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Permit v.s CITY I T 1 OF T I �� R® ELECTRICAL PERMIT PE RMIT #: ELC2002 -00171 DEVELOPMENT SE R VICES DATE ISSUED: 4/16/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB -00600 SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD SUBDIVISION: BANI4U CREEK ACRE TRACTS ZONING: I -L BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 2 branch circuits for lights and recept. 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: PACIFIC REALTY ASSOCIATES BACHOFNER ELECTRIC INC 15350 SW SEQUOIA PKWY #300 -WMI 55 SE MAIN PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: 233 -2006 Reg #: LIC 44569 SUP 2808S ELE 26-451C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 4/16/02 $53.50 2720020000( Wall Cover , Rough -in 5PCT CTR 4/16/02 $4.28 2720020000( Elect'l Final Total $57,78 • 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 -6699 or 1 -800- 332 -2344. Permit Signature: 0J , 1 � Issued By: 1 CIA LA i Lic- �^ 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: (1 ( DATE: LICENSE NO: .-- 770k Call 639 -4175 by 7:00pm for an inspection the next business day • • „~'.__,' ' Electrical Permit Application Date received: AWE Permit no.: . a - e9/ r / of T ig DECEIVED Project/Lno.: Expire date: Ci ty ofTtgatvl Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: i Receipt no.: Phone: (503) 639 -4171 APR 1 5 2002 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: CITY OF TIGARD 11-17.) -0 — COO O' - 1 NiiIIMILi Le1LIgAaI C 111'l. OF 11"10 111 I O 1 & 2 family dwelling or accessory In • O Multi-family O Tenant improvement O New construction • • , .'d allacement O Other. O Partial Job address: 16160 SA ID :NM FEIN RIND .UPPED Bldg. no.: Suite no.: Tax map/tax lot/account no.: LoC IBlock: (Subdivision: Project name: ENELDg IV I Description and location of work on premises: pun-Tap T rarrs, A) EramacrzucE, Estimated data of com ionIiinspection: Fee Max Bu siness Dame Bachofner Electric, Inc. i no: 99s4 D Qty. (ea) Total no. reap Business New resbiendad -single eromi -6 yrr Address: 55 SE Main St. dvr eilingtad. includes adlachednarage. City: Portland I State: OR 17JP: 97214 Senieelsrloded: 1000 sq. ft. or leas 4 Phone: 503 - 233 -2006 I Fax: 233 -2963 I F- Each additiona1500 sq. R or patios thereof CCB no.: 44569 I Elec. bus. lie. no: 26-451C Limited clergy. residential 2 City/metro lie. no.: 253 United energy, non-naidanial 2 Each manufactured home or modular dwelling Sigma= of wpavising • • (regained Date Service and/or feeder - - 2 Sup. dal. name (print) W. Bachofner Licaneno: 2808S *Wrath's! or mimed= 200 amps or leas 2 \ 201 amps to 400 amps 2 Name (print): 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: IZ3P: Over 1000 amps or volts 2 Phone: (Fax 1 E-mail: rReoomeecxady t . _ Owner installation: The installation is being made on property I own M.pasary "likes arfeeaasar - which is not intended for sale, lease, rent, or exchange according to iatrrgdlogdlerslisa,r 200 arms or leas 2 ORS 447, 455, 479, 670, 701. • 201 amps to 400 amps 2 owner's ,_, ,,,. � • — Date: "401 to600amps I I 2 1. \ (.1 \ 1:1:12 Bra m* -oew, attesatioe., orextaniou per pawl Name: A. Fee for branch circuits with purchase of Address: saviee or feeder hoe, each branch circuit 2 City: I State: - I Z,IF: B. Fee for branch circuits without purchase a 2 of service or feeder fee. first branch circuit Phone: Fax: E-mail: Each a dditi ona l bench eittoie 1 4 I'l.. ■N 12L\ 11:11 (l'lea,e cited: all tlrat , hply) ( here . (Service or feeder oat iocUdedk FJdtpump or beigatioadre]e 2 O Savioeovrr225mpseommerciel O Health- care EsdrsigaaroatlinelightmB 2 O Service over 320amps�of lea Harmdousloation bunny dwellings O Banding ova 10.000 square feet four or Signal curijitts) or a limited energy panel. O Systsin over 600 volts nordail more residential vats in one structure alteration or aromsiont - 2 . O Building over three stories Cl Foedas, 400 amps or more ° O Occupant load over 99 pawns CI Manufactured structures or RV park Fadi additional lmpedioa over the allowable ha any of the above O BreseffleallIPLan O Other Pa inspection { 1 1 l Sabseit _ sets of plans with soy of the above. Investigation fee The above are not applicable to temporary comtfanetion service. Other ran for awe iararma Not Thi it application Permit fee $ Not a jari.dwoar wow mat ask plane tam Perm aPP plan review (at _ %) $ CI Yana CI MasterCard expires if a permit is not obtained Stale review (at (8%) .... $ Coedit anal o I 1 within 180 days after it has been TOTAL $ `° accepted as complete. Named madder et slime on mat card $ Cardhdda dpmme Amami 44o-4615 (600/OOW Q UerSe S� 3 dl� T Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL DICEY Complete Fee Schedule Below: Restricted Energy Fee___. _.._._ _ /75.00 Number of inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total 4. Type of Work Involved: Check Resfderal -per unit 1000 sq. tL or less 1145.15 4 ❑ Audio and Stereo Systems Each addllonaI 500 sq. !L or portion thereof $33.40 1 . ❑ Burglar Alarm LMad Energy $76.00 Each Manurd Hare or Modular _ Garage Door Opener' Service or Feeder $90.90 2 Services or Feeders ❑ Heating. Ventilation and Air Conditioning System* installation. alteration. or relocation 200 amps or less $8020 2 Systems° 201 amps b 400 a nps $106.85 2 401 amps b 600 amps 1160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY InstalatIon. eteeration. or relocation Fee for each system_ __ ... ....._..___.. _ $75.00 200 amps or less 166.85 2 (SEE OAR 918- 260 -260) 201 amps to 400 amps $100.30 2 T W Involved: 401 amps b 600 amps _ $133.75 2 Chedc Over 600 amps to 1000 vols. see le above. El Audw and Stereo Systems Branch ti El Boller Controls New. alteration oexdension per panel • a) The fee for brerdr drarits El Clock systems witrpnrchase of service or feeder fee. Each branch drool $6.65 2 0 Data Telecommunication Installation b) The be for brarxh climb without purchase ofservice ❑ Fire Alarm Installation q draft I $45.65 LI b• v S i •IV A C Each addllonal branch dyad i 16.65 6 , c ❑ Miscellaneous ❑ Ir>strunentaua, (SaMoe orfeedernot tido:led) EEach pimp � � � 1153.40 El Intercom and Paging Systems -- Sigrral ctcut(s) or a Frilled energy Landscape Irrigation Control panel, alteration or adarwlon $75.00 Moor Labels (10) $125.00 ❑ Medical Each additional inspection over the allowable In any of the above ❑ Nurse Cats Per inspedlon $62.50 Per hour $62.50 In Plait 173.75 • ❑ Outdoor Landscape lighting Fees: ❑ Protective Signaling Ender total of above fees $ 53 • O ❑ Other 6% State Surcharge $ y • a? Number of Systems 25% Plan Review Fee No licenses are required. Licenses are regidred for al other ta s talae« See Plan Review radios on $ tort of application. Fees: To Balance Due $ 51-1g Enter total of above fees 5 ❑ Trust Acoourt tic 8% State Surcharge 1 - Total Balance Due 5 Y is o fllelC- foil.doC 10/09/00 CITY OF TI,CARD 24 -Hour . . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 4/ 1 D AM PM UP Location l ' ) ( ' fL .leii ' Suite r MEC Contact Person Ph ( ) �" �' ?_� PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC —20 0 2 °O f —7 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors �g�• Ext Sheath/Shear Int Sheath/Shear �� � Framing Insulation \, r A� (� -p Drywall Nailing vrl D ' 1 ■ • Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling LOW 0 ` �.. � � -� St( Lfi�� �?�► h ) Other: n,� / U /� 111 Final �� Cl VD �10 & .��`� C\ tt ON l� PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL • ELECTRICAL ' Service eou• - UG/Slab Low Voltage ' Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. <n PART FAIL SITE El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date / 0 � ' Inspect° 2 ' Ext Other: Final DO NOT REMOVE this inspection rec rd from t e job site. PASS PART FAIL CITY OF TIGARD 24 -Hour . . •� - BUILDING s2 • • Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Qate Re uested AM PM BUP Location 6 `� i cP Suite MEC Contact Person Ph ( ) sr b 7 — j PLM . Contractor Ph ( ) SWR BUILDING Tenant/Owner • ELC o07 06171 Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation �J • Drywall Nailing e✓ D Firewall Fire Sprinkler .� Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam . - Under Slab Rough -In - Water Service • Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In • Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm ina Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. ASS PART FAIL ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dated '2— Inspector G y Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL