Permit .
CITY OF TIGARD ELECTRICAL PERMIT
^ % � �,,�; � i � ;� DEVELOPMENT SERVICES DA ISSUED / �9 9 8
PARCEL: 25110AA -00700
SITE ADDRESS °..:14030 SW PACIFIC HWY
SUBDIVISION ZONING:C -G
BLOCK • LOT • JURISDICTION: TIG
Project Description: Installation of 1 branch circuit.
- -- 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: 0 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 $ 35.00 DEB 09/08/98 98- 308954
SACRAMENTO CA 95818 5PCT $ 1.75 DEB 09/08/98 98- 308954
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 36 °75 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'1 Service
Phone #: 684 -3600 Wall Cover Elect'1 Final
Reg #° .: 000522
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 to OUNC by calling (503)246 -1987.
a
Permittee Signature: „//, _/_ 1 '' , : Issued B C
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. LEC' N : „ALL i eQ -,—... D ATE : —t--97
LICENSE NO: /7
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + ++ + + + + ++ + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m° for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
SEP -08 -98 TUE 03:18 PM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02/02
CITY OF TIGARD Electrical Permit Application Plan Chet .
13125 SW HALL BLVD. Rec'd By
Date Rec'd 9's
TIGARD OR 97223 Dete to P.E.
Phone (503) 639 -4171, x304 Date to DST , � -
Print or Type Permit # ST .(.(1_,7W -0
,�,� 33
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Called
Fax (503) 684 -7297
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) l NCN 1 Service included: Items Cost Sum
\ () � a ed lr>. 4a. Residential unit
Address 1000 sq. f6 or less $110.00 4
City /State /Zip's, C1S\� . l nc Each additional 500 sq. ft. or
l � portion thereof $25.00 1
Commercial 51 Residential ❑ Limited Energy $25.00
Q V■./2-4. J --"S- Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 . 2
2a. Contractor installation only: Services or Feeeders
(Attach copy ' -� current lic-n s) 4b. 4b. Services er relocation
Electrical ntractor' A \ • 4 • . 200 amps , or less $ 60.00 2 -
Addre � ''1 72._,) It a r.,"`k 1 201 am ps to 400 amps $80,00 . 2 I
City State Zip �a- -3 401 amps to 600 amps - $120.00 2
Phone ` k L -: L nC C) 601 amps to 1000 amps - $180.00 2
Over 1000 amps or volts $340.00 2
Job No. r �: Reconnect only $50.00 2
Elec. Cont. Lice. No. - _ Exp.Date ,
OR State CCB Reg. No., 33 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
-
201 amps to 400 amps $75.00 2
Signature of Supr. Elec'n 40 amps to 600 amps $100.00 2
-
Over 600 amps to 1000 volts,
License Ne C E xp.Date, see "b" above.
Phone Nr .(P\ - - 4d. Branch Circuits
Now, alteration or extension per panel
2b. For owner installations: a) The lee for branch circuits with
purchase of service or
Print Owner's Name fooder fee.
.- Each branch circuit $5.00 2
Address b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit \ $35.00 ` , 't , A`-' 2
Each additional branch circuit 55.00 2
The installation is being made on property I own which is not .
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included) $40 2
Owner's Signature Each pump or irrigation circle $40.00
Each sign or outline lighting 2
3. Plan Review section (if required):* Signal circuit(s) er 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 41. 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: g' 1 b!
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ � �
NOTJC6 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 ubtotal S� $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Account ft ��0 Np, 1-5-- TIME AFTER WORK IS COMMENCED. �� /"`��� a
Total balance Due
9ks - .00
I,n5TnELCOG ARP Bev 0106
7/19/99 Activities for Case #: ELC98 -00533
9:24:16 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 9/8/98 DEB FAX KJP 9/8/98
ELCC003 Permit created 9/8/98 DEB DONE KJP 9/8/98
ELCC730 Elect'I Service 9/23/98 CD PASS J'H 9/24/98
ELCC799 Elect'I Final 9/23/98 CD PASS CD 9/24/98 wiring of (3) light standards &
underground wiring
ELCC500 (F)Issue permit 9/8/98 DEB DONE • KJP 9/8/98
ELCC800 Case Finaled 9/24/98 • CD PASS J *H 9/24/98
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I �
CITY OF TIGARD BUILDING INSPECTION DIVISION 10
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
K BUP
Date Requested g� � ( AM BLD
/4
Location v vv ' l640 Suite MEC
Contact Person 4' /// J. i/ , , _ � ` Ph kft .5aW 0 PLM
Contractor Zatif on .A. � Ph I SWR p 2
BUILDING Tenant/Owner (,/I 6 GTIj V .7J c 53
Retaining Wall ELR
Footing Access:
L fry Foundation FPS
Ftg Drain ' ,, SGN
n cede Crawl Drain Inspection Notes: � 'l .p .
Slab ��l SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall '
Insulation aAt > ' � w 9 '
Drywall Nailing �/
Fire wall A-1:5 Fire Sprinkler W�
Fire Alarm
Susp'd Ceiling
Roof
Misc:�c
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
PAS .RZ FAIL
\ .<41 RICA_
Service
Rough In
UG /Slab
Low Voltage
Fir rm
4,61*
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
Other oach /Sidewalk Date 9/ /y1 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.