.50 37.50
Each additional branch circuit 3 $ 5.35 16.05
The installation is being made on property I own which is not ae. Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle $ 42.75
Owners 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) $
OP aX)
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Per inspection _ $ 50.00
Service and feeder 225 amps or mo 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:
Sa. Enter total of above fees S 53.55
* Submit 2 sets of plans with application where any of the above apply. 907044 Surcharge i 5 X total lees) $ 428
Not required for temporary construction services. Subtotal t Off S
Sb. 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 $ 57.83
is\dsls\I rnts4;lcctric.duc
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location l� Z 3 5 w Je a! , ?' .' y Suite / MEC
Contact Person &'c /(..e Ph ,237- 2 a 6 PLM
Contractor 71 ` Ert-- Ph SWR
BUILDING Tenant/Owner ELC .2CGi' — GO o 't ( Y
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 �fJ
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
(LECTRICA
- Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
OM"
PART FAIL
S
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 7 7 61-0 Inspector xt
Final
PASS PART FAIL DO NO 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
� /�,�1 BUP
(,
Date Requested ( I / (_,v AM PM BLD
Location 1 S23 a l.(,) ) -- rl Suite 1 D.C) MEC
Contact Person l p /
Ph �7 Z /-07AZ3 PLM
Contractor Ph SWR
p
BUILDING Tenant/Owner i A- C ,�f � /�/ ELC 2€ - CO 2(
Retaining Wall Q 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 1 ' ` J /
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
�CTRICAZ�_
Service
- oug
I ab
Low Voltage
Fire Alarm
Fin
ART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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 6/ Approach /Sidewalk Date Inspector Ext
Other
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
/�ri BUP •
Date Requested c' ( 1 / AM PM BLD
x
Location [ S Z 0 4 uz 1 r Suite MEC
Contact Person Ph q 37—o2Z3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 0 -60
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
<tECTRICA�'
Service
UG //S b
Low Voltage
Fire Alarm
F• . ,.
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 r inspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date !.3 Inspector Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.