Permit 4,-, CITY OF TIGARD
% DEVELOPMENT SERVICES ELECTRICAL PERMIT —
Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0091
DATE ISSUED: 04/06/98
PARCEL: 261O2CC -00700
SITE ADDRESS...:13599 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT . JURISDICTN: TIG
Project Description : Limited energy for an existing commercial tenant.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM..: NURSE CALLS . •
VACUUM SYSTEM FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: •• HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..:LIM ENERGY: :X
TOTAL # OF SYSTEMS: 1
Owner: FEES
TIGARD ANIMAL HOSPITAL type amount by date recpt
13599 SW PACIFIC HWY, SUITE C PRMT $ 40.00 GEO 04/03/98 98- 304653
TIGARD OR 97223 SPCT $ E.0O GEO 04/03/98 98- 304653
Phone #:
Contractor:
ELECTRICAL CONTRUCTION CO $ 42.00 TOTAL
PO BOX 10286
REQUIRED INSPECTIONS
PORTLAND OR 97296 Low Voltage Insp
Phone #: 224 -3511 Elect'1 Final
Reg #..: 049737
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 9524814010 through OAR 952�1-N80. You may obtain copies of
these rules or direct uesti.is o at (503)246 -1987. ,..
Issued by Lip Permittee Signature
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 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
07..f15/96 11:53 ag`5O3 68.1 7297 CITY OF TIGARD li!1i162; im2
Job# 78158 (r�acto mmu Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 .Permit # F`g g- UG
Date Issued
;, `I Phone (503) 639 -41
"" FAX (503) 684 -7297
' CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Tigard Animal Hospital Number of Inspections per permit allowed
Address 13599 SW Pacific Highway Service included: Items Cost(aa) Sum
City/State/Zip Tigard, OR 97223 4a. Residential_ • per unit
1000 sq. ft. er less 5110.00 4
Name (or name of business) Tigard 'Animal Hospital Each additional 500 aq. ft. or
wean thereof $25.00
Commercial ® Residential D unseat! enemy :25.00 +
Each MamRd Home or Maouler
Dwelling Sewira or Feeder 388.00. 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical ContractorELECTRICAL CONSTRUCTION CO. Installation a°° 0f 1e10ca11en
2130 amps or less 560.00 2
Address P.O. BOX 10286 201 amps to 400 amps seo.00 2
City PORTLAND State OR Zip 97296 a impala 600 amps $120.00 2
Phone No. (503) 224 -3511 601 amps to 1030 amps 3180.00 2
Job N0. 78158 over loop amps or vows 3340.00 2
Reconnect omit $50.00 z
contractor's license NO. 26 -45C 4c. Temporary Services or Feeders
Contractor's Board Reg. No. ;V737 - , , Installation, alteration. or relorauon
Signature of Supr. Elec' _ ; 71.11N ;'►/11� 200 amps er less 2
- 2
License No. 40405 Phone No I frrt - 201 amps to 400 amps 360.00 2 - 401 amps Co 600 amps 375.00
Over 600 amps to 1000 von $100.00
2b. For owner installations: • see •b• above.
4d. Branch Circuits
Print Owner's Name New, alteration er extension per pane
Address a) Tits tee for branch cin adta with
City State Zip purertase er Bennee er reader fee. 2
Phone No. Each branch omit 36.00
5) The fee ter prance enestas wIthour
The installation is being made on property I own which is purchase of service or feeder fee. - 2
Finn branch dreuit 335.00 2 -
not intended for sale, lease or rent. Each addaional branch eosua 55.00
-
Owner's Signature 4e. Miscellaneous
(Service or feeder not Included) 2
• Each pump or Irrigation circle 340.00 2 - 3. Plan Review section (if required): Each sign or autatne bgmang :40.00
Signal ciesat($) or a limited energy 2
Please check appropriate item and enter fee in section 59. panel, elterauun or extension 1 340.00 40.00
4 or more residential units in one structure Minor labels (10) $100.00
Service and feeder 225 amps or more
System over 600 vole nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
es described in N.E.C. Chapter 5 Per peo10" 336.00
Per hour 355.00
In Plana 155.00
-
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ 40.00
5% Surcharge (.05 X total fetes) $ 2_ nn
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plen Review if required (Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Suitt g
COMMENCED. �.4,........r.° Trust Account IY azo 3 7 s
w+•.wr
Balance Due $ 42.00
•
Lin!'_ rem.
cR �_-- _ --�
CITY OF TIGARD BU LDING INSPECTION DIVISION 1
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 6 /q/ gd A.M. X P.M. MST:
Location: 51 ' 4 - ..�.A.A.; BUP:
Tenant: / , Suite: Bldg: MEC:
Contractor: tfAitif. 0 t4-4-- Phone: PLM:
Owner: Phone: 7 0 / _
%/� ,, ,, t�^ / ELR g� 0-0q/
SIT:
BUILDING B (con't) PL G MECHANICAL i.F.CTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -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 w Vo t CRIMP__
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not A oved Not Approved
FINAL FINAL FINAL ( FINA FINAL
L ynert 4,A t? diAbd C .�.v I c
f .�._- �Z. 1 � �' 4 Alet/e,--- s ,..._
e /
ELe- 9i— (0 / 7
64-4 9$ — 0 096— 3, to ,4 - P
t ig44;:a 2! _ )
e
O Call for rein , ; . 'n O Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: / � � 2, [/. r ( k Dat 6 - 54 J Page of
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