Permit CITY OF T ELECTRICAL PERMIT
4 lli'
4, DEVELOPMENT SERVICES PERMIT #: ELC98 -0697
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 1 1 /23/ 98
PARCEL: 29101DC -03900
SITE ADDRESS.. °:07150 SW SANDBURG ST
SUBDIVISION -SALEM FREEWAY SUBDIVISION ZONING:C —P
BLOCK LOT °004 JURISDICTION: TIG
Project Description: Add thirty (30) branch circuits.
- -- 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: 29 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
PROGRESSIVE INSANKROM MOISAN A type amount by date recpt
7150 SW SANDBURG PRMT $ 180.00 GEO 11/23/98 98- 311017
TIGARD OR 97223 5PCT $ 9.00 GEO 11/23/98 98- 311017
Phone #:
Contractor:
BACHOFNER ELECTRIC INC $ 189.00 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'l Service
Phone #: 233 -2006 Wall Cover Elect'l 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 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 through OAR 952 -031 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee 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: DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++
Community Development ELECTRICAL PERMIT APPLICATION
-.1 A .,
• 13125 SW Hall Blvd.
Tigard, OR 97 Planck/Rec. #
Permit # be--C F -(56. f 7--- .
" ` ` . 11 IA la I Phone (503) 639-4171 Date Issued
FAX.(503) 684 -7297 n, . Issued by
CITY OF TIGARD TDD No. (503) 684 -2772 .
Inspection (503) 639 -4175
1. Job Address: 01. ,Complete Fee Schedule Below:
Progressive Ins
Name of Development Number of Inspections per permit allowed
Address 7150 SW Sandburg Rd Service included: Items Cost(ea) Sum
City/State/Zip Tigard Ore , 4a Residential - per unit 4
1000 eq n. o less $110.00
Name (or name of business) Progressive Ins sq. ft. Of
portion Mead $25 00 1
Commercial ® Residential ❑ Limited En°r�' $25.00
' Each Menurd Home or Modular 2
Meeting Service or Feeder $68 00
2a. Contractor Installation only: • 4b. Services or Feeders
Installation, alteration. or relocation 2
Electrical Contractor Bachofner Electric, Ins 200 amps or less $6000 2
-
Address 55 SE Main P n r t land 201 apps to 400 amps $80.00 2 - 401 amps lo 600 amps $12000
City Portland State Or Zip 97214 601 amps to 1000 amps $180.00 2
-
Phone No. 2 3 3 - 2 0 n 6 over 1000 amps or volts 1340.00 2
Contractor's License No. 26-451C Reconnect °r� $50.00
Contractor's Board Reg. No. 44,-: • 4c. Temporary Services or Feeders
Installation, alteration. or relocation 2
Signature of Supra EIec'oj, 200 � a 400 amps $ 0 0 2
License No. 2 8 0 8S Phone No. ../"- 20 0 6 I 401 amps to e00 amps $100 00
Over 603 amps to 1000 volts
2b. For owner installations: see le aham
4d. Branch Circuits
. Print Owner's Name New. alteration or extension per panel
Address a) The lee for breach cir"'rts with 2
purchase o/ service or Mader Ma.
City State Zip Each branch arwd $5 00
Phone No. b) The lee for branch circuits without
The installation is being made on t. ro I own which is p ase viGe of fader Me ' 2
not intended for sale, lease or rent. Feat b'an'd's`a'd 1 $35.00 35.00 2
e
Each additional branch anvil 7 A $5.00 '1 4 5 . 0 (}
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section .{if required): Eadt pump " irrigation circle $40.00 2
Each sign or autism fighting $40.00
Signal citult(s) or a hurled energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00
4 or more residential units in one structure Minor Labels (10) $133.00
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $3500 - Per hour $55 00
-
In Plant $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 $ 180.00
NOTICE 5% Surcharge (.05 X total fees) $ 0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
Sb. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
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 # $
Balance Due $ 1 89 . 0 0
- /
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
N24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
( 1322 Date Requested / / � -q� AM PM BLD
Location 7(5D � W 5 / 'L Suite MEC
��,
Contact Person r' "�"� Ph PLM
Contractor ` FRS I g/1 // Ph 2 33- 2-006 SWR
/,,
BUILDING Te r ant/Owner � • 6 V 7 S ,� �0 "Qv / Q
7
Retaining Wall ELR
Footing Access: n
Foundation thAetta
FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 4,
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
ZLECTRICAL
Service
Rough
UG /Slab In
Low Voltage fr 6---
F' ; rm
CO 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 D /l V 9f' Insp (2.4a.e.e � E x t
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.