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Permit CITY OF TIGAR D ELECTRICAL PERMIT PERMIT #: ELC98 -0377 ,, , . ' DEVELOPMENT SERVICES DATE ISSUED: 07/23/98 _ _1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102AA -00600 SITE ADDRESS...:11940 SW PACIFIC HWY #A SUBDIVISION •TIGARD HIGHWAY TRACTS ZONING:CBD BLOCK • LOT •012 JURISDICTION: TIG Project Description : Electrical addition - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 500SF...: 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: 14 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 ATOM ELECTRIC type amount by date recpt 933 CUNNINGHAM LN PRMT $ 55.00 B 07/08/98 98- 307188 SALEM OR 97302 SPCT $ 2.75 B 07/08/98 98- 307188 PRMT $ 50.00 B 07/23/98 98- 307589 Phone #: SPCT $ 2.50 B 07 /23/98 98- 307589 Contractor: ATOM ELECTRIC INC $ 110.25 TOTAL 933 CUNNINGHAM LN REQUIRED INSPECTIONS SALEM OR 97302 Ceiling Cover Elect'l Service Phone #: 503 - 362 -1382 Wall Cover Elect'l Final Reg #..: 119223 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 - 001-0010 through OAR 952 -801 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (593)246-1987. -1987. 0,---1551Ad / 1 0r Permittee Signature: , 1J+ , 6 0 6- Is cf By:: � `( 1.��(J 4d L_ 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 SUP R. ELEC' N : I / l DATE: LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Electrical Permit Application Plan Check ft 13 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit ft PLC P Fax (503) 684 7297 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 4a. Residential - per unit 1000 sq. ft. or less '$110.00 4 City /State /Zip Each additional 500 sq. ft. or Commercial ❑ Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor Installation, alteration, or relocation 200 amps or less $60.00 2 - Address 201 amps to 400 amps $80.00 2 City State Zip 401 amps to 600 amps $120.00 2 Phone No. 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. Exp.Date OR State CCB Reg. No. Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 Si nature of Su r. Elec'n 201 amps to 400 amps $75.00 2 g p 401 amps to 600 amps $100.00 r 2 Over 600 amps to 1000 volts, or License No. Exp.Date see "b" above. Phone No. /w, 0. t 7 4d. Branch Circuits Qi �U I1 New, alteration or extension per panel / / r el J 2b. For owner installations: a) The fee for branch circuits with / • purchase of service or a' f ICIPPill Et C, Print Owner's Name feeder fee. Address Each branch circuit 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch .ucuit /l) $5.00 DSO . 2 intended for sale, lease or rent. , 4e. Miscellaneous - (Service or feeder not include. Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: ..5-O Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ .2 ' S d NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ - IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account q �a. -5-0 $ Total balance Due I: \OSTS\ELC9G.APP Rev 9/96 __ dUTY OF TIGARD ELECTRICAL PERMIT 4 ° , DEVELOPMENT , � DEVELOPMENT SERVICES PERMIT #: ELC98-0377 I� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED. 07 /,_1/98 '� PARCEL: 2S102AA -00600 SITE ADDRESS...:11940 SW PACIFIC HWY #A SUBDIVISION •TIGARD HIGHWAY TRACTS ZONING:CBD BLOCK • LOT •012 JURISDICTION: TIG Project Description : Electrical addition - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 500SF...: 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: 4 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 ATOM ELECTRIC type amount by date recpt YP Y 933 CUNNINGHAM LN PRMT $ 55.00 B 07/08/98 98- 307188 SALEM OR 97302 5PCT $ 2.75 B 07/08/98 98- 307188 Phone #: Contractor: ATOM ELECTRIC INC $ 57.75 TOTAL 933 CUNNINGHAM LN REQUIRED INSPECTIONS SALEM OR 97302 Ceiling Cover Elect'1 Service Phone #: 503 - 362 -1382 Wall Cover Elect'1 Final Reg #..: 119223 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 - 88110 - DAR 952- 081 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (5 -1987. Permittee Signature: ued B , •�, /,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 INSTAL ATION ONLY An SIGNATURE OF SUPR• ELEC' N : 4 •�.1L / / ;.vd DATE: 7,dio ' Q d � LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++ CITY OF Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd Byyl4 TIGARD OR 97223 Date Rec'd 7 - 7 - 4 Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # Eta �1� / Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called '1 - `� -` I55 1. Job Address: sn 4. Complete Fee Schedule Below: Name of Development Mf a QQo ret fr' e !, � r 5 Number of Inspections per permit allowed Name (or n of business) /04/0 j' A L # 113 / 4 Service included: Items Cost Sum Address ` , /kit itL7 eaLdt T 71- 4a. Residential - per unit A 1 D �J G 7 �� 1000 sq. ft. or less $110.00 4 City/State/Zip ' C- El Li 7 Each additional 500 sq. ft. or Commercial Residential portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) • 4b. Services or Feeders Electrical Contractor f TUTY1 ELeC- TRI-C.J Installation, alteration, or relocation 200 amps or less $60.00 2 Address 201 amps to 400 amps $80.00 2 City State 02 Zip 401 amps to 600 amps $120.00 2 Phone No. (Sc) 3' 3(02_ - 13 - M 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 2y - t o C- Exp.Date OR State CCB Reg. No. 119 223 pxp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro t Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 Signature of Supr. Elec'• ; �--�� 401 amps to 600 amps $100.00 2 O License No. 429 c S Exp.Date s e e 1000 volts, "b" above. Phone No. 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 - b) The fee for branch circuits City State Zip without purchase of OQ Phone No. service or feeder fee. First branch circuit I $35.00 2 The installation is being made on property I own which is not Each additional branch circuit y $5.00 Aga_ 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required) :* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 • * Submit 2 sets of plans with application where any of the above apply. S. Fees: ,z- od Not required for temporary construction services. 5a. Enter total of above fees $ �' 5% Surcharge (.05 X total fees) $ � NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ / IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �-• TIME AFTER WORK IS COMMENCED. ❑ Trust Account # J �� Total balance Due $ 1: \DSTS\ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP /.30. Date Requested 7-2 5-q? AM PM BLD Location 1 1 -I ito �� p 1� y Suite A MEC Contact Person R pa Ph 3 30 'O/ / I PLM Contractor ATOM E /ecjrtc I nC . Ph rn 12 SWR BUILDING Tenant/Owner ELC C / 1 ? -03 7 7 Retaining Wall ELR Footing Access: Foundation WAS C � 77 L C FPS Ftg Drain �V �i Slab Crawl Drain Inspection Notes: arA s / SGT Post & Beam /� y �(/` � � / U SIT Ext Sheath /Shear '`�� // / Int Sheath/Shear Framing Insulation ,[ Drywall Nailing 6 v /--19.- LO X � . S YYI u s r b e /us h ,tit1 t �h Firewall / / Fire Sprinkler pi h I Si'124L Ll /1 0 r )11 e_ l Luc ///) h to S Fire Alarm 1n� f I- J Susp'd Ceiling ) U5/ bP /Y/5�4//e T /JCJ1 P 7 hDX, Roof / Misc: 0 £t.D • • e,X i l7Se.c D We V/ ( t FP al A. f 3 ?D - Z 0 A & C PASS PART FAIL 1 PLUMBING Post & Beam / Under Slab Al) f• cY ,.✓/ / (.tom Top Out .4 " I Water Service Q1) 7 / e _ / `S [,r ' / i i .4 Q C ' Jt e C h ` t k1 p k Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam /] / Rough In A 0 V� h / G .�• S Gas Line Smoke Dampers Final PASS P RT _ FAIL (CECTRICAL Service Clough I uG15a�b Low Voltage Fir- • larm ,i �.. - +�. PART CF 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 reinspection RE: [ ] Unable to inspect - no access ADA �f G� / 2j417 Approach /Sidewalk Date ( ` ��` (� Inspector / to r Ext Other Final PASS PART FAIL DO 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 �8 fl /�,� d"' c� BUP y Date Requested � / AM PM BLD Location I I Q `t'0 SW i1 Suite A MEC Contact Person j if1 _ M'( I%1. . b-0- J - ( PLM Contractor Ph SWR 2 BUILDING Tenant/Owner VI YtC I L�I�CI Sy - ytt& -1 0 p^ ELC �Q-> 77 Retaining Wall ELR Footing Acces nn ((�� Foundation " `S c V`'tr FPS Ftg Drain SGN Slab Crawl Drain Inspec ' otes: � 1 t-C SIT Post Beam eye", ccol„ ro c Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing �■ — p._ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 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 P FAIL kr ELECTRICA Service Rough In UG /Slab Low Voltage Fire Alarm - ART FAIL .. Backfill /Grading Sanitary Sewer Storm Drain [ I 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: [ I Unable to inspect - no access ADA ector Other h/Sidewalk r z /9, InS .G� Ext other Date Inspector PASS PART . FAIL D NOT REMOVE this inspection record from the job site.