Permit _ _
r- ,' CIT'Y' OF TIGARD ELECTRICAL PERMIT
,, DEVELOPMENT SERVICES PERMIT #: ELC98— 532
DATE ISSUED: 09/08/98 �
fv � -. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 2S112DD- 01600
SITE ADDRESS...:15495 SW SEQUOIA PKWY #130
SUBDIVISION ZONING:I —P
BLOCK • LOT • JURISDICTION: TIG
Pro.j ect Description : North American Van Lines TI
- -- 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 • 1 W /SERVICE OR FEEDER: 18 PER INSPECTION : 0
201 — 400 amp - 0 1st W/0 SRVC OR FDR.: 0 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 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
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY STE 300 PRMT $ 150.00 JSD 09/08/98 98- 308913
PORTLAND OR 97224 SPCT $ 7.50 JSD 09/08/98 98- 308913
Phone #:
Contractor:
COMMERCIAL ELECTRIC CORP. $ 157.50 TOTAL
10928 NE KILLINGSWORTH
REQUIRED INSPECTIONS
PORTLAND OR 97220 -1097 Ceiling Cover Elect'l Service
Phone #: 255 -9822 Wall Cover Elect'l Final
Reg #..: 000061
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 188
days of issuance, or if work is suspended for more than 1:.' s. ATTENTION: Oregon law requires you to follow he rules adopted by
the Oregon Utility Notification Center. Those rules . - set for i 0 952- 001-0010 through OAR 952 -001- ' You may obtain a copy
of these rules or direct quest'- to OUNC by ca ling •,'. )2•.- 98
0 ilk
Permittee Permittee Signa ire. / Issued B ■
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 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
I
CI1 OF TIGARD Plan Ch:, #
Electrical Permit A pplication
13125 SW HALL BLVD. RECEIVED Rec'd By Amy_ ,rS
Date Rec'd WAMThr�
TIGARD OR 97223
Phone (503) 639 -4171, x304 c D O - 8 1998 Date to P.E.
Date to DST ^
Print or Type
Inspection (503) 639 -4175 n.rAn,r.. a nn�ri nor • -• Permit # CI- ( i r k ' 0 3a
Fax (503) 684 -7297 Incomplete or illegible ill accept Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development / . Number of Inspections per permit allowed
Name (or name of business) Nbi 7T A cot v3 lek0 L\tJl5 Service included: Items Cost Sum
Address I 541S "S LO 001A- $$iTE 130 4a. Residential - per unit
i 1000 sq. ft. or less $110.00 4
City /State/Zip - 1 - G- ,1z.+7 O1 Each additional 500 sq. ft. or
Commercial R 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 ContractorffMMFRClAT, PT .PC.TR T CAT. CY1RP Installation, alteration, or relocation
200 amps or less ' $60.00 w 2
Address 10928 N _E. KTLT,TNGSWORTH 201 amps to 400 amps $80.00 2
City PORTLAND State OR Zip 97220 401 amps to 600 amps $120.00 2
Phone No. 255 -9822 601 amps to 1000 amps $180.00 2
Job No. 2883 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 26- 33C Exp.Date 1 (1/1 /9R
OR State CCB Reg. No. 6145 Exp.Date 1/1 4c. Temporary Services or Feeders
COT Business Tax or Metro No 2024 Exp.Date 1/1/99 Installation, alteration, or relocation
` , 200 amps to or less $55.00 2
nature of Su r. Elec'n 201 amps to 400 amps $7S.00 2
Si g p 401 amps to 600 amps $100.00 2
-
Over 600 amps to 1000 volts,
License No. (Z `F 5 S Exp.Date (Q LI 116 see °b" above.
Phone No. 255 -9822 4d. Branch Circuits
New, alteration or extension per panel
213. For owner installations: a) The fee for branch circuits with
purchase of service or o U
Print Owner's Name feeder fee. 8 $5.00 90_
Address Each branch circuit 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circui $5.00 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: r S -D 00
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $ I5
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 $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
(riv ecie-.. 0-3 TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 157 S°
`j Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96
4/11/00 Activities for Case #: ELC98 -00532
3:40:22 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 • To Done By Disp. Level By Updated Notes •
• ELCC001 APPlication received 9/8/98 JSD PASS JSD 9/8/98 •
ELCC003 Permit created 9/8/98 JSD PASS JSD 9/8/98 •
ELCC700 Ceiling Cover 9/25/98 CD PASS CD 9/25/98 ceiling cover pass except for
exit light boxes (4) which need
own support wires.
ELCC720 Wall Cover 9/22/98 CD PASS CD 9/22/98 walls & bathroom ceiling
ELCC799 Electl Final • 10/21/98 CD PASS CD 10/21/98
ELCA500 (F) Issue permit 9/8/98 JSD PASS JSD 9/8/98
ELCC800 Case Finaled 10/22/98 CD PASS J *H 10/22/98
•
•
•
•
•
Page 1 of 1 •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
1 /047 � Datt e p Reques�ted () /P-/ / ea' AM PM BLD
Location / ✓ 5 Sw Suite /30 MEC
Contact Person t7/LJ,t;) /6,6-ot/be/few a55 PLM
Contractor Ph ' SWR
BUILDING Tenant/Owner M,4-11451e, V'h& L/� q?- 5 3
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 6c24-
Drywall Nailing i t� et/
Firewall
Fire Sprinkler
Fire Alarm
fr
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
P RT FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
- Alarm
.■ 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
Other � li
Date // /< f Inspector / � Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.