Permit CITY OF TIGARD
6.4 ELECTRICAL PERMIT
PERMIT #: ELC1999 -00696
,r DEVELOPMENT SERVICES DATE ISSUED: 11/18/1999
�� ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 12 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 333
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Add seven (7) branch circuits for tenant improvements.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 6 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:
PACIFIC REALTY BACHOFNER ELECTRIC INC
15350 SW'SEQUOIA PKWY 55 SE MAIN
SUITE 300 PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 233 -2006
Reg #: LIC 00044569
SUP 2808S
ELE 26-451C
FEES Required Inspections
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Type By Date Amount Receipt Elect'I Service
PRMT GEO 11/18/1998 $69.60 99- 319861 Elect'I Final
5PCT GEO 11/18/1998 $5.57 99- 319861 ORIGINAL
Total $75.17
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 / I ISSUED BY: 7,4010
OWNER INSTALLATION ONL
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: /A'i8' -7
LICENSE NO: co
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD • Plan Check #
Electr Permit Application Recd By
13125 SW HALL BLVD. Date Recd
r. TIGARD OR 97223 RECEIVED Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 NOV 1 7 1999 Print of Type Permit # icys4 -a 6 ?�
Fax (503) 598 -1960 IncomM t or illegible will not be accepted Called
COMMUNITY DEVELOI'M
1. Job Address: 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development
Name (or name of business) Imagebui lder Service included: Items Cost Sum �,
Address 6650 SW Redwood Lane, Suite 3i1 4a. Residential- per unit
1000 sq. ft. or less . $ 117.75 4
City /State/Zip Tigard • OR Each additional 500 sq. ft. or
portion thereof $ 26.25 1
Commercial ® Residential ❑ Limited Energy $ 80.00
Each Manufd 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 Bachofner Electric _ 200 amps or less. $ 84.25 2
Address 55 SE Main St. 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City Portland State OR Zip 9721 4 601 amps to 1000 amps $ 192.50 ' _ 2
Phone No. 2 3 3- 20 0 6 Over 1000 amps or volts $ 363.75 _ 2
Job No. 81 50 Reconnect only $ 53.50 2
Elec. Cont Lice. No. 2 6-451C Exp.Date 7 / 1 / 0 0 . 4c. Temporary Services or Feeders
OR State CCB Reg. No. 4 4 5 6 9 Exp.Date if h/ 0 0 Installation, alteration, or relocation
COT Business Tax or Metro No Exp.Date _ ztio amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
. 401 amps to 600 amps $ 107.00 2
Signature of Supr. EIeC'n Over 600 amps to 1000 volts,
see "b" above.
License No. 2 8 0 8 5 Exp.Date 1 0/ 01 / 0 0 Branch circuits 4d.
Phone No. 2 3 3 - 2 0 0 6 New, alteration or extension per panel
a) The fee for branch dreuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owners Name Each branch circuit $ 5.35 2
b) The fee for branch circuits
Address without purchase of service
City State Zip or feeder fee.
Phone No. First branch circuit 1 $ 37.50 3 7. 50 _
Each additional branch circuit 6 $ 5.35 32.10
The installation is being made on property I own which is not 4e. Miscellaneous
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
1 - panel, alteration or extension $ - 60.00
3. Plan Review section (if required):' 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
Per inspection $ 50.00
Service and feeder 225 amps or more • Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as 5 . Fees:
described in N.E.C. Chapter 5 $ 6 9 . 6 0 .
5a. Enter total of above fees
* Submit 2 sets of plans with application where any of the above apply. pl6targe•(a93'7Ct al fees) $ 5 . 5 7
Not required for temporary construction services. Subtotal 0 $
6b. Enter 25% of fine 6a for
NOTICE - Plan Review If required (Sec. 3) $ -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR Trust Account #
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $.75.17 , • ZOO • " UHY9II AO A,LID 0961 86S SOS XYd ZZ:0T mu 66/LT/90
12/17/1999 Activities for Case #: ELC1999 -00696
3:12:03 PM •
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC700 Ceiling Cover 12/07/1999 12/07/1999 12/07/1999 BP . PASS No Hold DGW 12/07/1999
ELCC001 Application received 11/17/1999 GEO MAIL No Hold GEO 11/17/1999
ELCC001 Application received 11/17/1999 GEO MAIL No Hold GEO 11/18/1999
ELCC003 Permit created 11/18/1999 GEO DONE No Hold GEO 11/18/1999
ELCC730 Elect'I Service No Hold GEO 11/18/1999
ELCC799 Elect Final 12/09/1999 BP PASS No Hold DGW 12/09/1999 Final - Pass
ELCC500 (F)Issue permit 11/18/1999 GEO DONE No Hold GEO 11/18/1999
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ELCC720 Wall Cover 11/23/1999 11/23/1999 11/23/1999 BP PASS No Hold DGW 11/23/1999
ELCC800 Case Finaled 12/09/1999 HAP PASS No Hold DGW 12/09/1999
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�� BUP
Date Requested /?(// � � Q AM PM BLD
Location (o6 S 2 L -4--■ Suite 333 MEC
Contact Person 54.t Ph ?-33 a' PLM
Contractor Ph SWR
BUILDING Tenant/Owner �" t y_ e"I-z ELC / pQ �' q�
Retaining Wall ELR / G - 2t,
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm fi / _
Susp'd Ceiling 6
• Cp
Roof
Misc: Fq / _
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab )Q
Top Out
Water Service / 24/ /cc, —
Sanitary Sewer
Rain Drains UN Final PASS PART FAIL F/ I/fq — t (57S-'
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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 Date /2 ' 7 c
th
Inspector ga44 �/f11j2 � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •