Permit CITY OF TIGARD ELECTRICAL PERMIT
- J , _
� L . m i �; i � DEVELOPMENT o SERVICES PERMIT #: ELCO98�03628
PARCEL: 2S112DA-01400
SITE ADDRESS...:1535O SW SEQUOIA PKWY #190
SUBDIVISION •PP1996 -048 ZONING:I —P
BLOCK • LOT •002 JURISDICTION: TIG
Project Description: Western Data Science
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 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
WESTERN DATA SCIENCES type amount by date recpt
15350 SW SEQUOIA PKWY, SUITE 190 PRMT $ 40.00 JSD 07/01/98 98- 306998
TIGARD OR 97224 SPCT $ 2.00 JSD 07/01/98 98- 306998
Phone #:
Contractor:
BACHOFNER ELECTRIC INC $ 42.00 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'l Service
Phone #: 233 -2006 Wall Cover Elect'l Final
Reg #..: 044569
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 a proved plans. This permit will expire if work is of started within 180
days of issuance, or if work is suspended for more than 1 ays TTENTION: Oregon law requires you , foll the rules adopted by
the Oregon Utility Notification Center. Those rules are sit orth ' OAR 9521 -0010 through OAS '1- 987. You may obtain a copy
of these rules or direct questions to OUNC by 1 ng (503) 4r1
Permittee Signature: Issued By: I'
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
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
1
CITY OF TIGARD Electrical Permit Apptill lion Plan Check �-
13125 SW HALL BLVD. DatedRec'd il
TIGARD OR 97223 JUL - 1 1998 Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print Ol��p�lITY DEVELOPMENT Permit # fit - ? - 03 6
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Western Data Scienc Number of Inspections per permit allowed
Name (or name of business) R lag 2 41 Service included: Items Cost Sum
I
Address 15350 SW Sequoia Pkwy Ste 190 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip Par 1 fl r P 94224 Each additional 500 sq. ft. or
Commercial Q Residential El 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 of all current licenses) 4b. Services or Feeders
Electrical Contractor Bachofner Electric, Tnc _ Installation, alteration, or relocation
200 amps or less $60.00 2
Address 55 S.E. Ma i n 201 amps to 400 amps $80.00 2
City Port 1 a nc9 State _ore Zip 9 7214 401 amps to 600 amps $120.00 2
Phone No._ 71 3 - 20 0 6 601 amps to 1000 amps $160.00 2
Job No. Over 1000 amps or volts $340.00 2
6 9 8 0 Reconnect only $50.00 2
Elec. Cont. Lice. No. Exp.Date 1 0 -1 - 9 5
OR State CCB Reg. No. 4 Exp.Date 3 / 6 /0 0 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of Supr. Elec n �� 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 280 8 5 Exp.Date 1 0/ 98 see „b„ above.
Phone NC, 231 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 circ $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee. 3 5 . 0 0
First branch circuit 1 $35.00 2
The installation is being made on property I own which is not Each additional branch circuit 1 $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 $ 40 00
5% Surcharge (.05 X total fees) $ 2 50
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 CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD) F 80 DAYS AT Y
TIME AFTER WORK IS COMMENCED. ! 9 , � (t` g ❑ Trust Account # d L
"� 1 t� Total balance Due $
I:1DST5 \ELC96.APP Rev 9/96
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0362
WESTERN DATA SCIENCES
15350 SW SEQUOIA PKWY Unit: 190
09/02/98
Action Description Req/ Schd/ End/ Action Notes • Disp By Update Upd
Code Sent Done Done Date By
---- --- - ---- - -- - --
ELCC001 Application received / / / / 07/01/98 PASS JSD 07/01/98 JSD
ELCC003 Permit created / / / / 07/01/98 PASS JSD 07/01/98 JSD
ELCC500 (F)Issue permit / / / / 07/01/98 PASS JSD 07/01/98 JSD
ELCC700 Ceiling Cover / / / / 07/02/98 PASS CD 07/02/98 CD
ELCC720 Wall Cover / / / / 07/02/98 PASS CD 07/02/98 CD
ELCC799 Elect'1 Final / / / / 07/16/98 PASS CD 07/16/98 CD
ELCC800 Case Finaled / / / / 07/16/98 PASS CD 07/16/98 J *H