Permit is�of // •
� CoRJ�E�'r �u� � / ELECTRICAL P RMIT
CI Y OF T I G A R D PERMIT #: ELC2001 -00360 •
A l i DEVELOPMENT SERVICES DATE ISSUED: 7/10/01
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 1S134BC-00300
SITE ADDRESS: 12220 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Wiring for light fixtures, receptacles and misc. remodel.
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:
BPP RETAIL LLC GEORGE + SONS ELECTRIC CORP
BY BURNHAM PACIFIC PROPERTIES PO BOX 339
ATTN: JOHN WATERS CLACKAMAS, OR 97015
SAN DIEGO, CA 92101
Phone: Phone: 654 -8634
Reg #: LIC 35600
ELE 3 -117C
SUP 3185S
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 7/10/01 $86.75 2720010000( Elea! Final
5PCT CTR 7/10/01 $6.94 2720010000(
Total $93.69
•
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty Codes and all other applicable lams.
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 ordirect questions to OUNC at (503)
246 -6699 or 1.800- 332 -2344.
/
Permit 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:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00360
1 I1j" DEVEL SERVICES I (503) 639 -4171 CES DATE ISSUED: 07/10/2001
- 13125 SW
PARCEL: 1S134BC-00300
SITE ADDRESS: 42240 SW SCHOLLS FERRY RD
SUBDIVISION: -2 --4 ) ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Wiring for light fixtures, receptacles and misc. remodel.
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:
BPP RETAIL LLC GEORGE + SONS ELECTRIC CORP
BY BURNHAM PACIFIC PROPERTIES PO BOX 339
ATTN: JOHN WATERS CLACKAMAS, OR 97015
SAN DIEGO, CA 92101
Phone: Phone: 654 -8634
Reg #: LIC 35600
ELE 3 -117C
SUP 3185S
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 07/10/2001 $86.75 2720010000( Elect'I Final
5PCT CTR 07/10/2001 $6.94 2720010000(
Total $93.69
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Speaalty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
2466699 or 1.800- 332 -2344.
i
Permit Signature: 01fz2,1r Issued By: %' .0'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION — S � ONLY
SIGNATURE OF SUPR. ELEC'N: C)l pip 1- C /- T?7 DATE:
LICENSE NO: 3/ SG C--
Call 639 -4175 by 7:00pm for an inspection the next business day •
��fi Electrical Permi.gation
A •
Date received: ' / /0 d I Permit no.:R/ - 003 d 0
. u; ii ''►'i City of Tigard JUL 0 D 2001 Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By 'b I Receipt no.:
Phone: (503) 639 -4171 COMMUNITY 0 1 ' 1' Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: I '
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 1/9 Commercial/industrial ❑ Multi - family 0 Tenant improvement .
❑ New construction tit Addition/alteration/replacement O Other: 0 Partial
JOB SITE INFORMATION
Job address: /,Z 9O S p / � y a Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: I Block: (Subdivision: 4.44$,3 •S 7Xrsi way. - ?_s; J=/C.
8F&
Project name: I Description and location of work on premises: ,..4,-.?„ „ ,,. /A -c/ x m r e s l
E timatcd date of completion /inspection: F eC e . c7c /(P - i c, C wr oct e .
CONTRACTOR APPLICATION -” `' `''.: FEE SCHEDULE
Job no: 33 5 Q Fee Max
Business name: Gb S p . t , ,, E,t�-4 evr _ Description Qty. (ea) Total no. insp
Address: e r New residential - single or multi- family per
pr., 3ox X35 dwelling unit. Includes attached garage
City: C L,/cM S 1,,6 SY- 86 3 V I State:c e I ZIP: , 7 ./r Service included:
Phone I Fax: 404884 E -mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB no.: bOi. I Elec. bus. lic. no: /1 7_G -
3 Limited energy, residential 2
City/ lie. _bsa Limited energy, non-residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date 'j— 6 -1 Service and/or feeder 2
Sup. elect. name (print): C,Q R .' ,miss License no: _3/85 - S Services or feeders — installation,
alteration or relocation:
200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: 'State: I ZIP: Over 1000 amps or volts • 2
Phone: I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to la tiiallation,alteration,orrelocation:
200 amps or less 2
20
ORS 447, 455, 479, 670, 701. 201 1 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
Branch circuits - new, alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase 5(4 g3
• of service or feeder fee, first branch circuit:
Phone: Fax: E -mail: Each additional branch circuit: b 6A s So
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
O Service over 225 amps - commercial 0 Health - care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1&2 0 Hazardcius location Each sign or outline lighting 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal . more residential units in one structure alteration, or extension* - 2
❑ Building over three stories O Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lighting plan O Other. Per inspection I I I. I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ EM r 7 S
❑ Visa O MasterCard expires if a permit is not obtained' Plan review (at _ %) $
Credit card number / / within 180 days after it has been State surcharge (8 %) $ -
Expires accepted as complete. TOTAL $ 93i h
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440 -4615 (6/00/COM)
3, 331
CITY OF TIGARD BUILDING INSPECTION DIVISION
24- Hoer' Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested /' Z AM PM BLD
Location / 7 Z 5 sG4 //5 >,✓r Suit MEC
Contact Person Ph 5`f-f'G 3 PLM
Contractor Soy _ ! C.. Ph J SWR
—
BUILDING Tenant/Owner ,alp e... a L I - j y F wc/ ELC ZG/
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: t sit r im Aura c _ SIT
Post & Beam �l
Ext Sheath /Shear YG C e pi ` ; 1/ S C,
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: V/411/.c / /�
Final — e e t ! / r' C)1
PASS PART FAIL
PLUMBING
Post & Beam
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
gLECIRIeitL
'Service Co
Rough In
UG /Slab
Low Voltage
Fire Alarm
- ART 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 Date 7-(5 / Inspector /
Other i E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
r4 -Htni r Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / 3 AM PM BLD
Location ' ' - ° ‚1 ( Suite MEC
Contact Person h R C 3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner t AL`s•! /l, _ / it _ ELC -00 / CO , 3676
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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ,Q
Roof l ! /2
Misc: < c� ✓�--tL
Final
PASS PART FAIL
PLUMBING
Post & Beam
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fir; alarm
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 P/3-0/
Other Date Inspector 41(".4_,Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
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 y Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40. 1 . ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular El Garage Door Opener
Dwelling Service or Feeder $90.90 2
Services or. Feeders ❑ Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation .
200 amps or less $80.30 2 ❑ Vacuum Systems
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 -260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts. ❑
see "b" above. Audio and Stereo Systems
ti
Branch Circuits ❑ Boiler Controls
New, alteration f c per panel ` \__
a) Thhfe
The fee for r branch ranch circuits ,:^� -�^ �
with purchase of service or • El Clock Systems ; =,, J . __�,� e _�
feeder fee. N.
Each branch circuit $6.65 2 0 Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $46.85
Each additional branch circuit $6.65 ❑ HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 ❑ Landscape Irrigation Control
Minor Labels (10) $125.00
Each additional inspection over ❑ Medical
. the allowable in any of the above . U Nurse Caiis
Per inspection $62.56
Per hour $62.50
In Plant $73.75 ❑ Outdoor Landscape Lighting
Fees: ❑ Protective Signaling
Enter total of above fees $ I I Other
8% State Surcharge $ Number of Systems •
25% Plan Review Fee
See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations
front of application.
. Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account f! 8% State Surcharge $
•
• Total Balance Due $
i :\dsts \forms\elc- fees.doc 10/09/00