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Permit
/ 1; CITY Iw � ELECTRICAL RESTRICTED ENERGY PERMIT F OF TIGARD °.,., COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00475 A 13125 SW Hall Blvd., Tigard, OR 97223 5036394171 DATE ISSUED: 12/20/2007 „Tlc a v . . PARCEL: 2S115AA - 00100 SITE ADDRESS: 16142 SW 108TH AVE 97 ZONING: R -25 SUBDIVISION: DURHAM PARK APARTMENTS LOT: 036 JURISDICTION: TIG PROJECT: BRIGHTWATERS @ RED HAWK Project Description: Low voltage for fire alarm. 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: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: DURHAM PARK LTD PTNRSHP PRAIRIE ELECTRIC INC 1525 SW PARK AVE SUITE 200 6000 NE 88TH STREET PORTLAND, OR 97205 VANCOUVER, WA 98665 Phone: Contact #: PRI 360 -816 -2484 FAX 360 -816 -0482 FEES Reg #: ELE 37-491C LIC 60178 Description Date Amount SUP 3562S [ELPRMT] ELR Permit 12/20/2007 $75.00 [TAX] 8% State Surcha 12/20/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 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 -0100. You may obtain copies of these rules or direct questio•s to OUNC at 503.24. 6699 or 1.800.332.2344. • Issued By: A. ��! Permittee Signature: 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 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 DEC- 19 -200T 03:33PM FROM - GBMANCHESTERCORP 1- 5032871863 T -847 P.001 /003 F -628 �, �� ) r , � r, ' r r ' „'' yi l Electrical Perm i App1ica t FOR OF t F ICE USE ONLY ,' ; City of Tigard SEC ? 2�0 u u;� i , ao 0 A, % Per mitN'o_ -7— €. , 7 ' r r 131 25 SW Hal Blvd , Tigard, OR 97223 plan Rcvicw ` MIMIC 503 639 4171 Fa,c: 503.598.11( '�y Mfr TI� � Da rei y Other Penna. icARP Inspection Lrocs 503.639.4175 ► &I” Iat to Ra4yrBy- l "i ,s/ -. RI See PeLe 2 for Internet: wwwtigard- or-gov +til� 1v lJ �� ' Notifcd/Method / Supplemental Information ,•'hpy�.�e� �� y^ i� ' Y ."A-4i,' � i ,,��.'�jJt .,: 1� t , ','''''',1 ? , �y��,�5.,ir7 �"% :sJ 7 ,�p I . p �� r'''„ ��, lr,c��^ y,,' ' 4� 'G.FAk ,�,#'3,:sP5 a iiii t® gik), r1 H tr � t u o !,./ Y?t; i ? ,{ if4P " . p r , ., :. ti 3 /4 kit 9+t�'l'-t' r e �' e ti t�P.. , '�f.. ` 1fM',r+ M *�¢5'�:� i' !9�Sff 7lo : ❑ New construction Addition/ tera[iONr. ,lac merit Please check all Mat apply (iubmit 2 sets of plans w /items checked below): Y - ❑ Service or fe64.;r 400 amps or more 0 haii4rng over du cc sroric5. 0 Demolition ❑ Other: wttcrc Inc available fault current 0 Marinas and boatyards G ` ir '. v7S� a ;1 a ��;� y �� r, � c ;ir t exceeds 10.000 amps at 150 volts or Q Floating buildings. : ' e , , 4 i i/ r 3 l 04 , A A t C t 4 R , , ,t;, a N ' � t i r ' . 1 7 f : kaa w growt4, of c .eecd3 14.000 ©Curtuttctcutl uac agrtcaltural Q 1- and 2- family dwelling ❑ Commercial/industrial [] Accessory building amps for all other installations. buildings ® Multi- family ❑ Master builder ❑ Othcr: 0 Fire pomp. 0 lnstvllation of 75 KVA or a c a ��, ,x �y . , « r c ..' p,nercruy system. largerscparatcly derived system- , •� r}+r, �,� � 0 , * w' ' 1,d_t tlfrr_ � � _( is1?r�; trlf i a a )E '` iT,r3 �t1 ,..wftt t oo of ocw motor load of "A ", "E ", : v+� lt' ,.. , �, � ,, R, [ ]A44ition 1 �) "1-2", "1-3'. r4A 10011P or more. occupancy. Job no -: 3 lob sire address: ,' / � /08 ftVc 0 R ecreati onal vehicle arks ❑ Sa a more residential Yliiu. P 0 Health-care facilities. 0 Sapply voltage for more than ) Q Hazardous loc ations City /S[a[cf21P: rG,4� )7 600 volts nominal � Suite/bldg./apt. no.: Project name: c,tti dtT2125 Ar kt:7J 1p,��1 0 Service or feeder 600 amps or more W ' 1 ,,rp ; s ,10 '1'.y`. Ef,f 7r. t r lr7 .. n tq d �V . ' i Cross street/directions to job site: I 0 * t' A rxscriot,an Fee Taut • New residential single- or multi - family dwelling unit. Includes attached RaraRe. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map/parcel no.: Ea. add'I 500 sq. R. or portion 33.40 1 ur , .� el s ✓ l h a'" r 5 'Y , a „"� , , } Limited energy, residential at ; , � f ,J M � , 1r,j t Il it `iia. y Ya,f if 7�1'aNT Ki;. W1 77 , ,11'47, v . ft- .e t). iS ±,,:'!4 , 'It"' . , .,,, .,, - I l', tit :. � .u..1;:, Si._..,- .cite! t J'''''' '' 4; :s 75 -00 2 with a bu vu / 1 n Li mited energy. multi - family 75.00 2 L . y �.l i 6 (1/4)6 &.. 1-} ei ! ► /fiQ/t . t 7{{, �Q 5 residential (with above .y 1l-) r Services or feeders installation, alteration, and/or relocation tK tip, '� , 1.✓ 1, uN E a:M .: // t''r r 7.1 �1 ur t k ` , — y , �IfYTI 200 amps or less 80-30 2 ,v t:(. +? ,r - .,4..wC. 3 Y,. r��,� y a � ` S i.. : + •'•''q ;: `0�k i " ,, -' ���Ei '! 1'� + r� v. ^,h,1 " °, i; 201 amps to 400 amps 106.85 2 Name 401 amps to 600 amps 160.60 2 T — 601 amps to 1,000 amps _ 240.60 2 Address: Over 1,000 amps or volts - 454.65 2 City/State/21r: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) [ Fax: ( ) 20(1 amps or less - 66.85 i 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extcnbion,per panel Owner signature: q p pate A. Fee for branclt circuits with > hlY;,w l �1 �' .(�r'1� r ��r R "m't e r w' s �, a?.al e i.� k 6' uul�� i ' . 4,: above service or feeler fee x_ . a 5 r. v 6.65 2 naune: ,�/� f 1 / melt branch circuit Business _ f 1 1 IA E- TE)C t 7 . 6 , A l k E 1ThiC B. Fee for branch circuits Contact Acme: \ without service or ftedcr fee, 46.85 2 CDTr: C �'XSt V Gist branch circuit addrss: e s 1 lt', Fveh add'l branch circuit 6.65 ,mm 2 "^ _ l VR'�^ Miscellaneous (service or feeler not included) City /State /ZIP:'1 ce) ,_V tN 2__ �j,c `1p6 nn _ p'aich manufactured ormodular 90,90 / 2 dwr)linp, service and/or feeder 66 85 _ Phone (� (aD) I (Q `- c Fax: ( OO) to . O € Reconnect only 2 E -mail: Pump or inigation circle 53.40 2 - r,tylr r rsn;127"','tCt "I" 1`"yt er "11.''.44 , . Mira r� fi l ye r M' :di +o, n.a, rr,.'1,.t.,.,,.' � a aa,l,..",4JrA4 a: ,x c v G £fit? si or outline lighting 53 -40 2 lusiness name: CA f� I r /� Q /� 7r� �,� Signal Gin:uit(s) or limited- _ CA t (15 }TGS're)e_ IJ. U.4 • fAi ,1rE G.�.t rer L,. energy panel, alteration, or Address: f, 9OC7C7 NW 0-nt extension. Describe' Pa 2 2 ,v. (lilfr /Kr{rct- 71,O0 City/StatriZIP: V, N Q L.-jig �(� ,� j E ach additional inspection o ver a llowable in any of the abo Pho ne, ( 4)) 6 . Cj c lg l Fax: ) 'l4,.090 Per rogati ` 6 _ Investigation p er hour U t,r Mud 62.50_ CCB Lic.: 04 W.' Electrical ,. c, . 37, yg/ , , v. Lic 3, lob.$ industnaI plant per hour 73.75 ,15t } , n• n ,...4 '',T B,li(4 + ',1a�Dr1 1 �'11 ` {i N Suprv. electrician signature, required: Subtotal: 1s75, Op Print name: 4 � - Pate: 2,94 _ _ Ylan review (25% of penult fee): 6, � State surcharge (t a or permit fee). 6,a Authorized signaturc: �� T OTAL P ERMIT FE - � j ,an Print Hume: ��,qq yF,J Pate: /i� /�Q / This permit apphcapon eapir�a it a permit to not obtau wit hin Ise day? after .t I,as D ecn acccph d a, c • Number of inspections show per pen n . CITY OF TIGARD p; BUILDING DIVISION PERMIT #: ELR2007- 00475 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2/20/2007 Phone: (503) 639 -4171 „f����1 Inspection Requests (24 Hrs.): (503) 639 -4175 .., INSPECTION WORKSHEET FOR DATE: "2/27/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 16142 SW 108TH AVE 97 CLASS OF WORK: SUBDIVISION: DURHAM PARK APARTIM NTS LOT #: 036 TYPE OF USE: PROJECT NAME: f3RICHTWATERS @ RED HAWK DESCRIPTION: Low voltage for fire alarm. OWNER: DURHAM PARK LTD PTNRSHP, PHONE #: CONTRACTOR: PRAIRIE ELEcTralc INC PHONE #: 360- E316-2484 Inspection Request Scheduled For: Date: 2127/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 193 EIechical final 065732-03 360 -607 -3637 N Corrections /Comments /Instructions: \ �\ PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED Inspector: C3 N 42) Date: 1 - 4 1-1 - 0 4 t Phone #: (503) 718- i ► f 11 02/25/2008 MON 8:38 FAX 3608160482 GB Manchester 2002/010 2 " Z c)° M A N C H E S T E R ' - CO - R LORATION. 6000 NE 88 Street Vancouver, WA 98665 503 287 -1112 503 287 -1863 fax FIRE ALARM INSPECTION AND TESTING FORM CCB # 60178 Site: Brightwaters @ Redhawk Date of Testing: 1/8/08 Address: 16140 SW 108 Ave Contact: Terry Ann Address: Tigard, OR 97224 Phone: 503.684.8000 Fax: 503.598.9479 INSPECTION PERFORMED Quarterly ❑ Semi - Annual ❑ Annual MONITORING ENTITY Name: _ Type of Dialer: Phone: Make: Account #: Model #: FIRE PANEL Manufacturer: Radionics Model #: D7022 Circuit Styles: Class B # of initiating circuits or zones: 2 # of signaling circuits: 2 Primary Power: Nominal Voltage: 120V Amps: NA Over Current Protection: Type: Breaker Amps: NA Power Location (Panel Number): NA Secondary / Standby: Battery Voltage: 12v Amp -Hr Rating: 7 Date Battery Installed: 5/23/07 Battery Condition: Good Fire Alarm Inspection and Testing Page 1 of 3 02/25/2008 MON 8:39 FAX 3608160482 GB Manchester (7]003 /010 L PANEL CONDITION Good Bad N/A Comments Lamps /LEDs Z ❑ ❑ Fuses ® ❑ ❑ Trouble Signal ® ❑ ❑ Disconnect Switches ❑ ❑ Ground -Fault Sup. ® ❑ ❑ RemoteAnnun. ❑ ❑ Additional Comments: ALARM INITIATING DEVICES AND CIRCUIT INFORMATION Device Qnty #Tested Pass Fail Manual Station 4 4 ® ❑ Ion Detector - _ ❑ ❑ Photo Detector _ ❑ ❑ Duct Detector - ❑ ❑ Heat Detector _ ❑ ❑ Waterflow Switch _ - ❑ ❑ Supervisory Switch _ _ ❑ ❑ Other ❑ ❑ Other ❑ ❑ Other ❑ ❑ Fire Alarm Inspection and Testing Page 2 of 3 02/25/2008 MON 8:39 FAX 3608160482 GB Manchester Z004/010 CL 12-- ALARM INDICATING DEVICES Device Qnty # Tested Pass Fail Horn /Strobe _ _ ❑ _ Strobe _ _ ❑ ❑ Speaker _ ❑ ❑ Speaker /Strobe _ ❑ ❑ Heat Detector _ ❑ ❑ Comments: (2) Exterior Bells, (8) Interior Piezo's- All Work, NAC Panel is a Bosch D7038. ON / OFF PREMISES MONITORING Signal Sent Yes No Comments Alarm Signal ❑ ❑ NA Alarm Restore ❑ ❑ Trouble Signal ❑ ❑ Trouble Restore ❑ ❑ Supervisory Signal ❑ ❑ Supervisory Restore ❑ ❑ SPECIAL PROCEDURES: SYSTEM DEFICIENCIES / NOTES: None Did system return to normal operation ? Yes ® No El Comments: This test was performed in accordance with NFPA standards. Name of inspector: Steve Urban Signature: Date: Name of owner or contact: Signature: Date: Fire Alarm Inspection and Testing Page 3 of 3 CITY OF TIGARD • BUILDING DIVISION • o PERMIT #: El.,1 2007.80475 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12170/2001 Phone: (503) 639 -4171 p 'I�I Inspection Requests (24 Hrs.): (503) 639 -4175 �l , . _ _ I INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AM PAGE: 63 SITE ADDRESS: 16142 SW 106TH AVE 97 CLASS OF WORK: SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE: PROJECT NAME: E3RIGHTWATERS @RED HAW( DESCRIPTION: Low voltage for fire alarm. OWNER: DURHAM PARK LTD PTNRSHP, PHONE #: CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360 -816. 2484 Inspection Request Scheduled For: Date: 2/22/2008 Pour Time: Code # Inspection Description / Corn rm # Contact # Message 199 Electrical final 0&A3F1 -02 360.903 -2615 N Corrections /Comments/ Instructions: ■ (Ye. ► s7 r �0 F Ap . ?e.„ F_ V n PASS n PARTIAL APPROVAL ❑ CANCEL [ 1 NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: < 2` V 0 Phone #: (503) 718- 7--