Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00290
lit' DEVEL PMENT r SERVIICES ) 639 ORIGINAL SSUED: 5/14/99
ARC E L: 2 S 112 D D -01600
SITE ADDRESS: 15755 SW SEQUOIA PKWY
SUBDIVISION: ) 0 1 ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Add two (2) branch circuits.
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: 1 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:
BACHOFNER ELECTRIC INC
15755 SW SEQIOIA PKWY 55 SE MAIN
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone: 233 -2006
Reg #: LIC 00044569
SUP 2808S
ELE 26-451C
FEES Required Inspections
Type By Date. Amount Receipt Elect'l Service
PRMT GEO 5/14/99 $40.00 99- 315406 Elect'l Final
5PCT GEO 5/14/99 $2.00 99- 315406
Total $42.00
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 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: C !/ DATE:
LICENSE NO: 02 $ ^ —S
Call 639 -4175 by 7:00pm for an inspection the next business day
RECEIED
ommunity Development ELE PERMIT APPLICATION
r 3125 SW Hall OW.
MAY 1 1 OR 9 Planck/Rec. #
N ENT Permit # P- - c 779q .4515 '?
:�* 1,; ills UNITY DEVELOP RI (503) 639 -4'171 Date Issued
•� FAX-(503) 6847297 Issued b
CITY OF TIGARD TDD No. (503) 684 -2772 by .
Inspection (503) 639 -4175 •
1. Job Address: el. ,Complete Fee Schedule Below:
Name of Development _ Number of Inspections per permit allowed
Address 15755 SW Se pia Parksay Service included: Items Cost(ea) Sum
City/State/Zip Tigard. QR 4a. Residential • per unit 4
` 1000 eq lt. or less $110.00
Each addtixrd sot sq. It. or
Name (or name of business) R 2tlarri orthn clinic p thereof $25.00 1
- Linked Energy $
Commercial 121 Residential El ' mod, Maned Home or Hodder 2
Deering Seneca or Feeder $68.00
2a. Contractor Installation only: . • 4b. Services or Feeders
InstaiWion. alteration. or relocation 2
Electrical Contractor BadnErer Electric. Tnr. 200 amp. or bas $60.00 2
Address 55 SF Main 201 amps b 400 amps 680.00 2
401 amps to 600 amps $120.00 2
City Rrt ar d State rp Zip a7214 601 enpap loot amps $180.00 2
Phone No. (50"x) 733_7(lr)ti Cher 1000emps or woks
> x.00 2
Contractor's license No. 26 -451C • Reamed only
Contractor's Board Reg. No. 44569 4c. Temporary Services or Feeders
Installation, alteration. or relocation 2
Signature of Supr. Elec'; _ -! 200 arnps « $50.00 2
201 amps to 400 amps $75.00 2
License No. 230SS Phone No. AA. - I 401 arts b 600 amps $100.00
Over 600 amps b 1000 volts
2b. For owner installations: sae If above.
4d. Branch Circuits
Print Owner's Name New. alterationor extension per panel
Address • a) The Me for brand, aranita troth
peach oo of sonic. or A.d r Ne. 2
City State Zip Each branch circuit $s.00 .
Phone No. b) The lee for branch circuits ve'thoof
The installation is being made on property I own which is p" choso of service or Moder $'em Fa 2
First brandy circuit $35.00 $35.00 2
not intended for sale, lease or rent. Each additional branch circuit ÷ $5.00 $ nn
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section .{if requi red): Each comp It irrigation circle 1:40.00 2
Each sign or outing rehtaq $40.00 2
Sinai clank(s) or. kneed energy
Please check appropriate Item and enter fee M section 5B. pant attention or.,aension $40.00
4 or more residential units in one structure Armor Labels (10) $100.00
Service and feeder 225 amps or more
System over sot volts nominal i ch 4f. Each additional Inspection over
cv
Classified area or structure containing special oopancy the allowable itd in any of the above
as described in N.E.C. Chapter 5 Per
Per hour 155.00
-
In Plana $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services.. 5. Fees:
5a. Enter total of above fees $ 4 • NOTICE 5% Surdmrge (.05 X total sees) $ _.?...�---
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sue 25% s
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5b. Enter 25% of lone 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 a $
Balance Due $ 42.00
7/2/99 - Activities for Case #: ELC1999 -00290
2:35:59 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 5/14/99 GEO MAIL No Hold GEO 5/14/99
ELCC003 Permit created 5/14/99 GEO DONE No Hold GEO 5/14/99
ELCC730 Elect'I Service 5/14/99 5/14/99 No Hold GEO 5/14/99
ELCC799 Elect'I Final 5/14/99 5/14/99 6/14/99 BRP PASS No Hold AKJ 6/14/99
ELCC500 (F)Issue permit 5/14199 GEO DONE . No Hold GEO 5/14/99
ELCC720 Wall Cover 5/31/99 5/31/99 5/28/99 CD PASS No Hold AKJ 5/31/99
ELCC700 Ceiling Cover 6/4/99 6/4/99 6/4/99 CD PASS No Hold CD 6/4/99
ELCC800 Case Finaled 6/14/99 AKJ DONE No Hold AKJ 6/14/99
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Page of 1. •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
//-- BUP
(o
Date Requested / -/' q AM PM BLD
Location l 'S'7 S S 541141 Suite (01 MEC
Contact Person SIA Say) Ph q 37 2 PLM
Contractor Ph �,I,, SWR
BUILDING Owner e(�I ivu !fit op 4 L,0 ELC ( ?6)
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 •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final !—i " q / -
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
PASS PART FAIL
ECTRI
Service
Rough In
UG /Slab
4/
Low Voltage
Fire Alarm
PART FAIL
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 Date Inspector 1 2.A Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.