Permit /i CITY O F T I G A R D ELECTRICAL PERMIT
PE RMIT #: ELC2000 -00267
N DEVELOPMENT S ERV ICES DATE ISSUED: 5/22/00
4 II 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
PARCEL: 2S 113AB -00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD
SUBDIVISION: IMMO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation on one 200 amp service or feeder and 18 branch circuits.
Job No. 2808C
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: 1 W /SERVICE OR FEEDER: 18 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 00044569
SUP 2808S
ELE 26-451C
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT DEB 5/22/00 $160.55 0002342 Elect'I Final
5PCT DEB 5/22/00 $12.84 0002342 \ 1 tl P1/4L Total 173.39 O
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 i JQQQ ,0- ISSUED Y: ,# '
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
r
SIGNATURE OF SUPR. ELEC'N: �R-SL_ `-- DATE:
LICENSE NO: j &tS3
Call 639 -4175 by 7:00pm for an inspection the next business day
•
F?ECEI
City of Tigard Electrical Permit Apt�'tpl Plan Ch-
33125 SW HALL BLVD. 200 Recd B
TIGARD OR 97223 Date Recd 5-tf -0
fli Date to P E '
Phone (503) 639 -4171, x304 MENI Date to DST ��-
Inspection (503) 639 -4175 Print of Type Permit # &e. - 06.26
7
Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) Agritnpe Service included: Items Cost Sum
Address 16160 SW Uper Boones Ferry 4a. Residential - per unit
City /State/Zip Tigard d 1000 sq. II. or less $ 117 75 4
g Each additional 500 sq ft. or
portion thereof $ 26.65 1
Commercial El Residential ❑ Limited Energy $ 60.00
Each Manurd 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 COT data base). Installation, alteration, or relocation
Electrical Contractor Bachofner Electric 200 amps or less 1 $ 64 25 64.25 2
Address 55 SE Main St 201 amps to 400 amps $ 85 50 2
401 amps to 600 amps $ 128 50 2
City Portland State OR ZiP 97214 601 amps to 1000 amps $ 192.50 2
Phone No. 503 -233 -2006 Over 1000 amps or volts $ 363 75 2
Job No. 8537 Reconnect only S 53.50 2
Elec. Cont. Lice. No. 26 -451C Exp.Date 10 -2000 4c. Temporary Services or Feeders
OR State CCB Reg. No. 44569 Exp.Date 3 -2002 Installation, alteration, or relocation
COT Business Tax or Metro No. 044. Exp.Date 12 -20011 200 amps or less $ 53 50 2
'� > 201 amps to 400 amps $ 80 25 2
Si nature of Sur. Elec'n LPL/ 401 amps to 600 amps $ 107 00 2
9 P Over 600 amps to 1000 volts.
see "b" above.
License No. 2808S Exp Date 10_1 -01
4d. Branch Circuits
Phone No 501 -213 - New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit 18 $ 5 35 96.30 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone No. First branch circuit $ 37.50
Each additional branch circuit $ 5 35
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 irrigation circle $ 42 75
Owner s Signature Each sign or outline lighting $ 42 75
Signal circuit(s) or a limited energy
panel alteration or extension $ 60.00
3. Plan Review section (if required):* Minor Labels (10) _ $ 497708
Please check appropriate item and enter fee in section 58. 41. 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 mo Per hour $ 50 00
System over 600 volts nominal In Plant $ 59130
Classified area or structure containing special occupancy as
described in N E C Chapter 5 5. Fees:
5a. Enter total of above fees $ 160.55
* Submit 2 sets of plans with application where any of the above apply. 9070613 Surcharge (a5 X total fees) $ —12.84_
4
Not required for temporary construction services. Subtotal r Or $
(
Sb. Enter 25% of tine 5a for
NOTICE Plan Review if required (Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account S
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ 173.39
i Wtih1tiirms\ctccini, duc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 62' 3 f AM PM BLD
Location /G /('6 S�✓ 1 4#7,44 &0 '3 Suite u2x[1 MEC
Contact Person Ph 7,33 -ZG 0 L PLM
Contractor �1 �1;t 0 ,CAl2.6I Ph SWR
BUILDING Tenant/Owner A -grio& ELC , 2 (4J -c, a.2 ( 7
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
Alarm
Susp'd Ceiling
rq-ZD
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out -
Water Service t "
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
e •
Rough In
UG /Slab
Low Voltage
Fire Alarm
-e • = PART FAIL
E
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 fo reinspection RE: [ ] Unable to inspect - no access
ADA �/ �,1�
Approach /Sidewalk Date d �� mil/ Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.