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Permit • • ., ae CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY L DEVELOPMENT SERVICES PERMIT #: ELR2003 -00076 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/11/03 SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD BLD.0 PARCEL: 2S113AB 00600 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L BLOCK: LOT: JURISDICTION: TIG Project Description: Low voltage for card reader install. 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: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: CARD READE X TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES PROTEC INC 15350 SW SEQUOIA PKWY #300 -WMI 720 NE FLANDERS PORTLAND, OR 97224 PORTLAND, OR 97232 Phone: Phone: 235 - 4000 Reg #: LIC 55414 ELE 34 -215C FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 3/11/03 $75.00 Elect'l Final [TAX] 8% State Tax 3/11/03 $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 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by _6 , adY 6 , Permittee Signature fY1 a ��,� 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 04 -2003 09:34 PROTEC 5032350363 P.01/02 4114 Electrical Permit Application Datereceived: - 1-0 Pernik no.:0 i .05-, d 74- 7.1:'_:1 City of Tigard RECEIVED Projudappl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd. Tigard OR 97223 Date i ssue d : B Receipt ire.: Phone: (503) 639 -4171 MAR 0 4 2003 Caseate no.: Payment type Fax: (5031 598 -1960 Land use approval: CITY OF TIGARD TYPE OF PE.R:111( O 1 & 2 family dwelling or accessory Q Commereialfindusuial . 0 Multi- family O Tenant improvement Cl New construction x,, AddirioNalteration/replacement 0 Ocher. 0 Partial JOB Ski EI FORMIATION Job address: . p it e = •. ,,i,„,„, Bldg. no.: Suite no.: Tax map/tax lot/account no.: LAC: Block: Subdivision: - Project name: I e _ - Description and location A work on premises: W4.12 a...4 '- - F - Estimated date of completio inspection: 3 6 CONTRACTOR AP1`LIICAI ION FEE SCHEDULL. Job not 30200 - gee ads _Busi n ness ame: �rJ�e_c... _ 17acripdoa Qtr. {a) Total no. mop ( New rrmdmftrd- tin&orloa l-tamil7per Address: .7 )-IS , gi. -.ti dwelliayrnietincludes attached war. City: 1;...--1 (a -a e rig, o 12 ZIP: 472 : See iceineladeth 1000 sq. ft. or lcra 4 Phone: 23 S• 4v07,, I Fax: 23.5 -031_4E-mail: Fall sddit (t or panjoa rhucoF _ CCB no.: SS's 1 '�—_ Elec. btu. lie. no t - 21. C t , E l,;i = MY • rel . 1 City/metro lie. rt.., + Z4- D t,im►tedenerFy, eon- ees 2 -4 —0 Each manufactured home or modular dwelling signature upervisingcleeviclar+ (required) Date Service andlor(ceder 2 Sup. al I, name (prim): 74 ), ,t 784, , 4catse 2/7 Serviettor leaden – Intonation, alteration orrelootrlea: PROPER 1'Y OWNER 200 am. oriels 2 Name (print): 201 amps to 400 amps 2 401 amps m 600 amps 2 Mailing address: dal amps to 1000 maps 2 City: (State.: I ZIP: Over 1000 amps or velu _ 2 Phone: I Fax: I Email: Reconnect only 1 Owner installation: The installation is being made on property I own TempararyaesHcer in. feedets- • . which is not intended for sale, lease, rent. or exchange according Co i"�ap'detr+ottarat;oa,ort�elo ea: ORS 447, 455, 479, 670. 701. 200 amps or less 2 201 a:nps to 400 amps 2 Owner's signature Dare 401 to 600 amp' • 2 ENGINEER Branch circuits -*new. alteration, or 'suasion per panel: Name: ti Fee for branch druirs'rich purchase of Address: service re feeder fee. cub branch circuit 2 City: I State: • [ZIP: B. Pere for branch dteuir, without purchase Phone: Fax: Email: of service or feeder fee, f :nt brand circuit: 2 Each additions! branch circuit: PLAN REVIEW (('lease check n11 that apply) Mist .(Scrvioeor feeder not iaedvdod): O Service over 325ampa-commetcial '0Health-careheifiej F.aeh pump Of irrigation circle — 2 O Scnica over 320 amps-ruing of l &2 O Hazardous location Each signer outline lighting 2 family dwellings 0 Building over 10.000 square feet four or Sigma cireait(s) eta linrired energy panel. 0 System over 600 voles nominal more tendons! units in one atlueture alteration. or extension* r r 72.54 2 O Building over dace stones 0 Feeders. 400 amps or more •Desert den Cement Ceant load over 99 pavans 0 Manufactured atruemrrd or BY park Each additional tntpeetlea over the allowable in any of the above: 0 OgreU/IIS t o =pion 0 00.ar. Pcrinspodon I I I Submit _ sets crp1wns with any of the above. !aveatit;anon fee The above are not applicable to temporary coastruedon service. . Othcr – rear Tat jw;.dertaK aeapl cram earls. Nix cut Jurisdiction For mere m &maul.+: Notice: This permit application Permit fee 5 7�. 0 vita 0 MasterCard expires if ■ permit is not obtained Pl review (at -, 96) S 0%4;1 cud numt7ar. / . I within 180 days after it lass been State surcharge (S%) S 11 u e "r ` ° ` accepted as complete. TOTAX, 3 ��' -3'� rrspo eardrvorde Y revolt en r1r471 C S Ca r olbet ai ,itute Arnouot ' j 440.4613 (dR700 NQU -20 -2021 11:28 5035991960 97:: P.02 CITY OF TIGAR© 24 -Hour BUILDING Inspection Line: (5 639 -4175 INSPECTION DIVISION -- Business Line: (503) 639 -4171 MST /� BUP Received gSZq Date Requested AM PM BUP Location /6' ( X00 s ' t (4i Ic a Suite / �6? - MEC Contact Person h Ph ( ) 3 ®� PLM Contractor 7.9-afri.74,(4/ � Ph ( SWR • / ) BUILDING Tenant/Owner X /L 1'5 ELC Footing ELC Foundation Access: Ftg Drain ELR �U IJ Crawl Drain Slab Inspection Notes: �� / SIT Post & Beam /lG►" Shear Anchors Z 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 10 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 PASS PART FAIL aiarEagal- Service Rough -In UG /Slab Low Voltage Fire Alarm PA ART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspe• ion RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date inspector C from Ext Other: Final DO NOT REMOVE this Inspection recor t he ob site. PASS PART FAIL