Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY 7,n, 1 DEVELOPMENT SERVICES PERMIT #: ELR2003 -00274 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/03 SITE ADDRESS: 10220 SW GREENBURG RD 501 PARCEL: 1S135AB-01002 SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12 BLOCK: LOT: 009 JURISDICTION: TIG Project Description: Low voltage: phone /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: SPIEKER PROPERTIES L.P. LIVE WIRE TECHNOLOGIES LLC 10260 SW GREENBURG RD PO BOX 952 SUITE 100 TUALATIN, OR 97062 PORTLAND, OR 97223 Phone: Phone: 503 670 - 9910 Reg #: ELE 34- 599CEP LIC 151771 SUP 3345LEA FEES Required Inspections Lo c.- 1 Description Date Amount Elect'l Final [ELPRMT] ELR Permit 9/8/03 $75.00 [TAX] 8% State Tax 9/8/03 $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 throuc Issued by 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 • • �2_ ~d� ,04. x .'#Y , , ;I! . .RICE SE NL� '�`;.4 c i",. u7,.i `'+, . Electrical Permit r" catioU G Received — Electrical i ' Date/B : PecmitNo.: �(j � �7 Sign City of Tigard RECEIV $ Planning Approval Da Plan Date_ Permit No.: 13125 SW Hall Blvd. `V Plan Review Other igard, Oregon 97223 O 8 003 Date/B : Permit No.: �l'hone: 503- 639 -4171 Fax: 503 -59 o' + z Post - Review Land Use Internet: www:ci.tigard.or.us �g ttf�` � Date/Date/E1 _ Case No.: J _ ® Contact Juris.: See Page 2 for 24 -hour Inspection Request: 503- 639. 1'V OF ' .,� . ' ��� Name/Method: - 7 — /C-1 7 — fc Supplemental Information. BUILDING DIVISION a h ' { i .cs 4 . Y! �. K F as °;:� e o.', a - " 1 1 r° i '" °¢�YY G ilia` did.ru tr gi S } S y7 ' ` O :... i � „ P 7`, �'1? 1_ l;i�s„t' to :aT j J +.l" .r '' ?:I�1,� � �.0 Yifly; �4'. �:' i9: �` a.k��iTt�'��°.aS��?'�U„`'„� � a.n.ei • 9�':.. G 6a1.? ..� �_ ,�iW�.x �: a'. �,��. �� � ..�a.._.�.._ •'���i�' .�...b�e....p. �� 9' :��. ^�.7:':, •. _ New construction ❑Demo ?ition ❑ Service over 225 amps - ❑ Health -care facility commercial 0 Hazardous location Addition/alteration /replacement n Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, r }Q ""5 t> a yp d e' :.�" + �'" { & 2 family dwellings four or more residential units in y,ir� ° y g �lC �. �A�C�S�I��� f+tl�r'�.���r ��..F����F��� ��,JIY'.4'�' A.rfi. !'^� J D �. miim I one structure 1 & 2- Family dwelling tv Commercial/Industrial System over 600 volts no [} Building over three stories 0 Feeders, 400 amps or more rn Accessory Building ❑ Multi- Family ❑ Occupant load over 99 person:. ❑ Manufactured structures or RV park n Master Builder n Other: ❑ Egress/lighting plan ❑ Other: t „�, ,� �„ ,�„ , } r, •- -„ -<,. ,�- #� Submit set: of plans with any of the above. J, 15B , •. , R'JA?i (A[1”; E ri ti i � The above are not ap able to rem orar construction service. Job site. address: t02 -2- 5u..> re 4,, -. e,_ ft 'ri } ' ° ` � V ° ""a h r%: W:.': ` •a z' Suite #: 5 o 1 i 04)/Apt. #: 3 i-i4.01,, (°, _ ;lumber of inspections per permit allowed Project Name: InlcLt -s rxi(?G d c Arve-T AG t' Description Qty Fee (ea.) Total New residential- single or multi •fa puny per Cross street/Directions to job site: dwelling unit. Includes attached l arage. Service included: 1000 sq. ft. or less 145.15 4 • Each additional 500 sq. ft. or porde :I thereof 33.40 1 Limited energy, residential _ 75.00 2 Subdivision: I Lot #: Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modul r dwelling t.� . .� �.,�_ ... r: • .,,,; service and/or feeder 90.90 2 s1 �� ° n _ K : Services or feeders - installation, ,l In 0 l(L(— / data- alteration or relocation: 1✓ 200 amps or less _ _ 80.30 2 111 201 amps to 400 amps _ 106.85 2 401 amps to 600 amps _ 160.60 2 i Q ' , g , ��c- 601 amps to 1000 amps _ 240.60 2 f.. :� 454.65 2 •<� ., —RIQy ' Over 1000 amps or volts _ . Name: Reconnect only 66.85 2 Address: Temporary services or feeders installation, alteration, or relocation: 66.85 l City /State /Zip: 200 amps or less 201 amps to 400 amps 100.30 2 Phone: FIIX: . ,t 401 to 600 amps 133.75 2 " .;-q ;t ':t' '` 'g (r a l a '4 : t,; ; rfr( . • ;` � .'' ,'Z " - Branch circuits - new, alteratic n, or Name: extension per panel: A. Fee for branch circuits with pur :hase of 6.65 2 Address: service or feeder fee, each br n :h circuit City /State /Zip' B. Fee for branch circuits without I surchase of q6. BS 2 service or feeder fee, first branch circuit Phone: 1 Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not induct 9): 53.40 2 " , * 'y M t ft „•, 1 ; Each pump or irrigation circle _ 53.40 2 `va t 1. •�. #• d. © C- • 't .. ,,. , ' ; •G�cE _ � . �.';� t�`s��. r +�, i�!, _ . • � .� Ea ch si or outline li Job No: Signal circuit(s) or a limited energ • panel, ij Page 2 77 f , OD 2 alteration or extension Business Name: t.iveW Tech iv le/ i t5 LLG Description: Address: PO P `J 2 — Each additional Inspection ow: the allowable in any of the above: City/State/Zip: 62.50 y p " � (��• 1'1 � (� 1� � 7 0� Z Per inspection per hour {min. I ho .r) Phone: (G,o'b) to cle IV Fax: (,`a0 5) OD - 101 Z Investigation fee: CCB Lic. #: 1 5 17 7 1 Lie. #: 34- - 611 G e. P Other: . , ba ° "R ica 't ..' e ° ° � `i �f , . '. r . � ai+� L Supervising electrician a e�0 _ Subtotal $ -1 5, x ° signature required: � (/ J Plan Revievd:25% of Permit Fee) $ J t Pod re I Lie. #: �� State Surcharge (8% of Permit Fee $ • (4' - o Print Name: " TOT 4L PERMIT FEE $ '- 1, 0 D. Authorized Notice: This permit applici Lion expires if a permit is not obtained within Signature: / / � ---- Date: 180 days after it has been v cepted as complete. ff *Fcc methodology set.by Ti -County Building Industry Service Board. (Please print name; i:\Dsts\Permit Fotms\ElcPecmitApp.doc 0ll03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST - BUP Received ( Date Requ ted IV-5 AM PM BUP Location / 6 Z-2--6 ( 6z.Q,I,4 Suite 5 - 6 / MEC Contact Person Ph( f/C — / 73c PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner JS AJ ELC Footing ELC Foundation Access: 2-7 Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall 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 PAS RT FAIL LEC RIC Service Rough -In ri;) UG /Sla • ow To age ire -. ASS' PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI ❑ Please call f.r reinsp -ction RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date A" d' Inspector r Ext Other: Final DO NOT REMOVE this inspection record om the job site. PASS PART FAIL