Permit CITY OF TIGARD
�,� ��i ,� DEVELOPMENT SERVICES ELECTRICAL PERMIT —
' L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0183
{ DATE ISSUED: 07/21/98
PARCEL: 2S1O1DC -04000
SITE ADDRESS...:O755O SW TECH CENTER DR op,4,13...
SUBDIVISION • ZONING:I —L
BLOCK. • LOT • JURISDICTN: TIG
Project Description : SOUTHWEST COMMERCE CENTER JOB 024058
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: .•
TOTAL # OF SYSTEMS: 1
Owner: FEES
SPIEKER PARTNERS type amount by date recpt
5285 SW MEADOWS RD PRMT $ 40.00 JSD 07/21/98 98- 307507
# 131 5PCT $ 2.00 JSD 07/21/98 98- 307507
LAKE OSWEGO OR 97034 -0000
Phone #: 503- 684 -6844
Contractor:
HONEYWELL INC $ 42.00 TOTAL
15495 SW SEQUOIA
STE 100 REQUIRED INSPECTIONS
PORTLAND OR 97224 Ceiling Cover Low Voltage Insp
Phone #: 968 -3333 Wall Cover Elect'l Final
Reg #..: 000578
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 - ordance with approved plans. This permit will expire if work is not started with'n 180
days of issuance, or if work is suspend for more than 180 days. ATTENTION: Oregon law requires you to follow rule) opted the
Oregon Utility Notification Center. i'., les are set forth in OAR 952 - 001- '.10 through OAR 952-001-v.:. You (ay obtain copie
these rules or direct question OUNC at 10'
"(
Issued by �� Permittee Signatur
-- -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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
• CITYbF TIGARD Electrical Permit ApplicatigEIVE0 Plan Chec`m ,
13125 SW HALL BLVD. Rec'd By i
TIGARD OR 97223
JUL _ 199E Date Rec'd /ANSI.
Date to P.E.
Phone (503) 639 -4171, x304 Print or Type CO" "MUis'lP, ' CJ'- Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # �=�-R 9 �- 6 In
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development SOCLth(4JeS7 COMrneree • C /� ,fr Number of Inspections per permit allowed
Name (or name of business) Service included: Items Cost Sum
I
•
Address 75 5o .S4) Teri? Ccn // Pt- - Dr/ ye, 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip 7/yard..- 6R 97. � 3 Each additional 500 sq. ft. or
/ portion thereof $25.00 1
Commercial IS Residential ❑ 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 1 toP: , L I alteration, or relocation
/�'i�i, r ''100 200 amps or less $60.00 2
Address /5 95 si) _S r�nl 201 amps to 400 amps $80.00 2
City Tor /land State OA Zip J 97.n 4 / 401 amps to 600 amps $120.00 2
Phone No. 503 -76s?-3300 601 amps to 1000 amps $180.00 2
Job No. .2'115 S Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 2.6,- .?o7CLF Exp.Date /0///97 Reconnect only $50.00 2
OR State CCB Reg. No. CD. 7 ?.2!/ Exp.Date 2. 4c. Temporary Services or Feeders
COT Business Tax or Metro o. 6 O Exp.Da e / i Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00
Signature of Supr. Elec'n �'� 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 994T/ F Exp.Date /Op/4? see "b" above.
Phone No. 503 - 96 8 ? 071
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 $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $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 4 /0• n O 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 o 4 0 f n"� �
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:
Not required for temporary construction services. 5a. Enter total of above fees $ 4/n • n a
5% Surcharge (.05 X total fees) $ .7 • n o
NOTICE • Subtotal $
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
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # q .2. 00
Total balance Due $
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 (0/ 7/O AM PM BLD
Location JO TefilA l .� � pr Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC q p
Retaining Wall ELR q g
3
Footing Access: R FPS
Ftg Drain
Foundation n' n . + �� Q � c.i c; �Q
WV V 1 T/J l �� " '
Crawl Drain Inspection Notes: , - o SGN
Slab 1 v SIT
Post & Beam "f
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall Fire Sprinkler F/V
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 PA5 FAIL
J ECTRICAL )
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
ar
SS 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 einspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date � 5 i 1s r Ins ( - Ext
Other —
Final
PASS PART FAIL DO OT EMOVE this inspection record from the job site.