Permit CITY OF T PERMITI #ALEL C98 I O126
I 1 DEVELOPMENT SERV SERVICES DATE ISSUED: 03/19/98
1J- 13125 SW Hall Blvd., Tigard, PARCEL: 2S1O1BB -00401
SITE ADDRESS...:1188O SW PACIFIC HWY
SUBDIVISION •TIGARD ROAD GARDENS ZONING:C -G
BLOCK LOT •4 -5 JURISDICTION: TIG
Project Description : Add three (3) branch circuits to an existing commercial
bldg.
- -- 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
MANE. 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/0 SRVC OR FDR.: 1 PER HOUR • 0
401 - 600 amp • 0 EA ADD'L BRNCH CIRC: 2 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
RUSS CHEVROLET type amount by date recpt
11880 SW PACIFIC HWY PRMT $ 45.00 GEO 03/19/98 98- 304249
TIGARD OR 97223 -0000 5PCT $ 2.25 GEO 03/19/98 98- 304249
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 47.25 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Underground Cove
Phone #: 684 -3600 Wall Cover Elect' 1 Service
Reg #..: 000522
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 - 0014010 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 . , P" d " 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 : 69 DATE: -/P
LICENSE NO : /PC/0 - 5
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
- - MAR -18 -98 WED 01:56 PM PHOENIX ELECTRIC FAX NO. 503 684 3611 P,02/02
CITY OF TIGARD Electrical Permit Application Check It
Reed iication Plan e
13125 SW HALL BLVD. Date By
Date to P.E.
TIGARD OR 97223 Date to DST
Phone (503) 639 -4171, x304 Print or Type Permit It
L L` 7 a
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted called
Fax (503) 684 -7297
1. Job Address: 4. Complete Fee Schedule Below:
Number of inspections per permit allowed
Name of Development I --�
Name (or name of business) ►•--
c N__)Y Service included: Items Cost Sum
S L). )�, ` N �� `5`•.• r..: - 4a. Residential - per unit
$110.00 4
■ Address �` ti \ ( 1 t000 sq. ft. or less
City /State/Zp I.A. � " - Each additional 500 sq. ft. or
Donlon thereof 525.00 1
'
Commercial Residential ❑ Each Manui d Home or Modular
-
' s limited Energy Dwelling Service or Feeder $68.00 2
2a. Contractor installation only: 4b. Services or Feeders
(Attach copy . I current licenses) Installation, alteration, or relocation $60.00 2
•mow - 1 20 0 amps or less
Electrical Contra or • ►�� 2
201 amps to 400 amps $ 60.00
f1 SS Z S/ 401 amps to 600 amps $120.00 2
P �� r S -te I � Zip $1
i � 601 amps to 1000 amps $180.00 2
Over 1000 amps or volts $1x•00 -- 2
P - : - .7-.1;:.- ' 2
Job NO. LQ a ' `...-73 Reconnect only $50.00 _ --
` ae 1 d a S1
Elec. Cont. Lice. No. ��' � +� gyp' Dt 0 4c. Temporary services or Feeders
OR State CCB Reg. No. S )11)-44K Exp•Date
Date Installation, alteration, or relocation $50.00 2
COT Business Tax or Metro No._ -
200 amps or less $75 2
201 amps to 400 amps $100.00 2
Signature of Supr. Elec'n �� 4 01 amps to soo amps
i Over 600 amps to 1000 volts.
License No. OS Exp.Date _ see "b" above.
Phone No. Li, 4d. Branch Circuits
New, alteration or extension per panel
a ) The fee for branch circuits with
2b. For owner installations: purchase of service or
feeder fee. 55 00 2 •
Print Owner's Name_ Each branch circuit
Address 4) The fee for branch circuits
State Zip without pu of
City service or feeder fee. (}U _ 2
Phone No. First branch circuit 1 $35.00
Each additional branch circuit T $5.00 / () • U U 2
The installation is being made on property I own which is not Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
$40.00 2
Each pump or irrigation circle $ 2
Owners Signature Each sign or outline lighting -
* Signal limited energy
l circuit {s) or a limitd en $40 00 _ 2
3. Plan Review section (if required): gna c alteration or mil d en $10000
Miner Labels (10)
-
Please check appropriate item and enter fee in section 5B. ional inspection over
4 or more residential units in one structure the allowable 41. Each additio any of the above $35 00 In
Service and feeder 225 amps or more Per inspection $3 5.00
System over 600 volts nominal Per hour $55.00 -
Classified area or structure containing special occupancy Per
Plant
as described in N.E.C. Chapter 5
* Submit 2 sets of plans with application where any of the above apply. S. Fees: L ,CS c.) G 5a. Enter total of above fees $
Not repaired for temporary construction services. 5% Surcharge (.05 X total fees) $
• Subtotal S
NOTICE, 5b. Enter 25% of line 5a for
3) $ '" ed (Sec
.3) if rgeur .
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review • -
NOT COMMENCED WITHIN 1E0 DAYS, OR IF CONSTRUCTION OR WORK
btotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account # ,5 � S /'7 2.c
TIME AFTER WORK IS COMMENCED. Total balance Due
7/1.8/99 . - Activities for Case #: ELC98 -00126
6:16:16 PM
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To - Done By Disp. Level By Updated Notes
ELCC001 Application received 3/19/98 GEO RECD GEO 3/19/98
ELCC003 Permit seated 3/19/98 GEO DONE GEO 3/19/98
ELCC700 Ceiling Cover 3/19/98 GEO 3/19/98
ELCC720 Wall Cover 3/.19/98 GEO 3/19/98
ELCC725 Underground Cover 3/19/98 GEO 3/19/98
ELCC730 Elect, Service • 3/19/98 • GEO 3/19/98
ELCC799 Elect'I Final 3/19/98 • GEO 3/19/98
ELCC500 (F)Issue permit 3/19/98 GEO PASS GEO 3/19/98
ELCC799 Elect'I Final 4/15/98 CD PASS CD 4/15/98 wiring of (2) hydraulic lifts
ELCC800 Case Finaled 4/15/98 CD PASS CD 4/15/98
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 4 -/5 A.M. _ P.M. MST:
Location: i i 4i PO C �
vQ C . `` w • A . BUP:
Tenant: Suite: Bldg: MEC:
Contractor: !!. _ 0 / I &' // / ? /pry^ Phone: 4111„ : o&C(/�J PLM:
Owner Y / 3 6 VC) Phone: ELC: c 7 p — 012-6
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL sLECTRICAI,j SITE
Site Post/Beam Post/Beam Post/Beam CoverTService Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not roved Not Approved
FINAL FINAL FINAL C MAUD FINAL
Carr' A 7 r / (7) //y C 4cj ,, 442_16_-"s""
C .-- C .-11 1_ — &- 7.- D
CI Call for reinspection ' R-. • - lion fee of $ requir.. before next inspection O Unable to inspect
Inspector: ,is/ Date: Page of