Loading...
Permit • CITY O F TIGARD ELECTRICAL PERMIT HK PERMIT #: ELC2004 -00426 DEVELOPMENT SERVICES DATE ISSUED: 9/7/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 102DA -00401 SITE ADDRESS: 13125 SW HALL BLVD ZONING: CBD SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical TI - Includes fire alarm and hvac RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 2 MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: 114 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: 1 PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC: Owner: Contractor: TIGARD, CITY OF VANGARD ELECTRIC 13125 SW HALL 3800 MORRIS ST TIGARD, OR 97223 NEWBERG, OR 97132 Phone: Phone: 503 - 537 - 5006 Reg #: L1C 150204 ELE 36 -104C FEES SUP 4880S Description Date Amount Required Inspections [ELPRMT] ELC Permit 8/19/2004 $1,148.70 [ELPLCK] ELC PIn Rev 8/19/2004 $287.18 Ceiling Cover [TAX] 8% State Surcharge 8/19/2004 $91.90 Wall Cover Low Voltage Inspection Total $1,527.78 Elect'l Service Rough -in Elect'l Final This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 a '- - orth in . R 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 :699 or 1 -000 -332- *44. / Iss, ed By: ,,._��� - /GG //14 Permit 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: . _ i DATE: LICENSE NO: / Call 639 -4175 by 7:00pm for an inspection the next business day i7- 16 -'O4 10;50 FROM-DRS Architects Inc 503- 221 -2077 T -916 P05 /06 U -132 ' -! V Cte__ 1 / 0 4 ( . +; 1 of Tigard G�' E Received Date/By: ? t. al Permit No,: e .00`!/ 13 1312 SW Hall Blvd., , Tigard, O'; ' +F . Plan Rcvicw Phone: 503.639.4171 Fax: 501598.1960 4 ^"� � t+ � Date/By: 7/#19 /0V /16. , Other Permit: Inspection Line: 503.639.4175 1 I 1 b .UU , "� �M Datc Ready /By; fun la See Page 2 for Internet: www.ci.tigard.or.us J • D Notified/Method: / / g er • Supplemental nrorrnatton ( r: yA +w . �.. 9 yp� r4 ,.xa .. r I! , r c!,;y': 1�cd xY;��r +,py r' � Y,'uv, M! 4.. s ,, ,�7, ,� r . .,, . -!r el y N _.0 , r pAP A ^ ".,+.�a 6fs. ,. . S :wr yvy ,. r ,. s. r:n,r s• q 's''.r r' �, v �� ,2 Y, �, , Ri 't l 13v,yW,� 2'N'ba r,s /; r ., 1� t .4::'.( :',, y ,.., r•'�pp „ I Sr ::51 f�4� . I s�1� ,,.'�' -t,.' 1 ,,V, ','^ tti F. n .,U ; r.i ,� y ., n 6 .1„ X'AW � x l„ 1Q ., ,Fr e .;ii v,,1 + S S S k „!, i . „ t . , k t �A V v,i., t., p S !P 4„ I ✓� ,, >A 1 l'nite,w , st , ! , � g ',l } ��'v, ^��; :§:e i 7: : 4ts�f, e6 , :: t ,a.1 , S ∎Ai , . Keel' t v�p`p'Ls�r . , �! 3. y��fi��i�yt' R1L1t��4: sf�S�W ;S:[A'I.���I�+t`�t�����2i : alAlvak \1�.11Ld},1'iu�iyi,��'M�7, 403` A: Sh'Riy��;11�viL6� +iiilidS'� y� '�.f�Q'.h�u��a�) �il�i,�1�,o,!�itYu o�Ar�} ��1���ia.+"' ti`�{Mv��.S�.�s'lk "1W4�1in�Se+1� ❑ Now construction 0 T' I . •n/a teration/replaeement Please check all that apply: `C ❑ Demolition 0 Other: igService over 225 amps, comm1 ❑l'lazardous location � t1Y•r " " v+ y y'r ty �v nib ^ r�l "1S V y ;� W y G �," ii ' h �v s ,,v $ algi r Y r n e'Y .,„ h ❑Service over 320 amps — rating 23Buildng over 10,000 sq. fI 1 ' »�s(v ?u l ;"'+ .,FU!0.0.: w�tr.vg:ge:AVA la. av :(eh,1 u"� a04',A I ° (�' k � ' ' of 1- and 2- family dwellings 4 or more new residential ❑ 1 - and 2 - family dwelling ® Commercial /industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure ❑Building Over three stories ®Feeders, 400 amps or mot © Multi - family ❑ Master builder 0 Other: » r + s q L A p p: . .. ti ®Occupant load over 99 persons ❑ Manufactured structures c �+ '' ' �yy� f, t Y { S ��s v `� 5 , 1i 3 '� i l� ny �� g 1 v f NTA A ;1K $" .*Ay S�1 t J�LJ'v f , �i +v.S plos�^r� s s' ® b'r ' �'IV + • s t , I t � '1r e ni�, x �''' ll, gd CN"i'41� 'G k 6454 dik:4 ��Y�ds!;;y, : ! „O�N� : u'�;s� !+7r3',�4 r + 1btt G E csa/h tin RV RV park Job no.: Job site address: 13125 SW Hall Blvd OHealth -can facility 0 Other: Submit 2 sets of plans with any of the above. City /State/ZIP: Tigard, Oregon 97223 The above are not applicable to temporary construction service. • A' K U %v A D 4 hYRr aim+ 5 i vV sr t : r,/ n' ''4 i +:R Suite/bldg. /apt. no.; Project name: Permit Center / City )Nall Remodel 1 1TZa H't^ H o f `} '"tw�i ' (` g 1, , 1 4 e,kt C ., �L:. is.E..u.,.v:.'�f>S���r�t�.vt,g� "�... � 1 ? k �Gli"'��s�l �ikla i r. `,a� ruttcripMn Qty. Tres [otat Cross street/directions to job site: Hall and Burnham New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 Subdivision: Lot no.: Ea. add 1 500 sq. R. or portion 33.40 : i Tax map /parcel no.; WCTM 2S102DA TL 00401 Limited ener gy. residential 75.00 yy m �� "b " " d +, a° 1 !� " p K + n 5� L�T� 1a va "m "cevl rt w X s t „!; t 4rri Limited energy, non- residential 75.00 ' RR f '' ' : ys rs A Sx l W.a 6I i+274..k . . ASdBwAA a : : ' I Q �K , .. � 4 nU iglir 4 �' �" 4 ' Each manufactured or modular Remodel former library to include Permit Center, offices and conference space dwelling, service and/or feeder 90.90 Services or feeders installation, alteration, and/or relocation Includes new electrical service, lighting, power and signal. 200 amps or less 80.30 i vj E * u,.ey pp fig , "S" CCK r , v'�r \C'�,FG, f i ; A g s/ r r v, �yr�g e S + r ityL +" °�` �y, S i' " Y Ivv l'r�lry� t" 201 amps to 400 amps 106.85 ; ., NAY '.,. . ;'%;; :',iiv9s4 E'r ,;!A , � p ?t V :', (4..i/N , ' +'4'; ^'' 145{`+..._ �.i 'w :, V : s S SL71h ire ✓ 1 :.) �b. iieh}id'�,l'� 9i.;-' .. - . f' 401 am ps to 600 am ps 160.60 Name: Loreen Mills, City of Tigard 601 amps to 1,000 am t 240.60 ?Jk' ,4a O Address; 13125 SW Hall Blvd Over 1,000 amps or volts 454.65 Reconnect only 66.85 City /State/ZIP: Tigard, Oregon 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)71S-2417 Fax: (503)639 - 6795 200 amps or less 66.85 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps ' 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ,a V , + ,i) 4 + f N,,h yp 1 p , y +a � vCS /0 � y1 ii: l`s • , y y111: ' ! S Y q+ 1sA : Rs r' Pcc for branch circuits with A, i a i1'i, ry ' a:: +r 1d' � 'i� H X : �M i + G 1 � i `l � 4 .6 4 7no4 } :0041 / �hs,R„L.xssln,nf },za >. ra�,.. Eh�. ^y�, +.a.�;t�.� y) � +f.1.�SAtsa.x.�?��Y.f�.�.,�.� servieeor feeder fee. each 11� 1Jr8.)0 Business name: L12S Architects Inc. _ branch circuit 6.65 B. Fee for branch circuits Contact name: Paul Boundy without service o r feeder fee, 46.85 Address: 1121 SW Salmon Street, Suite 100 each branch circuit Each add 1 branch circuit 6.65 • City / State/ZIP: Portland, Oregon 97205 Miscellaneous (service or feeder not included) Phone: (503) 265 -1561 Fax: : (503) 221 -2077 Pomp or irrigation circle 53.40 E bound Sign or outline lighting 53.40 pboundy@Irsarch.com t@lrsarch.com Signal cirauit(s) or limited- , 4 T `k�ro r d gh " , v k �� v� , � i "r ` 1 ' t S�C�py pea „ w a' r �'r gyp. ;'�`t i � a v 3 I ...4 u� i &� � k n energy panel, alteration, or S i1S; �u '" ..ttd'N.� 6e �5'ln'gn4V!nnSpM,.b� +VICAtA/A SV A^+� rc1A'SdiMX lt1�dG,rJ N, 1 extension. Describe: Page 2 1 Business name: k) e i : iL&L % /l Address: t�0 ' l Each additional inspection over allowable hi any of the above ' � S '� Per inspection 62'50 City /State /ZIP: J Ei,j 736-k / 4 97 /3 Investigation per hour (1 hr min) 62.50 Phone; �`' S �� / f (6 / � /� ,, lndustnal .lant Per hour 73.75 ( 5) 1 / 4j Fax: � 73 / � J∎ / / try c '$NCP ^V 1aN" Nee °v w g xras as 6d Gnti' , R sa " 3C� - / e'1 � s�v PPISI � I MMET.P . � „ E CCB LAC.; Electrical L ic.: Suprv. Li e.: 5 Subtotal 1 1 49, 0 - Suprv. Electrician signature, required: y‘ Plan review (25 % of permit fee) 2$" 1 . 1 e, Print name; /� j / State surcharge (8% of permit fee) '1.1 ■01, 0 • ( _ �lr^i �j ���� w 5 p bate: �s TOTAL PERMIT FEE t2 Authorized signature: This permit application expires If a permit is not obtained v6thin 1$0 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri -Coned Building Industry Service Hoard '° Number of inspections tier permit allowed. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503)S39 -41.75 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Requested / a v AM PM BUP Location / 3/ Suite MEC Contact Person C _4. -c Ph ( ) 7 5' 3 • D-4 73 PLM Contractor Ph ( )) SWR BUILDING Tenant/Owner ELC ( -9OO y - 00 4 /a Footing Foundation. ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear )(_ _ 0(7— r \ Framing l � Insulation _a`) -O Drywall Nailing Firewall Fire Sprinkler , r Fire Alarm E � �5 �/ cN S U) r vc,A t 1A LtA ''kk9 0 m �� 5 Susp'd Ceiling ll / Roof 14N4-- • Other: \Z\ \. ' Z C-0 \f e N 0 EJ � 12.t 10 ) Final PASS PART FAIL �r /1 `� ' ` , PLUMBING O V l� S � � �� ^C7 l; Post & Beam h C I n i ) v - Under Slab ) ;\.‘1 1 \ Rough In • Water Service • Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: �1 • Final PASS PART FAIL MECHANICAL Post & Beam Rough -In - Gas Line Smoke Dampers Final PART FAIL Se Rough-In UG /Slab Low Voltage Fire Alarm *Al4 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P ART . 3 . SITE 111 Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date \ �,1 _ .� Inspect r Ext Other: Final DO NOT REMOVE this inspection recor from tth Job site. PASS PART FAIL