Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00431
, rlIn DEVELOPMENT SERVICES pe ISSUED: 7/16/99
^` '�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4 �0
�� PARCEL: 2S102BD -02000
SITE ADDRESS: 12885 SW PACIFIC. HWY
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C -G
BLOCK: LOT : 038 JURISDICTION: TIG
Project Description: Add ten (10) branch circuits and two (2).signal circuits or limited energy panel.
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: SIGNALJPANEL: 2
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: 9 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:
COMET CORP/WESTERN STATIONS CO NORTHWEST PUMP + EQUIPMENT
2929 NW 29TH 2800 NW 31ST r
PORTLAND, OR 97210 PORTLAND, OR 97210
Phone: Phone: 227 -7867
Reg #: ELE 26 -852C
LIC 00064567
SUP 3155S
FEES Required Inspections
Type By Date Amount Receipt Rough - in
PRMT DST 7/16/99 $205.65 99- 316953 Underground Cover
PLCK DST 7/16/99 $51.42 99- 316953 Elect'l Final
5PCT DST 7/16/99 $14.40 99- 316953
Total $271.47
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 copi : = - rules ordirect questions to OUNC at (503)
246 -1987.
Permit Signature `•) Issue' By: • 4 � � / Cia
�
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 7:00pm for an inspection the next business day
Community Development ELECTRICAL PERMIT APPLICATION
• 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 7- /D C 7-y-9 ,
. l Permit # e-� / 6 o Y/
1i "° I { - Date lowed Yo !'-
.) I Phone ( 503) 639 -4171 E, -/5" G'�--
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175
1. Job Address: /� 4. Complete Fee Schedule Below:
Name of Development r' S 0 ' +A 0 Number of Inspections per permit allowed
Address 1 2,88 rJ Su.). r fit-c-1-c-‘ c 14-(A) L f Service included: Items Cost(ea) Sum
City/State/Zip * J _ , DE. 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
-
Name (or name of business) AA fl Each additional 500 sq. ft or 1
portion thereof $25.00
Commercial Residential ❑ Limited Energy $25.00
Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
4b. Services or Feeders
1 � Installation, alteration, or relocation 2
Electrical Contractor N - W ) . Pc2 V't rO 200 amps or less $60.00 2
Address 2600 L) 31 s-t- ft u- 201 amps to 400 amps $60.00 2
401 amps to 600 amps $120.00
City POPI State Oie. Zip X77,! O 601 amps to 1000 amps $180.00 2
-
Phone No. Z ?'1-7 io7
Over 1000 amps or volts $340.00 2
Contractor's License No. a.(,- 8SZ c_ /0-1-99 A- Reconnect only $50.00 -
Contractor's Board Reg. No. 6 z154 , ,7 4c. Temporary Services or Feeders 2
g p r / Installation, or les on, or relocation
Si nature Of SU r. EIeC'n ..eiv /v 200 amps or less $50.00 2
License No. 31 555 Phone No. 22.7- 8 67 201 amps to 400 amps $75.00
- 401 amps to 600 amps $100.00
/6 -1 - Ol 4 Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits with
Ci State Zi purchase of service or feeder fee. 2
ty p Each branch circuit $5.00 L0
Phone No. b) The fee for branch circuits without S /� . . 2
Q J
The installation is being made on property I own which is purchase of s e r v i c e or feeder fee. 37.
not intended for sale, lease or rent. first branch circuit I $35413 2
Each additional branch circuit 9 $s'etT / t.4
s . 3 j ,
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 - Each sign or outline lighting $40.00 ere
Signal circuit(s) or a limited energy 6b� /"', 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension 2... _Iwo
D'� /-
4 or more residential units in one structure Minor Labels (10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
X Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00
Per hour $55.00
-
In Plant $55.00
Submit 2 sets of plans with application where any of the above � �
apply. Not required for temporary construction services. 5. Fees: ` `
NOTICE o 5a. Ent 9r total of above fees - $ LifT v '" , r 40
Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ ` ,1 2-,
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for `I •
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ /
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
•
COMMENCED. ❑ Trust Account # $ y7
Balance Due . $ 2,46 9 I
rpdbaM•v1.4er:-prm.°pp
(
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8/16/99 Activities for Case #: ELC1999 -00431
8:40:57 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 APPlication received 7/7/99 DEB RECD No Hold GEO 7/15/99
ELCC003 Permit created 7/15/99 GEO DONE No Hold GEO 7/15/99
ELCC102 Plans routed to Plans Examiner 7/15/99 GEO SENT No Hold GEO 7/15/99
ELCA115 Approved plans routed to DSTs 7/16/99 CD " PASS No Hold CD 7/16/99
ELCA725 Underground Cover 7/16/99 7/16/99 7/20/99 CD PASS No Hold AKJ 7/20/99 underground at dispensers
ELCA700 Rough -in 7/16/99 7/16/99 No Hold CD 7/16/99 .
ELCA799 Elect'I Final 7/16/99 7/16/99 8/11/99 BRP PASS No Hold AKJ 8/11/99
ELCC117 DST Post - Review complete 7/16/99 DEB DONE No Hold DST 7/16/99
ELCC400 (F)Ready to issue 7/16/99 DEB DONE No Hold DST 7/16/99
ELCA500 (F) Issue permit 7/16/99 DST DONE No Hold DST 7/16/99
ELCC800 Case Finaled 8/11/99 AKJ DONE No Hold AKJ 8/11/99
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S -9 9' AM X PM BLD
Location l 2- 7 4L !_ 1( Suite �y MEC
�'
Contact Person bri6 /� I U Ph 2�'Z/225 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 1 - I C /CI ,ry v �j 1
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 �gS
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
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
.ASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before ne • spection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line /
ADA
Other I oach /Sidewalk Date / ` Inspector ' � ■ ! , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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