Loading...
Permit CITY OF T I G A R D ELECTRICAL PERMIT P ERMIT #: ELC1999 -00672 . ; ' , � y� DEVELOPMENT SERVICES DATE ISSUED: 11/09/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25101 DC -01100 SITE ADDRESS: 07298 SW TECH CENTER DR SUBDIVISION: ZONING: I -H BLOCK: LOT : JURISDICTION: TIG Project Description: Install 2 branch circuits in existing commercial building. 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: 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 W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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: CIRCLE A W PRODUCTS COMPANY PHOENIX ELECTRIC CO ATTN: PHIL PINGSTERHAUS 7379 SW TECH CENTER DR. BY B -LINE SYSTEMS, INC TIGARD, OR 97223 HIGHLAND, IL 62249 Phone: Phone: 684 -3600 • Reg #: LIC 00052288 ORIGINAL SUP 4140S ELE 34 -247C FEES Required Inspections Type By Date . Amount Receipt Elect'l Service PRMT KJP 11/09/199E $42.85 99- 319644 Elect'l Final • 5PCT KJP 11/09/1995 $3.43 99 - 319644 Total $46.28 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 - 2 , 7tr J ISSUED BY: A f eeitt_a„.. D 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: 6Y C DATE: ///%/9, yf LICENSE NO: • Call 639 -4175 by 7:00pm for an inspection the next business day • NOV -08 -99 MON.09:11 AM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02 L ATYi OF TIGARD Plan Check # Electrical Permit Application Read By f 1 312 1 SW HALL BLVD. Date Recd TIGARD OR 97223 Date to P.E. Phon4 (503) 639 -4171, x304 Date to OS Inspection (503) 639 -4175 Print of Type Permit 1 1 t < < ' l al 4 9 - o0(o7Z Fax (503) 595 -1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4, Complete Fee Schedule Below: Number of Inspections per permit allowed Name i f D Name or f ame. of business) Cr 4'7a / L 7& -,• Service included: Items Cost Sum w 7298 . i . o 14 etmitit.- 4a. Residential - per unit Address Q 1000 sq, ft, or less $ 117.75 4 City /State /Zip t�Srcl , 0R "[ 72 � 2 Each additional 500 sq. ft, or portion thereof $ 26.25 1 Comm ❑ Residential C a L imited Energy $ 60.00 I 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 or Feeders information for COj, a base). Installation, alteration, or relocation l Co 200 amps or less $ 64.25 2 Electrical Contractor. ..•{... E..>.Q� ` .,c • C 20 amps or less amps $ 85.50 2 Addre ?)? 9 S� T� Ccd A, 401 amps l0 600 amps $ 128.50 2 City State aim,. Zip _ci 72,23 601 amps to 1000 amps $ 192,50 2 Phon & BY - ..0 op Over 1000 amps or volts $ 363.75 2 Job N9. 806 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 2 Y -3‘i 2 C Exp.Date /oh / °` 4c. Temporary Services or Fenders OR State CCB Reg, No. Z '08 Exp.Date Oa - 19 `I'( Installation, alteration, or relocation COT Business Tax or Metro No. _ Ex ,Date 200 amps or less $ 53.50 2 201 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. i see "b" above. License No. 4f/ • Exp.Date _I°1111 4d. Oranch circuits Phone No. 6 sq- 3 bv0 New, alteration or extension per panel i a) The fee for branch circuits 2b. For owner installations: with purchase of service or feedor fee. Print Owner's Name Each branch circuit $ 5.35 2 b ) The fee for branch circuits Address without purchase of service City S tate Zip or feeder fee. Phone No. _ First branch circuit I $ 37,50 32-5 Each additional branch circuit 1 $ 5.35 5-3tr • 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 inigation circle $ 42.75 i Each sign or outline lighting $ 42.75 Owner's Signature Signal circuit(s) or a limited energy i , 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 4 or more residential units in one structure the allowable in any of the above 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 U j Se Enter total of above fees $ _ , * Su 2 sets of plans with application whore any of the above apply, &4 'Surcharge (.05 X total fees) $ 3 • y� _ No required for temporary construction services. Subtotal $ ilk - 2 6b. Enter 25% of line 5a for j NOTICE Plan Review if required (Sec. 3) $ i Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED -�� QQ� IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR Trust Account # t� ��O `� WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS 4, L 8 AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due 5 l: \ds is\ rorrns \ciceLric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /dig( 7 AM PM BLD Location b? �1,Er ' ( C 1�'v Imo' . Suite / MEC 3 Contact Person h Ph ( 0 `(° PLM Contractor Ph SWR BUILDING Tenant/Owner 6 - � .(/ Y �xCJ ELC / [ ? 9-6 ( o ?? 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 �! 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 ELECTRIC Service Rough In UG /Slab Low Voltage Frp alarm 4 A AS • ART 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 �� / _ �__ Other / � Inspector � p � ��� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.