Permit CITY OFTIGARD
. �'n 'r?� �yR � pv, d, DEVELOPMENT SERVICES ELECTRICAL PERMIT —
1i RESTRICTED ENERGY
PERMIT #: ELR98 -0172
1 DATE ISSUED: 07/07/98
PARCEL: 25112DA -01400
SITE ADDRESS...:1535O SW SEQUOIA PKWY #190
SUBDIVISION •PP1996 -048 ZONING:I —P
BLOCK • LOT •002 JURISDICTN: TIG
Project Description : Installation of limited energy panel. T *au?
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM BOILER • LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM.. :X NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
PACTRUST type amount by date recpt
15115 SW SEQUOIA PKWY, SUITE 200 PRMT $ 40.00 DEB 07/07/98 98-307124
TIGARD OR 97223 5PCT $ 2.00 DEB 07/07/98 98- 307124
Phone #:
Contractor:
BACHOFNER DATACOM INC $ 42.00 TOTAL
55SE MAIN ST
REQUIRED INSPECTIONS
PORTLAND OR 97214 -3346 Ceiling Cover Low Voltage Insp
Phone #: 233 -7873 Wall Cover Elect'l Final
Reg #..: 011197
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 rule adopted by the
Oregon lltilit • •cation Center. Those rules are set forth in OAR 952-601 -0010 through OAR 952- 001 -0880. You may obtain copies of
these rules r direct uestions to OUNC at (503)246 -1987.
Issued (2D-42—inkAkt
Permittee Signature
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:
CONTRAC R INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : DATE: 7 7 —r'
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
r L
• Community Development ELECTRICAL PERMIT APPLICATION . •
jilli „ 13125 SW Hall Blvd. '
Tigard, OR 97223 RECEIVED Planck/Rec. #
Permit # azg ?S - '7a
' "`$'u�'1 Phone (503) 639- 4171UL •
- 7 1999 D ate Iss -7
' -
FAX 684,729 Issued by (-0-e-4:2 CITY OF TIGARD TDD No. (503) 684473 TTY DEVELOPMENT
Inspection (503) 639 -4175 .
1. Job Address: 4. ,Complete Fee Schedule Below:
Name of Development Western DAta Number of Inspections per permit allowed
Address 15350 SW Sequoia Pkwy Ste 190 Serviceinduded: Items Cost(ea) Sum
City/State/Zip Tigard, Oregon 9 7 2 2,4 4a: Residential - per unit 4
1030 sq. K or less 1110.00
each ackNional sq.
Name (or name of business) WEStern Data 600 ft. « 125.00 1
Commercial IBC Residential ❑ ` MOd Energy /25.O3 ' Eerh Manird Home or Modular 2
Nairnp service or Feeder 168.00
2a. Contractor installation only : 4b. des or Feeders
Installation. alteration, or relocation 2
Electrical Contractor Bachofner Datacom, Tnc. 2oo amps orless 160.00 2
Address 55 SE main 201 amps to 400 amps $80.00 2 -
City Portland State cm Zip 9 7 91 4 '01�PB1O600erip� 12000 2
601 amps fo 1000 amps $180.00 2 -
Phone No. 503-233-7873 Over 1000anrps or volts $340.00 2
Contractor's License No. 26- 953CLE • Re00nnectOfly $5e.03
Contractor's Board Reg. No. 1 1 1 9 8 ' 4c. Temporary Services or Feeders
. Installation, alteration, or relocation 2
Signature of Su pr. Elec' 200 amps or less 150.00 2
License No. 8 0 Phone N ;/ - t 201 to 400 amps $75.00 2
-
I 401 anps to 600 amps 1100.00
Over 600 amps to 1000 volts
2b. For owner installations: see le abO1e.
4d. Branch Circuits
• Print Owner's Name New, aleraton or extension per parcel
Address a) The fee for branch circuits with 2
City State Zip Ivor in. or Ardor 1e.. 15.00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is P a ma** or *eerier low 2
not intended for sale, lease or rent. Fret branch circuit $35.00
Each additional branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section•.(if required): Each p "` on circle 140.00 2
Each sign or mane fighting 140.00 •
Signal Marks) or a knifed energy 2
Please check appropriate item and enter fee in section 5B. . panel, alteration or extension 1 $40.00 4 0. 0 0
4 or more residential units in one structure IAnor labels (10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as descn'bed in N.E.C. Chapter 5 Per impaction $35.00
Per hour $55.00
-
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Sa. Enter total of above fees $ 4 0. 0 0
5% Surcharge (.05 X total fees) $ 2.00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 42,00
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account 4 . $
Balance Due $ 12. 01)
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0172
PACTRUST
15350 SW SEQUOIA PKWY Unit: 190
09/02/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- -- - - - - -- - --
ELRC001 Application Received / / / / 07/07/98 MAIL DEB 07/07/98 DRA
ELRC003 Permit Created / / / / 07/07/98 DONE DEB 07/07/98 DRA
ELRC500 (F) Issue permit / / / / 07/07/98 DONE DEB 07/07/98 DRA
ELRC725 Low Voltage Inspection / / / / 07/17/98 PASS CD 07/22/98 J *H
ELRC799 Elect'1 Final / / / / 07/17/98 PASS CD 07/17/98 CD
ELRC800 Case finaled / / / / 07/22/98 PASS CD 07/22/98 J *H
•