Permit CITY O F TIGARD • ELECTRICAL PERMIT
PERMIT #: ELC1999 -00554
"T Ay, DEVELOPMENT SERVICES DATE ISSUED: 09/16/1999
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113A6 -00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD
SUBDIVISION: BUM CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical TI
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: SIGNAUPANEL:
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: 1 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
PACIFIC REALTY ASSOCIATES BACHOFNER ELECTRIC INC
15350 SW SEQUOIA PKWY 55 SE MAIN
STE 350 PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 233 -2006
Reg #: LIC 00044569
SUP 2808S
ELE 26 -451C
FEES Required Inspections
Type By Date Amount Receipt •
Elect'I Service
PRMT BON 09/16/1999 $58.90 99- 318368 Elect'l Final
5PCT BON 09/16/1999 $8.24 99- 318368
Total $67.14 OGNAL
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 ordirect questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE Crn » t624 (07%-- �� ISSUED BY: l i
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: (91.A Afi0 1 t DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Recd By
TIGARD .131 13125 SW HALL BLVD. Date Recd
TIGARD OR 97223 RECEIVED Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639-4175 SEP 131999\ Print of Type Permit it :LC - S "(
Fax (503 598 - 1960 late or ilia ible will not be accepted Called
r )tWi -cv MMUNITY DEVELOI p 9
p
1. Job Address:
4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development Agritope
Name (or name of business) Service included: Items Cost Sum �,
Address 1 61 60 SW Boones Ferry Rd _ 4a. Residential - per unit
1000 sq. ft. or less $ 117.75 _ 4
CitylState/Zip Tigard • OR Each additional 500 sq. ft. or
portion thereof $ 26.25 1
Commercial ® Residential ❑ Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit Issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT data base). Installation, alteration, or relocation
Electrical Contractor Bachofner Elec 200 amps or less $ 64.25 2
Address 55 SE Main 201 amps to 400 amps $ 85.50 _ 2
401 amps to 600 amps $ 128.50 2
City Port l acid State OR Zip 9 7 21 4 601 amps to 1000 amps $ 192.50 2
Phone No. 2 3 3- 2 0 0 6 Over 1000 amps or volts $ 363.75 2
Job No. 8 0 2 2 Reconnect only $ 53.50 2
Elec. Cont Lice. No. 2 6-4 51 C Exp.Date 1 0 / 1 / 9 9 . 4c. Temporary Services or Feeders
OR State CCB Reg. No. 4 4 5 6 9 Exp.Date installation, alteration, or relocation
COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
401 amps to 600 amps $ 107.00 _ 2
Signature of Supr. Elec'n Over 600 amps to 1000 volts.
p �lC see "b" above.
License No. c O� l� 7 Exp. ate 4d, Branch Circuits
Phone No. 2 3 3- 2 0 0 6 New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Each branch circuit 1 $ 5.35 5.3 5 2
Print Owner's Name b) The fee for branch circuits
Address without purchase of service
City State Zip or feeder fee.
Phone No. First branch circuit 1 $ 37.50 3 7 . 5 0
Each additional branch circuit 3 _ $ 5.35 1 6 . 0 5
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle $ 42 75
Owner's Signature Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
panel, alteration or extension $ - 60.00
3. Plan Review section (if required):* Minor Labels (10) $ 107.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional Inspection over
4 or more residential units in one structure the allowable in any of the above
Per inspection $ 50.00
Service and feeder 225 amps or more Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as Jr . Fees:
described in N.E.C. Chapter 5 $* 5
6a. Enter total of above fees
* Submit 2 sets of plans with application where any of the above apply. 5% Surcharge (05 X total fees) $ 1• %Z
Not required for temporary construction services. Subtotal _
6b. Enter 25% of fine 6a for
NOTICE : Plan Review if required (Sec. 3) $ _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # (.Q
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 5 7 . 3 0 , - #1 Cle-biA
ZOO , UHYDIJ, d0 , .LID 096T 969 COS WA ZZ: r T n 66/L •0
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 . Business Line: 639 -4171
BUP
Date Requested 9 AM P BLD
Location 465r Druo CeM U Suite 00 MEC
Contact Perso , ,• .:�4i �.t _CAI U Ph 23; - C PLM
Contractor �}� 'aver «, Ph SWR
BUILDING Tenant/Owner ELC igg7 a
— 00SS e l
Retaining Wall E LR
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 J
Fire wall
Fire / d . / s
Sprinkler .! ��G /.3 �/ 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
PASS PART FAIL
<TLECTRIC `f
•ou• •
UG /Slab
Low Voltage
Fire Alarm
Fi
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 einspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D - l Inspector
Other p
Final
PASS PART FAIL D • NOT REMOVE this inspection record from the job site.