Permit CITY OF T I G A R D ELECTRICAL PERMIT
P ERMIT #: ELC2002 -00114
*2; +14) . r DEVELOPMENT SERVICES DATE ISSUED: 3/18/02
j J I 13125 SW'HaII Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 23112DA- 01400
SITE ADDRESS: 06650 SW REDWOOD LN 235
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Installation of 1 200 amp service and 12 branch circuits.
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: 12 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 2808S
ELE 26 -451C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 3/18/02 $160.10 2720020000( Wall Cover
Elect'I Service
5PCT CTR 3/18/02 $12.81 2720020000( Rough -in
Elect'l Final
Total $172.91
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 -6699 or 1 -800- 332 -2344.
Permit Signature: dx CO Q - 1, ,, ,�j� Issued By: arm- J107
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: dh- (f?"' • DATE:
LICENSE NO: -
Call 639 -4175 by 7:00pm for an inspection the next business day
•
Electrical Permit Application
A Datereeoeired /l�S 0 .2r- Permit .1 P. — OD //
,,j City of Tigard NIe pject/appLno.: Exp ire date:
Cityop"tgard Address: 13125 SW Hall Blvd, t _ €0 Date issued: 12 I Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 - 1960 001 Case file no.: Payment t typ
�
Land use approval: ui • fi. o ti
O 1 & 2 family dwelling or accessory U CI Multi family Cl Tenant improvement
CI New construction 0 Addition/alteration/replacement 0 Other: 0 Partial
Job address: 6 6SO SW RPT)Wflf fl T.ANF. Bldg. no.: Suite tto.2 3 5 Tax map/tax lot/account no.:
Lac Block: • ' Subdivision:
Project name: STORA ENSO I Description and location of wart on premises: TENANT IMP .
Estimated date of coon 'odmspection:
Job sox 9892 'Fee t
Description Qty. (e a.) Total so. imp
Business came` Bachofner Electric, Inc. Newreeideat - dogleatasald yper
Address: 55 SE Main St. dweisingmit. toddies atdtbedtirsm.
City: Portland I State: OR I ZIP: 97214 Senteeladode k 4
Phone: 503- 233 -2006 Fax: 233 -2963 1000 sq. ft a less E-mail: Each additional son w• ft or ascot thereof
GCB no.: 44569 I Dec. bus tier. no: 26 -451C Limited energy. residential 2
2
City/metr0 no.: 2 limited energy, m�
eadanial
- 31 13'02— F. achmanufaconed home or modular dwelling
Savi« ad/or feeder 2
Signature e ft daxctcrart ( Date Servicsor kudos — ImWlaNao. -
SaP. elect name Oriotk W. Bachofner nacre no: 2808S alteration or relocation:
200 amps or leas / ?0.36 2
201 amps to 400 amps ,2
Name (print): 401 amps to 600 amps 2
Mailing addle= 601 amps to 1000 amps 2
Cit I State: I ZIP: Over 1000 amps a volts 2
Phone: I Fax 1E -mail Reconnect only . 1 . _
Owner installation: The installation is being made on property I own Tespeeary ses Icemr!teieis .
Instam
which is not intended for sale, lease, rent, or exchange according llation,siteration,orrelocatle
200 amps or leas 2
ORS 447, 455, 479, 670.701. 201 amps to 400 amps 2
a • Date: 401 to 600 2
Branch drain -Dew, Aerating,
orezttwdon per pane&
Name: A. Fee for branch circuits with purchase of ' Z
each savice or feeder fee, ch b circuit 7 iso 2
B. Fee for branch circuits without purchase
- sty. I Stets: • I of sovioe or feeder fee, first tunnels circuit 2
Php> Fax: E-mail. Each additional branch circuit:
1'1,:1\ 12L_N 11:11 (Please clwth all dial apply) Mee.
O Sovleeover225ampa•ao�erci
al O Health- aeefacslity Each pump a Irrigation ate 2 2
O S vioeover320amps- ratiogof 1&2 O Hazardous location Each sign or outline lighting
family dwellings 0 %Berm over 10.000 square feet four or Signal caaut(s) er a limited energy Panel. 2
O System over 600 volts nominal more residential tunes in one structure alteration. or extension*
O Bui1tsng over three stories 0 Facias.400 amps or naxe 'Description:
O Occupant load over 99 persons O Manufactured structures a RV park Ficb additional Ispeetion met the allowable In any of the above
O EVeunittbdn8Plim O Odle: - Pa inspection ( i ( I
Sabo& _ sets of plans with any of the above. Investigation fee
The above are not appllcaNe to temporary 000atrsdloa service. Other
Permit fee $ r (n l? • ( D
Nee a yes accept aetit eater, arse ead).r as:tieo tor ware InIonnatton. Notice: This permit application Plan review (at _ %) S
0 visa Tres if a is not obtained State review (at ( .... $ ( �
tomb= Ceedii cud � I / within 180 days after it has been TOTAL $ 7 a . . 1
Ex accepte as complete.
Name al Boonton` IS Atom on aedit coed .
$
Cntbolder signore Amount 4404615 (603100 64)
Electrical Permit Fees: Limited Energy Fees: .
.. .,
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee___ ...._.._ _ _.._ $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS) •
Service Included: Items Cost Total 4. Chedc Type of Work Involved:
Residential -per unit
1000 sq.1t. arias $145.15 4 ❑ Audio and Stereo Systems
Each oicilional 500
porportico Meted « $33.40 1 •
El Burglar Alarm
tinted Energy $76.00
Each tiManrl+d Hoare or Modular
D ❑ Odor
elhg Service or Feeder $90.90 2
Services or Feeders ❑ Heating. Ventilation and Air Condiloning System•
Indaialton, alteration. or relocation
200 amps or less / $80.30 • 3a 2 El Vacuum Systems
201 stage b 400 amps $106.85 2
401 amps b 600 amps • $160.60 2
601 maps to Other 1000 amps $240.60 2 ❑ .
Over 1000 maps or volts $454.65 2
Reoorsned only $66.85 _ 2 •
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installatlon, ataatlon. or relocation Fee for each system_.._.._.._.._ .. _ $75.00
200 apps or less $68.85 2 (SEE OAR 918- 260 -260)
201 amps b400 sops $100.30 2
- Checic Typed d
Work Involve
401 amps b 600 amps • $133.75 2
Over 600 amps to 1000 volts,
see "b" above. ❑ Audio and Stereo Systems
Branch circuits ❑ . Bolter controls
New, atendion or extension per panel
a) The fee for branch drafts ❑ Clock Systems
with pun�sse a/service or
feeder fee.
Each Nardi circuit __ $6.65 7? 2 El Data Telecommunication Installation
b) ilw fee for branch chairs
without purchase of service ❑ Fire Alum Installation
or Mohr ha
Rest branch &c It $46.85 ❑ HVAC
Each ad®6omal branch dreuk $6.65
Misoeoarhsours
Instrumentation
(Saclike orfeeder not Included)
pads skin ord eine eglelug $53.40 ❑ Intercom and Paging Systems
Each
Signal drad(s) or a idled energy - ❑ Irrigation Control
panel, attention or a dernbn $75.00
Liner Labels (10) $125.00 ❑
Medical
Each additional Inspection over
the allowable In any of the above ❑ Nurse Calls
Per inspection $62.50
Per hat $62.50
In plant $73.75 • El Outdoor Landscape Ughtng'
Fees: O ❑ Protective Signafung
Enter total of above fees $ /IOC, -2 ❑ Other
8% State Surdwrge $ /Z. 6" Number of Systems
25% Plan Review Fee ' NO tenses are required. Licenses are required for ace other Yufaltatlor>v
See ,Plan Revlear section on $ io
flail d application. Fees:
Total Balance Due $ 71 Enter total of above fees - S
❑ Trust Accounts 8% State Surcharge $
Total Balance Due $
i :ldstrlforn &Wc- fees.doe t0109100
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
•
"INSPECTION DIVISION Business Line: (503) 639 -4171 MST
L� BUP
Received Date R uest: • • ` —( AM PM BUP
Location D (0 £ / i 1' Suite - 35 MEC
Contact Person ` i Ph ( ) ! cj �J PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC OO 60 II9
Footing /
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath/Shear p �S�b
Framing V1 N M-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
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
Service
Rough -In
UG/Slab
Low Voltage
Fire larm
+Iii PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA Date Inspect 4_4memsi Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from e Job site.
PASS PART FAIL