Loading...
Permit `' ELECTRICAL PERMIT - CITY O TIGARD RESTRICTED ENERGY _ALAI! DEVELOPMENT Tigard. SERVICES 3 50 ) 639 -4171 DATE R MIT #: ELR2004-00349 1/19/2005 13125 SITE ADDRESS: 07117 SW BEVELAND RD PARCEL: 2S101AB 02201 SUBDIVISION: BEVELAND ZONING: MUE BLOCK: LOT: 2 -3 JURISDICTION: TIG Project Description: Limited energy for HVAC. 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: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: ZIMMLER DEVELOPMENT LLC AMERICAN HEATING 7165 SW FIR LP SUITE 100 1339 SW GIDEON ST PO BOX 230698 PORTLAND, OR 97202 TIGARD, OR 97223 Phone: 503- 598 -3440 Phone: 239 -4600 Reg #: LIC 33135 ELE 26- 993CRE SUP 2640LEP FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 11/8/2004 $75.00 Elect'I Final [TAX] 8% State Surcharl 11/8/2004 $6.00 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 0:.: •52- 001 -0100. You may obtain copies of these rules or direct questions to OU NC at (503) 246-6699. Issued .y _ _III ,, , I,: I,: PermitteeSignature/&4 / Me/ 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 BLS Electrical Permit Application L FOR OFFICE USE ONLY City g of Ti and Received � r ' Date/By: Permit No.: � / � � 13125 SW Hall Blvd., Tigard, OR 97223 Pla Review Phone: 503.639.4171 Fax: 503.598.1960 �4 /,: jlhl Date/B : Other Permit: Inspection Line: 503.639.4175 �1 :d am r� Date Ready/By: Jur 0 See e Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information t I ` ,�MPE :OF O .WRK ° f I ' '�` '�: PI AVj REVIEW :: > ` :zt ��*, ... . ... �:�- �.:��s;+'u, •�T�;�„�J. �.. , x,..s..�, �.w.'S«u�at ..:� ,�''z�`�.�#Pi' - Win. ,�` ... _z:�:.;z - <�._. a- :�s,.. e ,.. _t�?z:. V New construction ❑ Addition /alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'I ['Hazardous location ,� _ ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., a „ C A E GO - CO_NST RGT3„ON �� :. of 1- and 2-family 4 or more new residential _ . ; ,t . z 6 sin ..� i,3�r.,�,... H aag, ^. R i - . mr l- _ -=' a Y ❑ 1 and 2 family dwelling `r Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ['Feeders, 400 amps or more ❑ Multi family ❑Master builder ❑Other: ['Occupant load over 99 persons ❑Manufactured structures or Wi lAigil T 3NFOFtIY ®'a r4 + r0r — s * RV park idt. 4.�, ;- d d, “ . &., L.4. . 1,- .. .+. labAl. . :. , 3 ❑ E gres s/lighting plan P Job no.: Job site address: . .,,‘...,1,i.... V J�D7 ❑Health - care facility ❑Other: 1� e.� Submit 2 sets of plans with any of the above. City/State/ZIP'.-1— Ie 0 at i C?p ` The above are not applicable to temporary construction service g G�(q'l�~� f E ” '" `. FEE* •SGHED LE . - E ,`' .'`• .. Suite/bldg. /apt. no.: Project name: /1 ° ly ... ,_ �. r..A� . ._.,: _ / Description I Qty. Fee. I Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: I 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 pr O1 WORK --0- ' "_ Each manufactured or modular 1'1 Jr�... va ,� I - N, � ` e dwelling, service and /or feeder - 90.90 2 �(/�,,! Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 '- t R "`� "'�' PERTOWNER ' +Arl W ` 201 amps to 400 amps 106.85 2 ' " no A 401 amps to 600 amps 160.60 2 Name: Z t i M L' V_ — 0 f0 Less/ 6 M tU ) 7" ---- -C 601 amps to 1,000 amps 240.60 2 Address: WO j d,s0 692 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: 'it if e h 6 2 ? 7 - / Temporary services or feeders installation, alteration, and /or Phone: (563) 57 g _ 34z/cFd I Fax: ( ) relocation 200 amps or less 66.85 • t 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 600 amps 133.75 2 Owner signature: Date: Branch circuits— new, alteration, or extension, per panel . ::a Ir T . I � '" 61 "" . 9 A. Fee for branch circuits with r =-, . I; -. .T , .:N l i wr p:. - 1- 'CONTAC E ON ._, , service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 Each add'1 branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - NO -4!*',' ,g g - `�' t °° -' en panel alteration, or �t.�"�� `" _� >,�-� �,.�,� CQNTRACTO � °;��.,.1 ,��,�a'�����,�.,.tr'„ � gY P Business name: � 't l 4 ' " f extension. Describe: Page 2 2 Address: Ir 6 l +„at Each additional inspection over allowable in any of the above 6�' r Per inspection 62.50 City/State /ZIP: pertiyhe Cti s 0 0 Investigation per hour (1 hr min) 62.50 Phone: CZ ) C I Fax: ( ) ,,.7 Industrial plant per hour 73.75 CCB Lic.:261 1 Electrical Lic.� 41 Suprv. Lie: ` " %� ' Subtotal 1. Suprv. Electrician signature, required: , Plan review (25% of permit fee) e`" State surcharge (8% of permit fee) Print nam 4 , t � ' r Date: I - TOTAL PERMIT FEE Authorized signature: `_" permit application lication ex ires if a permit is not obtained within 180 �T p days after it has been accepted as complete Print name: ` * � ' '_ -" Date: jI '' 0/ * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. i:\ Building 'Permits\ELC- PermitApp.doc 12/03 440- 4615Tt10 /02/COM/WEB I ,. . CITY OF TIGARD ,. , . BUILDING DIVISION PERMIT #: ELR2004 -0039 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/19/2005 Phone: (503) 639 -4171 l /a ' Inspection Requests (24 Hrs.): (503) 639 -4175 ...' ■ __.. INSPECTION WORKSHEET FOR DATE: 4/25/2005 TIME: 7:10AM PAGE: 68 SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK: SUBDIVISION: BEVELAND LOT #: 2 -3 • TYPE OF USE: PROJECT NAME: ANDRUS . DESCRIPTION: Limited energy for HVAC. OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503.598 -3440 I CONTRACTOR: AMERICAN HEATING PHONE #: 239-4600 Inspection Request Scheduled For: Date: 4/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 005226 -01 503 - 209 -0731 Y Corrections /Comments /Instructions: i Lis TO c k d a. ,_,-s r 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /it-IV Date: y ( Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2004 -00349 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/7/2006 TIME: 7:14AM PAGE: 94 SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK: SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE: PROJECT NAME: ANDRUS DESCRIPTION: Limited energy for HVAC. OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 603. 69133440 CONTRACTOR: AMERICAN HEATING. PHONE #: 239-4600 Inspection Request Scheduled For: Date: 4/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 003944 -01 603-209-0731 N Corrections/Comments/Instructions: ,t. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:///�f j / Date: 6 & Phone #: (503) 718 - BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By A/ Inspection Description Date Passed By • Footin /Setback `_Underground cover �I 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 Ener • y Permit Roof nailing Firewall Description Date Pa sed lrewall Low volta a VIIM' Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG-Structure set-up MEC - Mechanical Permit Insulation_ Drywall nailing Inspection Description Date Passed By Suspended ceiling Post/beam mechanical Engineered soils Gas line Welding Lab Final Mechanical rough in Concrete Lab Final Fire damper Bolting Lab Final Duct work Structural observation Smoke detector Fireproofing Lab Final Mechanical final Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Descriptio Date Passed By. Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Sprinkler final Plumbing top -out Fire alarm final RP /backflow preventer Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By _ Culvert /catch basin Footings _ Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab — Catch basin /Manhole SWR - Sewer Permit Engineered soils —, Al Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \ forms \InspRecordBUP.doe 04/17/01 4 ELEC CITY. OF TIGARD TRICAL RESTRICTED ENERGY PERMIT . 1I "i DEVELOPMENT SERVICES PERMIT #: ELR2004 -00349 `I. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/19/2005 PARCEL: 2S 101 AB -02201 SITE ADDRESS: 07117 SW BEVELAND RD ZONING: MUE SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG Project Description: Limited energy for HVAC. . 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: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 1 Owner: Contractor: ZIMMLER DEVELOPMENT LLC AMERICAN HEATING 7165 SW FIR LP SUITE 100 1339 SW GIDEON ST PO BOX 230698 PORTLAND, OR 97202 TIGARD, OR 97223 Phone: 503 -598 -3440 Phone: 239 -4600 Reg #: LIC 33135 ELE 26- 993CRE FEES SUP 2640LEP Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 11/8/2004 $75.00 [TAX] 8% State Surcha 11/8/2004 $6.00 • Total $81.00 CY 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 0 Utility Notification Center. Those rules are set forth in OAR 952 - 001 -001.0 through OAR 952 - 001 -0100. You may obtain copies of these O rules or direct questions to OUNC at 503 - 246 -6699. "Y Issued By: Permittee Signature: _ OWNER INSTALLATION ONLY ' � V 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.