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Permit CITY OF TIGARD �� ELECTRICAL PERMIT �, DEVELOPMENT SERVICES PERMIT #: ELC97 -0581 +1■ IJL 13125 SW Hall Blvd., Tigard, OR 97223 (503)639 -4171 DATE ISSUED: 08/26/97 PARCEL: 2S102BA -01000 SITE ADDRESS...:09538 SW TIGARD ST SUBDIVISION •NO.TIGARDVILLE ADDITION AMEND. ZONING:I —P BLOCK LOT •57 JURISDICTION: TIG Project Description : Add a first branch circuit to existing commercial bldg. - -- 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 MANE. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0 - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 — 200 amp : 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0 201 — 400 amp : 0 1st W/0 SRVC OR FDR.: 1 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 QUADRANT PRECISION MFG. type amount by date recpt 9538 SW TIGARD ST PRMT $ 35.00 GEO 08/26/97 97- 298663 TIGARD OR 97223 5PCT $ 1.75 GEO 08/26/97 97- 298663 Phone #: Contractor: CHRISTENSON ELECTRIC INC $ 36.75 TOTAL 111 SW COLUMBIA STE 480 REQUIRED INSPECTIONS PORTLAND OR 97201 Ceiling Cover Underground Cove Phone #: 241 -4812 Wall Cover Elect'l Service Reg #..: 000004 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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-091-0019 through OAR 952-001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (5031246 -1987. Permittee Signature: A t 0 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 k SIGNATURE OF SUPR. ELEC'N: 6 6 DATE: 6 0, , LICENSE NO: cc 7 3 S ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ ++ + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ is , s CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Print or Type Date to DST Inspection (503) 639 -4175 � - 0 5 $/ Incomplete or illegible will not be accepted Permit # Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business)QUADRANT PRECISION MFG Service included: Items Cost Sum Address 9538 SW TIGARD ST 4a. Residential - per unit TIGARD OR 1000 sq. ft. or less $110.00 4 City /State /Zip Each additional 500 sq. ft. or Commercial El 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 CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation Address 111 S.W. COLUMBIA, SUITE 480 200 amps or less $60.00 2 - 201 amps to 400 amps $80.00 2 City PORTLAND State OR. Zip 97201 -5886 401 amps to 600 amps $120.00 2 Phone N0. 501 601 amps to 1000 amps $180.00 2 Job No. 224 -6966 Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 26 -34C Exp.Date OR State CCB Reg. No. 00458 Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. 5746 Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of ( r_ E Cj�� , 201 amps to 400 amps $�S.00 2 - g - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 873S Exp.Date see "b" above. Phone No. SO1- 741 -4817 4d. Branch Circuits 8/21/97 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 1 $35.00 35 • 2 The installation is being made on property I own which is not Each additional branch circ $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: 35. Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 1 • 75 NOTICE Subtotal $ 36.75 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 36.75 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 # Total balance Due $ 3b • 7 5 I \05T5 \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 AM PM BLD • Location 9-53e SGIJ 72,,Q, Suite MEC Contact Person Ph PLM 1 � ' Contractor � ri - eA SO/1 ��G . Ph 5/ / `( //� SWR v v BUILDING Tenant/Owner /Ci i4 r• / Y ELC 0--57g/ Retaining Retaining Wall / ELR Footing Foundation Ai FPS Ftg Drain NOT REQUESTED SGN / 4 Slab Crawl Drain In FOUND DURING RESEARCH Z Post & Beam NO INSPECTION(s) IN FILE SIT v . Ext Sheath /Shear Int Sheath /Shear 9 \ Framing I b Ye? 1 C1- rive' chi . Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm / / l Susp'd Ceiling V / (� 013 ` 5 Vet Ccr I /� OG ke N Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam , (' . Under Slab s!/• — — ! O 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 Rough In UG /Slab - Low o ag re A arm Final PASS 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Other oach /Sidewalk Date 2 /— 9 F Inspector a 4411 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.