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BLDG-D SUITE 110 `
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BLIP Requested, S AM � PiVI _ BLD _
Location_ 1 _^- Suites MFr.
Contact Person $ — Ph 7 6 � � PLM
Contractor_ — Ph SWIZ —
BUILDING — Tenant/Owner ELCC�
Retaining Wall ELI _
Footing c ess: -
Foundation 6 �1 S FPS --_
Ftg Drain
Crawl Drain Inspection Notes: , ,� �� SIT ----
Slab r /,�y1 SIT
Post&Beam I — ---- ----
Ext Sheath/Shear
Int Sheath/Shear - -
Framing
Insulation ,A
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling
Roof
Misc --- -----
Final --- ,-- / ----
PASS PART FAIL
PLUMBING
Post & Beam --- — - - —
Under Stab
Top Out ------_—_.....__-------- --
Water Service
Sanitary Sewer -_---
Rain Drains
Fina. ---------
PASS PART FAIL
MECHANICAL _--.-
Post& Beam --------___---
Rough In
Gas Line — -------
Smoke Dampers
Final -- — ------- --._--
P PART FAIL
EL CTRIC L — - --------------- ---- - --------
Service
Rough In __---- - -------
UG/Slab -- --- ---- - —--
Low Voltage
Fire Alarm
A S PART FAIL
Bac 011tGrading --— --- ---- --- -
Sanitary Sewer
Storm Drain ( Reinspection fee of$_ required before next rnsper..tion Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ) Please call for reinspection RE - -- ( ) Unable to inspect- no access
ADA
Approach/Sidewalk
Other Date — a Inspector _ —_— Ext
Final —
PASS PART FAIL 00 NOT REMOVE this inspection record from the .job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP— — _Date Requested �` �" Ln _AM _—PM _— BLp
Locatiun i� 1 -7 �L)-yl'I eti,../ u C • Suite C� MEC
Contact Person — l;t/1C Ph PLM _
Contractor Ph SWR
BUILDING Owner J1 � C _ EL��'t'0 001
ena
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain -- SIGN
Crawl Drain Inspection Notes
Slab
- -__------- --------------------------- -- -- SIT
Post& Beam — — -
Ext Sheath/Shear GG 7
Int Sheath/Shear
Framing
e-
Insulation (bo) ( i
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - _ _
Roof
Misc:
Final --- - - -- - _
PASS PART FAIL - --- ---------- ------
PLUMBING
Post&Beam -- -- -- — - - - --
Under Slab
Top Out ---___-------_------------ -
Water Service
Sanitary Sewer - -- -- ---
Rain Drains
Final _ ----- - -- --
PASS PART FAIL
MECHANICAL -_ ---- -- ---
Post&Beam �� - - -- -- - - ---------
Rough In
Gas Line ---- --
i Smoke Dampers
Final --------- ----
ART FAIL
Service
Rough In
UG/Slab
Low VoltageFf— —
Fire larm
nal
PAd PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line )Please call for.reins ction RF _ I Unable to inspect-no access
ADA
Approach/Sidewalk <--
Other Date _� _ Vii' Inspector _ 'l�Ct-C Ext
Final
PASS PART_ FAIL 114 N T REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-1-four Inspection Line: 639-4175 Business Line: 639-4171
c�zCm -OGO W
—Date Requested 2' ���-� C AM PM — BLD
Location--.-J, Suite –L 1 Lam/ — QMEC) 2OC' - LY)/O y
Contact Person �1 6, L Ph �� 1 ` (C PLM
Contractor_ _ Ph SWR
�ILDI Tenant/Owner _ _— ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: —
Slab ---- - --._.�— SIT
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear - - - ---
Framing �r4�
Insulat
Lok
— -
C� ,
Fire Sprinkler (J r:J :le L2
-- -41AW/ /
Fire Alarm -; � - —
Susp'd Ceiling —��± CO/Vti/�c'�;_ ` / '-CJ—_-__ "�C I <,,T-
Roof
Final
PASS PART FAIL -- -_-- -- --_-- ---_ _—
PLUMBING
Post&Beam �- ----- --- -
Under Slab
Top Out — --- — - -
Water Service
Sanitary Sewer ----
Rain Drains
Final --.. ---_----
PASS PART FAIL
CIJANIC - --
Post& Beam -- — _ —— -
Rough In
Gas line --- -------
c'm4e Dampers
FART FAIL
ZtT.MRICAL -- `—�--
Service
Rough In -- -
UG/Slab
Low Voltage
Fire Alarm
Final - --- ---
PASS PART FAIL
SITE - -- --------
Backfill/Grading - ------ — -- --- - --
Sanitary Sewer
Storm Drain ( J Reinspection fee of$—_ required before next Inspection. Fay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE: — _ [ )Unable to inspect- ro access
ADA
Approach/Sidewalk
Other Date � J Inspecto _ _ Ext --
Final
PASS PART - FAIL J DO NOT REMOVE this Inspection record from the job site.
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00104
13125 SW Hall B!vd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/28/2000
PARCEL: 2S 112AA-00600
SITE ADDRESS: 06777 SW BONITA RD 110
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I-L
BLOCK: LOT: C-D JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPS-: VENT SYSTEMS:
STORIES: BOILERS/COMPRE_S_SORS _ HOODS:
FUEL TYPES _ _ _ 0 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE- 50 + HP: DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
10000 cfm: GAS OUTLETS: 1
Remarks: Relocate 2 existing heaters.
Owner. �--_-�- --FEES -- ---
SPIEKER PROPERTIES LP Type By Date Amount Receipt-
4380 SW MACADAM AVE STE 100 PRMT DST 03/28/20( $50.00 0000975
PORTLAND, OR 97201 5PCT DST 03/28/20( $4.00 0000975
'Total --- -$54.00 -
Phone: - -- --- -
Contractov:
WILLAMETTE HVAC SERVICE
PO BOX 23334
TIGARD, OR 91281 REQUIRED INSPECTIONS
Gas Line Insp
Phone:628-6841 Mechanical Insp
Reg #:LIC 000569 Final Inspection
ORIGINAL
TWE permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. 'Fhis permit will axpire 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 in 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 gl1NC by
calling (503)246-91
� r
Issue By: Permittee Signature: t
Call (503) 6394175 by 7:00 P.M. for inspections needed the next business day
Plan Check it
CiTY OF TIGARD Mechanical Permit Application Recd By __
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 f` Date to P E.
(503) 539-4171, x304 I? �� /I Date to DST _
l 0 Print or Type Permit# Q.;wy
Incomplete or illegible applications will not be accepted called --
Name of Devclopnent/Proiect Description
Table 1A Mechanical Code _ Oty Price Amt
Job Street Address
Suits# A) Permit Fee ____ 16.00
ESV l 7 ( 5�� �� 1) Furnace to 100,000 BTU
Address
including ducts&vents see footnote 1,2 9.65
BldgN CRY/State Zip --- — ��-
�-- 2) Furnace 100,000 BT,J*
/0� 1 _;11�C,Vd oy+ includin ducts&vents see footnote 1,2 12.00
Name(or name of business) 3) Floor Furnace
r—Owner �r/�. p c including vent see footnote 1,2 965
_
�57 '�r/F� 4) Suspended heater,wall heater
Mailing Address /►/�� I /� 5tl' or Floor mounted heater see footnote 1,2 9.65 _
?�� 5`^� " `K��C1`�► LTJ 5) Vent not included in appliance permit 4.75
CRY/State Zip Check all that apply 'Boiler Heat Air
6K_ A[Pone
For Items 6-10,see or Pump :ond Qty Price Amt
Name or name of business) footnotes 1,2 Comp •'
6)<3HP,absorb unit to
100K BTU _ _ 9.65 _
Occupant Mailing Address 7)3-15 HP;absorb unit
I 00k to 500k BTU _ 1765
cnylstatc 'Ip Phone 8) 15-30 HP,absorb
unit.5-1 mil BTU_ 24 15
Contractor Name 9)30-50 HP;absorb
unit 1-1.75 mil BTU _ 3600
-4&!�,„,I t"f-c NyAr, 10)>50HP;absorb unit
Prior to permit Malling Address >1 75 and BTU 00.15
issuance,a copy --”- ..7 11 Air handling unit to 10,000 CFM
of all licenses CRY/State Zip Phone 7.00
are required if „- G7✓ 4 sk 6�Y- / 12)Air handling unit 10,000 CFM+
expired in COT Or on Const Cont Board LlcM Ex Date 11,75
database G `j 5 I ZS CIL 13)Non-portable evaporate cooler
Architect Name 7.00
14)Vent fan connected to a single duct
or Malling Address
__ 4.75
15)Ventilation system not included in
appliance permit 7.00
to r�aate ZI Phor� —"
Engineer Y p 16)Hood served by mechanical exhaust
_
700
Describe work to be done _ 17)Domestic incinerators
1200 _
New 0 Repair O Replac_u wig like kind: Yes O No O 18)Commercial or industrial type incinerator
Residential 0 Commercial _ 48 25
19)Repair units
Additional Information or description of work- _ 8.40
4)07 � 20)Wood stove/gas FP/other units/clothe dryer/etc 700
NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets
_ structural gas caics. _ _ See footnote 1 _ _ _ 3 75
Type of fuel oil O natural gasp LPG O electric O 7.2)More than 4-per outlet(each) .75
Minimum Permit Fee 150.00 SUBTOTAL
I hereby acknowledge that I have read this application,that the information /o SURCHARGE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws Re ulred ter ALL commercial rmlts onl
TOTAL
Signature of Owner/Agent Date
Other Inspections and Fees:
1. Inspections outside of normal business hours(minlnum charge-two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
1 ' I I <- 0 r-"7!"-, G e5 ( s'1l _ charge-half hour) $50.00 per hour
Foonotes for commercial projects only: J. Additional plan review required by changes,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-halt hour)$50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical
units. _ _ 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I lrnechperm doc rev 02/4/99 J / �/ 3
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CITYOF T I G A R® __ELECTRICAL PERMIT
PERMIT#: E 0-00136
DEVELOPMENT SERVICES DATE ISSUED: 03/27/2/27/2 000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2 S 112AA-00600
SITE ADDRESS: 06777 SW BOIJITA RD '110
UBDIVISION: NELSON BUSINESS CENTER ZONING: I L
BLOCK: LOT : C-D JURISDICTION: TIG
Proiect Description: Install six (6) branch circuits.
_ _RESIDENTIAL UNIT _TEMP SRVC/F_EEDERS 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 HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
_ SERVICE/FEEDER BRANCH CIRCUITS _ _ADD'L INSPECTIONS
0 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCK CIRC: 5 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:
SPIEKER PROPERTIES LP RURAL ELECTRIC INC
4380 SW MACADAM AVE STE 100 5285 NE ELAM YOUNG PKbVY
PORTLAND, OR 97201 SUITE A900
HILLSBORO, OR 97124
Phone: Phone: 503-648.6696
Reg #: LIC 000474'8
SUP 4062S
ELIE 34-82C
_FEES _ Required Inspections _
Type By Date Amount Receipt
Elect'I Service
PRMT GEO 03/27/200C $64.25 0000953 Elect'I Final
5PCT GEO 0127/200C $5 14 0000953
Total $69.39 0 RIGNAL
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 952-001-008n You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987 ')
PERMITTEE'S SIGNATURE �/ ISSUED BY: )) a
/r
_ 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: _ G� 'J-��`i DATE:_ _ .
LICENSE NO: -
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD #
312 Plan Check
sw �In�t_ awD. Electrical Permit Application Recd By_
TIGARD OR 97223 RECEIVED Date Recd
Phone(503)639-4171, x304 MAR 2 7 aDate to P.E.
non Date to DST
Inspection (50'3) 639-417.5 Print of TypCe00��II��11 y Permit 0Fax (503) 598 19bU Incomplete or illegible will ri6L 13� �ct3ptecll ME�i1 Called_
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Nolsun Cusiness Center_ I Number oflns
pec,Yfons per permit allowed
Name(of name of business) Mel tec Service Included: Items Cost Sum
Address 6777 SW Bonita Rd #110 4a. Residential-per unit
City/State/Zip Tigard, Or 97223 1000 sq ft or less S 117 75 _ 4
Fach additional 500 sq ft.or _
Commercial ❑ Residential ❑ portion thereof -- $ 26.75 1
l.lrnited Fogy Y S, 60.00
Each Manufd Home or Modular
2a. Contractor installation only. Dwelling Service or Feeder _$ 7275 2
(Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders
infrirmation for COT data base). Installation.alteration or relocation
Electrical Contractor RURAI, ELECTRIC, INC. 200 amps or less S 64.25 2
Address 5285 NF Elam Young Pkwy #A900 201 amps to 400 amps _ S 85.50 — 2
City Hillsboro Stale OR tp 97124 401 amps to 600 amps S 12850 -- 2
Phone No. 503/648-6696 - 601 amps to woo amps - $ 102.50 2
Over 1000 amps or volts $ 363.75 7
,lab No. 00-139KC - Reconnect only S 53.50 2
F_lec, Cont Lice. No. 34-82C Exp.Date __ 4c.Temporary Services or Feeders
OR State CCB Reg_No. 47478 Exp.Date_ _ tnstailabon,alteration,or reiocatiorr
COT Business Tax or Metro No 5287 Exp.Date 200 amps or less $ 5350 2
201 amps to 400 amps $ 8025 2
Signature of Supr Elec'n P4 j 401 amps to 600 amps �- $ 100 00 2
-- -- Over 600 amps 10 1000 volts,
License No._ 4062-S Exp.Date see"b"above.
Phone No _ 5Q3/648-6696 — -- 14d.Branch Circuits
-� --
Now,alteration or extension per panel
a)The fee for branch circulte
2b. For owner installations: with purchase of service or
teode/4&
Print Owner's Name _-_ _ Each tianch circuit _ S 5.35 2
Address b)The fee for branch circuits
City No stale 31ate ZIP rsffhoutpumhose ofsemce
- ` — or feeder fee.
Phone No - — First branch circuit 1 s 37.So 37.50
Fach additional branch circuit 5 S 5 35 26.75
The installation is being made on property I own which Is not 4e.Mi9ralaneous
intended for sale, lease or rem (Servirx or feeder not included)
Each pump or irrigation Orcle S 42.75
Owner's Signature_ _ _ Each sign of midline hgh11n3 $ 42.75
Signal circuit(s)or a limited energy
3. Plan Review section (if required):* pant a alteration or er.tensinn S 6000 `
Minor r whets tint _ _ $ 10000
Please check apprupriate item and enter fee In section 5B. 4f Each additional inspection over R
— 4 or mots rewdii-mm, urxh in one stri itum Hte allowable ma any to"M above
_ .Service and feeder 225 amps or more Per inspection _ S 50 00
Per hou, $ 50 00 -
System over 600 rolls nominal In Plant —
S 59.00
Classified area or structure containing special occupancy as --- -'
described in N E.0 Chapter 5 5_ F"S:
Sa.Enter total of above fees $ 64.2.5
Submit 2 sets of plans with application where any of the above apply. 8%Surcharge 108 X total fees) s —j,-F4--
Nof revrUfmd los Writiorarr consrrructlon services. Subtotal
$
tab.Enter 25%of fine So for
NOTICE Plan Review it re4w ed(Sac.34 S
PERMITS BECOME VOID IF WORK OR CONST RUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS OR Ir CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR.A PERIOD OF 180 DAYS ❑ Trust Account
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due S 69.39
t�ldstslfnrmsleleculc duo.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection line: 639-4175 Business Line: 639-4171 MST --------------
p BLIP _
-I� Dale RequesteJ �AM
— PM .. BLD
Location---11 J ---
-- _
Suite _ L_ MEC
Contact Person — Ph �5 -��c7-'I PLM __---
Contractor ��c. ^�. Ph _ G 3� 3 SWR
BUILDING Tenant/Owner t{j/vLOIy !Jr%�S, ELC�-f (,1
Retaining Wall —'T ELR /
Footing - - - -
Foundation ACceSs:
FPS
Ftg Drain -------
Crawl Drain Inspection Notes: SIGN _--
Slab /i L' /R _ _-_ SIT
Post&Beam --- ---- --
Ext Sheath/Shear
Int Sheath/Shear - "-- - -
Framing
Insulation _ ----- - - -- ----
Drywall Nailing =� ���' "` - �.-4 �(<�
Firewall
Fire Sprinkler �C --- --__---� ---- _ _
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 H Beam _--
Rough In
Gas Line - ----- ----_ ___--_-_
Smoke Dampers
Final -- --
PASS PART FAIL
Service
Rough In
UG/Slab
Low Voltage
Alarm
- - -- ------- _..a---
Fina --- - ----------
Q.
TrASS PART FAIL
SITE __----
Backfill/Grading - --- - ----- ------ --- ---
Sanitary Sewer
Storm Drain I j Reinspection fee of$ required before next inspection Pay at City Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE __ -- -, [ ]Unable to inspect-no access
ADA 1
Approach/Sidewalk Date �� _ Inspector 1 /f�� Ext
Other
Final
PASS PART FAIL GO NOT REMOVE this inspection record from the job site.
I
------_-�\-.-----_-_____—.-___— ---- �—�-CITY OF TIGARD EL..ECTRICAL. PEIT
RM_
DEVELOPMENT SERVICES PERMIT #. ELC98060,.E
13125 SW Hall Blvd.. Pgard,OR 97223(503)639-4171 DATE ISSUED. 10/05/98
PARCEL: 25112AA-00600
BITE ADDRESS. . . :O6777 SW BONITA RD #1110
SUBDIVISION. . . . :NELSON BUS I NESS CENTER J7-ON I NG: T 1_
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . .. LIRTSDICTION: TiG
Project Description: Alteration to electrical service.
--RESIDENTIAL UNIT---- ---TEMP' SRVC/FF_EDERS--.._.
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PIUMP/I RR I GAT I ON. . . . 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
t. TMI T'ED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/P'ANEL.. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps- 1.000 vol.t5. : Q) MINOR LABEL_ ( 1.0) . . . : 0
------SERVICE/FEEDER--•-- ----BRANCH CIRCUITS... -ADD' L IN SF'ECTIONG--..._-
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPIECTION. . . . . : 0
;='01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : i PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 6 I N F'I_-ANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ----- -----_ - _-- -FIL.AN REVIEW SECT I ON- - ---___.____...__-._.
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------_------ FEES
CAPITOL ELECTRIC CO INC type amol_rnt by mate rec-pt
1.2810 NE AIRPORT WAY PRMT $ 65. O0 DLH 10/05/98 98-30970(1
f"IORTLAND OR 97230-1029 5PICT 'b 3. 25 DL-H 10/05/98 98-309708
Plhone #:
Contractor:
CAPITOL ELECTRIC CO INC $ 68. 25 TOTAL_
12810 NE AIRPORT WAY
_)NIT 1 -- --- - REQUIRED INSFIECT IONS - --
PORTLAND OR 97230 Ceiling Cover-, Elect' l Service
Phone #: 255-9488 Wall Cover Elect' l Final
Reg #. . : 000487
This pewit 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 pereit will expire if work is not started within 180
days of issuance, or if work is suspended for sure than 180 days. ATTENTION: Oregon law requ)res you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0014010 through OAR 952-881-1987. You say obtain a copy
of these rules or direct questions to Ol1NC by calling 003)246-1987.
Permittee Signatl-tre: A1,0`-/,t E-6 Isslred By:_
INSTALLATION ONLY-------- _--
The installation is being made an property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: _ DATEa �_ _...
--
-----------CONTRACTOR INSTALLATION ONLY— ---------- ------o— --
SIGNATURE OF SUPR. ELEC' N: _W 19f'f'L��770 -Y_ DATE:
LICENSE NO:
+++++++4-++++•1+++++++++++++++++++++++++-f+++++++•f+++++-I+++++++++++++-+...+++++++++++
Call 639-4175 by 7:00 p. m. for .an inspection needed the next bLrsiness day
+++++++++++++++++++++++++++++++++++++++++-f++++++++++++++++++4++++++++++++++++++
13125 SW HALL BLVD. ELECTRICAL PERMIT APPLICATION Rec'd8y L
TIGAPD, OR 97223 I;� .LI`Jla! DateRec'd 1P
Phone(503)639-4171,X304 Date to P E
Inspection(503)639-4175 C-, 1998 Date to DST
Fax(503)684-7297 .,•r PRINT OR TYPE Permit 0 C e Q
INCOMPLETE OR ILLEGIBLE WILL.NOT BE ACCEPTED Called
1 o cess: 4. COMPLETE FEE SCHEDULE BELOW:
Name of Development NELSON BSNS PARK Number or lnsvecllony1 r allows
Service Included:_ Items Cost Sum
Name(or name of business) MELTEC 4s. Residential-per unit
1000 sq.ft or less $11000 4
ddress _ 6777 SW BONITA j11' (to ach Additional 500 sq.R.
or portion thereof _ $2500 1
CRY/State/Zip _ TIGARD,OR.97224 Limited Energy i_ $25.00_ _
CommercialX Residential__ _ Each Manurd Home or Modular i
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) b. Service or Feeders
Electrical Contractor_ CAPITOL ELECTRIC CO.,INC. Installation,alterations or relocation
ddress 12810 NE AIRS ORT WAY 200 amps or less $60.00 2
Ity PORTLAND State OR Zip97230.1029 201 amps to 400 amps -� _ $80.00 -� 2
hone No. 803_)288-9488 _ 401 amps to 600 amps _ $120. 00 2
Job No. 601 amps to 1000 amps _ 5180.00 2
Dec.Contr.Lic.No. 26.496C Exp.Date 10-1-99 ✓ Over 1000 amps or volts $340.00 2 {
R State CCB Reg. No. 48748 Exp.Date 8-22-99 Reconnect only $50.00 2
OT Business Tax or Metro No. 00004542 Exp.Date 10-1-98
T c. Temporary Services or Feeders
ignature of Supr. Elec'n 1 ^ Installations,alterations or relocation
200 amps or less _ $50.00 2
License No. Z-s _ Exp.Date -01, 201 amps to 400 amps _ $75.00 2
Phone No. (803) 288-9488 401 amps to 600 amps $100.00--� 2
Over 600 amps to 1000 volts
see"b"above.
2b. For owner installations:
d. Branch Circuits
ring Owner's Name _ ew,alteration or extension per panel
ddress a)'the fee for branch circuits with
Ity Stale_ Zip purchase of service or feeder fee
hone No. Each branch circuit $5.00 2
b) The fee for branch circuits without
he Installation Is being made on property I own which Is not purchase of service or feeder hs.
Mended for sale,lease or rent. First branch circuit 1 $35.00 $35.00 2
Each add'nl branch circuit 6 $5.00 $30.00 2
wner's Signature _ - -
T e, Miscellaneous(Service or Feeder blot Included)
Each pump or Irrigation circle _ $4000_ 2
3. Plan Review section (it required): " Each sign or outline lighting T_ $40 00_ 2
Signal circuit(s)or a limited energy
Please check appropriate Item and enter fee in section 5B. panel,alteration or extension _ _ $4000_ 2
4 or more residential units In one structure Minor Labels(10) ~� $100.00
Service 6 feeder 225 amps or more �-
--System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special the allowable In any of the above
occupancy as described in N.E C.Chapter S. Per Inspection _ $3500
Per hour _ $5500----
_
Suhmlt 2 sets of plans with appliceflon where any of the above apply. In Plant - $55.00
Nnt requlred for temporary construction services.
5. Fees: $65 00
ERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 5a. Enter total of above feesS $3 25
__
OT COMMENCED WITHIN 16o DAYS,OR IF CONSTRUCTION OR WORK 5%Surcharge(05 X total fees) $ *�8 2g
S SUSPENDED OR ASONDONED FOR A PERIOD OF 160 DAYS AT ANY Subtotal $ $68.25
IME AFTER WORK IS COMMENCED 5b. Enter 25%of line 5a.for
Plan Review If required(Sec. 3) $ _
Subtotal $ '-568.25
Trust Account 0
L_ otal balance Due $ see.29