Permit CITY OF TIGARD ELECTRICAL PERMIT
, DEVELOPMENT SERVICES PERMIT #: ELC97 -0571
1J2. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 08/22/97
PARCEL: 2S112DD -00500
SITE ADDRESS...:1586O SW UPPER BOONES FERRY RD
SUBDIVISION • ZONING:I —L
BLOCK • LOT • JURISDICTION: TIG
Pro.j ect Description : Add service or feeder and eight (8) branch circuits.
- -- 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 • 1 W /SERVICE OR FEEDER: 8 PER INSPECTION : 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 0 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 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
COPYTRONIX type amount by date recpt
15860 UPPER BOONES FERRY ROAD PRMT $ 100.00 GEO 08/22/97 97- 298560
TIGARD OR 97224 5PCT $ 5.00 GEO 08/22/97 97- 298560
Phone #:
Contractor:
BACHOFNER DATACOM INC $ 105.00 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
•
PORTLAND OR 97214 Ceiling Cover Underground Cove
Phone #: 223 -2006 Wall Cover Elect'l Service
Reg #..: 000445
This peroit 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 pertit will expire if work is not started within 188
days of issuance, or if work is suspended for tore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-181-8818 through OAR 952-001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling )246 -1987.
Permittee Signature: Issued By: i 1 /2 /
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 : C9 DATE: 0;7 j 7
LICENSE NO: <C) 5j S
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
, .kb #6155 - $40.00
Jcb #6155 ity Development ELECTRICAL PERMIT APPLICATION
• 13125 SW Hall Bhrd.
, - A Tigard, OR 97223 Planck/Rec. #
Permit # g-G (_ V - OS 7 /
' . ;11I Phone (503) 639 -4171
�; ; Date Issued
°-° FAX-(503) 684.7297 Issued b
CITY OF TIGARD TDD No. (503) 684 -2772 by
Inspection (503) 639 -4175
1. Job Address: 4. ,Complete Fee Schedule Below:
Name of Arent j-� Number of Inspections per permit allowed
Address : SW r1 r R F►irty ta-,ari Service included: Items Cost(ea) Sum
City/State/Zip T[grirri, CR 4a Residential - per unit 4
1000 eq. ft. or less $110.00
each additional 5C0 sq .
Name (or name of business) n or $2500 1
-
Commercial ® Residential 0 , Landed Engrg, $2500
-
' Each Maned Home or Modular 2
Owellirg Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
Installation. alteration. or relocation 2
Electrical Contractor > nfrer Electric, Inc. 200 ampe or lose 1 $6000 nn 2
Address Sc cp win 201 amps lo 403 amps $80 00 2 -
City State Zip 97214
40 ? 01 a mps to 600 am 18000
p 601 amps lo 1000 amps $180.00 2
Phone No. ( 501) 71..7m( Over IMO amps or volts $340.00 2
Contractor's License No. 26-451C • RB0onned °"'' $50.00
Contractors Board Reg. No. 44569 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n 200 amps or loss $50 00 2
License No. 2808S Phone No. 3) 233 -2006 201 an to 400 amps $75 00
-
I 401 amps Io 600 amps $100 00
-
Over 600 amps to 1000 volts
2b. For owner installations: see if above
4d. Branch Circuits
. Print Owner's Name New. alteration or extension per panel
Address a) The fee for branch circuits with
City State Zip Each brarrh or *odor' two. is ao 2
Phone No. b) The lee for brand, ara,its without
The installation is being made on property I own which is p ee of eon** or ltredsr les. 2
not intended for sale, lease or rent. Frst brand' araM $35.00
Each add branch lioral bran arwit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section iif required): Bali p'"r'p or inigatian tilde id0.00 2
Each sign or cadre lighting $40 00
-
Signal ciard(s) or a limited energy 2
Please check appropriate item and enter fee In section SB. panel, alteration or extension $40.00
4 or more residential units in one structure Minor Labels (10) $10000
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
as described in N.E.C. Chapter 5 P er reaped on $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:
NOTICE 5a. Enter total of above fees $ 100.00
5% Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 105.00 j
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line 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 # $
Balance Due $ 105.111-_
.oeop...eo
e.
RECEIVED
• • 'AUG 2 2 1997
COMMUNITY DEVELOPMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location I S 840 0 V -1' o 0 Y l J OilSuite MEC
Contact Person Ph PLM
Contractor batvlie, A- ✓P4k Ph 2.7:4 — 200(0 SWR
BUILDING Tenant/Owner T ,J
i j 1YU ��K ELC 0/7- QoS
Retaining Wall ELR
Footing Access: �1/I Ge /�ec.d.P�L FPS
Foundation DQ
Ftg Drain "`� E Gc 'rr- SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler �itit�l
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
P T FAIL
(LECTRICA
Service
Rough In
UG /Slab
Low Voltage
F - Alarm
• SS 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 L S ,,1 Inspector ,cam, • Ext
Final -
PASS PART FAIL' DO NOT REMOVE this inspection record from the job site.