Permit IT\ OF T ELECTRICAL PERMIT
PERMIT #: ELC96- -0514
DATE ISSUED: 09/27/96
• OMMMAUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (603) 839 -4171 PARCEL: 281 10DB -002 00
SITE ADDRESS...: 15199 SW ROYALTY PKWY
SUBDIVISION • WILLOWBROOK FARM /ARBOR HEIGHTS ZONING:R -25 •
BLOCK • LOT...... ....... :8
Project Description: 15 SEPARATE CIRCUITS FROM THE OPERATIONS BUILDING TO EACH
GARAGE
15 SEPARATE LOW VOLTAGE CIRCUITS FOR GARAGE DOOR OPENERS
- - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCEL.LANEOUS
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 : 0 401 - 600 amp 0 SIGNAL /PANEL :15
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: 14 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 - -- - - --
SECURITY CAPITAL PACIFIC TRUST type amount by date recpt
SUITE 201 PRMT $ 705.00 JMH 09/27/96 96-284433
330 112TH AVE., NE SPCT $ 35.25 JMH 09/27/96 96- 284433
BELLEVUE WA 98004
Phone #: 206- 451 -9292
Contractor:
NORTH VALLEY ELECTRIC INC $ 740.25 TOTAL
PO BOX 222
REQUIRED INSPECTIONS --- - -- - --
WOODBURN OR 97071 Ceiling Cover Underground Cove
Phone #: 5e "3 Wall Cover Elect'l Service
Reg #..: 88302
80- ¥f5 5360
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
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. I sued By
- -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: DATE:
LICENSE NO:
Call for inspection - 639 -4175
•
10/01/96 TUE 06:47 FAX 1 +541 +367 +6403 North Valley Electric IJ002
,
Community Development ELECTRICAL PERMIT APPLICATION
, ii., ,, ,,,--.. A- 13125 SW Hall Blvd. i � ! GJ'6O�
Tigard, OR 97223 Planck/ReC. # /vl `' f
Permit #
1 I I Phone (503) 639 -4171
' r .� Date Issued FAX (503) 684 -7297 -2:7 ��
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by C ( f
Inspection (503) 639 -4175
1. Job Address: `' 1 4. Complete Fee Schedule Below:
Name of Development A olr►t R F-LF k4 Apt( Number of Inspections per permit allowed
Address IS 151 S L,O - R0 3a t kta)j Service included: Items Cost(ea) Sum
City/State/Zip . "1 - 1 q . e dt Or O 11- 4a. Residential - per unit 4
0 1000 eq. ft. or less $110.00
Name (or name of business)
Each portion additional 600 sq. ft. or
( ) p rtuon thereof 625.00 1
Commercial ❑ Residential ❑ Limited Energy $25.00
Each Manul'd Home or Modular 2
Deicing Service or Feeder $69.00
2a. Contractor installation only: 4b. services or Feeders
-t -- Installation, alteration, or relocation 2
Electrical Contractor N br Oa 1141 e� - ir k �` 200 amps or less $60.00 2
Address ii :•oX 4 q 4 201 amps to 400 amps $90.00 2
401 amps to 600 amps 5120.00 2
City Sirt?eG+ ►rle- State Q)2 Zip 973 601 snips to 1000 amps $160.00 2
Phone No. 1(- 4 $( $ 3oo Over loco amps or pone $340.00 2
Contractor's License No. a. V - 3 Q,a C Reconnect only $50.00 -
Contractor's Board Reg. No. VS/ 3 O - 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n , 111 200 amps or less $50.00 2
License No, 4 000 - S Phone No. 1 4 r 56 SQ V 201 amps to 400 amps 401 snipe to 600 amps $75.00 6100.00
Over 600 amps to 1000 volts
2b. For owner installations: see *If above.
4d. Branch Circuits
Address ner's Name Nrpy altidiliVEMSHRIMInitfiPPI
purchase el service or feeder fee. 2
City State Zip Each branch circuit $5.00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder lee. 2
not intended for sale, lease or rent. Fiat branch circuit l branch $$5.00 ..SS /13
Ear1t additional branch drat .�.� 55.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
Signal circuit(s) or a limited energy ''''. ''''',.. 2
Please check appropriate item and enter fee in section SB. panel, alteration or extension I s $40.00 0 Op
4 or more residential units in one structure Minor Labels (t0) $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 ins $35.00
Per hour $55.00
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: co
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Sa Enter total of above fees $ T.: S 7�
NOTICE 5% Surcharge (.05 X total fees) $ � ' 35
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ Lr .`
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25% of line 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 $ -11/0 -K
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aLL PAOV1AGLT 4CILA•41,e4. -4:7----0.=7
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 1 1 1 A.M. ✓ P.M. MST:
4.
Location: / .L...,' , ... .
, i . _ / / _ __ BUP:
Tenant: / , Suite: Bl u :: ■ MEC:
Contractor N P hone: i liRIZEffit j • PLM: q j
Owner. Fv'`r 6 ' L k Phone: �l -- rte o .� 1 ELC: 7 - CS" I l
u ELR: U(4 (r .t-C_
v
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulati9n Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved roved Not Approved
FINAL FINAL FINAL (IN FINAL
17 LL CA RA ft- PPA av ,E"1)
V
1
O Call for reinspection Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: F'-- / 2-- 9 7 Page of
Page No. 1 CASE HISTORY FOR CASE NO.: ELC96 -0514
SECURITY CAPITAL PACIFIC TRUST
15199 SW ROYALTY PKWY
05/08/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCB500 (F) Issue permit / / / / 09/27/96 PAID JMH 09/27/96 J *H
ELCB510 (F) Reprint permit / / / / 09/27/96 09/27/96 CJS
ELCB720 Wall Cover 09/27/96 / / 03/18/97 PASS MJR 03/31/97 MJR
ELCB730 Elect'l Service 09/27/96 / / 08/11/97 PASS BRP 11/04/97 MJR
ELCB799 Elect'l Final 09/27/96 / / 08/11/97 PASS BRP 11/04/97 MJR
ELCB799 Elect'l Final / / / / 10/28/97 PASS MJR 11/04/97 MJR
ELCB800 Case finaled / / / / 10/28/97 PASS MJR 11/04/97 MJR
ELCC400 (F)Ready to issue / / / / 08/06/96 APPR JMH 08/06/96 J *H
ELCD799 Elect'l Final / / ' / / 08/12/98 All garages approved. PASS BRP 04/10/98 J *H
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7/27/99 Activities for Case #: ELC96 -00514
1:56:30 PM •
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC400 (F)Ready to issue 8/6/96 JMH APPR J'H 8/6/96
ELCB720 Wall Cover 9/27/96 3/18/97 MJR PASS MJR 3/31/97
ELCB730 Elect'I Service 9/27/96 8/11/97 BRP PASS MJR 11/4/97
ELCB799 Elect'I Final 9/27/96 • 8/11/97 BRP PASS MJR 11/4/97
ELCB500 (F) Issue permit 9/27/96 JMH PAID J'H 9/27/96
ELCB510 (F) Reprint permit 9/27/96 CJS 9/27/96
ELCB799 Elect'I Final 10/28/97 MJR PASS _ MJR 11/4/97
ELCB800 Case finaled 10/28/97 MJR PASS MJR 11/4/97 V •
ELCD799 Elect'I Final 8/12/98 BRP PASS J'H 4/10/98 All garages approved.
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