Loading...
Permit CITY OF TIGARD ELECTR ERG RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR2000 -00263 -! 13125 SW Hall Blvd., Tigard, OR 97223 (5031639 -4171 DATE ISSUED: 11/6/00 SITE ADDRESS: 12394 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00900 SUBDIVISION: PP1993 -058 ZONING: C -G BLOCK: LOT: 003 JURISDICTION: TIG Project Description: Tenant Improvement • 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: Owner: Contractor: DENNIS THOMPSON G G TELECOMMUNICATION CO 12475 SW MAIN 121 SW SALMON ST TIGARD, OR 97223 STE F -1 PORTLAND, OR 97204 Phone: 503 - 781 -0124 Phone: 295 -2922 Reg #: LAC 59692 ELE 34- 248CLE FEES Required Inspections Type By Date Amount Receipt Elect'l Final PRMT CTR 11/6/00 $75.00 2720000000 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 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 thes - • •'rect que +': • ■UNC at (503) 246 -1987. Issued by Permittee Signatu = ,4f ,;_jr I V 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 s t Electrical Permit Application Date received: (k to k b c> Permit noliA gtsb -OD 2.4 3 l ,•1 1, City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: l Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory Jif Commercial/industrial O Multi - family O Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: 12394 S. to.). SGtou.s regal ",p,0 Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Su id' i i• : Project name: - t •s% a J I • • 1 i escription and location of work on premises: — DATA tdiej.4146 Estimated date of completion/inspection: . CONTRACTOR APPLICATION FEE SCIIEDLILE Job no: Fee Max Business name: G6 ELaeJa1 m re 417o1J Description Qty. (ea) Total no. imp New residential - single or multi - family per Address: 12.1 S. u). S44.,4oAl ST'S ?I dwelling unit. Includes attached garage. City: Poi?.,, Lqµ D I State:0 2 I ZIP: q-1 204 Service included: Phonea3. 2q8. 292.2 I Fax:503.245•68861 E -mail: G(,f t£ceaApt., 1000 sq. ft. or less • 4 CCB no.: 59/29'2,_ Elec. bus. lic. no: 3 I 34 .. 248 CL E Each additional 500 sq. ft. or portion thereof Limited energy, residential 2 Cit, ctro lic. no 541C) Limited energy, non- residential 2 1 _ „ -- - ' 1 1 - to .00 Each manufactured home or modular dwelling 'Signature of supe ism e Date 1I - 6 - 00 Service and/or feeder 2 Sup. elect. name (print): , a J_ ��,� Licenseno:l20p JLr 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: I Fax: I E -mail: Reconnect only i 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: 200 amps or less 2 20 ORS 447, 455, 479, 670, 701. 201 1 amps to 400 amps 2 Owner's 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: I 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 1&2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings • 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* / 2 O Building over three stories 0 Feeders, 400 amps or more *Description: 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/lightingplan ❑ Other. Per inspection I I I i Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other t Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ Os • .3 0 Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / . / within 180 days after it has been State surcharge (8 %) .... $ . Expires accepted as complete. TOTAL $ g r. O b Name of cardholder as shown on credit card Cardholder signature Amount 440 -4615 (6100/COM) • Electrical Permit Fees: Limited Energy Permit Fees: Number of Inspections per permit allowed TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Service included: Items Cost Total 4a. Residential - per unit Restricted Energy Fee $75.00 1000 sq. ft. or less • • $147.15 4 (FOR ALL SYSTEMS) Each additional 500 sq. ft. or portion thereof $33.40 1 Check Type of Work Involved: Limited Energy $75.00 ❑ Each Manufd Home or Modular Audio and Stereo Systems Dwelling Service or Feeder $90.90 2 4b. Services or Feeders ❑ Burglar Alarm Installation, alteration, or relocation ❑ Garage Door Opener' 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 - 401 amps to 600 amps $160.60 2 ❑ Heating, Ventilation and Air Conditioning System' 601 amps to 1000 amps $240.60 2 . Over 1000 amps or volts $454.65 2 ❑ Vacuum Systems' Reconnect only $66.85 2 , 4c. Temporary Services or Feeders ❑ Other Installation. amp a or relocation T YPE OF WORK INVOLVED - COMMERCIAL ONLY 200 amps or less .. $66.85 2 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Fee for each system $75.00 Over 600 amps to 1000 volts.. (SEE OAR 918 - 260 -260) see "b" above. . 4d. Branch Circuits Check Type of Work Involved: New. alteration or extension per panel Audio and Stereo Systems a) The fee for branch circuits • • with purchase of service or ❑ feeder fee. Boiler Controls • Each branch circuit $6.65 2 b) The fee for branch circuits ❑ Clock Systems - without purchase of service .. _ or feeder fee. Data Telecommunication Installation First branch circuit $46.85 Each additional branch circuit $6.65 ❑ Fire Alarm Installation 4e. Miscellaneous (Service or feeder not included) ❑ HVAC Each pump or Irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Instrumentation • Signal circuit(s) or a limited energy panel, alteration or extension $75.00 Intercom and Paging Systems Minor Labels (10) $125.00 4f. Each additional inspection over ❑ Landscape Irrigation Control' the allowable Many of the above Per Inspection $62.50 0 Medical Per hour . $62.50 In plant - $73.7 ❑ Nurse Calls 5. Fees: ❑ 6a. Enter total of above fees $ Outdoor Landscape Lighting' 8% Surcharge (.08 X total fees) $ ❑ Subtotal Protective Signaling • 6b. Enter 25% of line 6a for _ ❑ Plan Review if required (Sec. 3) $ Other Subtotal • $ • Number of Systems ❑ Trust Account # • No licenses are required. Licenses are required for all other installations Total balance Due $ FEES: ENTER'FEES $ • 8% SURCHARGE (.08 X TOTAL ABOVE) $ TOTAL $ r • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24=Hour Line: 639 -4175 Business Line: 639 -4171 BUP Datb Requested /�— 7 AM PM BLD Location /Z) ff V 54/ _ eA4/ j ✓r Suite MEC Contact Person Ph PLM Contractor G G- C.6 wk,lit4 v ry t_c_49- Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 7Fw tie) Z 3 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 . i 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 CLECT Service Rough In UG /Slab Fir F' ASS ART FAIL SITE 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 Date / / (� 9 c511° ec Inspector t Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24- HouAnspection Line: 639 -4175 Business Line: 639 -4171 l BUP Date Requested - " d v AM PM BLD Location / _l3 c ! e/ 3W. Sc% OGGS 4f Suite MEC Contact Person J Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR ,69O — C7Q2 G 3 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 � hj Misc: �C 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 ` ASS PART FAIL 1 �L ` E'CTRICA> Service Rough In UG /Slab Low Voltage Fire Alarm • PART FAIL SITE 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: J Unable to inspect - no access ADA Approach /Sidewalk 1 Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.