Permit T
• •
CITY OF TIGARD RESTRICTED ENERGY
-
L.- • RESTRICTED ENERGGY
T4t r iw i'Iiki DEVELOPMENT H BMENT Tigard, � 639 -4171 DATE ISSUED: 11/6/00
0 -00261
SITE ADDRESS: 10250 SW GREENBURG RD * ** PARCEL: 1S135AB -04500
SUBDIVISION: LINCOLN BUILDING PP1991 -055 ZONING: C -P
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: Installation of telco equipment in telco closets on each floor.
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:
KNICKERBOCKER PROP, INC XXIV DAY WIRELESS SYSTEMS
BY NORRIS, BEGGS + SIMPSON 234 NW 14TH
10300 SW GREENBURG RD STE 200 PORTLAND, OR 97209
PORTLAND, OR 97223 •
Phone: Phone: 503 - 228 -9292
Reg #: ELE 3- 356CLE
LIC 64950
FEES Required Inspections •
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 11/6/00 $75.00 2720000000 Elect'l Final
5PCT CTR 11/6/00 $6.00 2720000000
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 yo • •Ilow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 •010 throb • h OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -19:7.
Issue 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
„, 1 7 /UU Flu 09:18 FAA 503 598 1900 C.1'1'Y Ub' '1'lt.AM.) tgluu
Electrical Permit Application •
Date received: / /'l 110 Pernii:so.: EL -(,,
. V•i j City of Tigard Project/appl. no.: Expire date:
City af?Yganf Address: 13125 SW Hall Blvd, Tigard, OR 97223
Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:o
I I P1 01 P1 12 \[1 1
O 1 & 2 family dwelling or accessory IN Comm, cial/industrial CI Mul ti -fam »y 0 Tenant improvement .
0 New construction 0 Additioti/alteration/replacement O Other: 0 Partial
'10B.4111? 111 t)12:1li i Ill\'
Job address: ce.er - ., - • . Bid:. no.: Suite no.: Tax map/tax l% accountno.:
Lot Block: Subdivision: \
Project name: L-, „ . . Description and location of work on premises: ^L � % ex,.. „. ,, r+ner
Estimated date of corn action/ins • ectlon: 1 ,,, ol. zoo - i. TeNca CUo c_t
( 1 UM :11111 ;'.1 I'L lt.17 113t\ I IT: tit ,'IIL;I)1'L1'.
Job no: M. Marc
Business name: • , - = residential -
to rnS n ,a ...ins •
Address: •tr s°erasam -
Per 1111
dr ells gurdt.lacbrtimAttachedgarage.
City: 9 .. ><‘. _ State: 6 Q CP: q-1 2.0 • Bervkelodnded:
Phone: 2, • • 2q Fax: tag -213 E-mail: -1 _ 1000 it. or leas 4
CCB no.: Elec. bus. he. n0: L ad••tianul500s..ftor • orti on thereof �' _�
City /metro lic. : ,� Limited energy. residential �__ 2
� :. � � �►/ i Limited energy, non- residential �—_ 2
// ✓ j ' j (p tu
Each manufbcred home or modular dwelling III”
Si: o ' su • sing el , an (required) 1) Service and/or feeder 2
Sup. elect. name (print): . .. - ! Li cense no: • 6ervkes or feeders- installation, --' _ alteration or relocation:
• • I' WWI. :Itl Y OW : N h:14 200 snaps or less 2
Name (print): ' _ • 201 at to 400 amps 2
�� �- 401 .. • to 600 amps MI 11.II 2
Mailin• address: \ a __ _ • 601 am.. to 1000 amps MN 2
City: • o Emira ZIP: VJVMT Overr 1000 ameaaxvolts 11111111111111111111111011111
Phone: : - 2 - e, o Fax: 23 • -24 eo 13- , : . . r _ T.: . ect only MEN 1
Owner installation: The installation is being made on property I own Temporary services or feeders •
which is not intended for sale, lease, rent, or exchange according to ion, AKeruttco,orartocattotc
ORS 447, 455, 470, 670, 701. 200 ram or less 2
201. to 400 amps 2
Owner's a ature: _ - _ - - - _ __ Dattx 441 te •00 am. s IIIIII 2
1;..:N.'(; 1 N Fa•: f 1 Unwell draft nets, aeration,
Name:
or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or tbeder fee, each branch circuit 2
City: State: ZIP: a. Fee for branch circuits without purchase
Phone: Fax: E - mail: of service or feeder fee, fast branch circuit: 2
Each addititmat branch circuit•.
I'i.;\N Itl•:V•11 Yv tf'tv:t i cttect1 :tII thin t ' . (Servleeorfecder eat inclnded):
O Service aver 225angps- con»nercial 0 Health-caret/wilily Bachpuv or irrigation circle 1111 2
mp B
0 Service over 320 a s -ratin of 1812 0 Hazardous location Each ad : , or oat his li _bring 2
family dwellings Cl Building over I0,000 agnare feet four or Si: , rcuit(s) or a limited energy panel.
0 System over 600 volts nominal more residential units in one structure alteration, *extension' • \ 2
0 Bui ding over three stories O Feeders, 400 amps •+r eDeseti.tion:
O Occupant toad over 99 persons 0 Manufactured atruo uses or RV park Each ,. the .... - .. _._ ... _ ._ _ _
inspection over h ali6ov►a6te fanny of the ::, • vs:
0 Egressitightingpian 0 Other: Per inspection I 1 I I
Submit — sets of plans with any of the above. lavestigadonfee -
The above are not applicable to temporary construction service. Other
' Not all juetametioae accept credit cards. please call jurisdiction for more Infer ration Notice: This permit application Permit fee $ 15 �
0 Visa CI MasterCard expires if a permit is not obtained Plan review (at T ,. %) $ t
Credit card number, i ■' within 180 days after it has been State surcharge (8%) .... $ fo 4 ° 2 ”
Expires accepted as complete. TOTAL. $ R L �—
NUM of cardholder as shows on credit card
$
Cardholder signature ----- Wmom t 440 -4615 (6l00fCOM)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / — Z '( AM PM BLD •
Location / 2 -5 1 ) 7).4 6 Al Suite MEC
Contact Person / Jv'? /1 Ph e 2,2,5 / % L 9Z- PLM
Contractor D /( t 99 .,S tr (e_55 . /e i5 Ph x J/ y SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR ,2DG -d U 2 G (
Footing Access:
Foundation FPS 2-5
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 7 -e.-( Cc"� c:� /.��.J✓ SIT
Post & Beam � e
Ext Sheath /Shear / Cam f !'_�J ° P /-o/Z.
Int Sheath /Shear
Framing
Insulation
. Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
Misc:
Final
PASS PART FAIL
PLUMBING.
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
'MECHANICAL : ,
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
o
Fire larm_
Fin
PART FAIL
Backfill /Grading •
Sanitary Sewer
Storm Drain • [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: able to inspect - no access
ADA
Approach /Sidewalk D
Other / .2 6 Inspector _ xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.