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Permit 'r- ELECTRICAL PERMIT �: CITY OF TIGARD RESTRICTED ENERGY r t, DEVELOPMENT SERVICES PERMIT #: ELR2000 - 00307 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/18/00 SITE ADDRESS: 13452 SW 129TH AVE PARCEL: 2S104DA -03300 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 019 JURISDICTION: TIG Project Description: 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: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: BROOKFIELD DEVELOPMENT GARY'S VACUFLO INC 5335 SW MEADOWS ROAD #365 9015 SE FLAVEL LAKE OSWEGO, OR 97035 PORTLAND, OR 97266 Phone: Phone: 775 - 2042 Reg #: LIC 69047 ELE 26- 728CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 12/18/00 $75.00 2720000000 Elect'I Final 5PCT CTR 12/18/00 $6.00 2720000000 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) :: ued by Permittee Signature �1 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 7:00 P.M. for an inspection needed the next business day 12/14/2000 09:17 5037880633 GARY'S VACUFLO PAGE 04 1 Electrical Permit Application • . Datereceived: Pennitno.: 2� r ,e., +,.� r � . �I City of Tigard RECEIVED Prajeedapphno.: [ Bxpiredae: C1yof7<gard Address: 13125 SW Hall B1ld, Tigard. OR 97223 ( Date isucd: By: I Receipt no,: Phone: (503) 639 -4171 7 � /� Fax: (503) 598-1960 DEC 1 4 2000 Case file no.: Payment type: • Land use approval: Cf1MMIINITY DEVEI f]PMF n 'LITE or Ph :I0111' . 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi - family 0 Tenant improvement New construction 0 Addition/alteration /replacement ❑ Other: Cl Partial .U)lt Si I L INFOI(ML17 ION ' • Job address: \ "at'( $- Z ,5 1„ t '1^ Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: i Block: 1 Subdivision: Project name: 1Desctiption and location of work on premises: ' • Estimated date of corn • Ietion/ins • ction: CON ` 1'ItA( ' t . OR ,11'1'1.1( 'Al ION I'I:1': S('!lh :Dl1.1: Job not Max CENTRAL VAC INSTALLATION Description 44 total ne.(nsp New ee�tleolW • sbrgie or mnla- fau►tlY per GARY'S VACUFLO, INC 7 7 5 2 0'12 dwefngtudL Includes attacked garage. 9015 SE FLAVEL, 97266 GCB: 69017 Serricelmcbi : • ChB: 26725 1000 sq. ft.ofless J L E : 98 5 Each additional 500 s• . ft or portion thereof _.._.. _ —_w. _ .__._ — Limited energy, residential I 2 t j ty7metro ic. no.: Limited energy, con- re 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Dale Service and/or feeder 2 Sup_ elect name (print): License no: Service" or fenders - Inatalletloa, alteration or relocatlont ll'ulll'1 RTV Ot1NI'K 200 amps or lees 111E11 2 Name • tint : .... rdi ' i _ a i .. ' ,i 1 1 / A / :: 201 amps to 400 am. a IMMUNE 2 401am•sto600am.a IIIIIIINMI 2 Mailing address: I SLr u, 1.0._ °L 1' • ), • , gni , • Iraq .a INIIINNEENIIINN City: , 0 Statc UM; MOM raver 1000 am• a or volts ' 1.1111111 Phone:r C— ii 6 31 pant: j E -mail: Reconnect and . Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelomtian: II ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 am • s 2 Owners si _nature: _ _ _ Date: 401 to 600 am. M�� 2 -- .- -..._. - I. Nt:INI l-:it Branch circuits - new, aiteration, or extenders per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: 1'1. :\N RI.%'ii: % I I'Icmt: cltct•Is all that npp1Y) Misc. (Service or feeder not included): 0 Service over 223 amps - commercial 0 Health -care facility Each pump or irrigation circle • 1111 0 Service over 320 amps - rating of 102 0 Hazardous location Each al n or outline lighting family dwellings 0 Building over 10,000 square feet four or Signal circuits) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration. or extension* 2 C] hollering over three stories 0 Feeders, 400 amps or more • *Dosed • tion: / _ 2 _ A. I & /it /. _ a _ C I Occupant load over 99 persona 0 Manufactured structures or RV park Each additional Inspection over Ale allowable in any of _ above: 0 Egress/lighting plan 0 Other: per ins •ecrion Submit seta of plans with aoy of the above. Investigation fee The above are not applicable to temporary construction service. Other • Not all )urtaracvnaa accept credit curds, please call )urladiction o fee moss Inf n,atinh. Notice: This permit application Permit fee $ _? S ° 0 vise 0 Mastercard expires if a permit is not obtained Plan review (at _ %) $ Cledir card number 1 I within 180 days after it has been State surcharge (8%) $ Expima accepted as complete. TOTAL $ Na® of rerdbnlder •a tbmon an credit etdd A $ darthdder signature Amount sae -4615 (6100/CO24) I CITY OF TIGARD BUILDING INSPECTION DIVISION • , a.� MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Nt� -1,: ^� / / BUP / Date Requested -// - D / AM PM BLD Location ? Suite MEC Contact Person Ph 96q— 63 r L) PLM Contractor Ph SWR BUILDING Tenant/Owner ELC r� Retaining Wall ELR AiO ©b ^ l '3D / 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 Fire Alarm Susp'd Ceiling. 114 - ` • _ ' it �' /4 0 //A' s Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ,MECHANICAL Post & Beam Rough In C C° Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In Low Voltage alb F'• PART FAIL 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 for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 4 v / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • C. BUP - Building Permit ELC - Electrical Perthit ` -1 " Inspection Description Date Passed By I Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover • Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing I Inspection Description _Date Passed By Firewall Low voltage Tilt -up panel Electrical final 7- / /-a/ Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation _ - 4 Inspection Description Date Passed By Drywall nailing • Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper _ Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing _ Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm fmal Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing fmal Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CCITY ^ ' OF �'���® ELECTRICAL PERMIT - T RESTRICTED ENERGY 4.4 DEVELOPMENT SERVICES PERMIT #: ELR2000 -00307 +1-, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/18/00 SITE ADDRESS: 13452 SW 129TH AVE PARCEL: 2S104DA 03300 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 019 JURISDICTION: TIG Project Description: 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: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: BROOKFIELD DEVELOPMENT GARY'S VACUFLO INC 5335 SW MEADOWS ROAD #365 9015 SE FLAVEL LAKE OSWEGO, OR 97035 PORTLAND, OR 97266 Phone: Phone: 775 -2042 Reg #: LIC 69047 ELE 26- 728CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 12/18/00 $75.00 2720000000 Elect'I Final 5PCT CTR 12/18/00 $6.00 2720000000 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 i 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. �/ Issued by Permittee Signature 1' f Q 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 7:00 P.M. for an inspection needed the next business day a EIN