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Permit CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00283 - ,��i DEVELOPMENT SERVICES DATE ISSUED: 5/12/99 A ' - " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6 �1 GIt1IAL PARCEL: 2S112DA -01400 SITE ADDRESS: 06650 SW REDWOOD LN 200 SUBDIVISION: PP1996 - 048 ZONING: I - BLOCK: LOT : 002 JURISDICTION: TIG Proiect Description: Installation of 6 branch circuits. Job No. 7738. 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: 5 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 #300 55 SE MAIN PORTLAND, OR 97224 PORTLAND, OR 97214 • Phone: Phone: 233 - 2006 Reg #: LIC 00044569 SUP 2808S ELE 26 -451C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT DRA - 5/12/99 $60.00 99- 315341 Elect'I Final 5PCT DRA 5/12/99 $3.00 99- 315341 Total $63.00 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 ru - _ - -• • the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may • • ain copies of these ru or direct questions to OUNC at (503) 246 -1987. Permit Signature: • Issued B 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: —410 0 16 ' ' k DATE: ,7 LICENSE NO: vg 5 Call 639 -4175 by 7:00pm for an inspection the next business day PITY OF TIGARD Elect 4q Permit Application 01 PlanC k# 'I 13125 SW HALL BLVD. R1�C Recd : 1.71+L:.::;„;.' Date Rec'd S77'-q 9 a TIGARD OR 97223 �� ��� N� Q q Date to P.E. Phone (503) 639 -4171, .x304 0 Date to DST � rlt@ �r Type Permit # �GCl99y'- c ' Inspection (503) 639 -4175 Incom e ill will not be accepted Called 3 Fax (503) 684 -7297 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Trrri 1riprG Number of Inspections per permit allowed Name (or name of business) Trr ri 1rifsrc Service Included: items Cost Sum Address 6650 $V Rscla:cd LE1fl , Suite 200 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City /State /Zip TLcard, CR Each additional 500 sq. ft. or $25.00 portion thereof $25 00 1 Commercial © Residential ❑ umited Energy - Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 ,2a. Contractor installation only: 4b. Services or Feeders (Attach copy of all current licenses) Installation, alteration, or relocation Electrical Contractor 200 amps or less $60.00 2 Address 55 SE Main 201 amps to 400 amps $80.00 2 - City P rtland State CR Zip 97214 401 amps to 600 amps $120.00 2 Phone No. (503) 233 -2(()6 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts $340.00 2 Job No. 773c 3 Reconnect only $50.00 2 Elec. Cont. Lice. No. 26 -451' Exp.Date OR State CCB Reg. No. 44569 Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. E • )ate Installation, alteration, or relocation 200 amps or less $50.00 2 / / 201 amps to 400 amps $75.00 2 Signature of Supr. Eke 4 01 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 28085 Exp.Date see "b" above. Phone No._ 4d. Branch Circuits New, alteration or extension per panel 211 For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Each branch circuit $5.00 2 - Address b) The tee for branch circuits City , State Zip without purchase of Phone No. service or feeder fee. First branch circuit 1 $35.00 ;P5 - (N) 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 * 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional Inspection over _ Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35 00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 6 0.00 Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ 5b. Enter 25% of line 5a for $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reauired (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account # $ 63.00 TIME AFTER WORK IS COMMENCED. Total balance balance Due 2001 j U2ivt i L d0 AID - 965 £05 YH 0 (60 OHM 66/ 8Z / t0 6/10/99 Activities for Case #: ELC1999 -00283 1:15:39 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 5/12/99 DRA DONE No Hold DRA 5/12/99 Received by messenger service. ELCC003 Permit created • 5/12/99 DRA DONE No Hold DRA 5/12/99 ELCC730 Elect'I Service 5/12/99 5/12/99 No Hold DRA 5/12/99 ELCC799 Elect'I Final 5/12/99 5/12/99 5/26/99 CD PASS No Hold AKJ 5/26/99 ELCC500 (F)lssue permit 5/12/99 DRA DONE No Hold DRA 5/12/99 ELCC720 Wall Cover 5/13/99 5/13/99 5/13/99 CD PASS No Hold AKJ 5/13/99 ELCC720 Wall Cover 5/23/99 5/23/99 5/21/99 CD FAIL No Hold AKJ 5/23/99 not ready ELCC800 Case Finaled • 5/26/99 AKJ DONE No Hold AKJ 5/26/99 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ��l1 S.-Zito-9/ AM PM BLD Location l.2 CO SD it, Lit J ,( A.900 A L i Suite 9-e MEC Contact Person SAW Ph q 37-0Z36 PLM Contractor Ph SWR BUILDING::r 7 Tenant/Owner ELC l---coz8 3 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 L r ?7 a O X Drywall Nailing / 44.44-G.Csz) Firewall Fire Sprinkler Fire Alarm /+ Susp'd Ceiling C 9 9 — © © �c ,0 /✓L� Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS _PART FAIL MECHANICAL` °F:q y,F ". Post & Beam • Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service UG /Slab Low Voltage Fire Alarm .1011 *M• 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 Approach /Sidewalk Other Date s 2G /y Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site