Permit CITY OF T ELECTRICAL PERMIT
y At. DEVELOPMENT SERVICES PERMIT #: E PERMIT 466
° � � i ' 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/28/98
1 "=
PARCEL: 2S101DC -03900
SITE ADDRESS...:07150 SW SANDBURG ST
SUBDIVISION °SALEM FREEWAY SUBDIVISION ZONING:C -P
BLOCK LOT °004 JURISDICTION: TIG
Project Description : New electrical service and feeders for a commercial tenant.
- -- 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 ° 2 W /SERVICE OR FEEDER:128 PER INSPECTION • 0
201 - 400 amp • 3 1st W/O 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
PROGRESSIVE INS type amount by date recpt
7150 SW SANDPURG ROAD PRMT $ 1000.00 GEO 08/07/98 98- 308099
TIGARD OR 97223 PLCK $ 250.00 GEO 08/07/98 98- 308099
SPCT $ 50.00 GEO 08/07/98 98- 308099
Phone #:
Contract or:
BACHOFNER ELECTRIC INC $ 1300.00 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover Elect'1 Service
Phone #: 233 -2006 Wall Cover Elect'1 Final
Reg #..: 000445
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 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fol the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -031 -0010 through OAR 952 7P¢ "7. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987. ■
Permittee Signature: on Iss� _:ed ,• ~�
( # J g DE r
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
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
1 , 1 - - - - - -
. CITY OF TIGARD ElectricalTerinit Application Plan Check # C 2C
13125 SW HALL BLVD. Rec'd By77Cl f1 e .FiCf1l6
Date Rec'd T-- �
TIGARD OR 97223 F,'� 199 Date to P.E. . - 7 8
Phone (503) 639 -4171, x304 Date to DST • " - f S
Inspection (503) 639 -4175 ��;; ;, ', `aiPrint Permit # , '` e' 4 ,
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called S-2 '. •
•
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
I
Name (or name of business) Progressive In s Service included: Items Cost Sum
Address 7150 SW Sandberg Rd 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip Tigard Ore 97293 Each additional 500 sq. ft. or
Commercial ® 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 Contractor BarhofnPr F.1 ect In _ Installation, alteration, or relocation
200 amps less Z $60.00 2
Address 5 5 SE Main 201 1 to amps to 400 amps _i_ $80.00 G-_-li__ 2
City Ti ga rr1 State O Zip 9 7 21 4 401 amps to 600 amps $120.00 2
Phone No. 233 2 0 0 6 601 amps to 1000 amps $180.00 2
Job No. 7056 Over 1000 amps or volts 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 96_, 451 c Exp.Date 1 0/ 1
OR State CCB Reg. No. 445 6 9 Exp.Date 3 / 6 / nn 4c. Temporary Services or Feeders .
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2
2 i3 0 8 S Over 600 amps to 1000 volts,
License No Exp.Date 1 0 / 9 8 . see "b" above.
Phone Nn
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 circ $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 circuitl 8 $5.00 6 4 0 _ 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:
1000.00
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ S n _ 0 0
NOTICE Subtotal $
5b. Enter 25% of line 5a for 250.00
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 1300.00
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $
1 \DSTS \ELC96 APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p BUP
/
l P I 1 003 Date Requested I / - la_ -q0 AM j BLD
Location 7150 (SW LSamd Suite MEC
Contact Person antA Ph / PLM
Contractor Lam. Ph SWR
BUILDING Ten nt/Owner p/w p11 Nvii`e M; Q,V ,a4t ap_ Q g66 Retaining Wall ELR f 0
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 ://r-f !D
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
P SS PART FAIL
CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
'Jai .
(Ati 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 Dat ///2 _/ 9 f Ins pec t or Ext
Other /
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.