Loading...
Permit CITY O F TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00213 11 DEVELOPMENT SERVICES DATE ISSUED: 4/12/99 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S112DA -00300 SITE ADDRESS: 15230 SW SEQUOIA PKWY 100 SUBDIVISION: ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Add three (3) sign or outline lighting. 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: 3 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: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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: v /0 � « v � PACTRUST C 15350 SW SEQUIOA PKWY G G(5" AJE-- ,q v q TIGARD, OR 97223 09y(tO % Phone: Phone: 3G _ � 9 3 `{ 7 Reg #: FEES Required Inspections Type By Date Amount Receipt Elect'l Se Elect'I Service PRMT GEO 4/1/99 $120.00 99- 314161 5PCT GEO 4/1/99 $6.00 99- 314161 Total $126.00 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. Permit Signature: � / Issued By: OWNER INSTALLATION ONL 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 070 SIGNATURE OF SUPR. ELEC'N: J 4 f- - DATE: 99 LICENSE NO: aG i4- v Call! 639 -4175 by 7:00pm for an inspection the next business day e h w CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By 6 TIGARD OR 97223 Date Rec'd y Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # 6Gr /'f -6UR13 Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: e g T Name of Development G i KU a, / Number of Inspections per permit allowed Name (or name of business) .17'7179/2 '(--- Service included: Items Cost Sum Address 1 6 - 4 . 3 0 .5 c E U DI . 4 - Ytr1 Ci 4a. Residential - per unit / 1000 sq. ft. or less $110.00 4 City /State /Zip 126,/:/(2d-- 0 . 172- .3 Each additional 500 sq. ft. or Commercial la Residential ❑ 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) L 4b. Services or Feeders Electrical Contractor tith 1029- . t) a ile.. b e Ge7 L.[9 Installation, alteration, or relocation Address 3p /E /.t.J q 20 amps to or less - $60.00 2 , IS c 201 amps to 400 amps $80.00 2 City 1109 ✓P State Zip 1 401 amps to 600 amps $120.00 2 Phone No. .34.o - P43 - '97 7_ g 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts - $340.00 2 Reconnect only - $50.00 2 Elec. Cont. Lice. No. Exp.Date OR State CCB Reg. No. (3 7 f Exp.Date (- 'f ' 0 4c. Temporary Services or Feeders COT Business Tax or Metro No. a 7A2 g 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. ` > j 3►co Exp.Date see "b" above. Phone No. n - 3- 9?' ' 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 cir $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 2 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 $40.00 2 Each sign or outline lighting 3 $40.00 f AO. O d 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. S. Fees: Aga 0 0 Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 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 OF 180 DAYS AT ANY ❑ Trust Account # {( / �` TIME AFTER WORK IS COMMENCED. Total balance Due S I:\DSTS \ELC96.APP Rev 9/96 6/6/99 Activities for Case #: ELC1999 -00213 9:26:24 PM • Assigned Hold Updated • Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • ELCC001 Application received 4/12/99 GEO No Hold GEO 4/12/99 ELCC003 Permit created 4/12/99 GEO No Hold GEO 4/12/99 ELCC799 Elect'I Final 4/12/99 4/12/99 5/6/99 CD PASS No Hold AKJ 5/6/99 Pending lobby sign installation ELCC730 Elect'I Service 4/12/99 4/12/99 No Hold GEO 4/12/99 ELCC500 (F)Issue permit 4/12/99 GEO DONE No Hold GEO 4/12/99 ELCC799 Elect'l Final 5/10/99 5/10/99 5/10/99 PASS No Hold AKJ 5/10/99 ELCC800 Case Finaled • 5/10/99 AKJ DONE No Hold AKJ 5/10/99 • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested S 6 -91 AM FPM BLD Location / G2() 5e9 (/l/r) ! off- Suite CaD MEC Contact Person , Ph 2ttsi -plat/ PLM Contractor Ph SWR C���n BUILDING Tenant/Owner PAM-Dr) S ELC ! -�n� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notesp.1 6 7 1 Tio 1 SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing .. Insulation J o e Drywall Nailing .0' Firewall Fire Sprinkler Fire Alarm ( — :-- Roof Susp'd Ceiling 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 PAU, PART FAIL (€LE RIW Service Rough In UG /Slab Low Voltage Fi - • larm PART FAIL SI 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 / (" 9 7 Inspector D xt 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 `_ Q y BUP c Date Requested 5- & -j Z AM PM BLD Location I S7i3 iA4106L... Suite /(50 MEC Contact Person 4./32, Ph pR' -I PLM Contractor Ph SWR BUILDING Owner iikernZik ELC Retaining Wall ELR 19961-COOR Footing Access: Foundation ( d e'"- FPS Ftg Drain �/ V� X SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation ,� Drywall Nailing L�. / 9 q - d O O �(� — /`'�n/AL(-W Firewall Fire Sprinkler Fire Alarm _ p Susp'd Ceiling C C ! g ! 0l y ` N/4 E0 Roof Misc: Final ( L 99 &(3 &ova /A), 4e4 PASS PART FAIL PLUMBING S/A.J / A S /7 / /.47' /o,✓ - ✓ 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 RT FAIL LECTRI Se Rough In UG /Slab Low Voltage Fir- Alarm 410 PASS PART FAIL SITE BackfilUGrading 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 D S' G - 99 Inspector Other a-- Ext Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.