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Permit li t CITY OF TI GA R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00440 444 DEVELOPMENT SERVICES DATE ISSUED: 08/01/2000 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: ISI346C -00300 SITE ADDRESS: 12244 SW SCHOLLS FERRY RD SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: 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: 1 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 WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 9 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BPP RETAIL LLC E C COMPANY BY BURNHAM PACIFIC PROPERTIES 2121 NW THURMAN ATTN: JOHN WATERS PO BOX 10286 SAN DIEGO, CA 92101 PORTLAND, OR 97296 -0286 Phone: Phone: 503 - 926 -4266 Reg #: ELE 22 -15C LIC 49737 SUP 3257S FEES Required Inspections Type By Date Amount Receipt Rough -in PRMT JMT 08/01/200C $128.40 0004142 Elect'l Final 5PCT JMT 08/01/200C $10.27 0004142 Total $138.67 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 , r , /� ISSUED BY: -1- infi Lj e 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 15 f3y,ec ci:9 CITY OF TIGARD Plan Check # Keivi tole Electrical Permit Application Recd By arc . SW HALL BLVD. Job No. Ale: TIGARD OR 97223 '9i -0 (7" Date Recd 7 nD Date to P.E. Phone (503) 639 -4171, x304 Mall CC to: CC to: Date to DST Inspection (503) 639 -4175 �J71•y C � � rint of Type Permit #[f ZG100-a2 5 Fax (503) 598 - 1960 m mpl e or illegible will not be accepted Called 1.. Job Address: 4. Complete Fee Schedule Below: Name of Development 115/4 9413 Y Number of Inspections per permit allowed Name (or name of business) c - �, l� L �j Service included: Items Cost Sum 4 Address I 2- 7 'f SW � `/S -c 4a. Residential - per unit City/State/Zip Tj q eve-vf , a R g7Z23 1000 sq. ft. or less $ 117.75 4 ry P Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial II Residential ❑ Limited Energy $ 60.00 Each Manut'd 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 EG Cowl pa ny 200 amps or less $ 64.25 2 Address ft', G OA. /02R b 201 amps to 400 amps $ 85.50 2 City �iiA State OR Zip /7'74 6 401 amps to 600 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 2 Phone No. (5/01) 552 - 5505 Over 1000 amps or volts $ 363.75 2 Job No. - 7 9 2 9 5 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 2 (o -H G Exp.Date I 0 I tit2 4c. Temporary Services or Feeders OR State CCB Reg. No. III 737 Exp.Date 1 4 Installation, alteration, or relocation COT Business Tax or Metro.No.0000203 7 Exp.Dat it a 1 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n , /� 401 amps to 600 amps $ 100.00 2 Over 600 amps to 1000 volts, see "b" above. License No. 3 Z f S xp.Date Phone No. 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owners Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. 3 56 Phone No. First branch circuit N / $ 37.50 Each additional branch circuit . q $ 5.35 it fj, /S 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 Owners Signature Each sign or outline lighting / $ 42.75 02, "7 Signal circuit(s) or a limited energy (if required):* panL alteration or extension $ 60.00 3. Plan Review section ( Minor Labels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 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 $ 12.8 * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ (0 , 27 Not required for temporary construction services. 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 $ I 3g. 67 is \dsts \forms \electric.doc (ALL SCHOLLS FERRY ADDRESSES) 1 q °O BASKIN ROBINS ao 12288 '1r C 12 p 12286 G PIZZA q N - 12282 POGY'S SUBS GREENWA Y s 122 74 VIDEO TOWN CENTER 12272 GREENWA Y PUB 12268 SPRING FLOWER 12266 NW SEW & VAC 12180 2264 VACA v � � 12264 SCAMPS ,� M 12262 12192 N 1 PERFECT LOOK c..) �' 12260 VACANT 12220 12196 H O WARDS 12194 '1� 12190 cr, G� M ARKET n M r ttN_ GO o cn 12186 cv N 12160 V �." '� 12164 (F • 1.g4 • fl w /� • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested "" AM PM BLD Location / 2-z-41 5 5 ' 401/5 Suite MEC Contact Person Cam- Ph � SL • / 7 PLM Contractor a C Ph SWR BUILDING Tenant/Owner e,�H/ 1, ELC , . vvv - a U 4/y D Retaining Wall (15/4 , ICJ 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 451 a.) le 3 Fire Alarm Susp'd Ceiling Roof pc2c1 Misc: L [ CJ / Final PASS PART FAIL PLUMBING /1/o o ale cam' Y/ C! 4 Y/ S C !i1 6 / e Post & Beam � / ,, ( Under Slab 66 � 1 / 4 1 . / y 1 D w Lc )J%O ' ' / 4 / e. cX /0 1/1 Top Out L Water Service s e.. v 's A e_ •J , Sanitary Sewer Rain Drains Final PASS PART FAIL � v i-i Ce /..5 ex/ s' I. 1/ MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL rvice o In UG /Slab Low Voltage Fire Alarm Final PASS P T 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested g - /7 AM PM BLD Location /0 So/ SCaS r-e�i Suite MEC Contact Person // Ph 55 2 - C; 7 PLM Contractor 2_ C Ph SWR BUILDING Tenant/Owner ELC - 6' (/ ((D Retaining Wall C417 4 f 1.7 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 Roof Misc: 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 PAS T FAIL ECTRIC SIsratUe Rough In UG /Slab C Q � J Div Low Voltage Fire Alarm Fin 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 • (7 4 Inspector xt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP / a ZS3% Date Requested AM PM %\_ BLD Location /2 ' e'roi4 /f 4/ Suite MEC Contact Person t ie,c44 Ph S a / 7 PLM Contractor Ph SWR BUILDING Tenant/Owner 014 Arty ELC p� aaD e /a 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 �r Fire Alarm Susp'd Ceiling Roof Misc: 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 CT IC�t Service Rough In UG /Slab Low Voltage Fir- larm PASS PART GA -- )1 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 inspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date � i3 Inspector Ext Final PASS PART FAIL D NOT REMOVE this inspection record from the job site. I \ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP Date Requested AM PM ✓ BLD Location / Z2 ?�t J . A (A 6 b. Suite MEC Contact Person / Ph PLM Contractor Ph SWR BUILDING Tenant/Owner v� d4217 ELC Retaining Wall ELig - L__;'__ 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 Roof Misc: 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 FAIL TRW. Service Rough In UG /Slab Low Voltage Fire Alarm W I 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 einspection RE: Unable to inspect - no access ADA 7 '/ Approach /Sidewalk Date �� Inspector txt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.