The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY �I DEVELOPMENT SERVICES PERMIT #: ELR2004 -00218 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/21/2004 SITE ADDRESS: 10220 SW GREENBURG RD 350 PARCEL: 1S135AB-01002 SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12 BLOCK: LOT: 009 JURISDICTION: TIG Project Description: Voice /Data. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST AZIMUTH COMMUNICATIONS INC 10260 SW GREENBURG RD #100 P.O. BOX 508 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Phone: 503 639 - 0110 Reg #: ELE 36 -94CLE SUP 2312LEA LIC 145828 FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 7/21/2004 $75.00 Elect'I Final [TAX] 8% State Surchart 7/21/2004 $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 questio to OUNC at (503) 246 -6699. / Issued by _i / Permittee Signature f� 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 lg EC E �V E D i ! ca1 Permit Application .. ' ' - FOR.OFFICE USE ONLY =`ta ,City of Tigard JUL 2 12004 Date/By: / 0 PernvtNo. li a. �/,t'/0p7 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie , Phone: 503.639.4171 Fax: 503.598, 1960. 1 F TI GAR D tol l 1 � ? Date/B : Other Permit: Inspection Line: 503.639.4175 e`LI Date Ready/By: 0 See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: ENI Supplemental Information -4,;a" t: t ce - _ .; i " ' .;:�'',w .. c ° .7"� :r � 7 -e.';. rar,;;,�•^ €t .e r ;t ,. �•. =u, _ e, ;^ ;',, - , A. , s. -- $ "� . ,c P r P . - 4 , t _ vpguA :PL_,, t �s...:z�.�..�; ��,�. .ra� �. �. -, ,. a:u,- '�P,�r:� :.- �. .v,�; ��..�;- c,.' ",� . z � .� _ � ' .�`�d �.�:3a �n�,€.��, �-ae ... � -� � , . ❑ New construction 12 Addition/alteration /replacement Please check all that apply: ❑ Demolition ❑Other: EService over 225 amps, comm'l ❑ Hazardous location ,, _ w , k ,, ry ,,, ; . ; 4 ,,, V y _ N ❑ Service over 320 amps — rating EBuildng over 10,000 sq. ft., ti.5 l l , CATEGe1tS rOF CO(I'k ON , oR ,ti Vie of 1- and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure EBuilding over three stories ❑Feeders, 400 amps or more ❑ Multi family Master builder 0 Other: ,,, k q, , � a . ,, Y+u� 9 A s s EOccupant load over 99 persons ['Manufactured structures or ` t JOB tSII'E��.IlYE0I2 cgi9 MeeV:, . , ❑Egress /lighting plan RV.park Job no.: Job site address: ❑Health -care facility ❑Other: �Q°?°2l S k l. ��tJ/jcC,2� Submit 2 sets of plans with any of the above. City /State /ZIP: l /64720, die- 77223 The above are not applicable to temporary construction service. ' .„ . t.{.,w, itli * 'fS0YfigI°FE w.« ��' ::. " >; <-.: Suite/bldg. /apt. no.: 356) Project name: , t / \ � I '' ee " W � •u . F tsar � �v�/L f.�.+ Description Qty. Fee. 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: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 map /parcel ap /parcel no Limited energy, non - residential 75.00 2 ,,� e ��.: a N� b r � � � �� „ ��,�5�� ; �� ; �• „FP gY. 4 I A, DES OF OR K= ,'` ` : f : , 'x; 01 Each manufactured or modular / t�� dwelling, service and /or feeder 90.90 2 ()Dice //►7T Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 wit . P i-= # :* - � „ a . , - ,. _, 201 amps to 400 amps 106.85 2 � ROPER � OWNS � x �, ,� � ' '. , , n a �: .am.., �. xE . _ I TEN � �i c � 401 amps to 600 amps 160.60 2 Name: cO 50 uQC E 601 amps to 1,000 amps 240.60 2 Address: / 0.02.20 s o , ( iz .Q Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: '77 ( -0,C 97223 Temporary services or feeders installation, alteration, and /or Phone: ( ) Fax: ( ) relocation 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 s F�' -, ®APPLI,CANT > r INN C CQ C are I w : it A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: Z 1n1u ref c omm uA ), (47 04)5 branch circuit B. Fee for branch circuits pg a without service or feeder fee, 46.85 2 Contact name: Address: PO ` gib( 502/ each branch circuit Each add'l branch circuit 6.65 2 City/State /ZIP: 10 LSO vol) i cLE'/ 0 Q -( 7o 7O Miscellaneous (service or feeder not included) b 0 3 ) 635' Oit (�63 )6 -c/lc Pump or irrigation L 53.40 2 Phone: Fa Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- . s b m 3 ` = r ° M #RA TOR's E ,, . energy panel, alteration, or .. m -... r extension. Describe: Page 2 2 Business name: A al CO/11/if u-v c L i Address: ? v y 6e x Jv () Each additional inspection over allowable in any of the above (, Per inspection 62.50 City /State /ZIP: W (L 57 6 A l al LL6 Ole g20 0 Investigation per hour (1 hr nun) 62.50 Phone: 6D3 )& 3q- a lai Fax: (SO 3 ) to 5g -o //if' Industrial plant per hour 73.75 "4� � ,� mss` * - e,�;krr,_ �� a � �? ` ".'ik : EI„IP3�.0 I`I2] GSA_ Lv PFrR1 T ITOI :, 'i` a ..„:�, > .., °.x CCB Lie.:/45 Electrical Lic.:36 g11 C(1,_ � 6 Suprv. Lic.: 231 2 LEA Subtotal S / Suprv. Electrician signature, required: aLeb Plan review (25% of permit fee) Print name: 7 8n CM t A � J 6 ate: 7 i Q (/ State surcharge (8% of permit fee) t< v, G� ( ( ' TOTAL PERMIT FEE 3/ --" 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 permit allowed. i'\ Bulding \Permits\ELC- PerntitApp.doc 12/03 440- 4615T(10/02 /COM/WEB Electrical Permit Application - City of Tigard • 'Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: ; C,4'1VEVIERCI Is U 0,L# y .A' .i Z Tq =t a<.t 4 Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems X Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: i *No licenses are required. Licenses are required • for all other installations i.\ Building \Pemtits\ELC- PermitApp.doc 04/03 CITY OF TIGARD 24 -Hour BUILDING Inspection L:Jne: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM = UP Location ` A U Suite 3� '�'� ` ' C Contact Person 2 . Ph _77_/_) S 6 -S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain L kC0 ELR 010.4 V - d d a Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear j Int Sheath/Shear WSW Framing ,��/ Insulation 11 �*'� �e /�(' l `- Drywall Nailing ,, /� ! Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final 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 dr 111 PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. cialP 0 Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ' e ADA Da te 8-10— © Ins ector .- ! ( IM ? I -w , v Ext P Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL