Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00203
DATE ISSUED: 8/5/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S113BA - 00400
SITE ADDRESS: 07632 SW DURHAM RD 100 ZONING: I -
SUBDIVISION: SW CENTER SDR1999 - 00020 LOT: JURISDICTION: TIG
Project Description: Fire alarm for suites 100 & 200.
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: X
INSTRUMENTATION: OTHER:
• TOTAL # OF SYSTEMS: 1
Owner: Contractor:
OPUS REAL ESTATE OREGON IV LLC CAPITOL ELECTRIC CO INC
1000 SW BROADWAY 11401 NE MARX ST
1130 PORTLAND, OR 97220 -1041
PORTLAND, OR 97205
Phone: Phone: 503- 255 -9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description • Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 7/26/2005 $75.00
[TAX] 8% State Surcha 7/26/2005 $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 OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: - - � � Permittee Signature: ,-, \ C p
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.
FOR OFFICE USE ONLY
*0, Electrical Permit Ap Received ) � y // ,,/� ? �9�
t� ® Date / B y: / .,.L U () � / Pe it no.: �� .� ) v/
City of Tigard Plan Review
U 2 6 2005 ,e�L l � ' N ■ Other Permit:
!L 13125 SW HALL BLVD., TIGARD, OR 97223 al I Date /By:
Phone: (503) 639 -4171 Fax (503) 598 -1960 CITY OF TIGARD Date Ready /By: Juris: / / U See Page 2 for
Inspection Line: 503- 639 -4175 CITY OF TIGAR[) Notified /Method: �/V Supplemental Information
Internet: www.ci.tigard.or.us LauII _nIPsJ(+ r I i I Iem
TYPE OF WORK PLAN REVIEW
❑ New construction H Addition/alteration /replacement Please check all that apply:
❑ Demolition ❑ Other: ❑ Service over 225 amps, comm'l ❑ Hazardous location
CATEGORY OF CONSTRUCTION ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft.
U I- and 2- family dwelling U CommerciaUindustrial U Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
JOB'SITE INFORMATION AND LOCATION ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no.: Y3f1546— Job site address: 7632 SW Durham Rd. 111 Occupant load over 99 persons ❑ Manufactured structures or
PE t t aq ._ ❑ Egress /lighting plan RV park
City /State /ZIP: Tigard, OR 97223 ❑Health -care facility ❑ Other:
Submit 2 sets of plans with any of the above.
Suite/bldg. /apt. no.: Ste. 100 & 200 Project name: Allstate FA System Upgrades The above are not applicable to temporary construction service.
FEE SCHEDULE
Cross Street/Directions to job site: Description I Qty. I Fee. I Total I **
New residential - single or multi- family dwelling unit.
Subdivision: Lot no.: Includes attached garage.
1000 sq. ft. or less $ 145.15 4
Tax map /parcel no.: Ea. Add'I 500 sq. ft or portion $ 33.40 1
DESCRIPTION OF WORK Limited energy residential $ 75.00 2
Add fire alarm notification devices and circuit in tenant space Limited energy, non - residential $ 75.00 2
Each manufactured home or modular
❑ PROPERTY OWNER I H TENANT dwelling, Service and /or feeder $ 90.90 2
Name: Service or feeders installation, alteration, and /or relocation
Allstate Insurance Company 200 amps or less $ 80.30 2
Address: 7632 SW Durham Rd. Suite 200 201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160.60 2
City /State /ZIP: Tigard, OR 97223 601 amps to 1000 amps $ 240.60 2
Over 1000 amps or volts $ 454.65 2
Phone: Fax: Reconnect only $ 66.85 2
503.603.5902 Temporary services or feeders installation, alteration, and /or
Owner installation: This installation is being made on property that I own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 1
Owner signature: Date: 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps $ 133.75 2
H APPLICANT I U CONTACT PERSON Branch circuits - new, alteration, or extension, per panel
Business Name: See contractor information below • A. Fee for branch circuits with
service or feeder fee, each .
Contact name: branch circuit $ 6.65 2
B. Fee for branch circuits
Address: without service or feeder fee,
each branch circuit $ 46.85 2
City /State /ZIP: Each additional branch circuit: $ 6.65 2
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 circuits(s) or limited -
CONTRACTOR energy panel, alteration, or
Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Fire Alarm Circuit 1 Page 2 $75 2
Contact name: Dan Wilson Each additional inspection over allowable in any of the above
Per inspection $ 62.50
Address: 11401 NE MARX ST. Investigation per hour (1 hr min) $ 62.50
Industrial plant per hour $ 73.75
City /State /ZIP: PORTLAND, OR 97220 -1041 ELECTRICAL PERMIT FEES*
Subtotal 75.00
Phone: 503 - 255 -9488 Fax: 503 -255 -1966 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 6.00
CCB Lic.: 48748 Electrical Lic.: 26-496C ISuprv. Lic.: 3132 -5 TOTAL PERMIT FEE 81.00
This permit application expires if a permit is not obtained within 180
Suprv. Electrician signature, required: � 44/1"(4 �a R p —1
MP-196 days after it has been accepted as complete
Print Name: DARRELL MC EEL - Date: 07/25/05 * Fee methodology set by Tri -County Building Industry Service Board
Authorized signature: 90 * *Number of inspections per permit allowed.
85 A CO
Print Name: DARRELL MCNEEL
CITY OF TIGARD . .....
BUILDING DIVISION PERMIT #: EL�2 2�a —_�,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' d u A:_..
INSPECTION WORKSHEET FOR DATE: q 1(G (ors- TIME: PAGE:
SITE ADDRESS: `j" . D RI-4 4A 40 A 2c.70 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: E((Z 1p 3S ik34Q4 tW —
OWNER: PHONE #:
CONTRACTOR: CApi-(- 0\0Pc1 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
C' N Fotr 5:( of (6520I q7c 28%
Corrections /Comments /Instructions:
C , I
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X PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: _ ,A _ . i_ i Date: p Phone #: (503) 718-