Permit • ELECTRICAL PERMIT
•
C ITY OF TI CARD PERMIT #: ELC2001 -00453
� DEVELOPMENT SERVICES DATE ISSUED: 9/11/01
" . - I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102CB -00302
SITE ADDRESS: 13185 SW PACIFIC HWY B =2
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C -G
BLOCK: LOT : 033 JURISDICTION: TIG
Project Description: Installation of (2) circuits. Job #89271
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: 1 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:
ALADDIN MOTOR INNS OREGON ELECTRIC CONST /GROUP
BY BENZENISTE, IRVING 1010 SE 11TH AVE
10155 SW CAPITOL HWY PORTLAND, OR 97214
PORTLAND, OR 97219
Phone: Phone:
Reg #: LIC 203
SUP 1302S
ELE 26 -95C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 9/11/01 $53.50 2720010000( Elect I Final
5PCT CTR 9/11/01 $4.28 2720010000(
Total $57.78
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
Permit Signature: Or)'1 Issued By: ol a
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:
LICENSE. NO: -
Call 639 -4175 by 7:00pm for an inspection the next business day
SEP -10 -2001 15 313 P.91/92
Electrical PermitAp 1 ' :, tion
. D atereceiv : -
i :ii� City of Tigard iC� I� «� � trnitno. �, ,„ .4.W '' Project/appl. no.:
CiryolTigard Address: 13125 SW Hall Blvd, Tigard, • - •
IMMIIII
Phone: (503) 639 - 4171 Date issued:
:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: • ,
0 1 & 2 family dwelling or accessory it Commercial/industrial k to, .
0 Mold- family 0 Tenant improvement :.4
O New construction
❑ Addition/alteration/replacement 0 Other • 0 Partial
JOB Sl'1'E• INFORMATION
Job address: . • Bldg. no.: Suite no.: - Tax map/tax lot/account no.:
Lot Block: Subdivisi on: "
Project name: , „ _ • • _ Description and location of work on premises: 2 ckts gn i 11_,=, a R2
`
Estimated date of completionlinspection:
Job no: 89 2.71 '
Business name: r3nn El Ar Croup Description Fa l n .
t7ra poop QQ. (ea) Total no.
Addr 1 01 n Sg 1 1} h Avg — New esidential- single or andel-fan* per . :;
City: Portland State: OR 9 7 214 servic ZIP: senic igttttmdncladeeattachedgwaP .�
e mchrded: •
•�
Phone: 234 -9900 Fax 34 -1 0df-mail: 1000 sq. ft. or less • • :' , 4
CCB no.: 203 Elec. bus. lie no: 2 6
-
Each additional Soo sq. ft. or portion thereof .5 ::,, k
City/m • lic. no_: 1 995
O
Limited energy, residential � � •
� � Limit energy, non - residential
4 0 I II 9-10-01 Each manufactured home or modular dwelling • ,t,
S ' '7C•i � •� t � - � ,-. p4v _ Dare Service and/or feeder •: ''' • • 2
Sup. el= tame (print): D . S u r • ' t? r licens no: 2 0 6 4 S Saviors or (eedera - Inatauatton,
1'IZUPhat'f1' OWNER alteration or relocation:
200 amps or less 2
Name (print): 201 amps to 400 amps .. • 2
Mailing address: 401 -. z • 601 amps to 1000 amps . 2 . .
_ City: I State: 12;>P:
Over 1000 amps or volts r
Phone: Fax: E - mail: Reconnect only . ;
Owner installation: The installation is being made on property I own Temporaryservicesor feeders - . • __
which is not intended for sale, lease, rent, or exchange according to 0"•�� +orrel : . I
ORS 447, 455, 479, 670, 701. 200 amps or less : ,2
201 amps to 400 amps 2 '
Owner's signature: _ Date: r 401 to 600 .. . .. r
I:N(:1N1•:1;R Branch circuits - new, atteranon, . ; • •, .
•
Name: or extension per panel:
A. Fee for braaph circuits with ..
urr.hase of , .. .•
- Address: service or feeder fee; each branch circuit • : ,
City: — I State: j ZIP: B. Fee for branch circuits without purchases
Phone: Fax: Ismail' of service or feeder fee, fast branch circuit 1 4 6 . 4 5.2':
• Each additional branch circuit 1 6 65
PLAN 12EV1EW(Please check all that apply) Mtsc. (Service or farrier notIncluded):
CI Service ova 225 amps - commercial 0 Health facility Each pump or irrigation circle . 2 .
O Service over 320 amps.rating of 1 &2 0 Hazardous location Each signor outline lighting 2 -
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, -
O System over 600 volts nominal more residential units in one structure alteration, or extension* • ,2
O Building over three stories U Feeders, 400 amps or more •Desurc • lion: ..e; it •
QQ Occupant load over 99 persons O Manufactured stnrctures or RV park Each additional Inspection over the allowable la any of the above '.....
Egras/lightingplan 0 Other
Per inapection k ,;• . ; .
Submit — sets of plans with any of the above. . I 1 �'
P Y Invention (ere
The above are not applicable to temporary construction service. Other -
Not all jurisdictions accept oath cards, Purace call jurireiecioc, for more gar ••,,,,•; -� Permit fee • $ 5 3 5 n ` '
Notice: This permit application
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ 9b) $ 4 _ ?R
ceedrt coed Dumber / / within 180 days after it has been State surcharge (8%) .... $
e7p1fC9 accepted as complete. TOTAL $
Name of cardholder as shown on credit civil (1-
$ •
• Candhoider signature (6
anoaDe , 4404615 100100At)
SEP -10 -2001 15 :38 P.02/82
Electrical Permit Fees: ' , . . Limited Energy r ee j ,''s.:.. - -•
^
TYPE OF WORK INVOLVED RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee .:r ' ' .. r .tt _..:. x.$75.
Number of inspections per permit allowed (FOR ALL SYSTEMS) •
Service included: Items Cost Total I Check Type of Work Involved:
Residential - per unit '
1000 sq, tt or Less 5145.15 4 l 1 Audio and Stereo Systems
Each additional 500 sq. lt or ' - •
1 ❑
Unite Energy $7 00 . .. - Burg Alarm ,. ;: . ,
Each Maned Home or Modular :4 , :,,• • • .4.. ;;;�:ra i': r4e,`• .,4 :; a. ,.. %
Dwelling Service or Feeder $90.90 2 ' ❑
Garage Door Opener' ��
Services or Feeders Healing, Ventilation and Air Conditioning System
Installatibn. alteration, or relocation ..: * :1
200 amps or less • $80.30 2 •+x ' ,., �. . ' i • 201 amps to 400 amps ' $106.85 2 Vaarum Systems . . .
401 amps to 600 amps $160.60 2 !. - -
601 amps to 1000 amps 5240,60 2 Other
Over 1000 amps or voHS • $454.65 2 • . ' . • .. _ .. . . ... ..
Reconnect only $8645 2
Temporary Services or Feeders ''�:. .. . .. ,. ', ' s , •_ .. .'
Installation, alteration, or relocation • TYPE OF WORK IN •- COMMERCIALS ON 4 .
200 amps or less $66.85 2 Fee for each system ............._...... ..... - ' . - 575 -00
201 amps to 400 amps - - $100.30 • -. . 2 (SEE OAR 918- 260 -260) . ..
401 amps to 600 amps , • $133.75 • 2
Over 600 amps to 1000 volts. - - -- - Check Type of Work Involved: • .
S.
see "b" above. 17 Audio and Stereo Systems
Branch Circuits . • ...._
New, alteration or extension per panel ' '• •
a) The fee for branch circuits - El Boiler Contrbts _ _
with purchase of service or •
feeder fee. ❑ Clock Systems
Each branch circuit $6.65 2 -
b) The fee for branch circuits Data Telecommunication Installation
without purchase of • . � : +.:,�.,y
.., . r � > ";''�:.' �„'Y`' �.:'; �`:, „�'K'� n'.. .y .. . a• gr„c?`i�sa.�,''� , ` .. •• ,#fit
or feeder fee. - . , ❑- Fire Alarm lriatatis$on ' : ':a: , :.T;=2,•,;: Y:
First branch circuit 1 $46.85 ,, 4 A 85
Each additional brand) circuit 1 $6'65 6 6$ . • E] , HVAC . ' - T .. _ ---
Miscellaneous . • - • . • •
(Service or feeder not induded) _ _: ❑ . Instrumentation . 4
Each pump or irrigation circle $53.40 - .
Each sign or outline lighting $53.40 : " r---1
Signal circuits) or a limited energy . . • •. 1 1 . Intercom and Paging Systems •
panel, alteration or extension $75.00. .. ` .
Minor Labels (10) 5125.00 . . ❑ Landscape Irrigation Control' • . - • .
Each additional inspection over , Medi ca l :; -
• the allowable In any of the above
Per inspection
Per hour $62-50 _ • . n Nurse Call's .:;," •
In Plant $73.75
❑ Outdoor Landscape lighting' .. __. _ . .. _ _
Fees: r .
❑ Protective Signaling '•, y
Enter total of shove tees $ 5 3 ;50 - M1 ❑ .; a a . .+ . 7� 4 c • -
- Other . .!1!.. �`.:..i ± y' -7, .. :
8% State Surcharge - S . —4-241-- .
25% Plan Review Fee Number of Systems ,
See plan Review section on $
front of application ' No ricanras are required; Licenses are required foie other ir�tlasoiis
..
Total Balance Due $ .57 .7 8 F ees : . ... _
•
02 D3 Enter total 'of ab f • • ' r' • *R' $
Trust Account #
8% State. surcharge :: _
• Total Balance Due S •
ikistsWorrnsklc- focs.doc 10/09/00 • . '
TOTAL P.02
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ��o AM PM BLD
Location i L� / - r `A,,,,■r Suite 6 - z-- MEC
OF
Contact Person rn an . -h g 2(/) /// 7 PLM
Contractor Ph $ q ? :393/ SWR
BUILDING Tenant/Owner ELC .00/ /Z TS9
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 � / -- C l
Misc: �� �Y
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
(14.
Post & Beam
Rough In
Gas Line
Smoke Dampers
P ASS FAIL
EJ.ECT
Service
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 / l
Approach /Sidewalk D 9-) l� ! I actor Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.