The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT H PMENa Tigard, � 639 -4171 DATE PERMIT E22 0379 - 13125 0/2004 SITE ADDRESS: 09725 SW DURHAM RD PARCEL: 2S111CD 00400 SUBDIVISION: ALDERBROOK FARM ZONING: R -7 BLOCK: LOT: JURISDICTION: TIG Project Description: Audio /video system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X 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: SOUTHWEST CHURCH OF DELTA SYSTEMS INTEGRATION INC CHRIST 4040 SE INTERNATIONAL WAY STE 9725 SW DURHAM ROAD MILWAUKIE, OR 97222 TIGARD, OR 97223 Phone: Phone: 503 786 - 3733 Reg #: LT 66- 380313213 ELE 26- 923CLE FEES Required Inspections iLdW �OL Description Date Amount Elect'I Final t"/aGE [ELPRMT] ELR Permit 12/20/2004 $75.00 [TAX] 8% State Surchart 12/20/2004 $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 OAR 952 - 001 -0100. You may obtain copies of these rules or direct question: o • UNC a 3) 246 -6699. Issued by Q A:,7: 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day RECEIVED ., . : , . .,, .. .., ' Ele Permit Application .. . -- FOR OFFICE us ONLY . City Tigard DEC 2 0, 04 Received , 0 DL/ : c - 9 Cit of Ti and Dana P ermit No a _ 003 9 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ,l r ti Date /Bv: Other Permit: Inspection Line: 503.639.4175 CITY OF .- �' ° y ,, , r y. Date Ready /By: ions ® See Page 2 for Internet: www.ci.tigard or us �T ,.,.�� Notified/Method: Supplemental Information I G DIVISION '':;..r:-! .=,::,.,,;;:..', . TYPE OI. WORK ° °' ' _ Y. ` PLAN REVIEW' ` ❑ New construction ❑ Addition /alteration /replacement Please check all that apply: El Demolition ❑Other: ['Service over 225 amps, comm'l ❑Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., IA' t -' ' - ;'- ' - ,.CATEGORY; OF CONSTRUCTION.' , :t ° : .._ = of 1 - and 2-family dwellings 4 or more new residential ❑ 1 and 2 family dwelling XContntercial /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 DManufactured structures or kI.X,:j, tkih ) ^.JQB SITE INFORMATION °A ND;:rIiOCATION. ., '" . ❑ Egress /lighting plan RV park Job no.: © Job site address: et- � .b 0 ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City/State /ZIP: t 7 k - A C5jZ 9 -72.24 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: S(') .(e� C,� S - tdl`- s ,_„ ; ;,) EEE'' S ; „ „ , - , ' - �� "` Description I Qtc. I Fee. Total �t 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: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: ti Limited energy, non - residential 75.00 2 1, , ,. n.VW_t ,, �, rt __ 1 �D�ESCRIP7?IO1V�0°, WORK „;� �, r ''r�x� . ' Each manufactured or modular / " r dwelling, service and/or feeder 90.90 2 R i0 r,,, S76 - g, Services or feeders installation, alteration, and /or relocation . 200 amps or less 80.30 2 '4,1' ' , lj Q;.P OWNER; " . ° Is ` ;� ® TENA N T , ; W , a ,, , ` - , 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 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 `' "```-'��` .,,At APPCATT,r s t LINf " .1❑'-,CONVT`AC T ,PER S A. Fee for branch circuits with ? a _ _m `° °� *=-:ON A service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax::( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- :`,' ' CONTRACT,OR -_ - energy panel, alteration, or Business name: -D -- //L s g v i, ` e ,5 extension. Describe: Page 2 2 Address: 1 L 0 , 0 s OE( /' / C1K2,1 ` L Each additional inspection over allowable in any of the above " l L -N l ,,1 1 Per inspection 62.50 City /State /ZIP: t& (( �Jtr jf ' I OIL ct u c t ' 6 ( 6 Investigation per hour (I hr nM) 62.50 Phone: (:23) 7810 '3133 Fax: (,3) 1k? 6 .. 3 go - Industrial plant per bout 73.75 v - ELECTRICAL` PERMIT .FEES* CCB Lic.: 1 ( 3Z1'j Electrical Lid: j -4L3a. uprv. Lie.: ei Subtotal — t — U l0 Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: c W ©'d lb C „_ Date: i Z470( State surcharge (8% of permit fee) V Y TOTAL PERMIT FEES i .00 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 "t N u mber of inspections per permit allowed i.VBin Winn vPerini is AELC- PermitApp doe 12/03 4- 10- 4615TI I0,02,CO0IJAL'B CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2004- 00379 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/20/2004 Phone: (503) 639 -4171 1, $° Inspection Requests (24 Hrs.): (503) 639 -4175 . ! 'f LI INSPECTION WORKSHEET FOR DATE: 4/5/2005 TIME: 7:09AM PAGE: 46 SITE ADDRESS: 09725 SW DURHAM RD CLASS OF WORK: SUBDIVISION: ALDERBROOK FARM LOT #: TYPE OF USE: PROJECT NAME: SOUTHWEST CHURCH OF CHRIST DESCRIPTION: Audio/video system. 12/29/04 revised to split occupancy. This permit covers Phase I and Phase II OWNER: SOUTHWEST CHURCH OF, PHONE #: CONTRACTOR: DELTA SYSTEMS INTEGRATION INC i PHONE #: 503 -786 -3733 Inspection Request Scheduled For: Date: 4/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 003719.01 503-349 -4283 N \ Corrections /Comments/ Instructions: V ■ t 7 • -11tCtI/- • • • IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c�- Inspector: ki,,, - --� Date: � - Phone #: (503) 718 - CITY OF TIGARD 24 -Hour BUILDING Inspection - Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /43 AM PM BUP Location .I Suite MEC Contact Person Ph ( ) 3 L{? _ ctO-E.3 PLM Contractor Ph ( )),_) 4 SWR /� BUILDING Tenant/Owner ( C.:/l/U-44 ELC Footing ELC. Foundation Adcess: Ftg Drain ELRDOV 3 7 7 Crawl Drain Slab In � on otes: SIT Post & Beam 1 L fe . Shear Anchors �y �¢- Ext Sheath /Shear [4 -Lt) C- -64-// L � Q 6 Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final H p„ PASS PART FAIL �` 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 Fire Alarm l; LI " FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Unable to inspect - no access • Fire Supply Line ADA / D � � �^ Inspecto • A. _ � Ext Approach /Sidewalk p Other: Final DO NOT REMOVE this inspection record om the job ite. PASS PART FAIL