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Permit CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00160 tOI DEVELOPMENT SERVICES DATE ISSUED: 04/06/2000 - - " 13125 SW Hall Blvd.. Tigard. OR 97223 ( 503) 639 -4171 PARCEL: 25101 DC -03800 SITE ADDRESS: 07180 SW SANDBURG ST 100 SUBDIVISION: ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Install 7 branch circuits in existing commercial building. 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: 6 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: WILLIAM MCCORMACK BACHOFNER ELECTRIC INC 7415 FAIRWAY LOOP 55 SE MAIN WILSONVILLE, OR 97070 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 KJP 04/06/200C $69.60 0001223 Elect'I Final 5PCT KJP 04/06/200C $5.57 0001223 Total $75.17 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 -1987. PERMITTEE'S SIGNATURE `mraf.) ISSUED BY: PJLIZA/vvta...D 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: Cr?‘-- DATE: LICENSE NO: 0 8 3 Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD toV Plan Check # 1312&SW HALL BLVD. ST1 -- Electrical Permit App Recd By � � TIGARD OR 97223 Date Recd Q Date to P.E. Phone (503) 639 -4171, x304 Q` Date to DST .. Inspection (503) 639 -4175 Print of Type Permit #,tt.L ZOOo- poo/60 Fax (503) 598 -1960 Incomplete illegible will not 6 accepted Called 1. Job Address: 4. Complete Fee Schedule Below: • Name of Development Number of Inspections per permit allowed Name (or name of business) Olirn h nrrlitirnirig Service included: Items Cost Sum 4 ' Address 7180 S 7 San:1=g Street /00 4a. Residential - per unit 1000 sq. ft. or less $ 117.75 4 City /State /Zip Tii Or_ Each additional 500 sq. ft. or portion thereof $ 26.5 1 Commercial ® Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor Bactrf er Electric, Irr. 200 amps or less $ 64.25 2 Address 55 sr, Min S1`rt 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City 1x¢tland State or Zip 97214 601 amps to 1000 amps $ 192.50 2 Phone No. 503 233 -2006 Over 1000 amps or volts $ 363.75 2 Job No. 8442 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 26-451C Exp.Date 10/1/00 l m 4c. Temporary Services or Feeders OR State CCB Reg. No. 44569 Exp.Date 3/6/02 d Installation, alteration, or relocation COT Business Tax or Metro No. E p.Date 200 amps or less $ 53.50 2 201 amps to 400 amps 2 Signature of Supr. Elec��� 401 amps to 600 amps $ 1 07.00 2 Over 600 amps to 1000 volts, $ 80.25 License No. 2Rom Exp.Date 10' ( I (yl see "b" above. 4d. Branch Circuits Phone No. 5f13 23 New, alteration,or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 37.50 Each additional branch circuit 6 $ 5.35 32.10 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy • 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels bels (10) $ 4dilif@0 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over /OD,aO 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 69.60 * Submit 2 sets of plans with application where any of the above apply. q 78,59b Surcharge 416 X total fees) $ 5 -5 Not required for temporary construction services. C Subtotal . $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 75_17 is \fists \forms \e l ectr i c. doc / ' CITY OF TIGARD ELECTRIC4L' PERM-1;7- A PERMIT #: ELC2000 -00160 DEVELOPMENT SERVICES DATE ISSUED: 4/6/00 ` '�- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25101 DC -03800 SITE ADDRESS: 07180 SW SANDBURG ST 100 SUBDIVISION: ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Install 7 branch circuits in existing commercial building. 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: 6 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: WILLIAM MCCORMACK BACHOFNER ELECTRIC INC 7415 FAIRWAY LOOP 55 SE MAIN W1LSONVILLE, OR 97070 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 KJP 4/6/00 $69.60 0001223 Elect'I Final 5PCT KJP 4/6/00 $5.57 0001223 Total $75.17 c?)__ This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other a plicable 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 r , 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 -1987. PERMITTEE'S SIGNATURE ISSUED 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: s Call 639 -4175 by 7:00pm for an inspection the next business day 44 BUP - Building Permit ELC - Electrical Permit J Inspection Description Date Passed By J Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing J Inspection Description Date Passed By Firewall _ Low voltage Tilt -up panel Electrical fmal Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing -4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in • Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab J Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service • SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils -4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR , ELC, ELR, MEC SIT PERMITS CITY OF TIGARD BUILDING INSPECTION DIVISION C c 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST / BUP °7 Date Requested �,7 / CO AM PM BLD Location I� q0 Abu/19 ( Suite 10D MEC Contact Person gl t Ph CD ).y-ZO /O PLM Contractor p / Ph SWR BUILDING Tenant/Owner ELC 2¢' l f O / (.0 O Retaining Wall Footing Access: Foundation .6 (d 5 fi t e t c se a( `-/ a FPS Ftg Drain SGN Crawl Drain Inspection Notes: ^ � / Slab JJ' _ SIT Post & Beam / , 2 Ext Sheath/Shear �� / th /Shear X14 0 ft4Viele_, C �' a e4-I 9 ? -co ),2 ( iA�) Int Sheath /Shear 1,0 Ott �„ �. - Framing v"N Insulation • Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final EXPIRED PASS PART FAIL ll Pos &Beam X3`1 L-1W'1 A /o ] '1/ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS . PART FAIL MECHANICAL Post & Beam - Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm W>�l PASS PART FAIL SITE • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.