Permit CITY OF T ELECTRICAL PERMIT
/a,.�,, ,:;. DEVELOPMENT SERVICES PERMIT #: ELC98 -0295
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
DATE ISSUED: 06/01 /98
PARCEL: 2S102CC -00700
SITE ADDRESS...: 13599 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT . JURISDICTION: TIG
Project Description : Commercial tenant alteration.
- -- 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: 1 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
PET CHOICE type amount by date recpt
13599 SW PACIFIC HWY, SUITE C PRMT $ 50.00 DLH 06/01/98 98- 306169
TIGARD OR 97223 5PCT $ 2.50 DLH 06/01/98 98- 306169
Phone #:
Contractor:
EAGLE ELECTRIC INC $ 52.50 TOTAL
PO BOX 12948
REGIUIRED INSPECTIONS
MILL CREEK WA 98082 -0948 Ceiling Cover Elect'1 Service
Phone #: 425- 774 -4593 Wall Cover Elect'1 Final
Reg #..: 128686
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 -001 -1987. You may obtain a copy
of these rules or direct questions ii by ca .ing 5031246 -1987.
Permittee Signature: A.. /1.,.. �� Issued 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:
CO ACTOR a STALLATION ONLY
SIGNATURE OF SUPR. ELEC'N :,._ 040 -•: — _ _ DATE: (D'r —
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 #
`1312 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd 0 " ,'
Date to P.E.
Phone (503) 639 -4171, x304 Print or Type Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # EL -�9�P - D a 9S
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Q \ `�i„. 1 CA, Number of Inspections per permit allowed
-
Name (or name of business) 2A ` `■.. J \ Service included: Items Cost Sum
Address 13 s "'?) 9 .W , `- 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip �� 0 ) Each additional 500 sq. ft. or
Commercial Si El 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 current licenses) 4b. Services or Feeders
Electrical ontractor C, ■
° Installation, alteration, or relocation
\ �\� C 200 amps or less $60.00 2
Address O. rst:Sr. /a-9�Ig 201 amps to 400 amps $80.00 2 -
City �`(�'. \\ Sta te 1.1.) o.. Zip_ 9 ', 01 401 amps to 600 amps $120.00 2
Phone No. v '1)y - I'O3 601 amps to 1000 amps $180.00 2
Job No. 3 9._ Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. Exp.Date - _ Reconnect only $50.00 2
OR State CCB Reg. No. Exp.Date --00 ✓ 4c. Temporary Services or Feeders
COT Business Tax or Metro No Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
-
Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 1 44 • K (p S Exp.Date I Q ^( CI & see "b" above.
30
Phone Nc .A 01 b - � p
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 circui $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit .4 $35.00 3S •CO 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 CO 2
intended for sale, lease or rent. 4e. Miscellaneous
Owner's Signature (Service or feeder not included)
g 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:
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 # $ .a 6- d
Total balance Due
I:\DSTS \ELC96.APP Rev 9/96 9 2 f e -e p/ O
' M.
Cj2—j2- t -14) P -e-A1a4 ' LCe 4 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 67?--/f8(
A. P.M. MST:
Location: 3 9 J BUP:
Tenant-T+Ad A—„/nz>rnoLe Suite: Bldg: MEC:
Contractor. Phone: PLM: '
Owner: Phone: ELC: 0D-Ts
ELR:
TT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELEC CAL SITE
Site Post/Beam Post/Beam Post/Beam er /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Water Line
Slab Framing Top Out Gas Line Ro : -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved A us oved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved 'cot A.., . - . Not Approved
FINAL FINAL FINAL FINAL FINAL
A L
/ - (3 5 1 ,,A/ '.",, T ! f ,c,/ 17
�- sk ,V ' CA,,/.v / c) c /mss /e caoe'
3- L, .44 , 7 P i ed q 0 "uJf I 7 4 cottle_
O Call for reinspect O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: �/. et., /� G Date: 6 - L - P O Page of