Permit A CITY OF TIGARD
' l i l t
DEVELOPMENT SERVICES (503)639 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0171
DATE ISSUED: 07/07/98
PARCEL: 2S112DA -01400
SITE ADDRESS...:1535O SW SEQUOIA PKWY #300
SUBDIVISION •PP1996 -048 ZONING:I —P
BLOCK LOT :002 JURISDICTN: TIG
Pro j ect Description : Installation of limited energy panel. A3412
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK . MEDICAL •
HVAC • DATA /TELE COMM.. :X NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM OUTDOOR LANDSC LITE:
OTHER:
•• HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ••
TOTAL # OF SYSTEMS: 1
Owner: FEES
PACTRUST type amount by date recpt
15115 SW SEQUOIA PKWY, SUITE 200 PRMT $ 40.00 DEB 07/07/98 98- 307123
TIGARD OR 97223 5PCT $ 2.00 DEB 07/07/98 98- 307123
Phone #:
Contractor:
BACHOFNER DATACOM INC $ 42.00 TOTAL
55SE MAIN ST
REQUI RED INSPECTIONS
PORTLAND OR 97214 -3346 Ceiling Cover Low Voltage Insp
Phone #: 233 -7873 Wall Cover Elect'1 Final
Reg #..: 011197
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 1:'• days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Util' ation Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 00180. You may obtain copies of
these rul or direct estions to OJNC at (503)246 -1987.
Issue by Permittee Signature .41i
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: 7 ? —1 d
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
Community DevelopmeR CEIVE' ELECTRICAL PERMIT APPLICATION .
13125 SW Hall Blvd. ....---=--..
Tigard, OR 97223 J U L e 7 19 P lanck/Rec. #
Permit # €1.t2. /6' -CI 7/
411 Phone (503) 639 - 4 hmuNITY DEVLu 7 '
Date Issued 't
FAX-(503) 6847297 Issued by ('
CITY OF TIGARD TDD No. (503) 684 -2772 Y •
Inspection (503) 639 -4175 .
P
1. Job Address:
4. ,Complete Fee Schedule Below:
Name of Development Pactrust Number of Inspections per permit allowed
Address 1 5 3 5 0 SW Sequoia Pkwy Ste #300 Service included: Items Cost(ea) Sum
City/State/Zip Tigard, Oregon 97224 4a. Residential - per unit 4
1000 sq. ft. or lees $110.00
editions! 500 Name (or name of business) Pactrust each °° "Of $25.00 1
f
Commercial int Residential 0 , Limited Energy $ 25 . 00
Each Monad Home or Modular 2
Noting Samoa or Feeder $69.00
2a. Contractor installation only: .. 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor Bachof Datacom, Inc. 200 strips or less $60.00 2
-
AAdress 55 SE Main Street 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2 -
City Portland State OR Zip 97214 601 amps to 1000 ems $180.00 2
Phone No. 503 - 2 33 -7873 Goer 1CO3 amps ° X4000 2
Contractors license No. 2 6 - 9 5 3 CLE , Re00nned only $50.00
Contractors Board Reg. No. 1 1 19 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n 200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
License No. 2808S Phone No� 33 -7873 l 401 amps to600amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: see If above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits'""'
purchase d **mica a Ardor Are. 2
City State Zip Each circuit $5.00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is pfe of service or leader xke. 2 2
not intended for sale, lease or rent. Fist branch circuit $35.00
Each **Mona) branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Imo, pienp or :ligation circle $40.00 2
Each sign or outrme rghtirg $40.00
-
Signal cirwd(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, (aeration or extension 1 $40.00 40.00
4 or more residential units in one structure Minor labels (10) $1 00.00
-
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per irspedion $35.00
Per hour $55.00
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Sa. Enter total of above fees $ 40.00
5% Surcharge (.05 X total fees) $ - 2700
0 0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Su btotal $ 42.00
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enteer r 2 25 5% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ Q0
COMMENCED. ❑ Trust Account # . $
/,t . u P `� -0/ 41 9
Balance Due s 42 0�
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
f/ /3)7 _ Date Requested $ 6 -9 AM PM BLD
Location 15 3 Gti Suite a (1 l ) MEC
Contact Person Ph 133 -7'73 PLM
Contractor &O t L'O f 'L b C.ern- Ph KM14 _ SWR
BUILDING Tenant/Owner
Retaining Wall ELR � - 6/ 7/
Footing Access: '�,^
Foundation �Y l �.f C� i �-f 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
PASS PART FAIL
ELECTRICAL
Service -
rola
Low Voltage
Fire Alarm
Fi
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 D , & - 9 0 Inspe 6--,ZAZ%...to E
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 6 7 — / � -9i AM PM BLD
Location / 35J 3W ' Ida Suite 3 MEC
Contact Person . 4>L ' '• Ph // PLM
Contractor _� �, X
1l1�� 1 Ph 33 -0-00 b SWR
BUILDING Tena Owner
TEtsi ®qcC C
Retaining Wall ( �� — o / `7/
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation �^
Drywall Nailing C L e FP .5 — /97S S
Firewall
Fire Sprinkler �,
Fire Alarm Q AIAZe-
Susp'd Ceiling ELF 7 , - o/ 7� 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., T FAIL
ECTRICAi
Service
Rough In
UG /Slab
Low Voltage
Fir I rm
F
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 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
• 24 -Hour pection ine: 639 -4175 Business Phone: 639 -4171
3' i N
Date Requested: _ A.M. P.M. MST:
Location: T / ' ll BUP:
Tenant: , 0 0 � 7 Suite: c 9C B MEC:
Contractor: 1 J .L %,� Phone: 1- ' /( PLM: ' — ( �
Owner: Phone: ELC: ♦
ELR: /01411/. 6) /
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not proved Not Approved
FINAL FINAL FINAL FINAL
/dn.; d__ .....4 ,2,, ,
./1_ _ ; _..,.. _AMIN.Mir Ar 4/_„,..../.... _ :, .../. , „ /
O Call for rein / cction Cl Reinspection fee of $ required before next inspection Cl Unable to inspect
l . .— : n
Inspector: .-� Date: � 7 - �d� Page of
•