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Permit y ELECTRICAL PERMIT C ITY O TIGARD PERMIT #: ELC1999 -00660 f DEVELOPMENT SERVICES DATE ISSUED: 11/03/1999 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD -01600 SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 SUBDIVISION: ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Install 15 branch circuits in existing commercial building. 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: 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: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 14 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: PACTRUST WILLAMETTE ELECTRIC INC 15350 SW SEQUOIA PKWY PO BOX 230547 #300 TIGARD, OR 97281 PORTLAND, OR 97224 Phone: Phone: 624 -3631 ORIGINAL Reg #: LIC 000750 SUP 1965S ELE 34 -283C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT KJP 11/03/199. $112.40 99- 319517 Elect'I Final 5PCT KJP 11/03/1995 $9.00 99- 319517 Total $121.40 IF 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. PERMITTEE'S SIGNATURE `771 et.t. - C) 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: DATE: CONTRACTOR INSTALLATION ONLY / SIGNATURE OF SUPR. ELEC'N: °�' G r / c DATE: < < ` 3 / 1 l LICENSE NO: /9 6 5 S Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Plan Check # 13125 SW HALL BLVD. REc Electrical Permit Application Recd By TIGARD OR 97223 . - -- Date Recd NOU / Date to P.E. Phone (503) 639 -4171, x304 �/(� Date to DST Inspection (503) 639 -4175 coMlbti. - -• - Print of Type Permit # 1. - 00 640 Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1.. Job Address: D 4. Complete Fee Schedule Below: Name of Development 1 ac 1 444 s Number of Inspections per permit allowed Name (or name of business) Co Ai irvA. 6�' Par r . Service included: Items Cost Sum Address / S'S 7 c" CJ St�U d roc / Lw 4a. Residential - per unit City /State /Zip 1,5 1 - 04. 9 7 ZZl/ f O 1000 sq. ft. or less $ 117.75 4 n Each additional 500 sq. ft. or portion thereof $ 26.75 1 • Commercial jil Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). p I Installation, alteration, or relocation Electrical Contractor 1,„))//,(1 r! `e cPuc �'"_c- 200 amps or less $ 64.25 2 201 amps to 400 amps $ 85.50 2 Address ®d A e :Z .3O q Z 401 amps to 600 amps $ 128.50 2 a City S /1- State a0"._ T Zip / 601 amps to 1000 amps $ 192.50 2 Phone No. (,) ti - SL "S / Over 1000 amps or volts $ 363.75 2 Job No. (, S A/ Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 3'( (43 L Exp.Date /0-- / -00 ` 4c. Temporary Services or Feeders • OR State CCB Reg. No. 7'577 5 9 Exp.Date & - 6 -0 / Installation, alteration, or relocation COT Business Tax or Metro No. I 5" (o E .Date s2-f -O0 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n 401 amps to 600 amps $ 100.00 2 Over 600 amps to 1000 volts, see "b" above. License No: /9e 5 xp. Date /0 - / - v/ 4d. Branch Circuits Phone No. b 7 V - S6 5 j New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owners Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder tee. ,5Q Phone No. First branch circuit / $ 37.50 S7 - mo b Each additional branch circuit /c/ $ 5.35 j y The installation is being made on property I own which is not 4e. Miscellaneous • intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owners Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy (if required):* panL alteration or extension $ 60.00 3. Plan Review section ( Minor Labels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: , o 5a. Enter total of above fees $ -8-7711.--t---4- * ubmit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ liit ! 2 I ' is \dsts \forms \electric.doc 02/17/2000 Activities for Case #: ELC1999 -00660 3:36:37 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 11/03/1999 KJP RECD No Hold KJP 11/03/1999 ELCC003 Permit created 11/03/1999 KJP DONE No Hold KJP 11/03/1999 ELCC730 Elect'I Service 11/03/1999 11/03/1999 No Hold KJP 11/03/1999 ELCC799 Elect'I Final 11/03/1999 11/03/1999 01/25/2000 BRP PASS No Hold AKJ 01/25/2000 ELCC500 (F)Issue permit 11/03/1999 KJP DONE No Hold KJP 11/03/1999 ELCA700 Rough -in 11/08/1999 11/08/1999 11/08/1999 BP PASS No Hold VT 11/08/1999 walls - pass ELCC700 Ceiling Cover 11/23/1999 11/23/1999 11/23/1999 BP PASS No Hold DGW 11/23/1999 ELCC720 Wall Cover 12/16/1999 12/16/1999 12/16/1999 BP PASS No Hold DGW 12/16/1999 Wall rough in south end Phase II ELCC700 Ceiling Cover 01/02/2000 01/02/2000 12/30/1999 BRP PASS No Hold AKJ 01/02/2000 ELCC800 Case Finaled 01/25/2000 AKJ DONE No Hold AKJ 01/25/2000 • Page 1 of 1 - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested e s / (470 AM PM BLD Location s S S ] Aide_ X O � MEC Contact Person W1 l I f60,C__ Ph 607Y-33/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC f 6 7' O0 GOO 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 Fire wall Fire Sprinkler ! l nC — Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Final Drains a Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICZO Service Rough In UG /Slab Low Voltage Fire Alarm • ASS PART FAIL SIT 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 / ,‘6----(9 Other Date Q Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.