Permit Cliv OF '
ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0096
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T� DATE ISSUED: 02/27/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 29112AD-00900
SITE ADDRESS...:14800 SW SEQUOIA PKWY
SUBDIVISION....: ZONING:I—P
BLOCK..........: JURISDICTION: TIG
Project Descript ion : Add two (2) branch circuits to an existing commercial tenant
occpy.
____
- --RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS—_-- -----MISCELLANEOUS-----
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 : 0
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/O SRVC OR FDR.: 1 PER HOUR...........: 0
401 — 600 amp......: 0 EA ADD'L BRNCH CIRC: 1 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 ----
THE HOME DEPOT USA, INC. type amount by date recpt
601 SOUTH PLACENTIA PRMT $ 40.00 GEO 02/27/98 98-303670
FULLERTON CA 92631-0039 5PCT $ 2.00 GEO 02/27/98 98-••308670
Phone #:
Contractor: — •
CHRISTENSON ELECTRIC INC $ 42.00 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
__
PORTLAND OR 97201 Elect'l Service
Phone #: 241-4812
Reg #..: 000004
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those. rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You .may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
Permitt ee Signature: �� Issued By u��m .���'�r
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 ---- ----
��� 01 '_
SIGNATURE OF SUPR. ELEC'N: ��^`~ DATE:
��
LICENSE NO: �� �� °^
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for an insoection needed the next business dav
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
CITY eF TIGARD Electrical Permit Application Plan Check #
T3 125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 " Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Print or Type
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit #!" 4 $ ��d /�
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) HOME DEPOT Service included: Items Cost Sum
Address 14800 SW SEQUOIA PARKWAY 4a. Residential - per unit
I
1000 sq. ft. or less City/State/Zip El Li TIGARD Each additional 500 sq. ft. or $110.00 4
Commercial Y y Residential portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor CHRISTENSON ELECTRIC INC . Installation, alteration, or relocation
111 SW COLUMBIA SUITE 4t9U 200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
City PORTLAND State OR Zip 97201 -5886 401 amps to 600 amps $120.00 2
Phone No. 241 -4812 601 amps to 1000 amps $180.00 2
Job No. 221-2107 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 26 -34C Exp.Date
OR State CCB Reg. No. 458 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or etro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
. �►l 201 amps to 400 amps $75.00 2
Signature of " --- _! L ` 401 amps to 600 amps $100.00 2
8 7 3 S Over 600 amps to 1000 volts,
License No Exp.Date see "b" above.
•
Phone Nc . 241 -4812
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit 1 $35.00 35 . 2
The installation is being made on property I own which is not Each additional branch circuit 1 $5.00 5. 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 $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
40.
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 7
NOTICE Subtotal $ 4L.
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ 'i 2 -
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $
42.00
I: \DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
! Date Requested AM PM BLD
Location // PKtruite MEC
Contact Person PLM
Contractor ( &r. s • - e- 45t)--JJ glee_ Ph /. 4.0 SWR D'
BUILDING Tenant/Owner / ELC
Retaining Wall ELR
Footing Access: (I c
•
Foundation FPS
• Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear - C /,e `,‘
Int Sheath /Shear
Framing �.
Insulation ,a
Drywall Nailing �L � f - 4 4/ -
Firewall
Fire Sprinkler
Fire Alarm _;
Susp'd Ceiling - F% /9 f.( f � (,�
Roof '
Misc: '' 7
Final
PASS PART FAIL
PLUMBING
•
Post & Beam
Under Slab ( -> 11 Okh
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
Fire Alarm
Final-- -
(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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA -�
Approach /Sidewalk :? 7/
Other • D a t e ) s , ? / I rte Ins _ ;� Ext
Final J
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.