Permit �r �� ELECTRICALPERMIT -
CITY OF TIGARD
RESTRICTED ENERGY
Jii DEVELOPMENT SERVICES PERMIT #: ELR2005 -00034
" '= 13125 SW Hall Blvd.. Tigard, OR 97223 (5031639 -4171 DATE ISSUED: 2/23/2005
SITE ADDRESS: 10575 SW CASCADE AVE 130 PARCEL: 1S135BB -00501
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Data Lines (elec. permit is phased)
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:
AMB PROPERTY L P BOONES FERRY ELECTRIC INC
BY TRAMELL CROW NW INC PO BOX 628
8930 SW GEMINI DR WILSONVILLE, OR 97070
BEAVERTON, OR 97008
Phone: Phone: 503 682 - 4936
Reg #: SUP 4918S
LIC 88482
FEES ELE 3 -223C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 2/23/2005 $75.00
[TAX] 8% State Surchart 2/23/2005 $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 Permittee Signature 00/1_ .
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
•
vi Feb, 22 2005�11 BOONES FERRY ELECTRIC No. 4335 P. 1
I 0 FOR OFFiCE SE ONLY
~
City of Tigard Receive.- /
13125 SW Ball Blvd., Tigard, OR 97223 Date/B D S PeritueNO.:� 5 — 0003 1
FEB Phone: 503.639.4171 Fax: 503.598.1960 n Fl a t& B ' =w
2 2 21 %tP.1F' + off D : DthatParmie
Inspection Line: 503.639,4175 . J . �. - =i i' Date Rea.dy/By: ® See Page 2
'Farmer: www,ci.tigard.or.us CITY OF Ti ■ --- E Information
NouSed/Metbod .
ti r Supplemental [p[ormatlort
• r.__t�z��: -J`. —. ._f;.J'.- r�...�. -' V +r iii ��1 �if�,i i r� � azt 4 a y� , i F y, tr F � +, �. f 4. � ��� �� .r,. � .. i�' --•- ,. r f . i ,.. J ,� ,
<<?.. ..�_ ..._7 t . y ���r,.,. ' :a: '- -:a'' .'1 11 '. j r 1 . 6 1?%. :G'e •'-?�.,:
❑ New construction 151. Addition /alteration/replacement Please check all that apply:
❑ Demolition 1:1 Other: Service over 225 amps, comrn'l ❑Hazardous location
❑Service over 320 amps - ratin
.� k �`y t '' ��,� ' J' r� ^n . fti17� t 7 l `a ,i �� l l 1r + , . ly �)� f��` ,oy r � )� y, , cT l Vi i, , }� TnP $ ❑ Buildng over 10.000 sq. fl;.,
s. .. a .. , ,::.,, �- ,. ,, � _: _,i.:,,1r:'; , .', ,, _ . ' of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling Conunercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
El Multi-family ❑Master builder ❑Building over three stories ❑Feeders, 400 amps or more
_ ❑ Other
?,h}titx-r� '� ,, y 7 1 1 r� J( [i l d , f Y ,� •�, r�vx fr l � - I' '6 , i xr l r �t>- ❑Occupant load over 99 persons ❑Manufactured structures or
�� +I t,•,'T'YE ki 1RI,4: -,i � l �a t ixxi 5 Ciw t `�� N , +7 J i. • t
.;,t .,c.� -. ., ._L :� �� . , , _.. t! �ttii �, 3 � � Z�:t.� lint;.,.?, : ` I �,� � ❑Egress/lightingOlan RV. park
Job no.: 7,6 Job site address: I 0 5 7g so, (As cts.o) Ay ❑Health -care facility ❑Other:
Submit sets of plans with any of the above.
City /State/ZIP: 'r ; 0 , r , 4 0)e The above are not applicable to temporary construction service.
— Suitelbld ./a t I H :; 3tiF ` z 7 '1x 1 " 'lr+ u`�t +•" "t e,r n
g P no 1 Pro ject name: ero c 0 r l t .._ = ..s•:1.�t fT f s �,a5+.s.1�• - t r .( :',M.; : t, . x
Aeattiption Qty. Fee, Total
Cross street/directions to job site: New residential single - or multi- family dwelling unit_
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision; Lot no.: Ea. add'1500 sq. ft. or portion 33,40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
k�, � j J i^ . S 7 , r , _ Limited energy, non - residential 75.00
�...L, 1 _rt.e,:;_:_.,r _ x_.. +.:i?.- ?� . 1 t b',1 ;: _.ti %:∎ii.:_, r .;'-8, At ∎: d .c :ii.: f ■� ° 'c -.?' Each manufactured or modular _ 2
•
PA p �� ^ @S dwellinMservice and/or feeder _ 90.90 2
Services or feeders installation, alteration, and/or relocatio
200 amps or less 80.30 2
;�, f _ 1 t1'3 # y :T7ii *N?3 * 'i�Nt ra'y, `IZ :" 5 1-� } l , 1" 11 47. ; ' R` a �� 201 amps to 400 amps 106,85 2
Name: _ 401 a mps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
-
■ddress: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) ' F ax: ( ) relocation
' made on property 200 amps or less 66.85 1
Owner installation: This installation is being p operty that I own which is not 201 arts to 400 amps 10030 • 2
intended for salt, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. _
401 amps to 600 amps 133.75 2
Owner signature Date:
� � } , � � EI � 1 �, 7 r- Branch circuits - new, alteration, or extension, per panel
�, a ,Y „,�......... -0. } . A ” J: r - a.'.. < :-1.7,1!±,:•. I - rl_i;�,c,- h-1'.. r.��s.1*AL i
A. s e r r fe fee a each
Business name: serv o feeder fee, eac 6.65 2
branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee,
Address: each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City /State/ZIP: . htscellaneous (service or feeder not Included)
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40
...ail, Sign or outline lighting 53.40 2
z r , a1 F Signal circuit(s) or limited -
"Fs.�._. ' l S_i ivy. _ a .n al, 1rJ i r ,,+ a Yi o i r-� l r +� v j .i' y 1
.,. •�,._..�� s.,d �.,�7 _.� .,1 ,� ��� t .i_,�. _'�i °�,` energy panel, alteration, or
Business name. extension. Describe:
Boones Ferry Elgctri.c pa� � Page .2s 2•
Address: P.O Box 6 2 8 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Wilsonville OR 97070
Invest per hour (1 hr rain) 62.50
, Phone: (50 3) 68 2-4936 Fax: (503) 682 -7946 Industrial plant per hour 73.75
7 .. R,I.` J z_ ^ %at f }� I; �. 7 3H ;.
CCB Lic.: 88482 0) I Electrical Lic,: 2 C I Suprv. Lic.: / 3 ai?; b �1.1. ' C8 L
Subtotal '7 ,j # O
Suprv. Electrician signature, required: <. f/ / - Flan review (25% of permit fee)
Print name: 5-4. 0'41 e' 1 r o n I Date: 2. — 2 2- O f State surcharge (8% of pertrtit fee) 6 17-
Authorized signature:
TOTAL. PERMIT FEE 8 o f)
This permit applicadon expires If a permit Ls cot obtained within ISO
Print name: days after it has beep accepted as complete
Date: • Fee methodology set by Tri- County Building Industry Service Board
- •' Number of inspections per permit allowed.,
c\Building)peredis LcPermi,App.doc u/03 440- 4615T(t am/commas
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006- 00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005
Phone: (503) 639 -4171 714 P i
Inspection Requests (24 Hrs.): (503) 639 -4175 „_,(4- '11 ..
INSPECTION WORKSHEET FOR • DATE: TIME: PAGE: 37
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Data Lines (elec. permit is phased)
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503 - 4936
Inspection Request Scheduled For: Date: 6/22 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 009879 -01 503-682 -4936 N
Corrections /Comments/ Instructions:
i
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: b ° o Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2005 -00034 ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 :malt _
INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 75
SITE ADDRESS: . 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:- HEMCON EXPANSION
DESCRIPTION: - Data Lines (elec. permit is phased)
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682 -4936
Inspection Request Scheduled For: Date: 5/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 005945.02 503- 682 -4936 N
Corrections/Comments/Instructions:
( i f
''' iv\ L AP N, PWV\ ‘ 4 ----- c 1 6 4 N i v (;) j
N - .
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �7
Date --if . Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005
Phone: (503) 639 -41710
Inspection Requests (24 Hrs.): (503) 639 -4175 . .! � ,L `' ...
INSPECTION WORKSHEET FOR DATE: 3/25/2005 TIME: 7:07AM PAGE: 81
•
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: '
PROJECT NAME: HEMCON EXPANSION •
DESCRIPTION: Data Lines (elec. permit is phased)
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503 - 682 -4936
Inspection Request Scheduled For: Date: 3/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 002840 -01 503.682 -4936 Y
Corrections /Comments /Instructions:
r
is, ,
El PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: :"` Date: 3 - Phone #: (503) 718-
CITY OF TIGARD y 11150 , .
BUILDING DIVISION PERMIT #: ELR2006 -00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005
Phone: (503) 639 -4171 /hap C k i �l
Inspection Requests (24 Hrs.): (503) 639 -4175 ` !.
INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:08AM PAGE: 65
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Data Lines (elec. permit is phased)
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503 -662 -4936
Inspection Request Scheduled For: Date: 3/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 002565.02 503-682 -4936 N
•
� -
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: brva t Date: 3-23-05 Phone #: (503) 718 -
CITY OF TIGARD 24 -Hour -
BUILDING Inspection Luis; (503) 639 -4175
INSPECTION DIVISION . Business Line:; (503) 639 -4171 MST
BUP
Received / Date Requested ° ° AM PM BUP
Location l 6 57 c Suite k3D MEC
.. Contact Person Ph ( ) PLM
Contractor Ph ( ) 6 8 -‘• SWR
BUILDING Tenant/Owner 1�/�'YlL -�y� -� ELC gO65 D3(,,
Footing
ELC
Foundation Access: � 0603 4/
Ftg Drain ELR
• Crawl Drain
Slab Inspection Notes: r ) SIT
Post & Beam '
Shear Anchors
_
Ext Sheath/Shear - fir •' - �-- % - C9�
Int Sheath/Shear _
1 try �,r G �y
Framing \-� ��� C ! \ L { e%- vil I�^�� 1 ` -
Insulation V V W I ( Q
Drywall Nailing ^( `�•, W 7 (� la+ 1 \ "L la Firewall ' " \2' M P � � . � L \ 3 \\ � 4-1 Lea R ol\ 5 ' 1\ J
Fire Sprinkler
Fire Alarm `(II N
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer • •
Rain Drains f
(�
Catch Basin / Manhole Q��� �y �< 1 Q O 3J 0 GO COQ
• Storm Drain � c� \ °' ' M � �"
Shower Pan � \ \1 \`\ 1., Q V iNc \\ � 1'4 1(/
Final 1 J' - \ ' O`l W � � � `V ? `� , ) \ \ 0 N (
PASS PART FAIL � \ ` �� 1n ,n
MECHANICAL � � O �`V tXkl\ %W� ' 1 `►Ia�
Post &Beam I \ 1,\ f e
Rough -In � 1���� • � �( 1 11 V, �
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
� %u0G1
- 1Slab
�rnry V5ftaq�)
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PA FAIL
SITE Please call for reinspection RE: 111 Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date - Inspector " �� / �� Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL