Permit _ CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00100
� DEVE H PM SERVICES 639 -4171 DATE ISSUED: 3/9/00
PARCEL: 2S 102 B D -03000
SITE ADDRESS: 13035 SW PACIFIC HWY
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C -G
BLOCK: LOT : 035 JURISDICTION: TIG
Project Description: Installation of a 200 AMP service /feeder and nine (9) 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: 1 W /SERVICE OR FEEDER: 9 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: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only:. SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TRUCK TERMINALS INC SHAW WEST COMPANY
1825 SW PHEASANT DR PO BOX 1427
BEAVERTON, OR 97006 TUALATIN, OR 97062
Phone: Phone: 682 -3939
•
Reg #: SUP 221s
LIC 63142
ELE 34 -70c
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT GEO 3/9/00 $112.40 0000561 Elect'I Final
5PCT GEO 3/9/00 $8.99 0000561 GIN Total 121.39 �"
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 SIGNATURE ISSUED BY: 0//
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: fit' DATE: 3 "C
C)
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
07/29/99 THU 11:31 FAX 503 598 1960 CITY OF TIGARD • £1002
CITY OF TIGARD - • • Plan Check* .
' Electrical Perit Applicatiol •
13125 SW HALL BLVD. RECEIVED - Redd By
Date Rec'd
TIGARD OR 97223
Data to P.E.
Phone (503) 639 -4171, X304 MAR 0 9 2000 . Date to DST
Inspection (503) 639 -4175 P rint of Type - • Permit *FLL° aOSO '00/00
Fax (503) 598 -1960 coMmu 8 VIi llegible will not be accepted caned
1. Job Address: - ___, T 4. Complete Fee Schedule Below: • •
Name of Development AMTEST TEST LAB Number of Inspections per permit allowed
•
Name (or name of business) Service included: items Cost • Sum •
Address 13035 SW PACIFIC HWY 4a. Residential - per unit
TIGARD, OR 97223 1000 sq. ft. or lass $ 117.75 4 _
City /State/Zip Each additional 500 sq. ft. or .
portion thereof $ 26.25 1.
Commercial Residential ❑ Limited Energy • $ 60.00
. - Each Manuf d 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 SHAW WEST CO. 200 amps or less 1 $ 64.25 64.25 2
Address PO • BOX • 1427 _ 201 amps to 400 amps $ 85.50 - 2
TUALATIN O Zip 97062 • 401 amps to 600 amps $ 126.50 2
City S tat e P 601 amps to 1000 amps $ 192.50 2
Phone No. 682 -3939 FAX 682 -3723 Over 1000 amps or volts ' . $ 363.75 2
Job No. ST 540 Reconnect only $ 53.50 2
. Elec. Cont. Lice. No 34-70C Exp.Date 10/01/2000 4c, Temporary Services or Feeders •
OR State CCB Reg. No. 63142 Exp.Date 12/22/2001 Installation, alteration, or relocation
COT Business Tax or Metro No. 2360 Exp.Date09 /01 /0 200 amps or less $ 53.50 _ 2
201 amps to 400 amps $ 80.25 2
Signature of Sur. Elec'n w-= -�- £ 401 amps to 600 amps $ 107.00 2
g P �L Over 600 amps to 1000 volts,
see °b" above.
License No. ' a ? / S Exp :Date - 10 /01/2001
Phone No. (50 682 -3939 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 Owner's Name • . Each branch circuit 9 $ 5.35 48.15 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 l_ own . which is not 4e. Miscellaneous . 1 ,
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 dreuit(s) or a limited energy
(if required):* * panel, Labels (10) or extension $ 07.00
3. Plan Review section :
1 q � 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
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 . $ 1 12.40
* Submit 2 sets of plans with application where any of the above apply. 8% if, Surcharge (m §total fees) $.1 9 •
___
Not required for temporary construction services. Subtotal $ 2
•
5b. Enter 25% of line 5a for
• - NOTICE Plan Review if required (Sec. 3) $ ---
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 121.39
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR - ' •
WORK IS SUSPENDED. OR ABANDONED. FORA PERIOD'OF 180 DAYS . ❑ Trust Account #
AT ANY AFTER WORK IS COMMENCED. • Total balance Due . $ 121.39
• is \dsts\forms\electricdoc -
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3/ /6p /O AM PM BLD
Location 30 3 S Pa C Suite MEC
Contact Person Oa L cL Ph (A2 PLM
Contractor ,.9 W�s� Ph SWR
BUILDING Tenant/Owner h .1 16W ELC 2000 — 0
Retaining Wall 'TAM ELR —as
Footing Access:
Foundation FPS
Ftg Drain Sr') SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear (I� � / � D � - _ 41' i/ - 2C.c�cc�i
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler : — _
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING 4 Z��
Post & Beam
Under Slab
Top Out
Water Service Q (Z)
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CTRIC
f
ice]
Rough In
UG /Slab
Low Voltage
Fire Alarm
VOP 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 Date
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.