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Permit .A-: CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00626 DEVELOPMENT SERVICES DATE ISSUED: 10/10/03 ' I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S136DA -00101 SITE ADDRESS: 11410 SW 68TH PKWY SUBDIVISION: PERS SITE ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Project Description: JOB NO. 61 -37570 225 AMP - INSTALL UPS FEEDER TO PANEL & CIRCUITS Work located in computer /server room 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: 32 PER INSPECTION: 201 - 400 amp: 1 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: OREGON, STATE OF PUBLIC CHRISTENSON ELECTRIC INC EMPLOYEES' RETIREMENT FUND 1631 NW THURMAN 11410 SW 68TH PKWY 2ND FLOOR TIGARD, OR 97223 PORTLAND, OR 97209 Phone: Phone: 503 - 419 -3608 permit Reg #: 1583- 341 -36138 SUP 3289S FEES ELE 26 -34C Description Date Amount Required Inspections [ELPRMT] ELC Permit 10/10/03 $319.65 [TAX] 8% State Tax 10/10/03 $25.57 Wall Cover Elect'I Service Total $345.22 Elect'I Final 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 ordirect questions to OUNC at (503) 246 -6699 or 1 -800- 332 -2344. Issued B . Permit Signature: Ai/ 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 639 -4175 by 7:OOpm for an inspection the next business day O0T -09 -2003 THU 10:56 AM CHRISTENSON CORPORATION FAX NO 503 419 3636 P. 02/02 Electrical Per • A p eiv -. i ` Electrical C PennitNa.L ( e Ptatuting pproval Sign City of Tigard Plan . Permit No.: 13125 SW Hall Blvd. ()CI 9 2003 Plan Review other tN Tigard, Oregon 97223 Date/ Post-Review pan o.: g : : Land permitN Use phone: 503-639-417i Fax: 6P0Y� ,.�Q,RD , zay, " ; ;y , , . (, \ Date/13 : Ca se No.: . Internet: www.ci.tigard.or.u93 U I L D IN G D I V I S I o s a i Contact ]aria.: gee page 2 for 24 -hour Inspection Request: 503 -639 -4175 �" Name/Method: Su ' . lementai Information. i i , Kr.S it ,4 a i� �',� �. rrr ri 9•.._ �.'� :.it .. . + , I ‘``� ,� S , '� Za.. 4.trr ,, 3{:f`. .yi.4.r j .' a,.1.4 -y '....k . 3 '�`k=",? .;v,,..__ ; -�.a _.>,:. ,�:� . .~'r. :Ri:.�i. :P� 1 �e -_P.i4 '- ■ Service over 225 amps- ■ Healrh -care facility �� New construction � Demolition cou ercial p Hazardous location • �l Addition/alteration/re • lacetnent ■/ ■ II Other ❑ Service over 320 amps- rating of ❑ Building over 10,000 square feet, Oi :,? „ � , "-'t"' ,7 ,..-7, i r 9 _, 7.- ...^.-q—,-., 11' n ? i t :�m. 1 & 2 family dwellings four or more residential units in l dam stir ^^ 's ' ' a 4 ..a� ,I ...En. 7 _� , _ . ._.t_ . —Len? � System over 600 volts nominal one structure 1 & 2 -Famil dwellin: T Commercial/Industrial Building over three stories ❑ Feeders, 400 amps or more ■ - Access° Buildin . II H Occupant load over persons ❑ ufactured structures or RV park 1r Master Builder 11 Other ❑ Egress/lighting P an 0 Other: ;`� �'�'`��'�?. Submit _._ Sete of plans with any of the above. r , r --t :BI g'v; rem construction f the ¢ �' b I` 1~'I Z i N, ' . f t ��•:• ` 4 . � �� ; The abov are not a linable t0 ,.LL.I I�:,,y ... 1., � u �. - . - * ti , � ` service. x Job site address. t .. N. •_ . : • N umber of inpections per Earn* allowed Suite #: Bld _ ./A • t. #: _ QS/ Res (ea.) Total Desert , don Pro ect Name: PERS New restdeatiati•arbgle or multi-family per Cross street/Directions to job site: dwelling suit. Includes attached garage. • QUESTIONS ?CONTACT JOHN EKMAN(503) 706 -4916 Service Included: sts 4 1000 s ' . ta. ft. or less 4 . 1 1 Each additional 500 sq, R 5 or portion thereof 75.00 1 Limited energy, residential 75.00 2 2 Subdivision: Lot #: "limited energy, son residential _ Tax ma • / • arcel #: Each manufactured home or modular dwelling 90.90 2 17- ( .7��[- � .,.,�. ,, -�: ,I - 2 t service and/or feeder ('.�R i ^'2. PY , w �s 1wY.i ,4W L NG f ��.r�:�S ', jltl�9aG'.�}i 'f ' ( .,rks a er9 'L Services INSTALL UPS FEEDER TO PANEL AND CIRCUITS con or rr 80.30 2 COMPUTER R0014 201 amps to 400 amps 12 4 106.85 t 06 _ 85 r 2 401 as to 600 amps 160.60 2 ,,; ; »~, _- +"• r`s F ;' 601 amps to 1000 amps 240.60 2 i iU7 ' `I S f A .(,ti, 72, s ■i : r. 6 41 ; 3 "0 ,V?�ie,'!..35 7``"4 .> 240 66 85 2 ,..c'i ?_ 1E ,.. ,. " 1 >:,.�(;..�._ . .,l; c .a' t 'a ., Over 1000 amps Or vo Naive: won Temporary services or feeders - installation, Address: alteration, or relocation: 85 i • 200 amps nt less - - 1 106.85 201 amps to 400 amps - 133.75 30 lel Phone J p � _ ' p 401 to 600 amps �:" T S ?e " ✓` :> T 1µ+ ,1 + .::7 aw 1...,5.,f`�'7�..�.�_I'L.r y1 M ,j f rt � ...,_ : ._.u. _. ,, Braachcircaita - new, alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of 32 6.65 212.8 2 Address: service or feeder fee, each branch circuit _ Ci /State/Zi • : B. Fee for branrb circuits without purchase of . 2 service or feeder fee. Bust branch circuit 6.65 2 Phone: Fax: Each additional branch circuit _ Misc.(Senrice or feeder not included): s;,40 2 E-mail: � ,. F I, ,I Each pwnP or irittsatian circle 2 I.I. ,�. 1r 4 . !I + ; 1, ..,74 . , ;. :: Yr ' . ,w ..: j 53.40 .7,..:. Vi e.:'. f _'9 � ' .. ... .... � ._,.. �s-� f Eachsty�►oroutlioeliglttins - 1 Yob No: 61-37570 Signal eircwZs) or a limited energy panel, 75 q u o z alteration, or extension 4e Business Name: CHRISTENSON ELECTRIC, INC. Description: Address: 1631 NW THURMAN ST 2ND FL, Each additional Inc ' action n an of the above ll over the allowable 62.50 Ci /State /Zi • : PORTLAND OR 97209 -2558 per'•.. - - '. •n • hour min.1 hour Phone: (503) 419 -3600 Fax: (503) 419 -3636 In on tee other - CCB Lic. #: 458 Lic. #: 26— _- . ..;;,-ijr r , '>+:.,:., 'x ... -,;L, .,. ..� , ,. ' '• 3ubtotsl $3165_ Supervising electrician ��_ Plan Review 25% of Permit Fee $ si: • lure " • aired: State Surcharge (8% of Permit Fee) $ • Print NameBRIAN CHRISTOPHER TOTAL PERMIT PEE . $ 345.22 ** *VISA) Authorized Notice: This permit application expires if a permit is not obtained within Date: 180 days after It has beep accepted u complete. Signature: •Fee methodology set by Tri- County Building Industry Service Board. , (Please print name) i :\Dsts'Porrrut Forms\lcPerrratnpp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: 1503) 639 -4171 MST BUP Received Date Requested /d _ a 7 AM PM BUP Location Suite MEC Contact Person Ph ( ) — £H 1 $o PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ,P S ELC 3 - 66 6 - Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation �v C V m (� �� ` ` n ` om 1 Drywall Nailing \r Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ( I:- — Roof Other: Final PASS PART FAIL Ja 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 F - Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ••AS PART FAIL SITE 0 Please call fo , reinspecti . RE: 0 Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date M Inspecto Ext Other: Final DO NOT REMOVE this inspection record f rom the J site. PASS PART FAIL CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00047 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2007 PARCEL: 1 S136DA -00101 SITE ADDRESS: 11410 SW 68TH PKWY ZONING: MUE SUBDIVISION: PERS SITE LOT: JURISDICTION: TIG PROJECT: STATE OF OREGON Project Description: Card reader at telephone equipment room. 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: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: OREGON, STATE OF PUBLIC SELECTRON INC EMPLOYEES' RETIREMENT FUND 7225 SW BONITA RD 11410 SW 68TH PKWY TIGARD, OR 97224 TIGARD, OR 97223 Phone: Contact #: PRI 503- 639 -9988 FAX 503- 684 -4357 FEES Reg #: ELE 26- 497CLE LIC 64341 Description Date Amount SUP 974LEA [ELPRMT] ELR Permit 2/20/2007 $75.00 [TAX] 8% State Surcha 2/20/2007 $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 questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: 4 Permittee Signature: I 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. • �1ei t'1C Permit A. Jl • A � � A ' , r t '. FOR OFFICE'USE ONLY % B SI k w ,! City of Tigard a >� i Recd i\rcl , f% 7 Permit No �� 'dGb Dam/By / / 7 % — I 13125 SW Hall Blvd., Tigard, OR 97223 Platt Rev Phone: 503.639.4171 Fax: 503.598.1960 but ` * I '' . r D:u • Ot +ter Perini Inspection Line: 503.639.4175 ' ':� � ' e D ate F .e;:.v,l;y: luris El See Page 2 for Internet: \vwv /.ci.tigard.or.us .�-�If ¥C°F IICaka j� " i r6xrtied.'1'1mthod: / J Supplemental Information i f— — - -- - - - -- I 1 PLAN REVIEW ❑ New construction Addition /alteration /replacemeiti I I Please check all that apply: 1 ❑Service over 225 amps, comrit'I ['Hazardous location 0 Demolition ❑ Other: -1 e I -- - - - - -- - over 320 amps - rating ❑'Buildng over 10,000 sq. 11, CATEGORY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more aew residential ❑ 1 - and 2 family dwelling [ Commercial /industrial ❑ Accessory building I ❑ System over 600 volts nominal units in one structure . ❑ Multi family ❑Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: 5S,CB Job site address: I ILO SW laRtk ❑Health - care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: The e above are not applicable to temporary construction service. f FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: - oti�C.- D _ 12E-12_,S - Description I Qty. 1 Fee. I Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular 1 dwelling, service and/or feeder 90.90 2 057,411 Ca∎cci bole-r a+ ` phcy1e=. �U.p t rm.4+•-, Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 0. PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State/ZIP: 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 properly 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 t1, 600 amps 1 1 133.7 1 1 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits - Contact name: • without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit I 1 6.65 1 12 City/ State/ZIP: Miscellaneous (service or feeder not included) Phone' ( ) Fax' : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: extension. Describe: I Page 2 1 , . 2 S� l ec- - I ebY\ 1 hC_. Address: - 7 2.,2_S SW j�� i-.a � Each additional inspection over allowable in any of the above �� �� YY �� , Per inspection 62.50 City /State/ZIP: '_4.4 . U iz g'7Z.4 Investigation per hour (1 hr min) 62.50 Phone: 503 )( _ C, u F ax: (5U3) (oii-i _0,,,1 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: ( I Electrical Lic.: 38.4:--LL /11 Suprv. Lic.: Subtotal -- 00 Suprv. Electrician signature, required ,--', _ '. `'� Plan review (25% of permit fee) Print name: ate: State surcharge (8% of permit fee) t . DO IGht�1 Cr.) "" �� 10 � TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per penult allowed i:\ Building \Permits\ELC- PermitApp.doc 12/03 410- 4615T(10 /02/C CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007.00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/20Q7 Phone: (503) 639 -4171 4�,� � ° • Inspection Requests (24 Hrs.): (503) 639 -4175 .._—_- :_.. INSPECTION WORKSHEET FOR DATE: 1/24/7008 TIME: 7 : 02AM PAGE: 70 SITE ADDRESS: 11410 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: PERS SITE LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: Card reader at telephone equipment room. OWNER: OREGON, STATE OF PUBLIC, PHONE #: CONTRACTOR: SELECYTRON INC PHONE #: 503 - 639.9988 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description – on i Contact # Message 135 Louvoltage 063787 -01 503 - 519 -9273 N 1eo, F1 h- Corrections /Comments /In ctions: - _i- eL` 'IV ,__ E4---1 <3, ' N & boc9S.. N c), i r PAS El PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e --.1 iv'6') Date: 1-"' IA "0 D Phone #: (503) 718- ii-lift"