Permit , .
CITY OF TIGARD ELECTRICAL PERMIT
/in DEVELOPMENT SERVICES PERMIT #: ELC98 -0385
'� � 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/13/98
PARCEL: 2S110AA -00700
SITE ADDRESS...:14030 SW PACIFIC HWY
SUBDIVISION • ZONING:C -G
BLOCK • LOT • JURISDICTION: TIG
Pro.j ect Description : Installation of 7 branch circuits.
- -- 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: 6 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
UNOCAL CORPORATION type amount by date recpt
76 BROADWAY PRMT $ 65.00 DEB 07/13/98 98- 307299
SACRAMENTO CA 95818 5PCT $ 3.25 DEB 07/13/98 98- 307299
Phone #:
Contractor:
EAGLE ELECTRIC INC $ 68.25 TOTAL
PO BOX 12948
REQUIRED INSPECTIONS
MILL CREEK WA 98082 -0948 Ceiling Cover Elect'l Service
Phone #: 425- 774 -4593 Wall Cover Elect'l 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 es you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 .10 through OA' 'J 1 -1987. You may obtain a copy
of these rules or direct questions t. 1 !I by cal,'ng (503)246 -1987.
Permittee Signature: �• 1 ..,_ ` �a � • Issued : : T ,,�' /
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: .
CONT CTOR IN ALLATION ONLY
`1
SIGNATURE OF SUPR. ELEC'N: X - /o .. - DATE:
i
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 Ch_ �i /
-
TIGARD OR 97223 puvi 13125 SW HALL BLVD. O c L Recd B O Date Recd 7-
503 639 -4171, x304 Date to P.E.
Phone
( )
Print or Type Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # 6 4! 9P'O3 '5�
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
.i
Name (or name of business) ON.)) n I f1) �') Service included: Items Cost Sum
Address \�6I0 S ` . W �C- \�C �V&, 4a. Residential - per unit
(� n a • 1000 sq. ft. or less $110.00 4
City/State/Zip \ R ) a. Each additional 500 sq. ft. or
Commercial residential El 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 \ 4b. Services or Feeders
Electrical ntractor - - \k. Q e' ,-.-/4 e„ Installation, alteration, or relocation
200 amps or less $60.00 2
Address • •Q 201 amps to 400 amps $80.00 2
City V W T _! ! i) Zi • 1 ' 401 amps to 600 amps $120.00 2
Phone No. - i 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. - Exp.Date - A...1 `1___
OR State CCB Reg. No. Exp.Date -Ze 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
1 • 200 amps or less $50.00 2
Signature of Supr. Elec n � � ` ` . 201 amps to 400 amps $75.00 2
1 1
1 (
Over 401 amps to 600 amps $100.00 2
`C� O Si E xp.Date/ O ^f' / U Over 600 amps to 1000 volts,
License No._ see "b" above.
Phone No. 3 (n0 - ( o (7 - ca_(p 4 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 circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 -S 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 moo, Op 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included) /
Owner's Signature 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. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ ��
5% Surcharge (.05 X total fees) $ 4°t
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 # (0 %.,
Total balance Due $ •
I: \DSTS \ELC96.APP Rev 9/96
:
7/19/99 Activities for Case #: ELC98 -00385
9:24:02 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By . Disp. Level By Updated Notes _
ELCC001 Application received 7/13/98 DEB RECD DST 7/13/98
ELCC003 Permit created 7/13/98 DEB DONE DST 7/13/98
ELCC500 (F)Issue permit 7/13/98 DEB DONE DRA 7/13/98
ELCC725 Underground Cover " 7/17/98 CD PASS CD 7/17/98 turbin area & to first dispenser
ELCC725 Underground Cover 7/21/98 CD PASS CD 7/21/98 underground to dispensers
ELCC799 Elect'I Final 7/24/98 CD PASS CD 7/24/98
ELCC800 Case Fineled • 7/31/98 CD PASS DGW 7/31/98
•
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
23/1 S
Date Requested 7 A M PM BLD
Location ii-f030 5(A Pa c H%- Suite MEC
Contact Person /� -eYL.i V Ph 42-5
Contractor ea-e-t C°-(t Ph SWR
BUILDING Tenant/Owner 7 7 ELC [ — 3 0
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain / �� p A '
Crawl Drain Inspection Notes:e = �C `tK � SIT
N
Slab
Post & Beam apt `%' l �f g Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing -
Firewall •
Fire Sprinkler
Fire Alarm Qt€:
Susp'd Ceiling
Roof
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
P T FAIL
(ELECTRICAL
Se
Rough In
UG /Slab
Low Voltage
F' - • larm
Fig - ►
S7 PART FAIL
SITE
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
Other Date 7 .;Z r Inspector ���._ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.