Permit 4. - CITY OF TI G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00488
*.0
1'‘ DEVELOPMENT SERVICES DATE ISSUED: 8/17/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110CD -07600
SITE ADDRESS: 15705 SW 116TH AVE
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT : JURISDICTION: KIN
Proiect Description: Tenant Improvement
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: SIGNAL /PANEL:
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 11 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:
TOBIAS INVESTMENT CO HAMER ELECTRIC INC
300 SE SPOKANE ST 126 INDUSTRIAL WAY
PORTLAND, OR 97202 LONGVIEW, WA 98632
Phone: Phone: 360- 636 -2227
Reg #: ELE 1135LMS
LIC 37 -144C
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Final
PRMT JMT 8/17/00 $96.35 HAND
5PCT JMT 8/17/00 $7.71 HAND
Total $104.06
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATUR ISSUED BY: .—� Q
i I
54 7
� 7 • NER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
. .
RECEIVED
CITY OF TIGARD Plan Check 4
13125 SW HALL BLV \UG 1 7 20�( lectr1cal Permit Application tRecd By
TIGARD OR 97223 Date Recd -
503 639 4171,
cOMMUNITY DEVELOPMEN l Date to P.E.
Phone
(503) Date to DST �y+� p
Inspection (503) 639 -4175 Print of Type Permit # E,�(%r ' _21)40e) K,v �$O
Fax (503) 598 -1960 incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) Service included: Items Cost Sum
Address / $/,O Hold l VE. 4e. Residential - per unit
City /State/Zip <Wiz "" T ,63E1 1000 sq. ft. or less $ 117.75 4
Each additional 500 sq, ft. or
portion thereof $ 26.75 1
Commercial re9 Residential ❑ Limited Energy 5 60.00
Each Manure 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 1444I4F9 lJ_. r't Lr "le-- 200 amps or less $ 64.25 2
Address 14Ce l t�j u 'gi „_ 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City L.b 4/ -Aifg. sJ State WA. Zip 106p 3.7 601 amps to 1000 amps $ 192.50 2
Phone No. 360€7, - Lr3(.0 :1 _ Over 1000 amps or volts _ $ 363.75 2
Job No. Ige 5 a,3 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. ?7• i 4 Exp.Date /. - cv • flo 4c. Temporary Services or Feeders
OR State CCB Reg. No. R3es !Sr Exp.Date pl - 25•CPI Installation, alteration, or relocation
COT Business Tax or Metro No. Exp.Date 200 amps or less $ 63.50 2
201 amps to 400 amps $ 80.25 2
ti nature of Sur. Elec'n / �. ai.Q/ 401 amps to 600 amps _ _ $ 100.00 2
9 P Over 600 amps to 1000 volts,
see °b" above.
License No. 8479 S Exp.Date I -bl
Phone No. 314.GD 06 2Z27 4d. Branch Circuits
New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owners Name Each branch circuit $ 5.35 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone No First branch circuit / $ 37.50 .3 7, SO
Each additional branch circuit U $ 5.35 .SF
Tho inotallation is being m ?'+. ^^ r "PAAy 1 own whirl) is not do allicnellanenos
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 _ $ 4 275
Signal circuits) or a limited energy
panel, alteration or extension $ 60.00
3. Plan Review section (if required) :" Minor Labels (10) 5 100.00
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
described in N.E.C. Chapter 5 5. Fees: p
5a. Enter total of above fees $ f � . 35
* Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ '7, 71
Not required for temporary construction services. Subtotal 5
5b. Enter 25% of line 5a 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 #
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ /4'/ 0 (0
i:\dsts\lomts\cleetric.cioc
\electric.doc
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST - ti
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �` AM PM BLD
Location /570 . /7, /Lie_ Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 7. E 2Y
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
Insulation ._
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL No O e-e-- ' a /`� l Z etl O/
PLUMBING U t, 4 f/ L/� l l / , f .. # Ooe �9�r �L
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
4(5 m=5 FAIL
Service
Rough In
UG /Slab
Low Voltage
e Alarm
0' 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 r:' spection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk op is
Other Date Arm Inspector Ext
Final
PASS PART FAIL D • 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
o BUP
55d P Date Requested 57-z z_- 06 AM PM BLD
Location /5 5 u) //6 7z itly Suite MEC
Contact Person /)� Ph 360 /,? 9Z PLM
Contractor Air ! // if � ' Ph e 4),„.-,,,
--z220 SWR
BUILDING Tenant/Owner k0 C-- 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
Drywall on (.2) 41 414.440I 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
Smoke Dampers
Final
PASS PART FAIL
EO Tip3AL
Service
UG /Slab
Low Voltage
Fire Alarm
4 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 [ ] Please call f reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk D ate
Other �1 �1 Inspector Ext
Final
PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.
•
BUP - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service ile Crawl drain Electrical final V . .
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP PLM, SWR, ELC, ELR, MEC, SIT PERMITS
A CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00488
DEVELOPMENT SERVICES DATE ISSUED: 8/17/00
agal =--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110CD
SITE ADDRESS: 15705 SW 116TH AVE
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT : JURISDICTION: KIN
Project Description: Tenant Improvement
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: SIGNAL /PANEL:
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 11 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:
TOBIAS INVESTMENT CO HAMER ELECTRIC INC
300 SE SPOKANE ST 126 INDUSTRIAL WAY
PORTLAND, OR 97202 LONGVIEW, WA 98632
Phone: Phone: 360 636 - 2227
Reg #: ELE 1135LMS
LIC 37 -144C
SUP 3479S
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Final
PRMT JMT 8/17/00 $96.35 HAND Ceiling Cover
5PCT JMT 8/17/00 $7.71 HAND Wall Cover
Underground Cover
Total $104.06
1 1
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 or direct questions to OUNC at (503) 246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY
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 O
SIGNATURE OF SUPR. ELEC'N: DATE: I
LICENSE NO: w
Call 639 -4175 by 7:00pm for an inspection the next business day
8/22/00 Activities for Case #: ELC2000 -00488
1 4:45:17 PM
Assigned Hold Updated '
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCA001 Application received 8/17/00 JMT DONE No Hold JMT 8/17/00
ELCA799 Elect'I Final No Hold JMT 8/17/00
'
ELCA500 (F) Issue permit 8/17/00 JMT DONE No Hold JMT 8/17/00 .
ELCC725 Underground Cover 8/22/00 CD PASS No Hold CD 8/22/00
Wall Cover 8/22/00 CD PASS No Hold CD 8/22/00 (2) bathroom (1) office
ELCC720 O ( ) o
ELCC700 Ceiling Cover No Hold CD 8/22/00
ELCA510 (F) Reprint permit 8/22/00 ZZZ DONE No Hold 77Z 8/22/00
ti
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