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Permit - .� ELECTRICAL PERMIT - CITY OF TIGARD RESTRICTED ENERGY �A DEVELOPMENT SERVICES PERMIT #: ELR2000 -00280 j ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/27/2000 SITE ADDRESS: 06825 SW SANDBURG ST PARCEL: 2S101DD -00400 SUBDIVISION: SALEM FREEWAY SUBDIVISION ZONING: C -P BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Installation of fire alarm. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: TOC MANAGEMENT SERVICES BACHOFNER ELECTRIC INC 6825 SW SANDBURG STREET 55 SE MAIN TIGARD, OR 97223 PORTLAND, OR 97214 Phone: 620 -1710 Phone: 233 -2006 Reg #: LIC 00044569 SUP 2808S ELE 26 -451C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 11/27/200C $75.00 2720000000 Elect'l Final 5PCT CTR 11/27/200C $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 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Issued by Permittee Signature 0 fPPG/c 977 J 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 Electrical Permit App Date received: // 27 Pennit no.:axaj0O 0020 „,, ,.. ','x:1 City of Tigard RECEIVED Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 I t . 2, Fax: (503) 598 -1960 Case file no.: Payment type: COMMUNITY DEVELOP1 2:11 Land use approval: TYPE OF PERMIT • ❑ 1 & 2 family dwelling or accessory XCommercial/industrial ❑ Multi - family 0 Tenant improvement 0 New construction 0 Addition/alteration /replacement 0 Other: 0 Partial JOB SITE INFORMATION . Job address: GR)25 Sill) L 1(1 Y01 St_ Bldg. no.: Suite no.: Tax map /tax lot/account no.: . Lot: I Block: Subdivision. Project name: 7, p .c , I Description and location of work on premises: 1, jr19 -\-0,_\\ c 1 ,1k ST, -_e r Estimated date of completion/inspection: _ CQNTRACTOR APPLICATIOn, FEE- SCHEDULE Job no: y SOS . . Fee Max Business name: Description Qty. (ea.) Total no. insp >�achofner Electric New residential -single or multi-family per Address: 55 SE main dwelling unit. Includes attached garage. City: Portland I State: nR I ZIP: 9721 Service included: Phone: 233 -2006 I Fax: 1E-mail: 1000 sq. ft. or less 4 26 -451 C Each additional 500 sq. ft. or portion thereof CCB no.: 44569 I Elec. bus. tic. no: Limited energy, residential 2 City/metro Limited energy, non - residential I 2 ` Each manufactured home or modular dwelling Signature of supervising el ctrictan (requir Date Service and/or feeder 2 Sup. elect. name (print): Will Bachofner License no: 28085 Services or feeders – installation, alteration or relocation: - PROPERTY OWNER 200 amps or less 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: IFax: 1E-mail: Reconnect only 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 installation, alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps . 2 Owners signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: 'State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 • Phone: Fax: E-mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): • O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2 O Service over 320 amps- rating of I &2 O Hazardous location Each signor outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* I 7rj - 7$'” 2 0 Building over three stories 0 Feeders, 400 amps or more *Description: t ✓15i I tI t L LR S t 1 O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lighting plan 0 Other: Per inspection I I 1 I Submit _ sets of plans with any of the above. Investigation fee . The above are not applicable to temporary construction service. Other G Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ - 7 J • • 0 Visa 0 MasterCard exp if a permit is not obtained Plan review (at _ %) $ I Credit card number: I / within 180 days after it has been State surcharge (8 %) .... $ (.t) — • Expires accepted as complete. TOTAL $ Q)1 - Name of cardholder as shown on credit card $ i Cardholder signature Amount 440 (600/COM) i L Electrical Permit Fees: Limited Energy Fees: Ili TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4, Check Type of Work Involved: Residential - per unit 1000 sq. R or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Garage Door Opener* Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 Vacuum Systems` 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 a Other 601 amps to 1000 amps $240.60 2 Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 • Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation 200 amps or less $66.85 2 Fee for each system $75.00 201 amps to 400 amps $100.30 2 (SEE OAR 918 -260 -260) 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts. Check Type of Work Involved: see "b" above. Audio and Stereo Systems Branch Circuits New, alteration or extension per panel I I Boiler Controls a) The fee for branch circuits with purchase of service or feeder fee. Clock Systems Each branch circuit $6.65 2 b) The fee for branch circuits [7 Data Telecommunication Installation without purchase of service or feeder fee. Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 n HVAC Miscellaneous (Service or feeder not included) n Instrumentation Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 Li Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension l $75.00 IS " Minor Labels (10) $125.00 F7 Landscape Irrigation Control Each additional inspection over ❑ Medical the allowable in any of the above Per inspection $62.50 I I Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting* Fees: n Protective Signaling Enter total of above fees $ . Ti Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. • Total Balance Due $ Fees: Enter total of above fees $ ❑ Trust Account # • 8% State Surcharge $ Total Balance Due $. • i: \dsts \forms \elc- fecs.doc 10 /09 /00 / / CITY OF TIGARD BUILDING INSPECTION DIVISION P MST 24 -Hour Inspection Line: 639 - 4175_„ Business Line: 639 -4171 - Z BUP Date Requested 43§1 AM PM BLD Location `p F'•2-5 n 4.41 r � 'joG Suite MEC Contact Person // Ph Z -LO 40' PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 4 ,900 G "UU Z pe) Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final P ASS PART FAIL PLUMBING Post & Beam Under Slab Top rS Water Service Sanitary Sewer Rain Drains Final �l PASS PART FAIL MECHANICAL Post & Beam $,( Rough In Gas Line Smoke Dampers Final PASS PART FAIL if7CT Service Rough In UG /S Fire Alar a ART FAIL SI I t 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: [ ] Unable to inspect - no access ADA 6 Inspector Approach /Sidewalk Date 6 `� O2 i / Itor Other Ext / Ex Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 05/03/2001 10:30 50:32230602 C . 01 • page 1 , . SEARCH REPORT 05/03/01 11:28 • f ---- workstation 2 LASSES ALARM ' /ALARMS ALL ACCOUNTS 5404 through 5404 FROM Date 05/03/01 Time 8:00 through: Date 05/03/01 Time 11:27 Sonias version 6.3.1 5404 1TOC Management Svcs ADV plus Single zone Secure Number of AAMS: 0 03 05/03/01 9:39 �2 � 5404 :25 TAMPR ALARM SAM I In 11 � ( • 5404 :25 DROP LING In 11 L 05/03/01 9:41 5404 :11 tampr alarm SAM 1 In 11 5404 :12 DROP LINE In 11 • 05/03/01 9:44 5404A :12 TEST CALL ZN A' In 17. 05/03/01 9:45 5404 :24 UP Panel In 11 05/03/01 9:52 • 5404 :59 LINE2 Active In 11 5404 :59 TAMPR ALARM SAM 1 In 11 05/03/01 9:53 5404 :22 tampr alarm SAM 1 In 11 05/03/01 9:54, 5404 :00 TAMPR ALARM SAM 1 In 11 5404 :00 tampr alarm SAM 1 In 11 5404 :00 DROP LINE In 1 05/03/01 10:00 5404A :29 ALARM12 LOOP . In 11 5404 :29 DROP. LINE In 11 05/03/01 10:01. 5404A :22 alarml2 loop In 11 05/03/01 10:07 5404A :38 ALARM12 LOOP In 11 5404A :38 alarml2 loop In 11 05/03/01 10:50 5404A :32 FIRE 11 ALARM In 11 5404A :32 fire 11 alarm In 11 05/03/01 10:52' 5404A :13 CANCL Alarms In 11 5404A :28 FIRE 11 ALARM .In 11 5404A :30 fire 11 alarm In 11 5404A :41 CANCL Alarms In 11 * * ** End of Report * * ** • • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 MST ,/ BUP Date Requested --'/ f AM PM BLD Location Cor ZS Sw SG- d 6u7 Sr Suite MEC Contact Person / / ��' Ph 2 , ; - Z 04)4 PLM Contractor cr �c OF tJ e- Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Z ,0 -t2 4 ' Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall /J C Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 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 (ELECIBICA Service Cei Rough In n UG /Slab rr r Low Voltage 4 `N 4 Fire Alarm Fi A 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: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date ,` a/ Inspector L�� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 5/,-17 C O F TIGARD BUILDING INSPECTION DIVISION MST - 2i..-H Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 1 '�.. Date Requested 3"/ AM PM BLD Location ( 2 S f - K.14--R / Suite MEC Contact Person Ph 5L3 937 070 PLM Contractor .6 Pell et./e__72._. Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR z GU -GV tO Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab � re__ £ f A rm SIT Post & Beam at Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall /J D (-7;4V—e- Fire Sprinkler � [ ('�iI Fire Alarm Susp'd Ceiling Roof 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 RT FAIL E LECTRICAL Nice Rough In U , /Slah ..Low Vol F. ASS 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: [ ] Unable to inspect - no access ADA Otheoach /Sidewalk D 3 ate / 7 / Inspector '���� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7' AM PM BLD Location ]ae- 'OJ'l 5c✓ ��c Suite MEC Contact Person Ph 70/ Z/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 2era -G U Z97 Footing Access: Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear � Ina Sheath /Shear tC�G000 sOl /J� � Framing Insulation • Drywall Nailing / C10/ - ■O C) 0 Fire wall ��001 a O 0 Fire Sprinkler Fire Alarm / i [/ / / I G cc Susp'd Ceiling G Roof Misc: Final PASS PART FAIL S' PLUMBING (7 P a l l l� Post & Beam Under Slab Top Out Water Service � G P q civ 1 1- A Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Smoke e Dampers Final PASS PART FAIL L EC T R I - Service Rough In UG /Slab o t Fire Alarm F ASS ART FAIL S 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: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date q - 02,6_ 0 / Inspector — _.�' � E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.