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Permit CITY OF TI GA R D ELECTRICAL PERMIT • , 1 DEVELOPMENT SERVICES PERMIT #: ELC98 -0472 .,c, -�` ; 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: ¢�8 / 1 O / 98 PARCEL: 25112DD -01600 SITE ADDRESS...:15575 SW SEQUOIA PKWY #180 SUBDIVISION • ZONING:I —P BLOCK • LOT JURISDICTION: TIG Proj ect Descri pt ion : Addition of branch circuits to commercial tenant. Job No. 7076. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 500SF...: 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: 8 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 BACHOFNER ELECTRIC, INC type amount by date recpt 55 SE MAIN PRMT $ 75.00 DLH 08/10/98 98- 30814E PORTLAND OR 97224 5PCT $ 3.75 DLH 08/10/98 98- 308142 Phone #: Contractor: BACHOFNER ELECTRIC INC $ 78.75 TOTAL 55 SE MAIN REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Cover Elect'1 Service Phone #: 233 -2006 Wall Cover Elect'1 Final Reg #..: 000445 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 approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 1: days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0014010 through OAR 952 -001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Permittee Signature: /9'9/L --EZ. 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: N/9 DATE: CONTRACTOR INSTALLATION ONLY 0/ SIGNATURE OF SUPR. ELEC' N : O ' � e4 /� DATE : LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ • CITY , TIGARD Electrical Perms jAppl ication Plan Check # 13125 SW HALL BLVD. Rec'd By .D l47 TIGARD OR 97223 AUG 10 1998 Date Rec'd �� /0 / Phone (503) 639-4171, Date to P.E. ( ) , x304 _`' Date to DST Inspection (503) 639 -4175 P � u �l\, ,N� K, II`7� L e ELOPMENT Permit # EL ?�' 4‘../ 7.2_ Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) CommercPPath Service included: Items Cost Sum Address 1 5575 SW Sequoia Prkwy Ste 1 80 4a. Residential - per unit • 1000 sq. ft. or less $110.00 4 City /State /Zip Portland Ore 97224 Each additional 500 sq. ft. or Commercial ® Residential ❑ Li 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 Elect•ri c` Tnc- _ I alteration, or relocation r 200 amps or less $60.00 2 Address 55 SE Main 201 amps to 400 amps $80.00 2 City P rt ld State Or Zip 9 7 2 2 4 401 amps to 600 amps $120.00 2 Phone No. 2 3 3 - 7 O f) 6 601 amps to 1000 amps $180.00 2 Job No. 710 7 6 Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 26- 4 51 r. Exp.Date 1 t) / 1/cm OR State CCB Reg. No. 4 4 5 6 9 , Exp.Date 3 / 6 / 0 0 1/ 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No Exp.Date see "b" above. Phone No 233 -2006 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 - City State Zip b) The fee for branch circuits ty p without purchase of Phone No. service or feeder fee. First branch circuit $35.00 3 5. 0 0 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 4 () _ () () 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: 75.00 Not required for temporary construction services. 5a. Enter total of above fees $ - 7 5 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 , TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ 7 8 . 7 5 Total balance Due 1: \DSTS\ELC96.APP Rev 9/96 Eze_ % 'P - O /- 7 2/22/00 Activities for Case #: ELC98 -00472 4:48:55 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 APPlication received 8/10/98 DLH RECD DLH 8/10/98 ELCC003 Permit created 8/10/98 DLH DONE DLH 8/10/98 ELCC500 (F)Issue permit 8/10/98 DLH DONE DLH 8/10/98 ELCC720 Wall Cover 8/12/98 CD PASS CD 8/12/98 wall cover only. ELCC799 Electi Final 9/8/98 CD PASS CD 9/8/98 office pertions only ELCC800 Case Finaled • 9/9/98 CD PASS J'H 9/9/98 • Page 1 of 1 Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0472 BACHOFNER ELECTRIC, INC 15575 SW SEQUOIA PKWY Unit: 180 01/20/99 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd . Code Sent Done Done Date By ELCC001 Application received / / / / 08/10/98 RECD DLH 08/10/98 DLH ELCC003 Permit created / / / / 08/10/98 DONE DLH 08/10/98 DLH ELCC500 (F)Issue permit / / / / 08/10/98 DONE DLH 08/10/98 DLH ELCC720 Wall Cover / / / / 08/12/98 wall cover only. PASS CD 08/12/98 CD ELCC799 Elect'l Final / / / / 09/08/98 office pertions only PASS CD 09/08/98 CD ELCC800 Case Finaled / / / / 09/09/98 PASS CD X 09/09/98 J *H 7/27/99 Activities for Case #: ELC98 -00472 5:17:24 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 8/10/98 DLH RECD DLH 8/10/98 ELCC003 Permit created 8/10/98 DLH DONE DLH 8/10/98 ELCC500 (F)Issue permit . 8/10/98 DLH DONE DLH 8/10/98 ELCC720 Wall Cover 8/12/98 CD PASS CD 8/12/98 wall cover only. ELCC799 Elect'l Final 9/8/98 CD PASS CD 9/8/98 office pertions only ELCC800 Case Finaled 9/9/98 CD PASS J'H 9/9/98 • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP /// 337oate Requested f — q/ AM PM BLD Loca ion !' • _.��� . _ it i _ , Suite / b U MEC Contact Person Ph PLM Contractor j vtkiehOPL&L Q R 57-- Ph ..3,3—,9 SWR /�(� BUILDING Ten Owner ' '8 Z 7 7'' 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 -GiZ �,r ' — 1 . 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 r = FAIL Service Rough In UG /Slab Low Voltage Fir- 4115Mi- • ' SS 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 /� Inspector D / — g - % ' It Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.