Permit CITY OF TIGARD ELECTRICAL PERMIT
�� ,., DEVELOPMENT SERVICES PERMIT #: ELC97 -0798
°�P 1 i4ili`� DATE ISSUED: 12/05/97
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 25112DA -01400
SITE ADDRESS...:06650 SW REDWOOD LN #200
SUBDIVISION °PACIFIC CORPORATE CENTER ZONING:
BLOCK • LOT JURISDICTION: TIG
Proj ect Description : Installation of one limited energy at commercial site.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1 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 • 1 401 — 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.: 0 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
BACHOFNER ELECTRIC type amount by date recpt
55 SE MAIN ST PRMT $ 25.00 TJH 12/04/97 97- 301452
PORTLAND OR 97214 5PCT $ 1.25 TJH 12/04/97 97- 301452
Phone #:
Contractor:
BACHOFNER DATACOM INC $ 26.25 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect' 1 Service
Phone #: 223 -2006 Wall Cover 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. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
Permittee Signat ure: dnq ..,/'p�Issued By: /41,(f ie „)
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• I7 YL. CLB1LA ` _ _ DATE: i z/✓ - /:J 7
LICENSE NO: 2508)-S /
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + ++ + + + + + + + + + + + + ++
Id
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Community Development ELECTRICAL PERMIT APPLICATION . .
' 13125 SW Hall Bid. �1
Tigard, OR 97223 Planck/Rec. # N A
Permit # ��� °J .
" ) Date Iss ued la 4(o
i�' Phone ( 503 639 -4'171 FAX-(503) 6847297 u, . Issued by T Ha.Asin"
CITY OF TIGARD TDD No. (503) 6684 -2772 .
Inspection (503) 639 -4175 -
1. Job Address:
4. ,Complete Fee Schedule Below:
,
Name of Development Imagebuilder Number of inspections per permit allowed
Address 6650 SW Redwood Ste 200 Service included: Items Cost(ea) Sum
City/State/Zip T i g a r d, Oregon 97224 4a: Residential - per unit 4
1000 sq. It. or less $110.00 rtiori bored Name (or name of business) Imaciebuilder 060 Fo °° "°` $25.00
1
Commercial El • Residential ❑ F...., I $25.00 0
'Each Manul'd Home or Modular 2
Priding Service or feeder $68.00
2a. Contractor Installation only: .. 4b. yes or Feeders -
Installation. alteration. or relocation 2
Electrical Contractor Bachofner Datacom, Inc, 200 amps or less $60.00 2
Address 55 SE Main 201 amps to 400 amps $80.00 2 -
401 amps to 600 amps $120.00
City Portland State OR Zip 9721 4 601 amps to 1000 amps $180.00 2 -
Phone No. (503) 233-7873 °ear 1000 amps or volts $340.00 2
Contractors License No. 2 6 - 9 5 3 CLE . • Reoorned «+r $50.00 •
Contractors Board Reg. No. 1 1 197: .
4c. Temporary services or Feeders
• Instillation. adoration. or relocation • 2
Signature of Supr. Elec'n i „�i 200 amps o $50.00 2
7 201 amps to 400 amps $75.00
I License No. 2 . (1 8-S Phone No./ 3-7 8 7 3 1 401 amps a 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: see le above.
4d Branch Circuits
. Print Owner's Name . Nerr, alteration or extension per Panel
Address a) The lee for branch circuits with 2
City State Zip or ~Woo or fodder km t5.00
Phone No. b) The lee lor brand, circuits wMthouf
The installation is being made on property I own which is w of eemCe ar 1bsder too 2
not intended for sale, lease or rent. Feat band, $35.00
Each eddtiomi branch drool $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section .(if required): Eadi pump or irrigation circa $40.00 2
Each signor outline rgtding $40.00 •
Signal ciad(a) or a limited energy 2
Reese check appropriate Item and enter fee In section 58. . panel. alteration or extension $40.00
4 or more residential units in one structure Minor La ( $ 100 . 00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00
Per hour $55.00
In Plaid $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ 25.00
NOTICE 5% Surcharge (.05 X total fees) i . 25 $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25% of fine A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ •
COMMENCED. ❑ Trust Account # $
Balance Due $ 26.25
RECEIVED
DEC 0 1997
COMMUNITY DEVELOPMENT
6/10/99 Activities for Case #: ELC97 -00798
1:16:29 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 12/4/97 TJH RECD TJH 12/5/97
ELCC003 Permit created 12/4/97 TJH PASS TJH 12/5/97
ELCC799 Elect'I Final 1/5/98 BRP PASS B *P 1/6/98
ELCC500 (F)Issue permit 12/5/97 TJH PASS TJH 12/5/97
ELCC800 Case Finaled 1/5/98 BRP PASS J *H 1/8/98
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