Permit 1
' CITY OF T ELECTRICAL PERMIT
�a0 DEVELOPMENT SERVICES PERMIT #: ELC98 -0255
a \ - �Iil DATE ISSUED: 05/13/98
. =_.w- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 2S112DA -00800
SITE ADDRESS...:15115 SW SEQUOIA PKWY #200
SUBDIVISION • ZONING:I —P
BLOCK • LOT • JURISDICTION: TIG
Pro.j ect Description : NN Evaluation Assoc. Job 06858
- -- 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/O SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 5 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
15115 SW SEQUOIA PARKWAY PRMT $ 60.00 JSD 05/13/98 98- 305711
SUITE 200 5PCT $ 3.00 JSD 05/13/98 98- 305711
TIGARD OR 97224
Phone #:
Contractor:
BACHOFNER ELECTRIC INC $ 63.00 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'1 Service
Phone #: 233 -2006 Wall Cover Elect'1 Final
Reg it..: 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 proved p ans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 1
8: 7
ays. A ION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those ru s are s orth in R 952- 001 -0010 through OAR ' l 1987. You may obtain a copy
of these rules or direct questions to OUNC by .f : g (% ) 46 -1987.
Permittee Signature 40111 Issued : •-41*
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
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
C 4
ITY OF TIGARD ElectREgf KRrnit Application Plan Check
13125 SW HALL BLVD. Rec'
TIGARD OR 97223 MAY ? 1999 Date Recd 0 5 7 vSrl
Phone (503) 639 -4171, x304 Date to P.E.
��� ����'� �r ` 'y Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # EL-6 y-
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development N _ W _ 'Eva 1 na i- i nn A cgnr Number of Inspections per permit allowed
Name (or name of business) H • L . Green Service included: Items Cost Sum
Address 15115 S _ W _ SPr i a Pkwy StP 200 4a. Residential - per unit
I City Tigard , Ore 9 7 2 2 4 1000 sq. ft. or less $110.00 4
-
tY P Each additional 500 sq. ft. or
VUInnlei GiaUL r r�c�wcrnrarg--.r 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 B a c ho f n e r Electr ,Inc . Installation, alteration, or relocation
Address 200 amps or less $60.00 2
ddress 5 5 S . E E. Main
201 amps to 400 amps $80.00 2
City Portland State Or P Zip 9 4 401 ampsto600amps $120.00 2
Phone No. 2 3 3 - 2 0 0 6 601 amps to 1000 amps $180.00 2
Over 1000 amps or volts $340.00 2
Job No. 6 f3 5 R Reconnect only $50.00 2
Elec. Cont. Lice. No. 2 6 451C Exp.Date 10/1/98
OR State CCB Reg. No. 44 569 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 2 8 0 0 S Exp ate 1 0 / 9R 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 $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 25 _ 0 0 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: - 60.00
Not required for temporary construction services. 5a. Enter total of above fees $ 3.00
5% Surcharge (.05 X total fees) $
NOT ICE Subtotal $ 6 3.0 0
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
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 63.00
��11 �j Total balance Due $
C
1:1DSTS \ELC96.APP Rev 9/96 A llti- \''
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0255
PACIFIC REALTY ASSOCIATES
• 15115 SW SEQUOIA PKWY Unit: 200
07/24/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- -- - -- --- ---
ELCC001 Application received / / / / 05/13/98 USPS JSD 05/13/98 CTR
f3LCC003 Permit created / / / / 05/13/98 PASS JSD 05/13/98 JSD
ELCC500 (F)Issue permit / / / / 05/13/98 PASS JSD 05/13/98 JSD
ELCC700 Ceiling Cover / / / / 06/10/98 28 drop -in flourecent fixtures PASS CD 06/10/98 CD
ELCC720 Wall Cover / / / / 05/26/98 PASS CD 05/26/98 CD
ELCC799 Elect'1 Final / / / / 06/24/98 PASS CD 06/24/98 CD
ELCC800 Case Finaled / / / / 06/25/98 PASS CD 06/25/98 J *H
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
3 ~
Date Requested: ' -x-10 - 9 A.M. P.M. MST:
Location: 15 1 5 /2...11.4-1.a •Piacett--) BUP:
YY
Tenant: Iv 1V EVA-L 477010 4 SSOC. Suite: 0 2.TD Bldg: MEC:
Contractor: u E > < .4 . f A Phone: . uto../ PLM:
Owner: I Phone: Q 3 3- .:Z Co 6 ELC: Z ,Y--0025'
Jri.Qe_ • L4 = 12_,1.1L .A_..4 ..% `/. _ '_,��. ELR:
O , , , Q' c , 1 _ , f
SIT:
BUILDING BLD (con't) PLUMBING di ME • CAL "4 I ;1 Cahn OP SITE
Site Post/Beam Post/Beam Post/Beam 1' Cover /' ervice Sewer /Storm
Footing Roof UndFl/Slab Rough -In eiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
.! , .. 1 'A — AP
•
f -
O Call for reinspec .. • O Re inspectio, - - of $ required before next ins Unable to inspect
Inspector: . a Date: , c - =Ry Page of
•
: o ! - 473t/
CITY OF TIGARD BUILDING INSPECTION DIVISION g-c;oes q 3 ` - 3 z
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
02 3/1555 Date Requested (4 - q AM PM BLD
Location 15 15 ` a- p Suite a-40 MEC
Contact Person ahlkt 6'(.C.Q� Ph 9-3 PLM
Contractor tal V hJPJL — ) -c, DYl Arttib SWR
BUILDING Tenant/Owner OW 1Jk . UAT Old ELC 7 ?
Retainin Wall ELR 9P- 0 / 4 /3
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
kit Sheath /Shear
Framing
Insulation Q
Drywall Nailing ! ? * 0 s r, A L
Fire wall
Fire Sprinkler 9 -- 0 / 4 /3 PASS
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL C:2)
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
P - FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
• PART FAIL
SITE
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 Dat 6 ° 2q- - `�' ,� In spec t or Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.