Permit A.. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00019
DEVELOPMENT SERVICES DATE ISSUED: 1/15/04
..��� 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
\ PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 180
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Electrical TI. Job No. 1392
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: 1 W /SERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 ASSOCIATES BACHOFNER ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 55 SE MAIN
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Phone: 233 - 2006
Reg #: LIC 44569
SUP 1769S
FEES ELE 26 -451C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1/15/04 $93.60
[TAX] 8% State Surcharge 1/15/04 $7 Rough -in
Elect'I Final
Total $101.09
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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or
1- 800 -332-2 .
Issued Permit Signature: A f
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: AtI2 / DATE:
LICENSE NO: o z80g 5
Call 639 -4175 by 7:00pm for an inspection the next business day
01/14/2004 14:37 'RECEIVED BACHOFNER ELECTRIC PAGE 02
1�OR OFFFC:1: liSL ONLY
Perri 14010,-1110911_ ;,,� Electrical
Date/13 : Is O �_1�. Penult No. CAC _ . • AO / 9
City of Tigard CITYOFTIGARD Planning Approval
Haw Sign s : Permit No.:
13125 SW Hall Blvd. BUILDING DIVISION Plan Rev1ew Other A I
Tigard, Oregon 97223 Date/I3 : Pemut No.' r vO -0 wog
Phone: 503 - 639.411 Fax: 503 -598 -1960 Post - Review Land Use
1 ; Da Case No.:
Internet: www.ci.tigard.or.us contact I ® See Page 2 for
1 -- ' / `�p. ] Supplemental Information.
24-hour Inspection Request: 503- 639 4175 Name _
j A .. SWAINF.21 a 1'.. `, :Myy !;tr„ - Vii, P % •.L; )_71,°,l 1.1.L «_.:q7 P .
I■ New construction II Demolition ■ Service over 225 amps- is Healthcare facility
commercial • Hazardous location
ill Addition /alteration/re lacetrient !I ` Otter: p Service over 320 amps -rating of 1:1 Building over 10,000 square in
.
UarE feel
IIK:l'sti gL�.f � :iffad�.far.ri ' r .. a , 3':rr� l+(t,l , - :! ` !; residential & 2 family dwellings four or mote resider units
111. 1
Comt El System over 600 volts nominal one structure
'a Accesso Buildin : iiim um: 2 -F :m 1' , ' • �1 ❑ Building over three stops ❑ Feeders, 400 amps or more
❑ Occupant load over 99 persons ❑ Manufactured strucmues or RV park
III Master Builder II Other: ❑ Egress/lighting Plan ❑ Other:
_ Submit sets of plans with any of the above.
���F . t 'fie) c`_' r i i' f1� 3 c is 3'2 }.-.Y � (y) K, J i C, .r ,i a Jf21;; .JI... The above are not a Bulge to tern ra construction service. Yob site add , . 1 . . :41 . LS e _ ,t S:t, .' ti_ 1 ti .1 I l k . k .l t l _.. - 13 riff:.
Suite #: Bl . ✓A •t. #: : ■ Number of Inspections per permit allowed
Qescrielon Qty Fee (ea.) Total 1
Pro act Name: SPEC SP New retldeotlai- eingla or multWandly per
Cross street/Directions to job site: dwelling unit. Includes attached garage.
Service Winded:
1000 ft. or lent 145.15 4
Each additional 500 sg. R or portion thereof 33.40 1
• Limited misty, residential 75.00 2
Subdivision: Lot #: Limited eaggy, non residential 75.00 2
g ��
Tax Ina • / . arcel #: � Each manufactured home or modular dwelling
E l y y i ."'
' ✓ 1) �. ' � (7 'J L ; ( ) (`} 1 `� r• 1 t < Li i Lf1�S s Services - anti feeders lnitallatl0a4 9090 2
. ■ - 1 Y . a - ..1 -'r , alteration or relocation: u 80 30 _ 2
200 amps or leas
201 amps to 400 winos 106.85 2
401 amps to 600 amps 160.60 2
") 601 amps to 1000 amps _ 240.60. 2 ,
: i . .) ... fit. 1 1 r 1, r'r ,,.;z11,4;.., - t)ver1000amvs 454.65 2
` 66.85 2
Name: Onl
Address: Temporary services or feeders - installation, -
alteration, or relocation: 1
Ci /StatelZl 1 : 200 amps or lees .
66.85
201 ampa to 403 amps 100.30 ' 2
Phone: 401 to 600 amps 133.75 2
E1_'1i cNl: k.__.'a (j.-:?i ,; C:4-2 es !;5 -c?1, _ , i `) i :::• — :r Breach circuits - new, alteration, or
Name: extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder foe, each Munch circuit 2 6.65 t- 1 -
Ci /StatelZi 1 : B. Fee for brunch circuits without pm'chaBe of
service or feeder tee, fast branch eirauit 46.15 2
Phone: Fax: Each additioml brand► circuit - 6.65 ?
E -mail' Misc.(Service or feeder not included): 2
�le 53 40
'. '' '•,,, : ' ` ' : . .r r i ,' ; _ ' L ' 1 : r. .- - . . E a c h Qr ' E a c h a . or o u t l i n e li hti : 53.40 2
Job No: 1492 ' Signal choke) or a limited energy Panel, 2
altaarior4 or a_
ttar on Page 2
Business Name: BACHOFNER ETTEc$RC , INC . Description:
Address: SE MAIN — .
Ci /State/Zi • : PORPLAND OR 97214 Each additional Inspection over the allowable in any of the above:
Per inspection net hoar (mix I hour) 6150
Phone: 503 Fax: 503 - 233 -2963 Other:
CCB Lic. #: 44569 Lic. #: 26— -': 3'1 I 1 2 ''''i . ■
Supervising electrician ubtotal $ 91,1111
si :• . ture r - . uired: Plan Review (25% of Permit Fee) ' $
•mow,... '' 'il a :i la::e�l a i` ; State Swch TOTAL PERMIT FEE st p 1 • 1�
Authorized Notice: This permit application expires If a permit la not obtained within
Signature: _ Date: 180 days after it bas been accepted as complete.
Fee methodology set by TriCounty Building Industry Service Board.
(Please print name)
iADsts\Permit Forms\ElcPermitAPp.doc 01103
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / - AM PM BUP
Location lQ 6,6 iqc1L o_J-212-d-ii Suite 0 MEC
Contact Person Ph ( ) /r pi PLM
Contractor - �'h -c �#2_e . Ph ( ) 74 9 SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access: y � o
Ftg Drain Elk ' o
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final ► 'r
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
UCH /Slab
w Volt'ayd
Fire Alarm
° 'PASSS)-PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
, Ilt Please call for reinspection RE: ` LI Unable to inspect — no access
Fire Supply Line
ADAJ — Ins /.A . / '
Approach/Sidewalk Date ector _ .• Ext Inspector
Other:
Final DO NOT REMOVE this inspection record , rom th ob site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Z : 9 Date Requ,Sted 2 —0 3 O <AM PM BUP
Location �c' J 50 d--(-- C�IlUd Suite / d MEC
Contact Person e"74t.G Ph (_5(.43) 9t 9
Contractor Ph ( ) SWR 4 —c ) � �j / / BUILDING Tenant/Owner
Footing
ELC
Foundation Access:
Ftg Drain - ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling s
Roof
Other: ,
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL ' `e
Service
Rough -In
UG/Slab
Low Voltage
m
AS PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• SITE Please call for reinspection RE: • ❑ Unable to inspect — no access
Fire Supply Line
ADA U
Approach/Sidewalk Date ' 3 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from th ob site.
PASS PART FAIL