Permit CITY OF TIGARD
� �,. DEVELOPMENT SERVICES ELECTRICAL PERMIT
� PERMIT # : ELC97 -0155
_'!J =_ _.. 13125SWHallBlvd.,Tigard,OR97223 503 639.4171 DATE ISSUED: 03/17/97
PARCEL: 25112DD -00700
SITE ADDRESS...: 15770 SW UPPER BOONES FERRY RD #BLD.
SUBDIVISION • ZONING:I -P
•
BLOCK • LOT
Project Description: instl 10 branch circuits
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS : 0 0 - 200 amp • 0 PIJMP /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/O SRVC OR FDR.: 1 PER HOUR • 0
401 - 600 amp 0 EA ADD'L BRNCH CIRC: 9 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 LP type amount by date recpt
15115 SW SEQUOIA PKWY PRMT $ 80.00 TAT 03/17/97 97- 291793
STE 200 5PCT $ 4.00 TAT 03/17/97 97- 291793
PORTLAND OR 97224
Phone #: 624 -6300
Contractor:
JOHANSEN ELECTRIC INC $ 84.00 TOTAL
1130 NE 174TH
REQUIRED INSPECTIONS
PORTLAND OR 97230 Ceiling Cover Underground Cove
Phone #: 503 -252 -4881 Wall Cover Elect'1 Service
Reg #..: 51539
This permit is issued subject to the regulations contained in the /1 .1
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permi e S i gnat ur -
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 Bore . u ,oN
than 180 days. I s s . ed 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 for inspection - 639 -4175
`E Fu1ott Prr-i- .t sip a -) .J. c�G '2
• Community Dev Iopment ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. G�
Tigard, OR 97223 Permit #
Date Issued LC 1G1 7� b) J5
�. .,�
�.I Phone (503) 639 -4171
" = "" FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development , a A ,� Number of Inspections per permit allowed
/
Address ! 5 - 7 0 1 5 � L1k ppU lu' Service included' Items Cost(ea) Sum
City /State /Zip�t,(�(�,'! - a PArir �� 4a. Residential - per unit
�J 1000 sq. ft. or less $110 00 4
Name (or name of business) Each additional 500 sq ft. or
� portion thereof $25 00
Commercial Residential ❑ Limited Energy $2500 1
1L�'"
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68 00 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor�J I a f c l - r Installation, alteration, or relocation
• � �`'r 1 C 200 amps or less $60 00 2
Address I l U Iv . 4- • U L 201 amps to 400 amps $80 00 2
s $120 00 2
NT) 4 01 amps to 600 am
City Po P ITY !fir /1, D State D 1'� Zip q-72.30 p p
cD S c� — q' ' II Over amps to amps amps $180.00 2
Phone No.
Over 1000 amps or volts $340.00 2
Job NO. Reconnect only $50.00 2
contractor's license NO. _ 3 'D )) t4 4c. Temporary Services or Feeders
Contractor's Board Reg. No. I Installation, alteration, or relocation
Signature of Supr. Elec'n �'Ijart : 200 amps or less 2 2
License No.;9t 06 3 S Phone o. TO - ��L 201 amps to 400 amps $50 00
401 amps to 600 amps $75 00 2
Over 600 amps to 1000 volts $100 00
2b. For owner installations: see „b„ above
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5 00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
First branch circuit 4_ $35.00 3' - 2
not intended for sale, lease or rent. Each additional branch circuit $5.00 Lt—
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or imgation circle $40 00 2
Each sign or outline lighting $40 00
Signal circuit(s) or a limited 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) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
GO
as described in N.E C. Chapter 5 Per inspection $35
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 _2(
T
NOTICE 5% Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter v i of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reeview if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. werdkomdevviac- ❑ Trust Account # $
pim app v, i
Balance Due $ CV{, it.- ''
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Busine s Phone: 639 -4171
Footing Rain Drain ov /Service FINAL:
Foundation Water Line eili - Plumb.
Post/Beam Mech Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 3 7 a5(? A.M. P.M. Entry
Address: 1 1—.. _/J ralaL/
Tenant: /f ` y q/ 2 �y / Ste MST:
Con /Own:�4..4 ', 6 d -- F BUP:
MEC
P
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
/ / C ( cam; 7 C c-4) e.> v -E ) - r -
d
r
Inspector W/ C 4 ' • P ( tc gfoi Date: 3 -25"-c/7
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639639
Footing Rain Drain 29614 ke INAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins
Other:
Date: 3/ / 9 (9 7 A.M. P.M. Entry:
Address: 7 41 _ r` 4_ir h d
Tenant: Ste MST:
Ye) G/ BUP:
Con /Own: J 6 ga €'e 5, MEP:
PLMe
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR.
,S- Cr ,' -- / L-c----2 d c- cn > i
zz2,1 / cJ -. ems_ ,e e , 7 )
`
7 /eacv 5 / / / 1
1 , // -•4.2,3( 7 Pe r -, l 1.5. r -e rexl
1/l -4.. i--2 C -c l , .-r p c,..")..., er- .e
,__a2 1( e � lp1c 7 es> ti o f
c_t (i..I. . C
Inspector: Date:
APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO
1.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date A.M. /J P.M. Entry:
Address: / 57 G i - L %-7cB -v t
Tenant: a.le 77.c, Ste: MST.
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
1/
I'sp= IfTW.I _ . _ - - Dat • - -
APPROVED DISAPPROVED /' ALL FOR REINSP. CF 0