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Permit
n tcd v ©� /c,ta QA cu. .74 a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2008 -00275 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/26/2008 Parcel: 1 S134AD06202 Jurisdiction: TIG Site address: 10500 SW NIMBUS AVE T Subdivision: Lot: Project: SOLID ROCK Project Description: Low voltage for audio /stereo. Job No. ST2614 3/20/09 ADDED voice /data. FEES Owner: CONSTANCE & LYNN ROBINSON Description Date Amount 10240 SW NIMBUS AVE #L3 [ELPRMT] ELR Permit 09/26/2008 $75.00 PORTLAND, OR 97223 [TAX] 12% State Surcharge 09/2612008 $9.00 PHONE: Contractor: SHAW WEST COMPANY PO BOX 1427 TUALATIN, OR 97062 PHONE: 503 - 682 -3939 FAX: 503 =82-7*; 59S- Viztla0 Type of Use: COM Class of Work: ALT Total Number of Systems: Audio & Stereo: Y Boiler Controls: CCTV: Clock Systems: Data & Telecommunications: Y Fire Alarm: HVAC: Instrumentation: Total $84.00 Intercom/Paging: Landscape /Irrigation: Landscape Lighting: Medical: Required Items and Reports (Conditions) Nurse Calls: Protective Signal: Security Alarm: Other: Other Desc: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 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- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.3322344. t,C., to dZ ate>rc rti2 %. S. aA.c. Orc c c - r s..s p i �o^ Issue By: 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. . - . • • . . Ili n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT '° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00275 TIGARD 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2008 PARCEL: 1 S 134AD -06202 SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I - P . SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: SOLID ROCK . • Project Description: Low voltage for audio /stereo. Job No. ST2614 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: CONSTANCE & LYNN ROBINSON SHAW WEST COMPANY 10240 SW NIMBUS AVE #L3 PO BOX 1427 PORTLAND, OR 97223 TUALATIN, OR 97062 Phone: Contact #: PRI 503- 682 -3939 FAX 503 -682 -3723 FEES Reg #: ELE 34 -70c LIC 63142 Description Date Amount SUP 5316S [ELPRMT] ELR Permit 9/26/2008 $75.00 [TAX] 12% State Surcha: 9/26/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 • This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspende. - •• • e than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those - s are set fort ' • : - - 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.2• ..6699 or 1.800.. Issu = d By: .. 1 Permittee Si • ature: e # " /? " rc.. OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: • Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • ti MAR /20 /2009 /FRI 09:55 AM P. 002 a CITY OF TIGARD ENERGYPERMT a RECRED _______RESTRICTED PERMIT #: ELR200 8 -00275 COMMUNITY DEVELOPMENT ISSUED: 9/26/2008 T I G'tit'• D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 MAR 2 0 2009 . PARCEL: 1 S134AD -06202 SITE ADDRESS: 10500 SW NIMBUS AVE T I O Cl� �1�. OF TIGARD ZONING: I -P SUBDIVISION: SCHOLLS BUSINESS CENTER BU CIVI$IO pJSDICTION: TIG fL� PROJECT: SOLID ROCK U Project Description: Low voltage for audio /stereo. Job No. ST2614 �- r ] (o f 4_ vi' A. RESIDENTIAL B. COMMERCIAL. AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: L.ANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL* OF SYSTEMS: 1 Owner: Contractor: CONSTANCE & LYNN ROBINSON SHAW WEST COMPANY 10240 SW NIMBUS AVE #L3 PO BOX 1427 • PORTLAND. OR 97223 TUALATIN, OR 97082 Phone: Contact*: PRI 503- 682 -3939 • FAX 503 -682 -3723 I FEES Reg*: ELE 34 -70c LIC 63142 — ,ascription . Date Amount SUP 5316S [ELPRMT] ELR Permit 9/26/2008 $75.00 [TAX) 12% State Suxehai 9/26/2008 59.00 REQUIRED ITEMS AND REPORTS Total $84.00 This Permit is issued subject to the regulations contained In the Tigard Municipal Code, Slate of OR. Specialty Codes and all other eppiloeble 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 Issuspende • - - • e than 180 days. ATTENTION: Oregon law requires you to follow lutes adopted by the Oregon Utility Notification Center. Those = s are set fo '.: 952-0014010 through OAR 952-001-0100. You may obtain -opies of these rule!) or direct questions to OUNC ai 5032 ;.5699 or 1.800.4 • - Issu =d By: Permittee SI • ature: ;rig ro 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. FL•EC•N: DATE: • LICENSE NO: • Cali 503.639,4175 by 7 :00 am, 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, • MAR /20 /2009 /FRI 09:55 AM P.003 Electrical Permit Application - City of Tigard Page 2 - Supplemental Informatiion LIMITED ENERGY PERMIT FEES: • �'.... ..'� Fee for aal residential systems combined .. $75.00 MAR 2 0 2009 Check Type of Work Involved: CITY OF TIGARD ❑ Audio and Stereo Systems* BUILDING DIVISION ❑ Burglar Alarm ❑ Garage Door Opener* • ❑ Heating, Ventilation and Air Conditioning System* • ❑ Vacuum Systems* ❑ Other • b Ij r ar t .g , ,K* 41 4491 Fee for each commercial $75.00 system (SEE OAR 918 - 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls • ❑ Clock Systems ® Data Telecommunication Installation • ❑ Fire Alarm Installation ❑ HvAC • ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* • ❑ Medical • ❑ Nurse Calls • • ❑ Outdoor Landscape Lighting* • ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required . for all other installations lauildinpermitOEW- PumiiAPP.doc 03/29/06 ' Electrical Permit Application FOR OFFICE USE ONLY �, Q // y /� City of Tigard R Date/B e : / .14 DO /7f Permit No.: thApea i..-ee,„?7 „. 13125 SW Hall Blvd., Tigard, OR 97223 I I � Plan Review Phone: 503.639.4171 Fax: 503.598.1960 qt - ') t,. f” , Date/B : Other Permit: TI G A R D Inspection Line: 503.639.4175 p Date Ready/By: 1ur,� RI See Page 2 for Internet: www.tigard or.gov CITY OF TIGAFI otified/Method: ' /'j Supplemental Information TYPE OF IVOlti DIVISION PLAN REVIEW replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ® Addition /alteration/ ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: ST2614 Job site address: 10500 SW Nimbus, Building T IOOHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Portland, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Solid Rock ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family AudioCabling residential (with above sq. fl.) 75.00 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 19r PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: Co 0.. "-- v �y �1J � g t A __ , ,`\ 401 amps to 600 amps 160.60 2 �^-� 601 amps to 1,000 amps 240.60 2 Address: 10 t.I O 13' IH ,A 1)E, Over 1,000 amps or volts 454.65 2 City/State /ZIP: � - r1... 02 q 1 a9.. 3 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 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 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder Phone: ( ) Fax: : ( ) 90.90 2 Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Shaw West Co. Signal circuit(s) or limited - energy panel, alteration, or ,,.. O( I, Address: P.O. Box 1427 extension. Describe: I Page 2 D' 2 City/State /ZIP: Tualatin OR 97062 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 682 -3939 Fax: (503) 682 -3723 Investigation per hour (I hr min) 62.50 CCB Lic.: 63142 Electrical Lic.: 34 -70C Suprv. Lic.: 5316S . Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: 7� ,�O fi p G! Subtotal: Print name: Dale T. Blake Date: 7 l� l0 Plan review (25 % of permit fee): --&—. State surcharge (12% of permit tee): Q DO Authorized signature: K A l I TOTAL PERMIT FEE: g L� DU Print name: J >ti. ?c,P—S74-k_ O G This permit application expires if a permit is not obtained within 180 Date: p /�� / days after it has been accepted as complete. • Number of inspections allowed per permit. IA BuildinsTermitAELC- PermitAppdoc 05/23/06 440- 4615T(11 /05 /COM/WEB • Ele * ctrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ® Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations 1:\BuildingTermits'ELC- PermitApp.doc 03/23/06 1 111 , INSPECTOR'S SIGNATURES ARE•NOt Inspections Required for: ik49,06 8- pa -p • REQUIRED ON GREEN INSPECTION CARD. Code I Inspection Description 1 PASS Date I By 1 Code I Inspection Description PASS Date I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloorinsulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage . 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final • 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 " Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper 299 _ Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing _ 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinlder supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer • 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07