Permit 4 PERMIT #: ELC1999 -00656
- 13125 �� DEVE PMENT r SO RVIICES 639 - 4171 DATE ISSUED: 11/19/1999
PARCEL: 2S 112AB -00400
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SITE ADDRESS: 07400 SW LANDMARK LN
SUBDIVISION: R1 1146ING:
I N ION: I
BLOCK: LOT . OG
Project Description: Electrical for new shell building. Installation of two (2) 200AMP service /feeders and one (1) 1000 +AMP
service /feeder and eighteen (18) branch circuits.
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: 2 W /SERVICE OR FEEDER: 18 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: 1 > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
GLEN HAYTER PHOENIX ELECTRIC CO
5455 SE ALEXANDER 7379 SW TECH CENTER DR.
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HILLSBORO, OR 97123 TIGARD, OR 97223
Phone: 503 - 542 -5611 Phone: 684 -3600
Reg #: LIC 00052288
. SUP 4140S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt
Ceiling Cover
PRMT GEO 11/19/199£ $588.55 99- 319366 Wall Cover
PLCK GEO 11/19/199. $147.14 99- 319366 Elect'I Service
5PCT GEO 11/19/199. $47.08 99- 319366 Elect'I Final
Total $782.77
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State- of Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if wor not started within 4 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to folio 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 obt,:in copies of these rules or direct questions to'' UNC at (503)
246 -1987. • l '
z 0 e0 4e
PERMITTEE'S SIGNATURE r IS ED 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 - -
SIGNATURE OF SUPR. ELEC'N: .d fs. % ' JJ _J-4 is. DATE:
er
LICENSE NO: a-S '
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY TIGARD Electrical Permit Application Plan Che� �,C
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223
Date Rec'd ' 21- h W
Date to P.E. / - -
Phone (503) 639 -4171, x304 Date to DST - - r
Inspection (503) 639 -4175 Print of Type Permit # F /99-q 06
Fax (503) 598 -1960 Incomplete or illegible will not be accepted JAI CaEdd /1-14- 1 ,�'j
1. Job Address: 4. Complete Fee Schedule Below: •
Name of Development ( le 11 /4 6t t 1' Number of Inspections per permit allowed
Name (or name of business) G / 2Y\ ticzyl & < t om, Service included: Items Cost Sum
V Address 7 n . L� L,
( �( � d r r Festr /\ r�� t,fl€ 4a. Residential - per unit
City/State /Zip TLi �.'C-d 6R. (722.3 1000 sq. ft. or less $ 117.75 4
Each additional 500 sq. ft. or
portion thereof $ 26.25 1
Commercial a 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 to base). , Installation, alteration, or relocation
Electrical Contractor ,‘ . E�Ci ca Co . 200 amps or less $ 64.25 1 25,502
7371 . '
Address 201 amps to 400 amps $ 85.50 2
iv 7�h cen D r
401 amps to 600 amps $ 128.50 2
City Ter ca State 6 Zip et 727.„..3 601 amps to 1000 amps $ 192.50 2
Phone No. " 3 Over 1000 amps or volts / $ 363.75 363, 75 2
Job No. /V . Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 3 UJ2 jX Exp.Date 4c. Temporary Services or Feeders
OR State CCB Reg. No. 52.24 Exp.Date Installation, alteration, or relocation
COT Business Tax or Metro No. 6'-17 Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n e 401 amps to 600 amps $ 1 07.00 2
Over 600 amps to 1000 volts,
see "b" above.
License No. c-/p-i as Exp.Date 4d. Branch Circuits
Phone No. 6'5 - 3660 New, alteration,or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee. //
Print Owner's Name Each branch circuit 1 $ 5.35 '76, 3o 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
Each additional branch circuit $ 5.35
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
A Service and feeder 225 amps or more Per inspection $ 50.00
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:
5a. Enter total of above fees $
* Submit 2 sets of plans with application where any of the above apply. 5% Surcharge (X total fees) $ 7 ►C7
Not required for temporary construction services. Subtotal , 613 $ (d 35;63
5b. Enter 25% of line 5a for / y
NOTICE Plan Review if required (Sec. 3) $ I T 1 11
PERMITS BECOME WORK ORAUTHORIZED - - Subtotal . _ . _ $_.. "]°�.. �7
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS ❑ Trust Account #
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 7132477
i:\dsts\forms\electric.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24- Hour Line: 639 -4175 Business Line; 639 -4171
BUP
Date Requested J /q/0o AM PM BLD
Location 7 LIDO efA Suite MEC
Contact Person 9a Ph 20 -33D? PLM
Contractor Ph SWR
BUILDING, Tenant/Owner ELC 1.9 -00(4 1c.
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
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer.
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam •
Rough In f
Gas Line
Smoke Dampers
Final
PASS PART FAIL
X
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS 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 reinspection RE: / [ ] Unable to inspect - no access
ADA
Approach /Sidewalk V fO 5 Inspector
Other Date Li � 1LL� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.