Permit 1 PERMIT
CITY OF T PERMIT #A -0408
r
^ ,�i�i DEVELOPMENT SERVICES DATE ISSUED: 07/21/98 -4171
PARCEL: 2S112DA -01400
SITE ADDRESS...:1535O SW SEQUOIA PKWY #300
SUBDIVISION •PP1996 -048 ZONING:I —P
BLOCK • LOT -002 JURISDICTION: TIG
Pro .j ect Description : Installation of 5 branch circuits. Job No. 7030.
- -- 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/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 4 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 ASSOC. type amount by date recpt
15115 SW SEQUOIA PARKWAY PRMT $ 55.00 DEB 07/21/98 98- 307511
TIGARD OR 97224 5PCT $ 2.75 DEB 07/21/98 98- 307511
Phone #:
Contractor:
BACHOFNER ELECTRIC INC $ 57.75 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'l Service
Phone #: 233 -2006 Wall Cover Elect'l Final
Reg #..: 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 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu h OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling 503)246 -1987.
Permittee Signature: 4,41JAILIVi, Issued By: &__ . a61 11 / 41-14 -1 (
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 : ,,,01,Q1) ,4 e."...) r 4 _ DATE: 7,A1.-
LICENSE NO: d
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r Rec'd CIT?�OF TIGARD Electrical Permit AppliSio�
i :y l I
13125 SW HALL BLVD. �17
Date Rec'd 7",__ fit'
TIGARD OR 97223 P � -Q JU 2 199E Date to P.E.
Phone (503) 639 -4171, x304 bl Date to DST ^-
Inspection (503) 639 -4175 01 Print or T yp e cri a ITY DEVRLW Ei tl Permit # E'GC9d - OHO$
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) Pac Trust Service included: Items Cost Sum
I
Address 1 5350 SW Sequoia Pkwy Ste 300 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip Tigard, Or 9727 4 Each additional 500 sq. ft. or
Commercial ® Residential ❑ 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
B achofner Electric In
Electrical Contractor I n c Installation, alteration, or relocation 200 amps or less $60.00 2
Address 5 5 SF Main Port - 1 and 201 amps to 400 amps $80.00 2
City Porn anri State Ore Zip 97214 401 ampsto600amps $120.00 2
Phone No. 233-2006 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
7O0 Reconnect only $50.00 2
Elec. Cont. Lice. o.? 6- 4 51 c Exp.Date 1 0/ 1/ 9 8
OR State CCB Reg. No. 4 4 5 F 9 Exp.Date 'I / 6 / 0 0 4c. Temporary Services or Feeders
COT Business Tax or Metro No. - p.Date Installation, alteration, or relocation
� 200 amps or less $50.00 2
Signature of Supr. Elec' A. ��, 201 amps to 400 amps $75.00 2
' - 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 2 R O f3 A Exp.Date 1 0/ 1/ 98 see "b" above.
Phone Nr 2'33-201)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 circ $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 1 $35.00 35.00 2
The installation is being made on property I own which is not Each additional branch circuit 4 $5.00 20.00 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 $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. S. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ 5 5 00
5% Surcharge (.05 X total fees) $ 2.75
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 57.75
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $
1: \OSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G BUP
5/0855 Date Requested ?' Co - 9 0 AM PM BLD
Location /5 350 3(A) P Suite 300 MEC
Contact Person erson C_.ac.h apIQit_ (t Ph f 3 - 3'5 oZO()& PLM
Contractor Ph airu tCU SWR
BUILDING Tenant/Owner 1Gt._C J1,,t4A,t 40 C a - 0 ( 108
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
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
EC� CTRICAL
Service
r Rough In)(.,E(L.(J.'
UG /Slab
Low Voltage
• - • larm
PART FAIL
- E
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 / O tther Date ' lP Inspector (2 Ext
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
BUP
Date Requested —�� /I AM PM BLD
Location /350 3W Jfl t L Suite ann MEC
Contact Person /
/1, / j ' Ph / PLM
_
Contractor ; Ph ? b
33 -0-00 SWR
BUILDING Tena Owner 41-c_ 75T 02
Retaining Wall / � —0/'7/
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation �r
Drywall Nailing C L l" /� FP D ( �(o ? - ff'S S
Firewall
Fire Sprinkler / ,,,
Fire Alarm 9? � / //! „IA Ze-J
Susp'd Ceiling E 7 :l - of 7/ s'
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
PAS T FAIL
ECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire
F'
• • RT FAIL
Bad g
Sanitary r
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch asin
Fire .• • ne [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
AD
Approach/Sidewalk
Other Date Inspector 47 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour spectio 639 -4175 Business Phone: 639 -4171
N a
Date Requested: A.M. P.M. MST:
Location: T P _ ‘ i' BUP:
Tenant: 42 Mr Suite: c l Bldg: MEC:
Contractor: A i 1 !, .L ;.,,Gi , Phone: -33 76773 PLM:
Owner: Phone: ELC: — I ° k
ELR: / - 7
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling 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 proved Not Approved
FINAL FINAL FINAL FINAL
,....,,, d...._ „A' ,„ Air I 4 --1 ‘ milL -. 44 - ' - /
�i : _ ANIIIMIllr/ ',
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: (:-.Z../7..e.,,--/-e- Date: S' " 7 - .Y Page of