Permit I .
CITY OF TIGARD
ELECTRICAL PERMIT
: ,�i,A DEVELOPMENT SERVICES PERMIT #: ELC99 -0095
!+� �' 13125 SW HaII Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 02/17/99
PARCEL: 2S112DA -01400
SITE ADDRESS...:O665O SW REDWOOD LN #160
SUBDIVISION •PP1996 -048 ZONING:I —P
BLOCK • LOT •002 JURISDICTION: TIG
Pro j ect Descri pt ion : Add five 15) branch circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD' L 5O0SF...: 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: 4 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
BACHOFNER ELECTRIC type amount by date recpt
55 SE MAIN ST PRMT $ 55.00 GEO 02/17/99 99-312986
PORTLAND OR 97214 5PCT $ 2.75 GEO 02/17/99 99- 312986
Phone #:
Contract or:
BACHOFNER ELECTRIC INC $ 57.75 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Elect'1 Service
Phone #: 233 -2006 Elect'1 Final
Reg #..: 000445
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. u may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: -�, ssued Bydp
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: Oj ' DATE:
LICENSE NO: 2$ - �
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + ++
i
Community Development ELECTRICAL PERMIT APPLICATION .
"� 13125 SW Hall S •
• Tigard, OR 9.7223 Planck/Rec. #
Permit # 0-c-e ? -C o
',j�r,,iri,..21- Phone (503) 6394171 Date Issued
.- `., '- FAX-(503) 68 ,.7297 • Issued by
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175 .
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 6650 SW Redwood. Ln #160 Service induded: Items Cost(ea) Sum
City/State2'ip Tigard Or 97224 4a.: Residential - per unit 4
1000 q. 1L or Mss $110.00 or
Each adeRionel 603 Name (or name of business
Consonus Bid #240 p t` $25.03 1
firmed E grgy $25.00
Commercial Ell Residential ❑ ' Ea:h Maard Home or hlodJar 2
Ds.Onp Service or Feeder $68.00
2a. Contractor Ins only: .. 4b. Services or Feeders
Instalkdon. alteration, or relocation 2
Electrical Contractor Bachofner Electric, Inc. amps or fees $60.00 2
-
5 5 SE Main 201 as b 400 amps $80.00 2
Address $120.00 2
4o1�b600anpa
City Portland State Or Zip 97214 601 amps", 1003 amps $180.00 2
Phone No. 233 -2006 • Over 1000 tams or volts $740.00
•
Contractor's License No. 26-451C •, Recomed ix* $ 50 . 00
Contractor's Board Reg. No. 4 569 ' 4c. Temporary Services or Feeders
Installation. 'aeration. or relocation 2
Signature of Supra Elec'n 203 amps or less $50.00 2
201 amps b 400 amps $75.00 2 - License No. 2808S hone No. 3 -2006 I 401 amps b coo apps $100.00
Over 600 amps to 1000 volts
2b. For owner Installations: sat If above.
4d. Branch Circuits
Print Owner's Name New. momma, of extension p p artial
Address ' • s) The Me be branch omits ',An 2
purchase al service or feeder be.
City State Zip E ach b rarc h circuit $5.00
Phone No. b) The he for branch °'wit° without 2
The installation is being made on property purchase ro I own which is of service or feeder ef gm
ch
not intended for sale, lease or rent. Ea admRi curl branch circuit $5.00 Faafrachcirc it 1 ss5.o0 335 � .00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section: /it re ' puny or lemon circle $4000 2
i required): 1: - Each
sip or outline fiphtino $ 10 . 00
Sig 2
Signal ciamlt(s) or a knifed energy
Please check appropriate Item and enter fee in section 58. her aeration or extension $100.00 4 or more residential units in one structure
Service and feeder 225 amps or more 4f. Eaci additional Inspection over •
System over 600 molts nominal allowable in any of the above llo
Classified area or structure containing special occupancy the a $ ss.00
as described in N.E.C. Chapter 5 Per inspection
Per her $55.00
In Plat $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. • 5. Fees:
55.00
5s. Enter total of above fees $
NOTICE S96 Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5b. Enter 25% of A for
^ Review if required (Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR
I A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ t-
COMMENCED. 0 Trust Account it $ -----
4 Balance Due S 57.75
•
7/15/99 Activities for Case #: ELC99 -00095
9:39:10 PM
Assigned - Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 2/17/99 GEO RECD DST 2/17/99
ELCC003 Permit created 2/17/99 GEO DONE DST 2/17/99
ELCC799 Elect, Final 3/15/99 CD PASS CD 3/17/99
ELCC500 (F)Issue permit 2/17/99 GEO PASS DST • 2/17/99
ELCC920 Miscellaneous action 2/18/99 CD FAIL CD 2/18/99 not ready, rescheduled for 2/19
ELCC720 Wall Cover 2/19/99 CD PASS CD 2/19/99
ELCC720 Wall Cover 3/5/99 CD PASS CD 3/5/99 new wall (1- 2 gang switch box
ELCC720 Wall Cover 3/15/99 CD PASS AKJ 3/17/99 ceiling
ELCC800 Case Finaled 3/17/99 AKJ PASS - AKJ 3/17/99
•
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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
S/
/� _
`TI0,3P Date Requested 3// 9 AM M BLD
Location ZS7 /6 ed--- Suite / MEC
Contact Person Ph PLM
Contractor /31,l Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall
Drywall Nailing
Firewall _
Fire Sprinkler
Fire Alarm a • ,
Susp'd Ceiling oS
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
PASS PART FAIL
UG/Slab
ECTRIC
Low Voltage
Fire Alarm
in
AS 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 ,V/07 Inspector - / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.