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Permit
CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00715 01`� DEVELOPMENT SERVICES DATE ISSUED: 12/01/1999 I II 13125 SW Hall Blvd., Tisiard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 150 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Electrical TI RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 1 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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: PACIFIC REALTY ASSOC BACHOFNER ELECTRIC INC 15350 SW SEQUOIA PKWY 55 SE MAIN STE 300 PORTLAND, OR 97214 PORTLAND, OR 97224 Phone: Phone: 233 -2006 Reg #: LIC 00044569 SUP 2808S ELE 26-451C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT BON 12/01/1995 $42.85 99- 320097 Elect'l Final 5PCT BON 12/01/1995 $3.43 99- 320097 Total $46.28 ORIGINAL 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 . � (At?, _ of 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: `' a-- y (1 C�`�( DATE: LICENSE NO: r Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Recd By N t : 13125 SW HALL BLVD. RECEIVED Date Rec'd 2 TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 DEC 01 '1999 Date to DST Inspection (503) 639 -4175 Print of Type Permit # f C I6M / -071 S COMMUNITY DEVELOPMENT Called Fax (503) 598 -1960 e fl4a4' Incomplete or illegible will not be accepted 1. Job Address: ft 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development Name (or name of business) Sou theast Paper Mfg. Service included: Items Cost Sum y Address 1 5350 SW Sequoia Pkwy #1 50 4a. Residential - per unit 1000 sq. ft. or less . $ 117.75 4 City/State/Zip Tigard, OR Each additional 500 sq. ft. or portion thereof $ 26.25 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 alteration, oFei rs elocation amps information for COT data base). 200 25 2 Electrical Contractor Bachofner Electric 20 amps orlatio $ ees amps $ 6 2 Address 55 SE Main $ t . 401 amps to 600 amps $ 128.50 2 City Portland State OR Zip 9721 4 601 amps to 1000 amps $ 192.50 , 2 Phone No. 2 3 3- 2 0 0 6 Over 1000 amps or volts $ 363.75 2 Job No. 8178 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 2 6- 4 51 C Exp.Date 7 / 01 / 9 9 . 4c. Temporary Services or Feeders OR State CCB Reg. No. 4 4 5 6 9 Exp.Date3 / 0 6 / 0 0 Installation, alteration, or relocation 200 amps or less $ 53.50 2 COT Business Tax or Metro No. • •Date 201 amps to 400 amps $ 80.25 2 //� 401 amps to 600 amps $ 107.00 2 Signature of Supr. Elec'n�%� Over 600 amps to 1000 volts, see "b" above. License No. 2 8 0 8S Exp.Date 1 0 / 01 / 01 Branch Circuits 4d. Phone No. 233-2006 New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Each branch circuit $ 5.35 2 Print Owner's Name b) The fee for branch circuits Address without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 37.50 Each additional branch circuit - $ 5.35 5 . 3 5 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) 42.75 Each pump or irrigation circle $ Each sign or outline lighting $ 42.75 Owner's Signature Signal clrcuit(s) or a limited energy panel, alteration or extension $ - 60.00 3. Plan Review section (if required):* Minor Labels (10) • - $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional Inspection over the allowable In any of the above 4 or more residential units in one structure Per inspection $ 50.00 Service and feeder 225 amps or more . Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as 5 , Fees: described in N.E.C. Chapter 5 $ 4 2. 8 5 6a. Enter total of above fees * Submit 2 sets of plans with application where any of the above apply. 5% Surcharge (.05 X total fees) $ 3 . 4 3 Not required for temporary construction services. Subtotal $ 6b. Enter 25% of line 6a 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 Trust Account # WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 46.28 , i • Z0 02IV9I.L d0 AIM 096T 96S COS YVd ZZ :Ot !1H,L 66/LT/90 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested 013/ AM PM BLD Location /535 3 - L&- Suite / 51) MEC Contact Person / . C� Ph � O PLM Contractor ((( Ph SWR BUILDING Tenant/Owner S rz S Dz p�' 2/ ELC l g9 gr 1071 S -- 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 C e-1 I lot es. Fire Alarm w j� / Susp'd Ceiling S 4 67_5' FO Y" / - "- ��" Cr 1 Roof Misc: Final PASS PART FAIL PLUMBING / ,- Post &Beam _ Under r Slab L l 14 / 4 e 1? L° ✓o „ Cc� , �� S r) a .c / S', ,,0 P Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final FAIL E LECTRIC S- •. - eiff ' - ou•h II C L. UG /Slab Low Voltage Fire Alarm PASS PART C i f ik,1 1 L 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 n Approach /Sidewalk Other Date /2. - 03 - q9 9 Inspector at alAitLA Ext 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 /t4-/(to / 9 ' AM PM BLD Location /.35D Se Ga- Pew t- ( Suite / S) MEC Contact Person d.QA. Ph ?- 33 —�0v ( PLM Contractor // �� Ph SWR BUILDING Tenant/Owner SC Pa-per ELC /995-D 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 S 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 r r CTRICAL i .�� Rough In UG /Slab Low Voltage • - Alarm A SS - ART FAIL �9tfif 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 //z-i6 _ ^� nS p Approach /Sidewalk Other D 7 Inspector / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.