Permit CITY OF TIGARD ELECTRICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: ELC98 -0175
DATE ISSUED: 04/09/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1O1BB -00401
SITE ADDRESS...:1188O SW PACIFIC HWY
SUBDIVISION •TIGARD ROAD GARDENS ZONING:C —G
BLOCK • LOT •4 -5 JURISDICTION: TIG
Project Description : Russ Chevrolet Job $3023 -6
- -- 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 • 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: 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
RUSS CHEVROLET type amount by date recpt
11880 SW PACIFIC HWY PRMT $ 35.00 JSD 04/09/98 98- 304793
TIGARD OR 97223 -0000 5PCT $ 1.75 JSD 04/09/98 98- 304793
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 36.75 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'1 Service
Phone #: 684 -3600 Wall Cover Elect'1 Final
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 app ved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 d s. ATTENTION: Oregon law requires you to follow t e rules adopted by
the Oregon Utility Notification Center. Those rules are set f rth i '''R 952 - 01-0010 through OAR 952-00 -.':7 You may obtain a copy
of these rules or direct questions to OUNC by -fling (503) -1989
s•
Permittee Signature. Issued B r 1
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 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + + + + + + + + ++ + ++
APR -09 -98 THU 07:17 AM PHOENIX ELECTRIC FAX NO. 503 684 3611 P.02/03
Plan Check # Alp El Permit Application Recd By —� Al
CITY OF TIGARD Date Recd 4
13125 SW HALL BLVD. ��c�' ��
Date to P.E.
TIGARD OR 97223 o t OS7 _ O/ /
Phone (503) 639 -4171, x304 Print or Type Date ate t D ST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Called
Fax (503) 684 -729
4. Complete Fee Schedule Below:
{ 1. Job Address:
Number of inspections per permit allowed
Name of Developme Items Cost Sum 11 Name (or name of business)�
0 1 ! 1 Service included:
48, Residential -per unit
Address tid �� 1 1000 sq. ft. or less $110.00 4
Each additional 500 sq. ft. or $25.00 1
Ciry /State/Zp -� ❑ - Portion thereof $25.00 -
Residential Umited Energy
Commercia Each Manuf d Home or Modular
Dweiliing Service or Feeder $ 68 . 00 2
2a. Contractor installation only: ,{b, Services or Feeders
(Attach copy tL• . current licenses - Installation alteration, or reloca �r� 2
`i r • •_ zoo amps or less '
Electrical Contractor = 201 amps to 400 amps $80.00 - ---- -- 2
A • • re ss - 1 401 amps to 600 amps $120.00 _ 2
City • S t . - � . Zi p 601 amps to 1000 amps $160.00 — 2
Over 1000 amps or volts x•00 2
Phone $50.00 _� 2
Job . Lice. No. Exp.Date
�e �►� -' Reconnect only
Elec. Cont C
OR State CCB Reg. No. . - • Exp.Date 4c. Temporary Services or Fenders
Exp.Date Installation. alteration, or relocnt,�::r $50.00 2
COT Business Tax or Metro No. P 200 amps or less .� $ 5
50 00 2
201 amps to 400 amps $ .00 . 2
—
Over 600 am
Signature of Supr. Elec'n U - 401 amps to amps to amps
ps to 1000 volts,
License NIL-
/Y CS Exp.Date see' b" above.
Phone Nr 4d. Brandt circuits
New, alteration or extension pl,1 panel
a ) The fee For branch arcuirs with
2b. For owner installations: pur of service or
feeder fee. � � 2
Print Owner's Name E ach branch circuit
Address b) The ice for branch circuit
s
State Zip without purchase of
City service or feeder fee.
j 2
Phone No. F irst branch circuit ( • i
$5.00 2
The installation is being made on property I own which is not Each additional branch r:: ;:'t
intended for sale, lease or rent. 4e. Miscellaneous
'(Service or feeder not included: $40.00 _ 2
Each pump or irrigation circl::• 540.00 _ 2
Owner's Signature Each sign or outline lighting
circuit(s) or e
r a limited ��! i�'r!3Y $40.00 2
3. Plan Review section (if required):* Signal panel, eels ( io r a l imit d .. $100.00
Minor Labels (10)
Please check appropriate item and enter fee in section 5B. 41. Each additional Inspection over
4 or more residential units in one structure the allowable in any of the :hove
System over 600 volts nominal 835.00
Service and feeder 225 amps or more Per inspection $v5 p0 —
Classified Per hour ified area or structure containing special occupancy In Plant $55.00
—
as described in N.E.G. Chapter 5
* Submit 2 sets of plans with application where any of the above apply. S. Fees:
5a Enter total of above fee., $ -- � W
Not required for temporary construction services. 5% Surcharge (.05 X tct: it fees)
Subtotal $
NOTICE 5b. Enter 250 of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal
Plan Review If required : t,ec.3) S $ -- NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY • Trust Account # . , ; -� $ ��
TIME AFTER WORK IS COMMENCED. Total balance Due
c -5K7-9
•
•
7/18/99 Activities for Case #: EL C98 -00175 •
6:16:23 PM •
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 4/9198 JSD FAX - JSD 4/9/98
ELCC003 Permit created 4/9/98 JSD PASS JSD 4/9/98
• ELCC700 Ceiling Cover JSD 4/9/98
ELCC720 Wall Cover • ,JSD 4/9/98
ELCC730 Elect'I Service JSD 4/9/98
ELCC799 Elect, Final JSD 4/9/98
ELCC500 (F)Issue permit 4/9/98 JSD PASS JSD 4/9/98
ELCC799 Elect'I Final 4/24/98 CD FAIL CD 4/24/98 phoenix elec. will reschedule,
some confusion as what needs
inspecting.
ELCC799 Elect Final 4/28/98 CD PASS CD 4/28/98 outlet for printer
ELCCB00 Case Fineled 4/28/98 CD PASS CD 4/28/98
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• CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: — 9� A.M. P.M. MST:
Location: • 80 Its i i"j .. / i BUP:
Tenant: 4 ' O� e arl ' OF Suite Bldg: MEC:
Contractor: I/./ / /Vi X 1` 1 . Phone: 6 O _ ._3(-') PLM: . //��
Owner: Phone: ELC: 1 7,'(9 / 75'
.litr71 _..vii7 /v - ELR:
( W(12 -" t �/ SIT:
BIUILD BLDG (con t) PLUMBING b ] CAL LECTRIC SITE
Site Post/Beam PostBeam Post/Beam i v Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -hi 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 • • s • Approved
Appr /Sdwlk Not Approved Not Approved Not Approved . • _ . ed Not Approved
FINAL FINAL FINAL FINAL
iiillio. i _, . _ , Alr
i
LC
0 Call for reinspect' 0 Reinspection fee of $ requir before next inspection 0 Unable to inspect
Inspector: \ e Date: ..7-1/ Page of