Permit i CITY OF TIGARD ikk ELECTRICAL PERMIT
I�
DEVELOPMENT SERVICES " Jr 0/6/ P ERMIT #: ELC1999 -00303
DATE ISSUED: 5/24/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
® PARCEL: 2S101DC -04603
SITE ADDRESS: 07291 SW TECH CENTER DR
SUBDIVISION: s -T ZONING: I -P
BLOCK: . JL LOT : JURISDICTION: TIG
Project Description: Installation of 3 branch circuits. Job No. 5067 -274.
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: 2 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:
WATUMULL PROPERTIES CORP PHOENIX ELECTRIC CO
307 LEWERS ST #6FLR 7379 SW TECH CENTER DR.
HONOLULU, HI 96815 TIGARD, OR 97223
Phone: Phone: 684 -3600
Reg #: LIC 00052288
SUP 4140S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt Elect) Service
PRMT DRA 5/24/99 $45.00 99- 315601 Elect'l Final
5PCT DRA 5/24/99 $2.25 99- 315601
Total $47.25
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: 4 4 Issued y: I , al
• 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 f
SIGNATURE OF SUPR. ELEC'N: .fin o . C�D>.Xxo�� DATE: '5'(9
LICENSE NO: 4/ Lin
Call 639 -4175 by 7:00pm for an inspection the next business day
MAY - 24 - 99 MON 07:03 AM PHOEN14, ELECTRIC CO FAX NO. 15036843611 P. 02
. RECEI.
C ITY OF TIGARD MAY 2 4 19 1ectrical Permit Application Plan ch�k`tt� , e
13125 SW HALL BLVD. Reed E. A � . "9X
Date Recd J ` tl�V`A,Y
TIGARD OR 97223 COMMUNITY DEVELOPMENT Date to P.E.
Phone (503) 639 -4171, x304 Date to DST --'®"®
Print or Type
Inspection (503) 639 -4175 Permit # et-4./99,-00303
Fax (503) 684-7297 Called
or illegible will not be accepted Galled
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed •
Name (or name of business) Service included: Items Cost Sum
Address._t I : t. 1, R
�) t? o-' L. . t�C f 48. Residential - per unit
'�� Q \ 1000 sq. It. or less $110.00 4
City /State /z 1 \ ,ta -i∎ C . 1L (1 �i a -� Each additional 500 sq. It. or
Commercials Residential El portion thereof $25.00 1
Limited Ener $25.00
Ai. - �� v s`. u ,,�a eIL \-.1 l CI �- k,Y- 1M Each Maned Homo or Modular
°welting Service or Feeder $68.00 2
2a. Contract r i nstallation only:
(Attach copy cf all current licens s) 4b. Services or Feeders •
Electrical ractort - \\. V�� ■ L .. Installation, alteration, or relocation
� - 1 200 amps or less $60.00 2
Address t, I� �1� J V� u�
i �, � V 201 amps to 400 amps $80.00 2
City e State - r.� 7 Z i p 401 amps to 600 amps $120.00 2
Phone (e' sir " • 4 601 amps to 1000 amps 5180.00 2
.t)-0 Job No.t)-0 e -. 7 - r Over 1000 amps or volts $340.00 2
Elec. Cont. Lice, No,
W � � ( ) ( „, -.. -- Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. •'4 .5 Exp.Date 4c, Temporary Services or Feeders
COT Business Tax or Metro Nc(4 --) Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n CO c -p--'
201 amps to 400 amps $ 5.00 • 2
4 01 amps to 600 amps $100.00 2
-
Over 600 amps to 1000 volts,
License No., 4/1 , Exp.Date • soo "b" above.
Phone No. I "' a 4d. Branch Circuits
New, alteration or extension per panel
2b, For. owner installations: a) The lee for branch circuits with
purchase of service or •
Print Owner's Name feeder fee.
•
Address _ Each branch circuit $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 ^� AC, 2
The installation is being made on property I own which is not . Each additional branch circuit ,9- $5.00 P, ' ' 2
intended for sale, lease or rent 4e. Miscellaneous
(Service or !cedar 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 $40.00
panel, alteration or extension 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 335.00 -
Classified area or Structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant 355,00
-
* submit 2 sets of plans wit application where any of the above apply. 5 Fees: L v
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 53 for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if renvire,SI (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 " �C'' \,t -L/ -7 n
GU
TIME AFTER WORK IS COMMENCED. > ., Vi ,J Trust Account # r7 ��l
r} TLc �(� /4204/277 f `� Total balance Due S
"34 L suvgA s f.---r i fia.
iin,J0 -4 t... , He' 9 9 - 3/5 l
I:\DSTSIELC96.APP nev 598
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ " BUP
Date Requested &2 4 /9 AM PM BLD
Location 2 9 1 'f...e.v l 6&440L, Suite MEC
Contact Person Ph (? 'D PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC I
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam /
Ext Sheath /Shear V 6 2 ' 9 Gv T / S S[' c- cI
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall �-. O ✓ / O
Fire Sprinkler '� 7—U � ' C ( sr • f' /�� l e, aS
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
Service
Rough
UG /Slab
Low Voltage
Fire Alarm
PASS) 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 C c� C� 4
Approach/Sidewalk
Other D C – 0 a C ( Inspector �� 4 - /1 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.