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' I it I i r 1 i t i 1.2f= SW ASH F CITY ®F T I"�.�'A,R• I� ELL JTRICAI_ PERMIT _ PERMIT#: ELC2000-00306 DEVELOPMENT SERWICES DATE �SSUED: 6/7/00 IL 13125 SW Hall Blvd., Ticiard, Or 07223 (503) 639-4171 PARCEL: 2S102AD-03000 SITE ADDRESS: 12800 SW ASH AVE SIJBC,WIS,ON: BURNHAM TRACTS ZONING: CBD BI-CCK: LUT JURISDICTION: TIG Proiect Description: Install a first branch circu t. _ RESIDENTIAL UNIT _ TEMP SRVC_/FEF_DERS _ _MISCELLANEOUS 1000 SF CR LESS: �^ - 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp. SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/ SVC/ FDR: 6(,1+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _— _ _ ADD'L INSPECTIONS _ 0 200 amp: W'SERVICE OR FEEDER: PER INSPECTION: 201 - 400 imp: 1st W/O SRV(' OR i-DR: 1 PER HOUR: 401 - 600 amp: cA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _PLAN_REVIEW SECTION _ 1000+ amp/volt: J >=4 RES UNITS: -_ > 600 VOLT NOMINAL: t__—Reconnect only: -- —__ SVC/FDR >-- 225 AMPS: -- CLASS AREA/SPEC OCC: Owner: Coirtractor: IGARD, CITY OF PHOENIX ELECTRIC CC) 13125 SW HALL 7379 SW TECH CENTER DR. TIGARD, OR 97223 TIGARD, OR 91223 P hone: Phone: 684-3600 Reg #: LIC 00052288 SUP 4140S ELE 34-247C FEES Required Inspections Type By Date Amount Receipt -- Flect'I Service PRMT DEB 6/7/00 $37.50 0002762 Elect'I Final GFCT CEB 6/7/00 `x3.00 0002762 ORIGINAL Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Siv.,dalty Codas ar i all other applicable laws All work wi!I be done in accordance with approved plans. This permit will expire if work is not started wAhin 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adoptid by the Oregon Utility Notificatior Center l'hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these ules or d irect questions to OUNC at(503) 246-'1987 PERMITTEE'S SIGNATURE ISSUED BY: ( ` OWNER_WSTALLATION ONL The installation is being made on property I own which is not intended for sale, lease,or rent. OWNEWS SIGNATURE: _ DATE:__ — CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: OD'-'J 6DOTE: LICENSE N O: — 4/yt,1 5 -- —--- —--—--- -- ----- Call 639-4175 by 7:00pm for an inspection the next business day i MAY 26 00 FRI 11 07 RM PHOENIX ELECTRIC CO FAX NO, 15036843611 F. 02 CITY OF TIGARD Electrical Permit Application Plan Check 0 13125 OW HALL BLVD. R«'d Dy TIGARD OR 97223 Date Recd Dale to P.E. _ Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print of Type Permit#f! 7000 Fax (503) 598.1960 Incomplete or illeoible will not be accepted Called 1. Job Addrej_!.; 4. Complete Fee Schedule Below Name of Developmeit t C1f� Lc I Number of Inspections per permit allowed Name(or name of business} _ Service Included: Items Cost Sum Addross L�Ytp a `fit ) _ 4a. Posidontial-per unit 7 1000 sq.h or iess _ S 117.71) _ _ 4 City/State/tip Each ddil)nal 500 sq.11,or t portion t rarcnf S 26.25 1 Commercial)+- Residential CJ Limited Energy $ 6000 n Each Manurd Hnme or Aodclar 2a. COnTI"?C(O/Installation only; Dwelling Service or Feeder $ 72.75 - (Prlor to pormll issuancn,applicants must provide contractor license 4b.Services or Feeders Information for COT bass). Installation,a4eraliun,or relocation Electrical Conlracto 200 amps or less S 6425 2 Q . `� 1 —�4 201 amps to 400 amps $ 85.50 2 Add,-_toss _ u,J 401 amps to r100 amps E 129.50 - - 2 CiState Cq _ -Zips 601 amps to 1000 ams S 192.50 �- ? Phone Na.-) n�}�1 ,- _ _ Over 1000 arrps r. v Hs $ 363,75 - - 2 Joh No C�3L:a_1 _ Reconnect only -- S 53.50 t Elec. Cont. Lice. No. � Exp Date 4c.Temporury Services or feeders OR State CCB Reg. No. __Exp.Date (ris.l:.11ation,alteration,or relocation COT BuSNo iness Taz or Metro ,'Z r 700 amps or less S 53 50 2 _ Exp pate -_ _ ._ ` - 201 amps to 400 amps S 8025 _ 2 Signature of Sup.. Elec'n __ _ 401 amps;0 600 amps ` $ 107.00 2 Cover boo amps to 1000 volts, License No Exp Date age"b"above, � Phone No --- 4d.tranch Circuits -------— ----- New,alteration or e0ension per panel a)The fee far branch circuit5 2b. For owner iristallations: with purchase ofservica or feeder foe. Pi int Owner's Name Each branch circuit 5 5.35 7 --- rn-- — 1 h)The fee for branch circuits Address without purchase of service City-_-- State -__ZIP or r'.-•eder fee. =2 \ Phone No � _ _-_ First branch circuli -�,_- S 37.50 Each additional br.anrh circuit $ 5 35 The installation is being made un property I elan which is not 1n.Miscellaneous _ intended for sale,lease or rent (Service or feeder not Included) Farh pump or Irrigation circle $ 42.75 Owner's Signature?` Each sign or oulllne lighting S 42 75 -- - --- Signal circuil(s)or a limited energy * panel,alteration or evierli S 60 00 3 flan Review section (►f 1'tf'[�Ulred): Minor labels(10) - $ 107.00 Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over _ _4 or morn,residential un t! ir.one 5lructur- the allownblo In any of the abeve Service,and feeder 225 amps or more rer inspeclion __- E 50 r0 Per hour - $ FJ.00 __System over 610 volts nominal In Plant ---- $ 59.00 �_ _Classified area or slnuctUre ccrltaininrg special occupancy as described n N E C.Cht,pter 5 5. Fees: 5:1.Enter Intal of above fees $ j { Submit 2 sets of plans with application where any of the above apply. 7 t *"Surcharcle f 05 X total f(�PO y Not►equirnd for temporary construction services. Subtotal $ _ 5b Enter 25%of line Sa for NOTICE Ptan Revind if ragwred(Sec.3) S __ PERMITS BECOME VOID IF v%'GRK OR CONSTRUCTION AUTHOR17FD Subtotal S 15 NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION UR WORK IS SUSPENDED GQ ABANDONED FOR A PERIOD OF 160 DAYS 1tustAcccwit q AT ANY TIME AFTER WORK IS COMMENCED. - - - I Total balar;oe Due i\dnh`,fnrms\cicctric.doc l CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 6394171 aiJP _—_-_---Date Requested^L r`l /C"C AM PM — (/ -- - BLD Location_ Z- S Sui,e — MEC Contact Person _ Ph _ PLM Contractor c' Ph -.J(v.0 SWR -- BUILDING --�-1 Tenant/Owner - _-- ELC IZ 0 0 J �3C Retaining Wall ELR Footing - Access: Foundation FPS Ftg Drain _ --- Slab I Drain Inspection Notes: � C,- CJ,�, �^ - SGN SIT Post& Beam ----- -- Ext Sheath/Sheat Int Sheath/Shear - -- --- --- Framing -- Insulation -- -- -- __- Drywall Nailing Firewall - - -_ ---- - _-- --- ----- --— - - - Fire Sprinkler -� -- Fire Alarm Susp'd Ceiling - - - ------- ------- F;oof --- Mrsc -- - ---- - --- ��/�� -- ---- ---- --- Final PASS PART FAIL --------------..--� _-- ------_- — --- --_-_„__ -._- PLUMBING Post& Beam ----- Under Slab Top Out - - - .._-.---- ------------- --- Water Service Sanitary Sewer - --- -- Rain Drains Final - ---- -- ------ --- PASS PART FAIL MECHANICAL [last& Beam Rough In _.------- __...-- - Gas Line _ .. - ---- - -- - Smoke Dampers Final - --------- _RART FAIL ELECTRICAL 'Wivi v Rough In --- UG/Slab 1.ow Voltage ** AlarmS 7 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 Lina [ ] Please call t r reinspection RE _ [ ]Unable to inspect-no access ADA Approach/Sidewalk �1.�; Other _- Date 1 e4 Inspector Final PASS PART FAIL D01NOT LLMOVE this inspection record from the job site. L CITY OF TIGARD BUILDING INSPErTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - -- IBLIP —Date Requesters _ AP�1 _ PM _ BLD Location-_— � t 'p-Suite MEG Contact Person L • Ph �Y 9 'S 17 -2_ PLM __— Cr-, •tractor Ph 0, J _ SWR — BIIILDING _ Tenant/Owner - �-1_ t ELC [-e)/ - Uds-7o Retaining Wall ' - Footing E!.R Ar-Cess: Foundation FPS Ftg Drain ,�� -r� �.', � c,.- '7 �� ���'G O Crawl Drain Inspection Notes. SGN Slab Post&Beam C r-- - ---- SIT Ext Sheath/Shear 5r f�Ic-i e7 _ � r Int Sheath/Shear - FrE ming e Insulation .= � � ---__.------___-- Drywall Nailing �IS Jh `Sh - Firewall Fire Sprinkler Fire Alarm Sus 'd Ceiling Roof Mlsc: Final PASS PART FAIL PLUMBING Post&Beam _ -- Under Slab Top Out -- Water Service Sanitary Sewer -- Rain Drains Final -- PASS _PART FAIL MECHANICAL - r - ( - - Post& Beam - --- [ - �- -----�_�_ Rough In Gas Line --------------- Smoke Dampers Final -- ------- ----- PASS PART FAIL 7 ELECTRICAL ice ough In -- ----------- -- - - ------- --- UG/Slab Low Voltage V - Fire Alarm i PART FAIL SITE Backfill/Grading -- --- - - - --- Sanitary Sewer St*,rm Drain [ ]Reinspection fee of$-- _ required before ext inspection. Pa City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RF _- ( ] Unable to inspect- no access ADA Approach/Sidewalk1 � Inspector — _ d Ext Other Date �a--OJ;- — _ Final -- j- PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. A CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2001-00568 DEVELOPMENT SERVICES DATE ISSUED: 11/14/01 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-03000 SITE ADDRESS: 12800 SW ASH AVE SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Proiect Description: Panel change- Job No. 38642 _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS Y 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: MANF HIVil SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 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: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:_ _Reconnect only: —_ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: p� TIGARD, CITY OF OREGON ELECTRIC CONST/GROUP 13125 SW HALL '010 SE 11 TH AVE TIGARD, OR 97223 F')PTI ANn, nR x7214 Phone: Phone: Reg#: !.IC 203 SUP 4460S FI-E 26-95C —_ FEES _ Required Inspections Type By Date Amount Receipt Elect'l Service Elect'I Final Total 1 his Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Cones and all other applicable laws. All woik 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. Thnse rules are set forth in OAR 952-001-001^,,laugh OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: C l �4 - Issued G 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 7:00pm for an inspection the next business day NOV-14-0' 07:47 FPOM-O�eBun E carie 5032341001 T-679 P 001/002 F-737 Electrical Per " on Date ruelved /;�;`/ c; Penner no.: City of Tigard Projcet/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,'' ,(ROM i Date issued. 6y: Rcceiptno. Phone: (503) 639.4171 ----- -- -- Fax; (503) 598.1960 CITY OF HARD Lease fife no.: - Payment rype: Land use approval: BUILDING DMSION y . t U 1 ,Yr 2 family dwelling or accessory �C:uniniercial/industtial U Multi-family 0 Tenant improvement U New construction U AdfiiliuNalreration/replacennent 0 other-— J P"al INFORMATION Job address: c - Bld .no.: Suite no., Tax map/tax lot/account no,: Lot. Black Subdivision: Project name: City -of Ti card DescCription and location of work on promises: panel an a Estimated date of completionrnspection: Job no: _ _ FeeMxs Business name: Or Luc Eltactric_Gr��up Description Qty. (a> Total no.Is" Address- 1010 SE 11th AV= Ne"eltinursulnl•slrerleormahi family per dwcllirygtout.Incluotx atmrlrtt igrage. CI : nld Stat._pK ZIP' 97214 .Strri-included: Phone: 2 3�}--g 9 0 0 Fax 2 3 4-1 0 OJ`:mail: 1000 sq.ft.or less = 4 CCD Z 0 Elec.boa.lie.no: 26—! 5 C " • Bach additional 500 an.2 or Portion thereof — [.invited energy,residential'- e4 lic.Ao..Il t1ratedenergy,non-residential 2 1-1 40.1 Each monufoLtared home or Modular dwelling AW N gnature of s rvit• ,electrician(r __ Die Service and/orfewer '` 2 Sup.elect.nw (pri : mar-l- Tine Lirensen,, 4�16US Serrtcesorfeeders-Installation. alteration or relocation: t 200 amps nr Ims 1 02 Name(print).- 201 amps to 400 arups 2 _ - ' 401 amps to 600 amps 2 Mallin address: 601 amps to 1000 amps City: 5[ate: ZIP: Over 1000 amps or voles - 2- Phone: Fax: Email: Reconnectortly l Owner installation:The installation is being made un property I own Temporary servie t at ferdem- -. which is not intended for sale,lease,rent,or e.xrhartge accnrding to Installation,alteration,ocrtltim4on: 2 (IRS 447,455,479,670,701. 400 amps or leas 01 amps to 4110 amps 7. Owner's signature: Date: _-- 40100600 amps - 2 ouch eirralts-view,alteration, of extension per panel: Name' A. Fee for brunet_..cues wits,purchase of Address. service or feeder fee,each branch cimit 2 City: titate: ZH. pee for branch circuits without purchase ---- IP' of service or feeder fee.first branch circuit -2' . Phone: Fax. Ir matt - -- -- _Each additional branch circuit: .PLAN REVIEW(Plense Check all thrit'UpRII) Misc.(Service orree ernothtcleded):_ *Service over 225 aropt-mirurserctat 1-1 Health-.cvr facility Fh pump or inigation circle 2 U Service over 320 amps-rating of 16c2 U Hitzardous location Each sign or outline lighting _ 2 farnily dwellings U Building over 10,000 square feet fourot Signal circuit(s)or a limited energy panel, U Systtm over 600 volts norrdnid more residential units in am structure altersdun,or e:tension• 2 O Building over three stories U Feeders,400 amps or more •[kid dam. — - — .r FJ load over 99 pet nc U Manufactured swth cturts or RV park £�ch ad :tlorral inspr over e n nowshln in ally of rrhover d EgrrAwlightingplan r7 Other. Per inspection Subedit_-_sets of plans with any of/bis above.Investigation he The above ne act applicable to temporM CONU ft service. Other Nei all jutirdireta"amps efear entfs,phase elle)Wbdkdm rnr mote inforroadoe. Notice This permit application Permit fcc..� ...... .....b �� U Vlaa 0 MasterGrd expires if a petrnit is not obtained Plan review(at %) S - Cmdrt am„•mbar, _._ %ithin IRO days after it has been State sumharge(8%)....$ P—Ra—mor cis m,older is sh owe On accepted as complete. TOTAL ....................,:I8 t c —_(.aMholrfa eilUrature` AmvuM fA0J615(6Jl1WCOM1 -- 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 — BUR Date Rt--quested �/ / �� AM _PM _— BLD Location �� r'' ���1 �- _ Suite MEG Contact Person ,��--T,�t•�✓�,� Pr �T '7 (F- C:`t PLM Contractor Ph SWR BUILDING TE�nant/Owner —�_�-C-- _ — ELC Retaining Wall ELR Footing Access Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN __-- Slab ---- -- - - -------- -- SIT Post& Beam Ext Sheath/Shear _ Int Sheath/Shear Framing --------------- ----------- Insulation - Drywall Nailing Fire Sprinkler F ire Alarm - Susp'd Ceiling Roof Mlsc - - — --— --... Final PASS PART FAIL PLUMBING Pm;t& Beam - ------- - - -- -- - --Under Slab Slab Top Out Water Service Sanitary Sewer Rain Drains Final _ - -------------- ------_— PASS PART FAIL MECHANICAL -__.. - --.�_.-------- --------- Post R Beam Rough ---- ---- ------------------ Rough In Gas Line -- - - -- Smoke Dampers Final -_.-- PASS PART FAIL ECTPU15 --- ----- - — - Service Rough In - - UG/Slab l.ow Voltage -- Fire Alarm PASS`)PART FAIL ._—_- C' sl � Backfill/Grading - ----- Sanitary Sewer Storm Drain I ] Reinspection fee of$_ -required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Fusin i ll f Please call reinspection RE Fire Supply Line ( ) p _ [ )Unable to inspect no access ADA Other oach/Sidewalk Date /�CG — `— - — — ((�Q L-(/ Insp ertor / Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — BUP Date Requested ? ( " � AM PM �— — C� — — — BLD Location ),Z coo - Suite MEC — Contact Person t32ei�- _ Ph S <, —7,[p��' PLM _ Contractor Ph -';WR BUILDING Tenant/Owner LLTn L�1 bi- L- LAD 0-4-3ELC a Retaining Wall — I ELR Footing - Foundation ArCeEs: FPS Ftg Drain ---- Crawl Drain Inspection Notes: SGN Slab - Post& Beam --- - -- SIT Ext Sheath/Shear - Int Sneath/Shear Framing Insulation -- - - -\ - ------ --- - Drywall Nailing Firewall - Fire Sprinkler __---___— Fire Alarm - --- - Susp'd Ceiling Roof - Misc: _.._ Final - ---- -- _.. — -- PASS PART FAIL - PLUMBING Post& Beam - _- _------- ----- - _ Under Slab Topout --- --- -.- -- -- - -- ------- Water Service Sanitary Sewer -- -- - -- Rain Drains Final -- - - ----- -- PASS PAR T FAIL _ MECHANICAL -- Post& Beam -------- --- Rough in - - - -- Gas Line -- -- _ Smoke Dampers Final - --- - -- -- PASS PART FAIL. - [Fem�fop Rough In --_.._._.--------- ---- -_- UG/Slab Low',voltage -----.._---- ------_..--- -- — Fire Alarm 12tPART FAIL Spr BacKfill/Grading ------- - --- ---- - - -- -- -- --- - - Sanitary Sewer Storm Drain ( j Reinspection fea of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RF `-- ( ]Unable to inspect- no access ADA Approach/Sidewalk Other Date Inspector C .`.__.r _Ext Final PASS PART _ FAIL DO NOT REMOVE this inspection record from the job site. I CITY O TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DO PERMIT SUED : . 10 4/997 0�;9 : DATE ISSUED: 10/14/97 PARCEL. : 2S 102AD--03000 SITE ADDRES'' . . . : 12600 SW ASH AVL- SUBDIVISION. . . . : BURNHAM TRACTS ZONING: CLAD BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : i VENT FANS. . . : 0 OCCUP,-=ACY GRP. . : ? VENTS W/O APPLE: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES- ._..___....._.__.._____ 0 HP. . . . 0 DOMES, I NC I N: 0 :ELE 3--15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT- 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS- 0 FIRE DAMPERS?. . : 30-50 HF',. . . . : 0 WC)ODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS—------.. A i R HANDLING UNITS OTHER UNITS. : 0 F'URN ( 1001-, BTU: 0 (- 1.0000 cfm : 0 GAS OUTLETS. , 0 FURN ) -1.00K BTU: 0 > 10000 rfm : 0 R r m a v-k s : City of Tigard public Works Owner: --- ---- ---- --- ----____ .---___._._________-.------_-__-- FEES ............._.-_... ..-._-- (�ITY OF TTGARD type amot_rnt by date r-er_pt 13125 SW HALL BLVD PRMT $ 25. 00 JSD 10/14/97 97--30004: 7 FIGARD ON 7223 5PCT $ 1. ;=:5 JSD 10/14/97 97--1300042 Phone #: JACOBS HEATING & A/C 1.421 SE HOLGATE BLVD `6. 25 TOTAL PORTI-.AND OR 97t-__'02 ulhone : 503--234-7331 keg #. . : 000014 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Heating Unt Inso Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will rxpire if work is not starteo within 188 days of issuance, or if work is suspended for more _ than Ift days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952--881-818 through OAR 952-001-di888. You may _ obtain copies of these rules or direct questions to OUNC by calling (583)246-9.87. I sstie By: -�� _ r er mittee Sign�Tir�_ r 1-"F'+++++4-+++4+++ ........-++'{+++++++++'F++++•#+++++'F+++f...t,4+f +'+'++++++++-F"f'+++-h Call 239-4175 by 7:00 p. m. for- inspections needed the next�h\l_IsiTless day F++++++-+++++++++++++++++++1-+++++.++++-F+++++++•h+++++++.+++++++++++++++++-4-++++++-I-+•T Plan Check a J CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd I c, TIIGARD, OR 97223 Date to P E. (503) 639-4171, X304 nate to DST C, Print or Type Permit 0 /-'1067 Called Inc ,mplete or illegible applications will not be accepted —� Nam p ioprysr•Pro Description 1 Tab.t 1A Mechanical Coda —� oT� PRICE AMT ,Job Street Address Suite+ A) Pennil Fee 0 -0- 1000 Address 9ldg+ rState �•lrly7 1.) Furnace to 100,000 BTU 6.00 - ((�' including ducts&vents _ Nems nems of buain sal 2.) Furnace 100 000 BTU+ 750 Owner ! i �� �� including ducts&vents Mailing Addre 3.) Floor Furnace 600 including vent rdpstate r ZIP Phone — 4) Suspended healer,wall heater ; 6.00 t _ or floor mounted heater Nems for name of wiliness) 5) Vent not included in appliance permit 3.00 Occupant Mailing Address 6) Boiler or comp,heat pump,air Gond. 6.00 to 3 HP,absorb unit to 100K BUT" _ cep .j stete Zip Phone 7Boder or comp,heat pump,air Gond 11.00 _�_ 3-15 HP;absorb rind to 500K BTU" Contractor Name 8.) Boder or comp,heat pump,air Gond 15.00 (?nor to � ,/ —� 15-30 HP;absorb unit 5-1 and BTU" issuance Mai 0 Address / 9.) Boiler or comp,heat pump,air coed. 2250 applicant t j % c�i i _ 30-50 HP:absorb unit 1-1.75md BTU" _ must provide all Cay 3t+ ,- LP P e 10) Boiler or comp,heat pump,air Gond. 37.50 — contractor f- ? r J�-� >50 HP;absorb cine 1 75 mil BTU" _ licenseOregon rf cant_ odd Lro M p.Dere 11 ) Air handling unit to 10,000 CFM 4.50 information f ` I 2'•i for COT COT Gusneu,Tax or MelmA-- Exp.Dare 12.) Air handliny unit 10,000 CFM 7.50 _latabasel. '20'; _ i lrchitect Name 13) Non-portable evaporate cooler 4.50 or Mailing Address 14) Vent fan connected to a single duct 3.00 Engineer C tyrState — Zip pha a 15) Ventilation system not included in — 450 appliance permit _ Descnbe work Nev. O Addition O Alteration Repair O 16) Hood served by mechanical exhaust 4.50 to be done 9�esideriral 0 Non residential O Additional r'escnption cf work ^T 17) Domestic incinerators 750 18) Commercial cr industrial type 3000 Incinerator Existing use of - �— 19) Repair unrts 450 building or property 20) Wood stove 450 Proposed use of 21 ) Clothes dryer,etc 450 building or property - 22 1 Other units 450 Type of fuel-oil O n M A LPG O electnc O �J 23 I Gas piping one to four outlets I 2 00 UL I hereby acknowl ge that-i h read thls application,that,he 24) More than 4-per outlets(each) 50 information gn;Fh s cerCQ.that 1 the owner or authorized agent of the owner,that plans stf�mitted a r�ompliance with Oregon State Q-1 SUBTOTAL /JrX Iews / —� - _ 6 r Signature If �1gtDnt Date 'SUBTOTAL 5',o SUPCHARGE Contac Pe n Phone PLAN REVIEW 25%OF SUBTOTAL TOTAL �dsllmechpmt doe (rev 9 'Minimum permit fees 525+5%surcharge "Residential AIC requires see plan showing placement of unit l_enLF3E: n) w- U017 iQ of -T IL. G qru� t JIJGLiL WOLL' AO S/A,JD SNO°S I T,G vran, CSJ:.J (039-�4r� i Q C.W* TIGARF1.FCTR1CW.. r'ERMTI* D F N/0EU. "i'YEN4 SERVICES r'ERMIT # ., ELC97--0532 1314',-,SW Hall Pord, _Y.97223 (503)639.4171 DnTE TE35LIED: 06/06/97 PARCEL: I MN. « -."-..iRN11AM TrOM') ZON I1\10:CMD r1L,Of71-: . . . . . . ;; i nr. . . . . . . . . . . . JtJRM3D1CT1ON; TTG Des,. -ipt irri: kJ ?irst branr! circuit, upj TT TEMFI -M I SCEL L ANFOIJ5 OR L.E. 11*. 200 allip PLIMP/T RR I GAT I Oil. . . . /.00 c.1111P. . . . . . . 01 GTGN/OHT ;._TNF' 1..Tl7i. 0 401 COO amp. . . . . . . 0 SIGNAL/MNEL. . . . . . . -,W]_,Fri, 17) 301 ''amps.-1000 0 MINOR LABEL ( 10) r:/rEFI)FR C1RCLJ1TS------ nDD' L TNSPECTIONE, 7 A Al[D. . .. . . V WSERYICE OR FrEDCR: 171 PER 7.NGPE-CTTn1A. . . 400 grip. . . . . . r Vl Ist W/0 SRVC OR FDP. I PF"R HOLJR. . . . . . . . . . . 01 1.100 �A Ir p. . . . . . : 21 Ef) DrMCH CIRC . 0 1N PL.ANT. . . . . . . . . 17.1 -- 1000 -tmp. . . . . : 0 Rr-,VTCW SEC'T1ON- 000 � .a m P/V,_1 I t , '. . . :, 0 4 REG I IN T T9 ) GOO VOLT NOMINAL. . PCIOnt'lect cin ly. . 0 E3VC/FDR nMPS. . CLASS AREA/5PEr OM F17ES ITY Of- -TGi`-)RD type A m o im t by dat e . 147 7t-) i ini..L. B t...v 1). 41 r. 00 0470 06/06/97 TGC71) I.-IR i-,r,c r s 1. 75 CEO 08/06/97 91,-C*"9t� !AOENIX ELECTRIC M t 3G. 7`5 TOM_ 379 SW TECH CENTER DR. REGMIRED 1N1o'PECTT('11,1'- TGnRD Or, 9, 7,?27,7,, Ceiling Cover Untl e r-:jv-o i !1olle #, 61)4 -3(SlZl0 Wi�ll (-over- E 1.e(:t , I eW #. . : 000"J22 ' is pervit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other ,Tlicable laws. All work will be done in accordance with approved plans. This pet-sit will egpire if work is not started within 180 )ys of issuance, or if work is stisppnded for sort than IN days, ATTENTION., Oregon law requires you to follow the rules adopted by I Oregon Utility Notification Center. Those rules are set fotV in DAR TKI-M-10f,)6 through OAR 1997. You say Obtain a copy these ules or direct questions to OW by calliU )246--1967. INSTPl_L..,qTIO1 !7:&Y- I S rlE i t t ill a tJ e ()I i pi Or o, T F)IONATUPE.: CONTRArTOP TN!7-r): .!_i`1TTf,W,, 1_.Y TriN0*rMRr,,. DF MJPR. FLECIN- DATE: 9- r10 7—t }-1..+-1 4 +-4 1 1 4 1 1 1 1 1 1 t 11111i1f ; 111114 # 11 I A 4 l' 1- l+++4+44+4-4-++4 1 f-1 t U 1 -1 ;-+4 ''Jecl the next bi.t-,it r.l.h--06-9 i WED 10: 16 RM PHOENIX ELECTRIC FAX N0, 503 684 3611 P. 02i02 r TY OF TIGARD Electrical Permit Application Plan Check 0 13125 SW HAIL BLVD. Rec'd By_._ TIGARD OR 97223 Date Rec'd Phone (503)h39-4171, 004 Date to P.E.Gate m DST inspection (503) 639-4175 Print or Type Permit Fax (503) 6847297 Incomplete or illegible will not be accepted call„d 1. .;vb Address: 4. Complete Fee Schedule Below. Name of Development_ Number of Inspec 2onss per permit ellowW Names or name of bustnvr ��� ( � Service included: Itertts Cost Sum AddressT9 �` �jC — 4a Residential-per unit toW;q.M.or less b110_W 4 Ctty/shte(Zlp -- Fach additional 500 sq-It.or i pomon thereof 525.00 1 COm"rlefGl Residential LirnjW Energy _ 525.00 each Manut'd Home or Modular ❑-Plltng Service or Feeder tFiP.00 7 2a. Contractor installation only: — ---- (Anach cop everantllcen. 4b.Servioes or Feeders Fleetncal Contract installation alteration,or reloration Add 59 'x_ ZOO amps or less $60.00 2 201 amps to 400 amps 800,00 2 ity _ CState_ Zip_ _ 401 a-ps to 600 amps $120.00 Phone Na) 2L� �-� 601. 2 bps to 1000 amps $1t3o.o0 —. 2--- tub NO _ - v Iver 1000 amps or volts $340.00 2 UPC. Cont. Lice. No. �_ _ ,p 9'.t Reconnect only 25D,00 2 OR State CCB Reg. Ettp.Date 4c.Temporary Services or►-eednrtj COT f3uslnes;Tax or Metro No` F�cp gate- nstallation,altoration,or ielocaton 200 amps or less 550.00 2 - s - Signature of Supe. Ele�r'n �c-v ��l,r� ?01 amp to 400 amps -.— 575.00 --�v 2 401 amps to 600 amps $100,00 -- 2 License No. IW4/_�� __!T_Fxp.Date ?ver 600 amps to 1000 volts, — sw'b"above. Phonn No. _ ) - 4C.Granth Circuits New.afforafton or elrionsion per panel 2b. For owner installations: .I)Tito fee for brarTn dreults ►alter Print Owners Namd feeder I 01 aaMw or Address Each branch ciroun $5.00 br e fee for branch,ircuas cry ---- State TJp_ fetwithout purchase of Phone No. W --- service or feeder tare. First branch circus -� $35 00 LL� 2 rhe installation Is being made on property I own which is not Each additional branch davit 15.00 2 intended for sale,lease or rent. 4e.Mlsce(laneotrs (Serving or feeder not included) Owner's Signature! Fach pump or irrigation ctnle _ S40.aJ Z Each sign or outline lighting $40.00 2 3. Plan Review section (il squired) S,gnal circuit(s)or a limdad enorgy panel,alteration or estenston W. 2 Please check ippropNate Item and enter tee in section 58. Minor Labels(10) $100.00 4 or more resldonnal units in one sxvrtir" 4f.Each additional Inspection over SeM v and fonder 225 amps or morn the allowable In any of the above wham over 600 volts nominal Per inspixilon Moo Classified area or stnxture Containing >!val occupancy Per hair $55.00 as described In N.E.C.Chap.:;5 In Plant $55.00 `submit 2 sets of plans with application wnnrq any 7f the above apply. S. Fees: Not required to-temporary construction ser•ricos. 5a.Enter total of above t@@s $ 5%Surcharge(.05 X total tees) S NQL,:L J subtotal 5 5b.Enter 25°✓of line So for PERMITS BECOMQ VOID IF WORK OR CONSTRUCTION AUTHORIZED IS I Plan Review if res fired(See.3) 3 --•-- NOT COMMENCED WITHIN,RO DAYS,QR IF CONSTRUCTION OR WORK I ubtotal 3 IS SUSPENDED OR AL ANDONED FOR A PERIOD OF 180 DAYS AT ANY T1ME AFTER WORK 15 COnnMENCEc i ?nest account Ae',� _ roti/balance Due s CITY OF TIGARD DEVELOPMENT SERVICES 0,3/16/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 I::I0RC.1FL-. r.•?E0.02()D 0,'3 0 0(a :: 14*?600 !:3W (:)(.*1I-I OVI 131HID 1:VT G I 0H., F*JR1,11-MIll 143,-CIDD I III CKII/I.. I...0 T.. TTC-) F:I-rc)Ject City of Tigard Public Works add 2 gfi outlets ............................................................................... .......... .................... ........... ................ ............ !;RVC/FT*FDI::'R1G................ I J:C' F.I I 1000 9)F (.JR I E.,Ei 13. . . . 0 0 (.?00 0 FILJITI 1:1/1 R RT.C3011 C)-4. 0 F:,.()C11IA ()DD 91.- 11,560(OF'.. 0 201. 400 0 (:)T(.3N/0L)*F I.-JAII-K 0 F:I%IF.;:RGy. . . . . . 0 401. C,00 0 0 1,101,1F. HITI/ I3V(`/F*DR. 0 60:1.+i.kni :F(%1(%0 v c)J.t; 0 ITITIqC.)R L.0(:cEI 00) 0 ...............YR01,1CAA ........... 0 200 0 0 (:)(41. 400 0 1!:0., W/(,.) !:3RV(-1' OR FDR., . 1 FIE.R 1-1C.)0R. « z 0 401 600 0 1:::() ODDII I E.Q11CII-I :1. ]:N F11 ONT. 0 (:01. 1.0(%0 ;anlr). 0 1--....................................-........ (.)Fl R V,I*.1:7.W E-3 E.C',11*(:)I'l............................... .................- 1(:1(%0-4An,1I:)/Vc)*I,t:.. 0 )::%:4 RE":') 1.11ATT13. 11 .. .. :: > 600 VCK..'T .. ;: 0 !')M/FDF1 >:::: (.?i.?5 ()VIV:113. . " CA M:31C)l ME1-31 FIEK. CK'C". .. .............................. .................................................................................................................................................... ............. CITTly 0F, 1:)y t rec.,Ixt; 13121'5 G)w H(M-1. BLVD l'IRITI*I* $ 4 0.Q)0 J G 1) (%):i)./1.(',/98 9 8 (%?41.5 0 4—GORD 0R 97223 1*5VIC-1, $ i.?..00 J131) 03/1.6/98 `:313 0 41','5 0 ........................................................................................................................................................ 1-:,HCX+IJ:x El I:..C`rI70:(, C(:) $ 4i?. 00 11*,,J(aI 713*79 r33W 1E.C3.1 C'EH'I'V'R DR. .............. RECX)Tr-6**D 1-1-c3(wl) or� Cc)V(-;?-r Eivc`tl 1 !:ie-rVic,e Fll-ic)rie It: 684•--,':1 WiAl.I C"OVC-Yr, F--,Jr?C.,t,1 :1. 0 0522 0 - This permit is issued subject to the regulations contained in the Tigard I'kinicipal Code, State of Oregon Specialty Codes and all after applicable laws. All work will I* done in accordance with approved plans. This permit will expire if Mork is not started within 186 days of issuance, or if work is suspended for more than 180 days. ATTENTION: "on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-96I-66I6 through OAR 952-68I-1981. You may obtain aco,n y of these rules or direct questions to OUNC by calling (%3),2 ............. .................................. ....... .......................................................... 0NI-Y................ .......................... :i.!:; I c)wii wl-lic.1-i it.; ric)t iriterided -f(:)-r q niiad(-, c)ri I:)-rc)I.-)(t!-fJ c)-r` ....................................... D(ITE... ........ ....................I...................... .................... VCR D119TOI L.0*T10N 014-Y................ ....................... 5)J(31AMTIJRF 10F SMIR. ELE.i.,"'Ns P ....................................... .......... ....................................................... ............................................... C'al.l 639-4175 by 7.-00 p«m« ft)-r i.iri irispetctic)ri riee(ic-M ttie riext Ix.tiiiiri(nss dcty +-4-++4-&-+++++4-+4-4-+-4 .}..{..}..}..}.{.{..{.{.+..{..}..}..}.{..{+++•}•.}a..{..{..{..}..}.{.++4........{-++++++4-++++4-++++++++.F.{..{..{..{.{..} A-16-9n MON 11 :59 AM PHOENIX ELECTRIC FAX NO, 503 684 3611 P- 02/02 CITY OF TIGARD plain CheckM``- Electrical Permit Application �G 13125 SW HALL BLVD. Recd By Dale Recd !' TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST_ Inspection (503) 639 4175 F✓�:rmit 0 =aif i Fax (503) 684.7297 Incomplete or illegible will not be accepted c,3nea fj77 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _ Number of Inspections per permit allured Name(or name of business*i`�U�"' Service Inclined: ttems cost Sum Address k� 1 v-_- ) , :`fit! _ 4a. Residential•per unit 1000:q.IL or less _ $110.00 4 city/`statB�Jp Each adddional 500 Sq n or t portion thereof �— 525.00 1 Commercial Residential ❑ Limned Energy s2 s o0 ►a r j, Cj� ,sem Each Manut'd Home or Modular Dwelling Servke or Feeder $69 00 2 2a. Contractor installation only: (Attach copycurrrennt licenses) 4b.Servi-"s or Feeders Electrical Contractor , ���;,. Inctallatiop,alteration,or relocation 200 amps or less 560.00 _ _ _ 2 Address_lt;l_� 201 amps to 400 amps $80.00 —+_ 2 City State rp 401 amps to Roo amps $12000 2 Phone( ._ 1,301 amps to 1000 amps $180 D0 2 .lob No. Over 11X10 amps or volt, $340.00 _ 2 ---- -— rlecornnecl only s5o 00 Elec.Cont,Lind.No- -- = � Exp.Datp 2 OR Stats CCB Reg. No, `jam�k.�y_Exp Dt 4c.Temporary Services or Feeders COT Business Tax or Metro No__ _Fxp.i.;,_ Installation,alteration,or relocation 200 amps or less $50.00 �___ 2 Signature of Supra Flec'n - 201 amps w 400 amps $75.00 2 401 amps to 600 amps _--.— 4100.00 2 Over 600 amps to 1000 volts, License No. Z-y O __ ____Eup.Date see•'b"above. Phone No. l o• . Z^1 4d.Branch Circuits New,alterahtn or ch circuits per panel 2b. For owner it,stalla tions: „)The far.for branch circrc uits wltA purchase of service or Print Owners Name fe oder fee. Address_ -- - -- Each branch circuit 45 i0 _ 2 E - — b!The t5e for branch circuits city --_�_ .tale LIp---- Kirhout purchase of Phone No. service or feeder fee. Q Firt,t branch X) 2 The installation is being made on property I own which is not [; h aed!t¢,na1 bunch circuit bs.00 intended for sale,lease or ren:. 4e-Miscellaneous Owners Signature (.Service or feeder not included) $� 9 — — Each pump or irrigation circle 2 Each sign or outline lighting _— $40.00 2 3. Plan Review section (if required):" Signal cimuit(s)or a limited enQrgy panel,alteration or ertensron $40.00 -- 2 — Please check appropriate item and enter fee in section 50. Minor Lat'�ls(10) $10000` _ 4 or more rFsldenhal units in one stru,-ure 41.Fact+additional Inspection over Service and tender 225 amps or mon- the allowable in any of the above System over 600 volts nornmaj Per inspection E35.00 _ Classified area or structure-containing special occupancy Per hour SSE 01) as described in N E C Chapter 5 In Plant $5S 00 Submit 2 sats of plans with application where any of the above apply. S. Fees: Not required for temporary construction snrvicns 5a.Enter total of above lees $ 5%Surcharge(05 X total fees) $ NOTICE Subtotal S 5b.Enter 25%of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCnON AUTHORIZED IS Plan navAaw if r uirwd(Ser_) 5 --- NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ —' IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY fes( TIME AFTER W04K IS COMMENCED. tCl lnrsr t.cceunt S9 j Y/� r v SL Tors!balance Due CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR97- 0288 DATE ISSUED: 10/14/97 SITE ADDRESS. . . : i x'800 SW ASH AVE PARCEL: 25102AD-03000 SUDDIVISION. . . . :BURNHAM TRACTS ZONING:CBD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTN: TIG Pr-oJect Descr-iption : City of Tigard Pub,'ic Works ---------------------------------------------------------------- (I- RES I DENT I AL B COMME RC IAL--- AUDIO & STEREO. . . : AUDIO & STEREO. . : TNTE RCOM & PAGING. . : nURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL.. . : HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : X PROTECTIVE SIGNAL. . : INSTRUMENTATION. OTHER. . : TOTAL # OF' SYSTEMS: I FEES CITY OF TIGARD type amoi.int by date r-erpt 13125 SW HALL BLVD FIRMT $ 40. 00 JSD 10/14/97 97-30004: TIGARD OR 91223 5PCT $ 2. 00 JSD 10/14/97 97-300041-1 Phone #: 639-4171 Contractor: ------------------------------------------------------------------------------ JACOBS HEATING AND A/C ffi 42. 00 TOTAL 1 42 1 BE HOLGATE REQUIRED INSPECTIONS PORTLAND OR 97202 Ceiling Covei, Low Voltage Insp Phone #: 234-7331 Wall Cover- Elect' l Final Reg #. . : 001441 This pewit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty CGdPs and all other acphcatilplaws. All wor14 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 @ore than 180 days. ATTENTION: Oregon iaw requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-8010 through OAR 952AMI-Me. Yo 4" obtain copies of these rules or direct questions to OLAC at 3)246-1987. f I / Tssl-ied by Pet-mittee Sig ----------------�---OWNEP INSTALLATION -------------- [he installation is being made on property I own which is not intended for lease, or- rent . F)WINJERI 9 SIGNATURE: DATE : INSTALLATION ONLY-----------------------.----__ SIGNATURE NLY------------------------------ SIGNATURE OF SUPIR. ELECIN: DATE: I-ACENSF NO: 4•..................................... ................+.....................4- 1 Call 639-4175 by 7:00 P. M. for an inspection needed the next bi-isiness day *++ .......4......4.......4...........4 4.......................4 1 117 .14, 97 09.39 $503 684 7297 CITY OF TIGARD 002__002 LIN p, TlGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rtac'd by 13125 SW MALI BLVD Date Recd 11GARD OR 97223 PRINT OR TYPE C�7 V 503-639-4171 X304 Permit#' I • 503 4664-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS .,-ust Call'd: WILL NOT BE AC :EPTED Name of DevviopmenT Proied TYPE OF WORK INVOLVED -RESIDENTIAL ��� '1 / /] Restrtctcd Energy Fee.......... �? %• �-'��` "►`%� (FOR ALL SYSTEMS) JOB Slreot A less Sla k ADDRESS r.hAck Type of Work Involved CRY/Stale hone• Audio and Stereo Systems No at 41a Burglar Alarm OWNER Marling Address ❑ Garage Door Ope•€r• City/state Mono 0 L� Heating,Venlilwton and Alt Conddionrnp System' NameW�y / ❑ Vocuum Systems' L1� -, (✓- ❑ Other_ _— CONTRACTORhT Illn Ad resa .• ) — TYPE OF WORK INVOLVED-COMMERCIAL << _ — -- - (Pnor ro Issuance a tate /��� Phone M Fee for each system. :40.00 copy of all Ilse 1 (SEE OAR 918.260-260) am required If n onlr 8 L Data expired in C 0 T t / ! Check Type of Work Invetyed- dale base) Elie I C c.N Exp.Dale ❑ Audio and Stereo Systems C O T.or Metre Lic# e p. Date I/ Ex ❑ Boiler Controls Owners Name _ OWNER- Mollmg Address ❑ Clock Systems APPLICANT ❑ Data Telecommunication Inatallatfon Ciry/State =-jP�oneill —• ❑ Fire Alarm Installahon Tips permit is issued under OAF 916-320-770.This applicant agrees;o make oniv restricted energy inatallatlons(100 vett amps or less)under this HVAC permit and to do the following. Instrumentation 1 Only use slactri€al licensed persons to do Installations where required Certain residential and other transactions are exempt from licensing. ❑ Intercom and Peging Syalems There have asterisks(') All others mood licensing 2. Cali for inspections when Installafron under this prrmf are ready for C] Landscape Irrigation contror inspection at 503439-4175; ❑ Medical 3. Purchase separate permits for all installations that em not ready for an inspection wham the Inspector is out to inspect under this poi", ❑ Nurse Calls Assume responsibility for assuring that 211 corrnctlons required by the ❑ Outdoor Landscape Lighting' inspector aro done.and. ❑ Droledive Signaling 5 Assume responsibility for calling for a final Inspection when ail of the cormrtions am completed. ❑ Other y Permits are nonrtransferabla ajprtiCis.- irfinoable and"pie if work is not slnrtprl within 1 AlI drys of'sicuance or 0 work is 14--panded ror 160 days. Numear of Systems The person slgning r this permit must be the appl rd or a person No towns" e reqse uied. Uoens are reprnred for at ocher rrstaliateons authonzed to bind e ar applicant FLU: - -.-. - LI/'t/"J1 CX) Sir slurs 1. FNTFR FEES f `� 5%`JRCHARGE(.05 X TOTAL ABOVE) = y Authority i1 otho a ra T0T.1I s 20 ,rose a ooc 12!95 IL .� � U � .Sr 1 2 L Z. d_ S� 1 r L.. d ed , 1 19 3 c4 �- � =l M 0i. 0 eVVtA J laj ' J U � CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 ,;.)--7 Date Requested: - 9U A.M. P.M. MST: Location: �� BUR Tenant:_ 1 -yl.L Lat p r te:_ Bldg: „ITEC: Contractor: � � _ Phone: _ _ PLM: Owner: Phone ELC: .Z, SIT: _ BUILDING BLDG(con't) PLUMBING MECHANICAL CTRL SITE Site Post/BLam Post/Beam Post/Bearn Cover .ervice Sewer/Storm Footing Roof Undl-l/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Il(xxw)uct Reconnect Vault lisnrt Damp 1"811 Storm Furn ':e Temp Service misc. Masonry Ceiling Rain Thain AIC UG Slab Shear/Sheath I ire Spklr/Alm Crawl/Found Ih I lent Pump Low Volt Approved Approved Approved CAIGI-)wov > Approved Appr/Sdwlk Not Approved Not Approved Not Approved ,!proved Not Approved FINAL FINAL FINAL FINAL AF 0 Call for reinspection Reinspection fix of$ required before next inspection D Unable to inspect Inspector:-----_-- -� -- _ �_ Date: -- 31 — Page___ Of —_._ Fire Protection Permit Application Plan Chger L-.. CITY OF TIGARD Commercial or Residential Recd B�- ILc 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to o , X11 -bll "� Pen-nit# -,(A /(_7 Galled /_B `1/ .r-kr �n�� ,n Job Name of Development/Project Type of System (Complete A or B as applicable) v i TI�TI�; T� _ �v�U 1„ W"'f-(CS Address n.ddr sb s r A.)Sprinkler Wet ❑ Dry ❑ ULA Name Standpipes Lt aF=`s ► ���� �j72Z? Owner Mailing Add ss Hazard Group la�o(LAdditional City/State � zip Phone Information Density _ T-I A� V'rt • 717.3 Narr4e/� t Design Area Occupant Mailing Address K.Factor L. City/Stale Zip Phone A.1) Sprinkler Project Valuation $ I i'Hizr> 1` 9 LU3 Contractor Nae I B.) Fire Alarm (Sprinkler or {moi RX.), >Af OF-11-rA iiii- rZNC — Alarm Company) Oling Address Submittal Shall Include Battery Calculations YES Prior to permit N IE (L/r StN N Individual CornponenF YES issuance,a City/State Zip Phone copy -c Cut Sheets of all licenses ����5; .3 r�721 3 i-Z B.1) Fire Alarm Project Valuatluri $ r�' are required if State Con t.Cont.Board Lic.# Exp.Date _ expired in COT Pro ect Valuation Subtotal A &or B database Z`=��' 1 � ) $ Name Permit fee based on valuation $ _W,5Z7 __ (see chart on back Architect Mailing Address 5%Surcharge $ n ;2 5 City/State zip Pnone FLS Plan Review 40%of Permit $ /746 Describe work A.)New O Addition O Alteration O Repair O TOTAL $ / 3 to be done: _ __ W B) Modification to sprinkler heads only. — — =—— ----------- — 1. 1-10 heads=No plans required Plans required Submit three sets of plans,including a vicinity map and 2 11+=Plan review required the location of the nearest hydrant I hereby acknowledge that I have read this application,that the information given is Number of sprinkler head cored•that I am the owner or authorized agent of the owner,and that plans submitted _ -- — are in compliance with Oregon Slate laws Additional Description of Work: Signature ofAgent Date A.)In Existing Building New Building ❑ Building Contact Person Name-- Phone Data B•) Commercial Residential ❑ FOR OFFICE USE ONLY: _ No of stories Plat# MaprrL#: Sq. Ft - — Notes �— Occupancy Class Type of ConAruction --- — iAdsts\forms\liresupr.doc 11/5/98 I CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12..40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.63 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 5650 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001 8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.6:1 221.13 22,001-23,000 156.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 '..20 9.65 279.85 30,001-31,000 197.50 r 9.00 988 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 8260 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 7.15.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325 53 37,001-38,000 229.00 91.60 11.45 332.05 i `,fists forrms\tiresurr.doc 11 5 99 I q Ii METRO Safety & Fire, Inc. 4 7055 NE Glisan St. Portland, Oregon 97213 503-231-2999 Description of scope of work for Silent Knight, 5207 fire alarm panel at City of Tigard public works building. Add a. Silent Knight 5207 fire alarm control panel in a room under the stairs. We will be covering the common areas only. 'Ibs consists of 4 Ion smoke detectors , l rate of rise 135* heat detector, 1 pull station and 5 horn strobe notification appliances on the second floor and 4 Ion smoke detectors, 3 rate of rise 135* heat detectors, 2 manual pull stations, 2 strobe only units for the bathrooms and 3 horn strobe units for the common areas. When any of the smokes, heats or pull stations are activated, all horn stroL"-. and strobe only units will activate. These horn strobes and strobe only units will ring until silenced by someone at the panel or 30 minutes has passed. The fire alarm will be monitored by a central station. CITY h Approvpd........ + X Conditionally For only the work a°. pEnkll7 mc) 64P q 9—t9c)r o Sec l..otter VD, F, . ........ r 1 1 1 1 l l f f< I f l 1 1 Job Addre,,. i 2�o w- ���. ASH By1r.r-YY�� f l r I l f l l f 1 1 1 1 1 1 i 1 t _ J ZONE DESCRIPTION AND LAYOUT ZONE DESCRIPTION CIRCUIT CLASS M OF DEVICES 1 SPARE A 0 2 SPARE A 0 3 1 ST FLR SMOKES.HEATS,PULLS B 9 4 2ND FLR SMOKES,HEATS,PULLS B 6 5 SPARE B 0 6 SPARE B 0 7 SPARE B 0 8 SPARE B 0 DEVICE LAYOUT PER ZONE / BELL CIRCUIT ZONE DEVICE SYMBOL STANDBY ALARM TOTAL 1 0 0 0 2 0 0 0 3 P, S, S,K H, S, P, S, H 0004ma .070ma .280ma 4 S. S, H. S, S, P .0004ma .070ma. .280ma 5 0 0 0 0 0 0 7 0 0 0 l, 1 t 1 ' R 0 0 0 ', BELL 01 . . . :Ws,FM W Ws,eo 0 .093m .463ML BELL#2 ws.Ius,ws,ws,IUs .0 .093ma. .465ma. BELL#3 0 0 0 BELL#4 0 0 0 TOTAL TOTAL STANDBY ALARM .0008ma. 1.490 AMPS SILENT KNIGHT FIRE ALAPN PANEL .120ma. .70(ima. SILENT KNIGHT KEYPAD 5230 .060ma. .120ma. TOTAL TOTAL STANDBY ALARM .1808ma. 2.310 AMP BATTERY CALCULATIONS TOTAL STANDBY .1808ma X 24 HOURS X 24 4.339 Amp. TOT AL ALARM 2.310Amp. X i0 MINI_rTFS ALARM (.1666) X .1666 .3848 Amp. TOTAL BATTERY REQUIRED 4.339 + .3848=4.73 AH. BATTERIES SUPPLIED ARE (2) 7.0 AMP. HOUR PART NO SLA 720 BY BATTERY SPECIFICATIONS Model 7181 Fire Zone Convertor ELECTRICAL SPECIFICATIONS: Converts Style A zones to Style D and vice versa. • Primary AC: 120 VRMS at 60 HZ, 2A I _ - • Total Accessory Load: 5A at 24 VDC 6A at 12 VDC INDICATOR LIGHTS: ) • AC/DC POWER (Green) -On when system is running ' on AC power;flashes when using DC. 5220 Direct Connect Module • ALARM(Red)-On for supervisory alarm;flashes for fire Used for City Box and polarity reversing direct win? alarm. applications. • TROUBLE(Yellow)-On when trouble condition exists. • SILENCED (Yellow) - On when alarm or trouble has been silenced but not yet cleared. • EVENT MEMORY(Yellow)-On when an alarm condition has been reset. • SET MODE/REPORT(Yellow) -On when system is in test or program mode, including Date/Time set mode. Flashes when system is reporting. 5530 Downloading Modem MECHANICAL SPECIFICATIONS: SIA format modem for remote programming of 5207 and other Si,ent Knight controls. • Dimensions: 16 in. W x 26.4 in. H x 4 in. D (40.6cm W x 67c n H x 10.2cm D) • Weight: 25 lbs (11.4 kg.) • Color: Red I TELEPHONE REQUIREMENTS: �® • FCC Registration No.: AC6USA-65475-AL-E • Type of Jack: RJ31 X (2 required) ( 5541 Downloading Software APPROVALS: For remote programming with IBM PC and compatible • UL Listed computers. Can be used with 5207 and other Silent Knight • FM Approved products. Requires 5530 modem. Software/modem • CFM Approved package may be ordered as a 5561. • New York City MEA(formerly BSA) • NFPA 71 Central Station Reporting 72A Local Protective Signaling System 72B - City Box 72C Polarity Reversal <= 72D Proprietary Protective Signaling System 5260 Printer Interface Allows connection of a standard computer printer to provide OPTIO141AL ACCESSORIES a printed record of 5207 system activity. Simple plug-in Model 4160 Status I Module connection. (Printer not supplied by Silent Knight.) Providec 16 outputs to Sr-e :alarm and trouble conditions by zone. Two units car,be;annected to annunciate all 16 Tones oar a 5207 control. Can be used to drive LED o- graphic annunciators. (rvon-supervised) l ARCHITECTiENCINEER SPECIFICATIONS The contractor shall provide a complete electrically supervised alarm by specific zone(1-16).The relays shall remain energized fire alarm and communications system. The system shall until the panel is silence reset or the trouble condition is cleared, contain a fire alarm control/communicator and panel to unless"no-silence"is selected. supervise and operate heat and smoke detection devicas,alarm signal devices, visual annunciators and an integral digital The control/communicator shall have an integral annunciator to communicator to transmit fire alarm and supervisory signals to indicate sequentially zones in alarm, zones In trouble, and a central station. The controUcommunicator shall be UL Listed system functions. LEDs shall augment the display to make clear or FM approved for use under NFPA 71,72A,72B,72C and 72D to an operator the system status. An integral touchpad shall be standards. It shall provide power and conti )I for eight supervised provided to operate,set up,and interrogate the system. Vital detection zones,four supervised alarm signal circuits and a dual operations such as alarm silencing or reset shall be simple and digital communicator. The control/communicator shall be obvious to an operator. Authorization pass codes may or may expandable to sixteen supervised detection zones and shall be not be used. able to communicate to a central station in SIA,SK FSK1,SK 4/ 2 or Radionics BFSK formats. 1 he control/communicator shall The control/communicator shall have the capability to supervise be Silent Knight Model 5207 or approved equal. two telephone lines, seize the phone line, and send the alarm signal on one or both lines without the addition of any more There shall be hNo Style D and six Style detection zones. They equipment. It shall sound a local trouble signal if the telephone shall accommodate heat detectors, products of combustion service is interrupted for longer that 45 seconds and it shall detectors,manual pull stations,sprinkler flow switches and gate transmit a signal indicating the loss of phone line service to the valve supervisury switches intermixed as desired and permitted central station over the remaining phone line. A signal shall also by NFPA 71,72A,72B,72C,and 72D. Products of combustion be transmitted indicating the restoral of phone service. The detention may be either two- or four-wire and shall be cross control communicator shall be able to report the loss of either listed by UL for use on the system. The detection zones shall be phone line without regard to which phone line failed first. If both programmed to(1)be cross zoned so that two individual zones lines fail,a local signal shall sound. must sense products of comp;scion, (2) automatically reset a detector to verify that smolm exists,(3)see a single detector in The controlo mmunicator shall have the ability to send a test alarm—before the alarm is sounded and a signal is transmitted signal to the cerilf al station every 24 hours. The test signal shall to the central station. be able to be transmitted at a specific time of day or night by setting a program within the panel. There shall be four 1 amp supervised (Style Y) alarm signal circuits. They shall cause the bells/horns to ring steady/pulsing/ The alarm signals transm+'ted to the central station shall indicate temporal throughout the premises until reset or silenced. Two which of the eight zone is in alarm and which zones are in 1 amp outputs can be combined to provide one 2 amp output, trouble,depending on which format is used. Restoral from alarm or t,ouble shall also be transmitted by zone. The control/ i The control shall be equipped with four auxiliary relays that sI all Communicato, shall be capable of communicating to Silent be programmed to operate ch(1)pre-alarm,(2)tamper alarm, Knight, Radionics or Ademco central station receivers. (3) special alarm, (4)fire alarm,(5)trouble, (6) no-silence, (7) .•• �•�� Ilea —.. r1/WM Ntnx(tiIG t t .r 9 I 1 1111 •1.1[W"12SILENT KNIGHT .1/1 t 1 EWTVU•(wu.) -- 1 1111 •VILE (I3.•H D — MOM 5107 •IM—III I / •1 1 t�111 Ie1\II 1. NIR[COITROL 1 AM 0 ��1/•L/ e �Irw� COYYUIICATOR _r •�W t • 1•1/1/ � 1 1 y i�r Y•I• �YIII�rO11r 1 1• 1 / IVM KAM •��_r n 1 111 \1 1 .ry J' 1 1 1 • /y • 1 1 t MODEL 5207 BLOCK DIAGRAM•TYPICAL INSTALLATION •1•••i - 1 , , I • 1 1 rI • r 1 1 1 SILENT 7550 Meridian Circle, Maple Grove, MN 55369.4927 MADE IN KNIGHT' *p��� 1-800-446-6444 or in Minnesota (612) 493 6435 1 �I FAX. (612) 493-6475 AMERICA 13FIAE SYSTEMS~ Form 0 150376(Rev 2.951 DIRECT-W-IRE IONIZATION SA4oKE DETEcToR i t .y FEATURES: r ■ 12 or 24 volt operation ■ Field sensitivity metering of i Removable cover and insect detector to meet NFPA 72 screen for easy cleaning requirements ■ Visible LED blinks in standby, 0 SEMS screws for easy wiring latches on in alarm ■ 3-year warranty ■ TWist-on mounting bracket ■ Sealed against cert, insects, with tamper option and back pressure ■ Dual unipolar chamber design „ ow f M NSA LC ® MA , --11 APPROVID SISTAFAf -----A DI VISION OF PI77WAV 3825 Ohio Avenue,SL Charles,IL 60174, 1.NO-SENSOR2(736-7672),Fax '108-377-6495 An ISO 9001 Certified Company GENERAL DESCRIPTION All 400 Series' ionization smoke detectors include a unique dual source, dual unipolar c:,iamber detection design which will sense the presence of smoke particles produced by fast combustion as well vs slow smoldering fires. This chamber exhibits increased stability, significantly reduces nuisance alarms, and provides uetter performance at higher air velocities. The 400 Series meets the performance criteria required by UUULC. Additional key features include an LED which blinks In standby and latches on to indicate an alarm Detectors feature convenient Held testing and sensitivity metering. The model 1400 includes remote LED annunciator capabilities using the RA400Z. SPECIFICATIONS Size: 3.12'(8.1 cm) h. 5.5'(13.9 cm) dia. Shipping Weight: 0.7 lbs. Operating Temperature Range: 32•F to 120'F (0'C to 49'C) Operating Humidity Range: 10% to 93%relative humidity noncondensing Air Velocity Rating: 1200 fpm maximum Sensitivity: 1.9 t0.696/ft. nominal Wiring: 12--18 AWG, twisted pair recommended Mounting: 31/:'or 4'octagon box, 4'square box with plaster ring, 50, 60, 75 mm boxes Spacing: Install per 1VFPA 72 and local requirements. On smooth. flat ceilings, spacing of 30 feet may be used as a guide. Test Features: 1. 'Test port - Insert 0.1 Inch maximum diameter alien wrench or screwdriver into test port on detector housing. 2. Test module - Using a standard voltmeter interface. insert MOD40OR plug into detector's module port. Fulfills calibrated sensitivity test per 1`1FPA 72. ELECTR cAL RATINGS 1412 1424 (4-wire) 1400 (2-mditj Syaem Operating Voltage: 12 VDC (11.3-17.3 VDC) ': VDC (20-29 VDC) 12124 VDC (8.5-35 VDC) Standby Current: 100 pA max. 100 pA max. 100 uA max. Alarm: 77 mA 41 mA Two-wire contiai panels must be current llmlted 100 mA or less. Maximum Ripple Voltage: 4000 mV AC 4000 4PM •• Reset Voltage: 73 VDC $ VDC 2.5 VL)C- " '.» Reset Tlme: .3 sec. .3 sec. � ' �••• .3 sec. •• Startup Time: 2 sec. 2 sec. ••• .••_• 2 Wit, , Relay Contact Ratings: • a•• 1 Form A Alarm LA 30 VAC/DC ... , . • • . 1 Form C Auxiliary Alarm: 2A 30VAC/DC; .6A 110 VDC; lA 125 VAC " . AGENCY LISTINGS • • •»• S911 UL: • .. , ULC CS308 • • CSFM: 7271-120:102 FM: 0Q7A3.A7 MEA 427-91-E FIRE ALARM INITIATING DEVICES TM EDWARDS SYSTEMS TECHNOLOGY Heat Detectors ----- Rate-of Rise and/or Fixed Temperature 280B Series Features ■ UL LISTED FOR 50 FT. (15.2m) SPACING NC AT OAFETV g jr, S. ■ SINGLE POLE — NORMALLY OPEN CONTACT 495% ■ LOW PROFILE • PURE WHITE FINISH ■ MOUNTING FLEXIBILITY WITH SCREW TERMINALS ■ EASY TWIST-ON INSTALLATION UL FM Class 3210 ■ POSITIVE ALARM INDICATION — FOR FIXED —---- — TEMPERATURE ELEMENT Mounting The EST 2808 series Heat U.-tertor is available with either Description a metal or white plastic reversiblit mounting plate. The plates are designed for surface fir flush mounting. The The EST 280B series of fire alarm Heat Detectors provide detector plate installs directly to a standard North American high quality, reliability, and the ultimate in design and 3-1/2" or 4" octagon box. Once the mounting plate is fixed decor. The low silhouette and pure white finish blends with a simp Ovist will lock the detector in place.The detector can most ceiling styles to provide an inconspicuous unit. be removed using a screwdriver to release "ie tamper-resistant These Heat Detectors are available with 135°F (57°C) locking finger. This helps prevent unauthorized removal. or 194°F(90°C)ratings,for fixed temperature,or combination The metal mounting plate has four legs which can be bent rate-of-rise and fixed temperature operation. All EST 280B up to accommodate exposed wiring using limited energy series models are single pole with normally open contact:;. cable.The plastic mounting plate is molded to accommodate exposed wiring. Operation When mounting to a surface mounted octagon box (1-1/2' RATE-OF-RISE: A temperature increase at the detector of (38mm) deep maximum) the 6253 Skirt can be used as a decorative cover. A 6252 Surface Trim Ring is used to 15°F (9°C) or more per minute activates the rate-of-rise adapt the detector to fit a standard North American 4' feature. This closes the contacts in the detector to transmit square box. the alarm condition to the fire alarm control panel. When the rate-of-rise element alone has been activated, the Ordering Information detector is self-restoring. Refer to specification table for applicabla models. Catalog Description— Ship Number _Weight FIXED TEMPERATURE: If the temperature of the center 2818— Heat Detector, 135°F(5PC), 1.0 Ib(05kg) disk rises to the detector's rated temperature, the fixed Combination Rate-ol-Rise and Fixed temperature element activates This closes contacts in the Temperature detec'rr :rid transmits the alarm condition to the fire 2828 — Heat Detector, 194°F(90°C)_ 1.0 Ib(05kg) alarfn rortiol panel. The fixed tempera, re element is Combination Rate-of-Rise and Fixed non-restorable and, *nan activated, the detector must be _ Temperature _ rP.plhLfc;. The neer; c,I ieplacement is indicated when the 283B Heat Detector, 135°F(5rC), 1.0 Ib(0.5kg) center disk has fal;a.i t:t,e from the detector. Refer to Fixed Temperature Only _ specification table 'cr 4plicable models. 2948 Heal Detector, 194°F(90°C), 1.0 Ib(O.Skg) Fixed Temperature Only application InformationFixed Accessories Heat d9'ectors am most suitable for environments where 6252 Surface Trim Ring _ 0.25 Ib(0.lkg) rapid fire development can be expected. When selecting 6253 Decorative Mounting Skirt 0.25 Ib(Qtkg) the location on the cei,it g for the heat detector, do not --- -- 280A-PL Plastic Mounting Plate-White,R ' locate It, direct p&th of hot or cold air flow. Refer to theReversible 0.25 Ib(O.tkt,� r r detector specifica'ions for the recommended maximum Nota 1 Add suffix •'L"to catalogue number for unit to be supplied with r , spacing Eirlier d3t6ct6r response may be obtained by integral 560 ohm resistor. is. 28113.1. Note 2 For white plastic reversible mounting plats in place of standard r , reducing the spacing between detecim. metal plate add suffix "PL'to catalog number is. 281&PL ® EDWARDS SYSTEMS TECHNOI00Y 85001-61 SARASOTA,FLA 813.7563278 Fax 813-751-&384 1 of 2 Iss. 1 FARMINGTON,CT 203-678.0413 Fax:203-677-1621 OwEN SOUND CANADA 519-376.2430 Fax-519-376-7258 INTERNATIONAL CANADA 416-678-6767 Fax:416-678-2872 Specifications Catalo Number '- 281B2_828 1� 283B 284B UL Temperature Rating 135OF 1940F 135OF 194OF 57°C) (90GC) _ (57°C) _ 90°C UL Maximum Ambient Temperature 100OF 150OF 100OF 150GF at Ceill_n� - 380C) (66°C) (38°C) (660C Detector Ty��see note D Fixed Temperature and Rate-ot-Rise Fixed Temperature Only UL Recommended Coverage 2,500 ft.' (232 m2) - see note A UL Recommended Spacing —_ 50 ft. (15.2m) _see note C UL Maximum_Distance from all _ 25 ft_I7.6m - see note B Contacts - Rating Single Pole Normally Open 3.0 amps at 6 to 125V ac; 1.0 amps at 6 to 24V dc; 0.3 amps at 125V dc; 0.1 amps at 250V do _ Operating Environment - _ Indoor - Dry - Note A - Maximum detector coverage has been determined by UL to provide detection time equal to sprinkler devices spaced at 10 it (3m) intervals on a smooth ceiling 15 ft. 9 in. (4.8m) high. Higher ceilings can adversely affect detection time. In some instances, earlier dejection time may be obtained by reduc'ng tho spacing between the detectors. (See Appendix C, Guide for Automatic Detector Spacing, NFPA 72E, Automatic Fire Detectors.) Note B - Maximum distance shown is from any wall partion or ceiling projection extending down more than 18 inches(457mm). Note C - FM rates this detector at 30 ft. (9.14m) spacing. This is the maximum FM rating available. Note D • Rate-of-Rise rating Is 15°F(9•CyMin. Self Restoring. Mounting To INSTALDETECTOR------__� --- ----- _- PATCH ARROWS ON UsingMetal OETFC-TOR ANO MOUNTING ELECTRICAL ROK (121-1– PLAIT PUSH UP AND TURN Mounting Plate CLocK'ASF Njslq'.nl r , I FOR MOUNTING INFORMATION SEE INSTRUCTION SHEET " I •' .LEGS SENT UP FP ON P.SAIS.SO-0?0@ —_� — 1 16722' t• —_._ METAL MOUNTING PUTT (°°Py„� 1 FOR EXPOSED WIRING MOUNTUSING LOWED ENERay CABLE PLASTIC TO REMOVE GETEC'OA- MOUNTING PLATE LS LIFT LOCKMq FMIGER W" 00.0 aF4.F.Murk MOlDEO To KNEW DNVEN T►ANO C~WYaq K.P—d WYVp p OOMMOOSSO Arf MOUNT a I•S' funk OEfsC"COUNTER. Z l EKING FINGERS (4-1 CLOCKWISE r. MURrACE FLUSH SURFACE MOON TINGI MOUNTING MOUNTIPIG SIDE \ '/SIDE P HOLES f4) - °• ;SURFACE �Irj' p (>rTTI MOUNT T n14 11 - WIN IE SNAPOufs T_ :FOR E' O O i ENTRANCE ' F�� r —— -+d I•- \'� - - - -AFLUSH MOUNT rVir SPEAK AWAY 2 SECTIONS 140011 VIEW 182m•U FRONT VIEW ON CIRCUMFERENCE MGM Mpum"Pry P40mm PreK RPwHON Mnvnnnp PIM•P M'S,72-0UJ7 o G1 No 2964-PI. Use For Property Protection Only. 1. DANGER: —This device does not protect life against fire and smoke. In most fires,hazardous levels of smoke,heat and toxic gases can build up before a heat detector wojld initiate an alarm. Independent studies indicate that heat detectors should only be used when property protection alone is involved In cases where life safety is a factor, the use of smoke detectors is recommended. The Intended use of the EST Heat Detector is to provide one source of information that is supplemental to smoke detection to iptres'gq the probability that an early warning will be provided so that property can be safeguarded. Heat detectors do not always detect fires 53aause the fire may bp a slow smoldering, low heat type(producing smoke)or because they may not be near where(tfb'Md pccurs,pr because .• the heat of the fire may bypass them This detector will not detect oxygen levels, smoke, toxic gases,or fiamosal Acaordingly,,CiIa c:rwice should only be used as a part of a broadly based program of fire safety which would include a variety of source%cJ, irycymation An healtt and • smoke levels, visual sighting of the tire, extinguishmont systems, and other safety measures. •• If they are spaced In accordance with the directions in the Detector Specifications table, they can contribute, within an Overall 16 safety • program,to reducing the risk of avoidable property losses. Under no circumstances should these devices be relrobph as the sole-rgssure • to ensure fire safety. Danger will result if these devices are relied on to any degree for the protection of humalrlfie. •'•• 2. DANGER—This device does not r-ontain a built-in signal.Alarm signals can only be generated by interconnect:olt with separately installed signalling devices. • 3 DANGER--This device will not operate without electrical Dower,and fires often cause cutoffs of electrical p°nver. This device does not ..i contain a battery backup power supply It the electrical circuit feeding the device is cut,or is not providing power2r any lesson'.jrIV ohyice will not detect heat or provide any warning of a possible fire, nor will it provide any warning that it is not functioning. 4 DANGER — The rate-o!-rise feature on the EST Heat Detector is subject to failure over time. The rate-cif-rise fcrfLri should -A tasted by a qualified fire protection specialist annually to ensure that it Is in working order. ' SAR ASOT&FL srf56-1?7•TMl3-751 LOQV SARASOTA.FLA.813-756-3378 Fax:613.751-6,964 II•or...enR.RP F.P..n.e..�ea..oF Mesa.•. FAFMINGTON,CT 203-676-0410 Fax:203-477.1621wW_'&'�.In OWEN SOUND,CANADA 519.376-2430 Fax 519-376-7258 85001-0261 FST 6�._°`. INTERNATIONAL CANADA 416-6711-6787 Far.416-678-2872 2 of 2 Iss. 1 P""d^r-""Oi FIRE ALARM INITIATING DEVICES tM EDWARDS SYSTEMS TECHNOLOGY Fire Alarm Stations 270 Series—Non-Coded Features ■ PULL LEVER ■ SIMPLE POSITIVE OPERATION ■ BREAK GLASS ■ ATTRACTIVE,STREAMLINE DESIGN ;,;: 7�,•R,ti.•*y,' Description r The EST 270 Series Non-Coded Fire Alarm Stations are sturdy,attractive,and designed for economical installation. ` The station is available in the following operational and func- tional unc tional designs: —The 270 Series provides a single action, break glass iniat- ing station. It is available with normally open (N.O.), nor- All non-coded stations are designed for either flush or surface mally closed (N.C.) or combination N.O./N.C. contacts. mounting. For flush mounting a 4" standard North American The bas.'^ 270 Series have screw terminals for field con- square box with single gang plaster cover should be used. nection. The 270A Series Manual Stations have 6" For surface mounting the 270 Series or 270P Series, use (150mm)wire leads. P-027193 Cast Box, P-039250 Steel Box, or Cat. No. 1291 - The 270P Series is a break glass, normally open pre-signal Housing for weatherproof enclosure. station. The pull of the lever sounds an alarm on all pre- ---- -- signal indicating devices. Inserting a key and turning it will WARNING:These devices will not operate withW electrical power As fires frequently cause power interruptions, we suggest you discuss further safe- initiate a general evacuation alarm. Screw terminals are guards with your local fire protection specialist. provided for field connection. — Ordeling Information Table FINISH: Fire Alarm Red with Aluminum Strips MARKINZCS: TOP—FIRE ALARM" HANDLE—PULL IN CASE OF FIRE. Switch Contacts Field Connections JL Single Double Closed Open Screw Wire Pre- I Cat.No. _ I Llited Pole Pole Circuit Circuit Terminals Lead Signal 270-10PO x x _ x x 270 SpC� x x x x— I270/'.-^PO ) x _ x x — x 270A-3PO _ x x_ x x 270F-3FO x x x -- _ x x 27AF-_SP Q x x x x x "For I.oral Alarm'Add-(L)to Catalog Number(a g.270-SPO-(L)). -- — EDWARDaI BYSTEMIS TECHNOLOQY SARASOTA,FLA.813-756-3271' Fav 813-751-6384 FARMINGTON.CT 203-678-0411 Fax-203-67.7-1621 OWEN SOUND.CANADA-19-379.2430 Fax 519-376.7258 SSWI 0303 INTERNATIONAL.CANADA 416-674-6787 Fey 416.678-2872 1 of 2 Ise 2 Mounting CAT.NO.270 SERIES STATION 1- 1.1n- (25mm) (3amm1 3•tl4' (02mm) DOOR RELEASE WAIL SURFACE FOR TEST A RESET AND GLASS REPLACEMENT (lINCLUDED WTrH PRE-SIGNAL STATIONS) ONLY (� GEN ALARMKEY SWITCH S S.T. I 1 0 (INCLUDED WfTH 4-1(r PRE 1GINAL STATIONS) (114 M) ONLY { { DETAILS FLUSH MTG. UNIT FITS 4-SO BOX a PLASTER COVER WITH SINGLE CLING OPENING P27165 GLASS RODi, HAVING OVERALL MIN. OE PTH OF 2 1/4 FLUSH INSTALLATION USING Pd249M STEEL BOX �-9116' 301H' 3.12' 190mm) (90mm) (a9m (mamm) (25mm)m� � I (a0mm) 1' (25mm) O 0 4-12' 4-WI F- (114m"I V 16mm1 FRONT SIDE SIDE STEEL SURFACE BOX FRONT CAST SURFACE 90X P 4D3Vp P-027193 • 4 I I 1 is lea • • r I/ 1 • • • I 1 I 1 t 0{ • • ••t• •1 1 • • • { 1 • 0 • I 1 • Itllt • tr•r 1 1 1 1 a ^-- ---NOWAROG MYSTUMe TIN=IIYOLDOY N Is as Y11•n•an to MMP tlr p C&-Ydm 109 --M ane 8 SARASOTA,FLA,813.758-3278 Far 813.751 83M 5001.0303 ao"m W can not co/•/ I "I aI I 1 1,rw a antMap•1• FARMINGTON,CT.ZW-478-0410 Fal[203-677-1621 2 of 2 Iss.2 as r•0 mft•Ma.AN sp•aanpon••1•sub)•ct b 001 to {r1Yl•Ix noao•.For mp•t11•rnl•/bn v qur•uon•ralYtlY•b OWEN SOUND,CANADA 519-378.2430 Fax'519-370.7258 tIW So•aNcalbrl Sh••t,axaaa EST KTERNAMNAL CANADA 418-678-8787 Fax:418-678.2872 0 IM EST Pentad In Carida ORK i� Alert eE -9w 1 A WWI1 ' of P112MV 3325 Ohio Awrim SL Chafle!�IL 6074 tt r 1 an 1 1 A 1 .^i•�MMf+lY�%dti1lL'1�A!7,•1 ,r ��'t..lr�ntctiillrtitt'�d�1�t:►a -. t.�..�;�bt�'y;�..�'ItR�B���'f.�r�1t.�+.... A •T J •411.+.- •.f•I� •.r....rr-,►•." .:M'1�_r • �. ..+.h-„YT�^""� - t _'") Features r< }. tak+sLY� _ ca.�. .f' ..! ► . ++ �.r • 24 volt strobe models: I5.15/75.75 and 110 candeia _ •..Universal mounting plate iodnded with each unit • 12 volt strobe models: 15 and 15/75 candela One~,T mounting of strobe and hom/strobe to mountin • Hom models operate=12 and 24 volts _ _ ,plate -, _-.'_ g .-.— .r-• .. •..r...�.+�r.-.r.- - .. • Low current draw:reductions as high as 45'6 •�.: Speiiiklett Umbe`aod hom%strobe uM up zeo room in the • No field selectable/reversUe harts tons µ •back btrs..at ».I.w�:.._, - 3000 Hz Interrupted - "" • Single gang mounting without the se of a mounting plate - Electromer.hankal (hon model only) • Field selectable/revel Ne high-lmn dBA output on nom -.• Self-contained screw covers s low output on 24 volt models ordv) • Aesthetically pleasing design - 101 peak dBA a 10 ft.high output' ` • Synchrunize ham and strobe with Svnc•Curuit'modu:e - 96 peak dBA Q 10 ft.low output* • Silence ham an hom.strobe over a single pair of wires urine • Fie!d selectable/reversible temp 3 pattern or non-temp 3 Sync•Cucuit module continuous pattem on hoot - • Sound output•cafes with torr and ourF�vpnoro selected:sound • Hom/strobe can he wired either in tandem or independently _ -- levees based upon anechow room orast:rernents Specifications _.._ Input te.•mia&: 12 to 18 AWC Mounting: r_ a, 4'x4'x 1'/i or Size of scrohe drd "- - '' y:-=:;- - 2'.xr_x 1`/e_standard boxes horn/strobe wf:h - - _ - 'Operadng temperature. `:32• to W F(0' to 490 Q UfAversai plate- r x 5+/,x 21+/16' Voltages _ 12 or 24 ITIC and Sizo if strobe and - FWR utuiltered horst;.,trobe wishOperating small footprint plate./ 3+/s'x 51/1,x 21/1,61 „ , voltage range••: 12 V.10.5- 17 V,,,P, , Sire o:horn wilt 1 �i _..' - __ '_: :. . ,�. ..;µ__... - - 24 V.M-30 V uni-em if moutlnnq pkltr S'x 5+/9'x Ir/u' ••,Tbaste products sbmW be opw&W within thea erred vokW ratge: Sizt of horn without :- M does.bowe.w test ftmcttoual MT ro-sols and •10en Of mounting piatr. - 2's%r'x Ss/w x 1+/,•� '-"�. '` -u -= Weight, horn only :t20t r r. Wright. strobe and _ " ` F<M �- horn/strobe: is OZ. ar.*wei Srstem Tensor !:/96 - -Thb document:s nae intended to in used for irmaOulon purposes_ At134!16 :' General (Description S.•1rm Sensor SpeorAlen Srnes'arvbes,homy,and comoinitson Ixwni staa'aWe terc:y art ucaa,.11,hell With the use of pens aced;umprr7 ere are UL listed for pnmary signaling in life safety sysim"and Meet (ocxe-'on the t'adc of each ,txrAlet horn and horn,'sirobe.An accesion• %D,'t public mode risible signaling requirements, module is m neta:ed 10 make ISew Oeld selea:ons.The Isom on hom, SpcctrAlert products can be connected to the alarm indicating clrnrit of strode modals operate an]coded power supply The hewn only model, t'::a alarm control panel and ale compatible with DC line supervision.The h~'er,nff.•:ar operate an a ceded power supply. In suds Instances. :t.`•,c•:rAleri prrldua line mounts to svndard back boxes wide the use of a subtluule with a Stuem Sensor:sodd MA 1.1/24 0 •I•:••,enol mounting plate included wNb each urdt.Au opriaoal small :ootpr,nt mounting plate fits to a single tWlg box.An accessory bash box terms •:rt {n'es a cosmetic finish to a a'x 4x 1','.'(w a Z'r 4'x Ir/;surface The.40A compliant Spectr.�Iert smlhes are elec:ronic vissbfe warning Panted back bol All stroht and hom/stmhe mounting options require 515r-J's aw nas.'1 at I NZ over:herr omming col';ge ran'ge hese prnd.:c:s ur;v'one scre'N AttAchmem of product to pfale. ueivallable In:4 croft mot!efs at 15.15/75,,'S and 110 C111111deu intensit:ei These pmducas are deigned for 12 and 14 VDC and hA wave mccified and in 12 volt models a 15 and ISM candela Intensides,SpearAlert unf:::lrred power.Fuji wave rectified opearon requires mae eyrrent than products feature,nmatk reductiorm in cvrmnt iequlrensests. DC 'peration.For detailed anent draw information.consur the afsfe tYm•Ctr=de modaw boll The hom/strobe combination products are factor%-asserabled with The SrnrCutuit 1loduk is avaflabfe for the syrtc'ltonisatbo of strobes and Iu,rn,er•.vires for Ils•unclem operation.Wr independent wiring of hom and !oras and can imchronize taro Styie Y(class 81 areuits air one Stype Z nr.-e.:emove Jumper wires.When wired for independent ape»tion,the (duo AI CI1VJiL The module can ahegenerate a sync!tnoeized temp 3 tone sir �t%vill continue to run while the born an be stIellQd Howells the for:rstem:eWr's 11t,fd•A vt"art M4o0 horn products.'The str.•it must be ninmrig for hom to operate. stnsemritution-todu;e afknvs tie'SpectrAlen horns on combination hoe I, He►n ti• sttobrs to be 5i4nced on?•wire"ems SpecrYAlert's Srx Circuit Mod--,e ~le$pec:rAlert Series horns.:•d an•tv daise cwred for multiple one horn/tamise provide two t8f&tet[field Pl synctiron:za[lon.The 1,Itxlule shall +.-:'ab'a:rev ersbk tones,a high-;ow field selectable,rerImUe sound not operate an a c:ded power!upplr. ^ut<etl[ng(low sanng an:4 Volt models only)and a field sekaable/ 'Far'Julti-Men]nd P.A400:Suvbes roust be wlrrJ to a CManuous sours^ e. s oar temp 3 pareses or non-tettporsl continuous parser-Thee add of pacer fwn-,::,W;vweT suppiv). . SpectrAlert Current Draw Ta'b'le Strobe Only AVERAGE CUritaff(MAI PIAN C[:AAENT ins'I W RUSH CURREM(SAI Ia.SY�t� 1744 >� teV taY d7 lil,LMMWNow _anals I rr.l j to fv 12Y t7V av 121<aw x 1MI aS,.., �e lft. R r•wl . I+ ac ... x pr..;•- ! ri 7ov rr�sY� sty I 17V Eov "V I 7ov 'i]I ••.•,a ..n �1 y1 :'' — '1•' --1.ww -: L.. x"•'• -1rlw ..Iw. - 'rl •wl:0:1 a01 J/:• X ,I,•. _ 'u •ar •-., 1.x S• DI _yl Jgrl,rt aY`I•r ."A — :x._11 •tA1 IAC. .. •71 It-•'r-• •.A 1`til yA M I M1 VA 'Jyl'�I,>)1 ,. I.J. a~'- - .sl•.�,.J! �1 �. .;t '-J •1�'; ��' J 441 M I 41A I w '.1 • 4w &MI!:' :I- V.1•AC `A ti 1 w 1 W M '.1 #D 2A".1''•I - a}:' VA ,y,,.1 •-ll+.QI 'Jc1•t" '•SI' w1•.A •.J •.a u.. Moir"//�� tr• ,a •:J'w VA I w MI a ..�1 nty AVERAGE CURRENT ImAI IaprLDw T�qI ser c ttWolQM.ttl'nr__�Mrwrrtta c.c7.1 1'w......1 •M1.1I1t. lY tedv � 17V IDV •2••�y:]4ti I Er_ 3117' P111114 -11 141 --11 t MAw .A U uNAP NIA 'J •.A •,Aw 'Hr rYniw ^1 LOW NA w 'A •4. • R40fl w I,.A a ,.1.•.J Y1 .. •JI Horn Strobe-13 Cd Hum/strVIN,75 ed AvERActE CURRENT ,.. 1n.� AVERAiiE CURPOCT(MAI isles T , t:. T'i'v fav WIF tale ye1A1M Ton• 'i 1�lt� lyres DL ..� 1� tt i Hip LOW fell* van ttY I ..17Y fav 7AV J-2-1 F,t. .-- 9 1 •„ .y ( Sw1. wl r rNu d•.,• I "A <1a] ,' IG �.�. wU r M M M M M NA �11 AA W O&A W11t J N911M NA M M NII M LOw W w M w ,/t1441•T '1 97 `lA'w M IMI MI vA Ilii ,•'17 1 1� iy t _ l 1 •,A •t ' l•• w1 M N 1 .A V •• �tr11r NA NlM1 MIM M '7 !!/ irls 4an NA,4A I w I w I M I M 1 Law hA w M M NA I`.A � 100 Aa M Ib11 W 'bA Y. IIA,M I 41 \a ••11 I 1'rs '•JI ��t Horn/strobe-15/73 Cd HOnys/strobe-UO ad AWERAGi CURRlNT("i JAVpAG!CURRlItt lself ►-4 W46LM TWW te,tV tw t711 lav Ehc afte vnsrwte +tt� of ... tN air IyalAr Twl* 1tLaV sttl l.Ai JOvi 1 ti 1 • t41M1 elle r,�Tom NA1 w M M NAt p— NA NA 'M IM M M 1 . _ M I w M M Mr'1m M M M IyA M M l� NA I w M M MJCCC••f -cal tM y11i t I n'M.D1 Nd1 1 11.•r , V l t• -70,•. ItI� • rpm w 14,M w I M 1•.A 'q •,•I, 44, to M w WM �J ��I r1 ��'� w Y w M M I•.A •te 1 Ven 4•,•Ia1 vw14A1M 'N••AI- �I• i la rA •odes M w1 .a •q ••I at `b1 �• vA1w w1•IA, •A '1r1 s•,1'YI 1 '•-I •:. life I SpectrAlert Mounting diagrams r back box —BBS '— r-aback box —W---a �._ Horn Direct Mount iil� H-xn Surface Mount with Accessory r� L, . Sade. Box Skirt rte\ 1 _ > 2'back t-x Horn with Universal Mounting Plate(included with each product) l �� n ' -!= a Ing Strobe or Horn/Strobe with Accessory Small Footprint Mounting Platte � � 1 C St;UILC ar Horn/Strobe with Universa 1 1 Mounting+Plab•!lechlded with each preduct) 1 , 111 — 1 � ` It /1 IC ;C 1 111111 ' 1 1 1 1/ 1 1 1 , 11 I�� i �• I Lam. 111 . 1 c..11. I low Sbrohe or Horn/strobe Swfaee Meeart wnh Aaeesaory Rade Box Skirt Sync-Cim t Module Direct Moat Page 4 This Jm-ument is not intended 10 be wed tot installation rurroses. AO?==rJ1 Engineering Specifications C oneral Morn/slrobo combination SpectrAlert horns.strobes and horn/strobes shall be capable of Hurn;strobe>hall be i St stem Sensor i;t.:-.1ien mC'w rnotinnng to a standard 4'.Y R 1'/.'back box or a single gang 1".3' listed to UL 19'1 and UL:0 and shall s;proved::r::re protect,:v e • I';.'back boy using the universal mounting plate induJed tnth each ser,.ice. Horn;strobe shat!':e wired as:;77nan sig^a:i';nomicuw SpectrAlert product.Also,SpectrAlert products.when tied in appliance and comply with the Americans'vtth Disa:::::;es Act Contun:tion with.he accesson•Svnc*Circuit Module.slull be powered requirements for visible.ig^.altng appliar. flashing it' Hz oyer to from a nor-coded power supply and shall operate on 12 or a volts. II entire operatir;vokige range. The vtrace..;ht shall c:ns;st of a xenc.- volt rued der ices ihall have in operating voltage range of 10.5- i7 NO tube and associated lens/reflector!:i;+.m.The�_,m ihiJ Via%e volts 14 Colt rated devices shall have an operating voltage range of:0- two tone options.two aud;btl'iv options a:1a:'ohs, and:he option 30 tvlts. SpearAlen 7roducts shall have in operating temperature of 32 switch bemeen a temporal I pattern ant i nomt;mn,-:rat:anitnuaus to 1:0°F and open:e tram a regulated DC or full wave rectified. pattern.Strobes shall:e;otvered inde;e-:ectlr of t:—=.-under'vtth unaltered power suprlythe removal of faaon-installed jumper t y.The hcr:t:n ham itrc Morn models shall operate on a coded or non-.-:.led power i.uppiv. Horn shall be a System Sensor SpectrAler model capable of Module operating at 12 and:4 volts.Horn shall be listed to UL 46d for fire Module shall be a Swoon Sensor Svnc«: model li.ste•_ protective signaling smems.'he ham shall have two tone options.two to UL 464 and shall be ar,royed for fire:-:;eatve sen::_The mcic.a audibility options in:4 volts+and the option to switch ben'een a shall senchronr-e SpectrA!en strobes at : ?.z and horni it temporal ? temporal l pattern w.J a non-temporal continuous pattern the ham Also.the module shall silence the horns =ora stet::!r.-odeis.'.vhi'.e only model shall ret operate mi ceded power supply. operating:he strobes.jeer a single pair:` vtres.The--ule ihaii'_-e capable of mounting to a; ':i x 4 _ back`:.x_nd scall Strobecapable two Style Y(da.<s it or one Stv.e= dass.iii :r::a. '.loc.-ie Strobe shall be a Surem. Sensor SpoctrAlert mode! listed to shah be capable of .uit:rie zone ivnc.`.::-::anun by:a:r.chaimrg UL 1971 and be irrryed for'.-,prcrecave service.The itrebe shall ce mu:nple modules rogethe-andrrsynC r:-�!g eac. ::-!r alcag::te wired is a pitman•i;;nalirl nerif?canon appliance and=pIv with:.".e chain.The Module shall-.at operate a*.a::-'td;ower Amencans with Clisarthnes Act requirement for visible ssgealing appliances.flashing is 1 Hz:rer:he straLe s entire operating voltage range. The strobe!! :hall consist of a.xenon Bash tube and associated!ensirefe--.;r ivsrem, SpectrAlert Dimensions o I Mom/Strobe nritlt Small Footprint mftwti g Plate Man Only ;• ... (SOM t!n»eesiom for strobe o■hr) . I S' I 3 o' I Morn/Strobe With Ut'pYerSMW Mqudbd Ph" - (own tlnnonsiom for strobe aft) Syns•Chrwit Module Page 3 This Jomffm is not infendet t+e used for tnstallislton ruiposes. V-5436-.* Speci l.itir¢ ''i=,dering Information A%;. mA' r1%;. m.l' ;ted White Vullage Candela Q Nom. VDC Q V :• FWR Horn/ obes PI-115 P1215IV 13 13 114 167 P121575 P1115115W 12 IS '5 152 BI P2415 P2415W 24 15 78 98 P2415'a P141375W 24 13 73 91 ill P2475 P247=IV 14 75 148 16' P24110 P24'IUIV 24 110 165 209 P2415A P24131VA 14 i5 78 98 P241575A P241575WA 24 I: 75 91 111 P2475A P24'5WA 24 7 5 1118 167 P2411CIA P14110WA 14 110 165 20- P241575F (FUEGO) 14 15 '3 91 111 Strobes S1215 S111:1V 1' 15 114 157 5121573 SI'1:7:IV 12 15 -5 142 171 S2415 S24151V 24 15 53 80 5241575 S241575W 24 15 75 66 93 S2475 S2475W 14 123 149 524110 S24110IV 24 ;U) 140 1Sl S'.t3A S2415IVA 24 15 53 80 5241575A 5241:73WA 24 I: 15 66 93 S2475A S24-5%VA 24 73 123 149 S24110A 5141101VA 14 110 140 191 S241575F (FUEGO) 24 1: 73 66 93 Horns H11124 1-112 24W '1 24 NA 11 23 12 2! HI2,24A H12 .'AICA 2 24 NA 11 i 23 12 11 itync•Clrcuit Module XIDL NIDLII' :1 24 NA 16 14 NIDLI NICLIVA '114 NA 16 14 Small Faotprint Mounting PIS 1, for Single Gan`Only S IIP S-1.1piAC NA NA NA NA Surface Mount Back Scx Skirt BBS BBSW NA NA NA NA Universal Mounting Plate (replacement) D-NIP D-MPW NA Nik NA NA Voles: +nr Li=!;ngs 1L. ULC,F%1.CSF%I pending.HEA pending Canadian Monet number ei-I in'I' Latin km-rir model wimfrn end in'F' tilt SperirAiert products are iies-gmed for will mount only. Installa:on of less than „nd-1 i>trobes may be permissible under the equ;valent taciliianon clause of the ADAAG (Sec. :._). However.if is the respun<ibilio if the person or eni-tc designing the fire.Harm sesteni to determine the iccepribilin of less that,75 candela strobes. All '5 -- :,r de a ,trobes or horn strobes are recommended for-'0'x 20'rooms or!e-s. For a,otr.,e e I sting of Soror,tlen current requirements.ple.L-e refer to the Spect-.Alen Current Draw Title or Installation',ian!ral.Horn ani'horn/ strobe cur-en, ,haws assume hoin is tet of temp 3,electrom-chamcal tone and high audibilin•. Systam Sensor Worldwide Distribution Ir 17anada In the United Kingdom: In India: In the Far East Si^'em Sensor Canada System Sensor Europe.lad S%-uefn Sensor India System Sensor 6581 Finnim Road, Unit s7 Horsham Cates III.North ti A-204 Nliheshican`agar Pstt%vav Far East.lid. Misossiuca.Ontano Horsham,V*M Sussex Orkac Bills Lane Rm 903.Tower A.,4t-.v M,ndarin Canada JN 3T3 RH13 5P1.United Kingdom Andhen Fast,Ilumbai 400093 Plata. 14 Science YlMm Ro,ia Telephone `05.11 076” Telephone-44.1413 2765t1 Telefax: `l-02' 322365 ' TST Fast,Kowl.ion.Hong Kong Fax:905•,l:•d'71 Fax:44--1403-_'76x)1 Telephone:952 I191-90t)3 Fu:35-'.-'-36-05&1 Rile u This document is not intended t3 be usea6for installation purreses. A05.93--01 SpectrAlert Wiring Diagrams TANDEM OPERATION INDEPENDENT OPERATION NORNSmel cOfl/O HORN ANO Moll © I IIo•1.f r AtldN r•rALLff IY..A •,.1•••.wn••rorty ONR:f o .. TO NW r< 01 WL HORN on,a t O I •rC al ::c'n•IAA el0 •..rvnu fnonf PRIMA,INITAum UN-210 Nr-1 <_ •rt-- 'NO°r'•col.0 lTRorf on ..oevlcf 01 1•• I NOR* NDIlr t/rOf! fTRoff OMl 1'1 rOUR'wllf �— nawllf f•r u c c_ufc"Do" o woo'),C••Ioof• 4017 I I l Yr r•cr IIC 0 r,•1®v•urOa1 CAR of TU* Kjl CP L_ o .TTill-&411-w111Lf"Cogs-L-------- ccMT Nw To a.f•ATn — �L7-- �.y -- ;I I 0� o u Horns Silenced Over Two-Wire Circuit Temp 3 Coding of Mut&Alert and 1.Arty mix of Horn/Strubes or Strobe only devices s acce='3_a pA400 Sounriers 2.Horn control connects to interruptible power 3-curce Vote:Strobes must be powe•ed from noncoced sucoly roouLA I – I I rflalLr WWI R rem 0)a To ear I til or•u u tor�•It" —^-� --> ��I J�lAl l q: "L I CO tar� I —� IIpRAI[VA. /I v"C I lOrllfr:ff .... gYCfU frroff:ar .Y• l NX Iron.r As AAwrwN ft."'um"-4 M IAcur w.n wAt. _A IF mane t ROOM I � I �}:_-WeftM10 aIIT Jl �^ r� t Of@IL'f:A 1 f0. fy �' Ian11• � / I mrf� -A 1jI I I r0 MR isms j Isar I ( reflCt:A _J �'1 •own _ 4A ti•t J 0— l�� I Y 1.YK 1►••cur•w ��• f••rt•.I•Iln•.qct W Ml 1 AA•nmR•r A•Arw "Am. • Ifl/AJW"Or•IDT •,e 1 • I r 1 1 1 / �— CAIINOIr 0•w•M•I.r•••����•w fr.�'�11 r,• , t • • 1 • • •1111 1• •• 1 f s • f•1 1 1 1 1 1 1 •• IIr • 1 Sound Outp t Guide (dBA) ' .I .r . •f 11 / 1 UL Myerberwrl Reece daA9 veltls DC Aneehoie li4 rftak dax lltU R/veita oc , 1U u IL AQ i1 All lu •12 u ZQ •a Ili.1 1 I . TenlllierM Low Tone E .irornechinicil \A \n \A 75 'i :9 NA -NA '4A 9f '% 98 X00 Hz Interrupted \A VA \A 75 79 79 VA NA NA 94 •916 99 1 I High Tone Electromechanical i 'S 19 82 A: S3 8Z 91 . I9 100• • d41 102 1 . . . . 3000 Hz Interrupted 73 ;s -9 32 85 85 94 95 IS A ' le 102 New Low Tune Electromechanical NA VA \A 79 82 85 NA NA \A 94 96 98 Tetw�eral 3000 Hz Interrupted \A NA \A 82 S: 85 VA "'A \A 94 96 99 High Tune Electromech meal 79 -9 55 95 x9 88 94 95 ?9 100 101 102 3000 Hzlnterrupred '9 92 35 'A S9 90 93 95 '9 100 101 102 °jge 5 This document-f not Intended to be used for instillation purpe-t- A05-J36.01 ELECTRICAL PERMT CITY OF TIGARD PERMIT #: ELC99i0161 DEVELOPMENT SERVICES DATE ISSUED: 03/22/99 13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 PARCEL: Os 102An-03000 SITE ADDRESS. . . : 1C'H00 SW ASH AVE SUBDIVISION. . . . :BURNHAM TRACTS ZONING:CBD BLOCK. . . . . . . . .. . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Project Description : Electrical T1 -- - - RESIDENTIA L- UNIT-----_------TFMF, SRVC/FEEDERS------- 1000 F_EDERS- -1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 400 amp. . . . . . . ; 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . ; 0 MANF. HM/ SVC/FDR. . : 0 601+amns-1 ?00 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 -------BRANCH CIRCUITS------ -----•ADL' L- INSPECTIONS—- 0 NSPECT I ONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 -'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 600 Amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 (7,0] 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECT I ON--•--_---------_-._.. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -- - _._..___._.._._...____._..__________________.._......__......._...__._..._...._____._.____... FEE=S -- -- ------- - --- CITY OF TIGARD type amiji-int by date recpt 13125 SW HALL BLVD PRMT $ 40. 00 B 03/22/99 99-313882 TIGARD OR 97223 5PCT $ 2. 00 B 03/22/99 99-313882 Phone #: f:ontrar-tor: ------------------------------- OREGON ELECTRIC CONST/GROUP $ 42. 00 TOTAL 1010 SE 11TH AVE _-- -- n11 I RED I NSPECT I ONS - PORTLAND OR 97214 Ceiling Cover Elpr_t' I Service Phone #: 234--9900 Wall Cover Elect' 1 Final Reg #. . . 203 This pe-sit is issued subject to the regulations contained in th! Tigard Municipal Code, State of Oregon 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 188 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follaw the rules adopted by the Oregon 1Riliiy Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001-1987. You nay obtain a copy of these rules or direct questions to OONC by calling (503)246-1907. P e r m i t t e e S i g n a t 1_i i-e : Q �(C( (CJ► -Y��kdCY I s s i-i e d By :_ --OWNER INSTALLATION ONLY------ ----- ------ ------ ----- Thr, installation is being made on property I own whir_h is not intended for lease, or ent. iWNF R' S S I GNFTURE: DATE: TNtSTALLATION ONLY-._ -_..--------------_--------- 9I GNATURE 11F SUPR. EL EC' N: Yk _LUY_�_ DATE: L I CFNSFF NO: +++++++4-++++++++++++++•4.++a-++++++++++++ +++++++++++++.+++++++++++++++++-I +- Cal l 639-4175 by 7:00 p. m. for- an inspertion needed the next bi_isiness day k•+++++++++++++++++++•+++++-•++++-1 ++++++++++++++++++++++++++++++++4•++++++++++++++++ RECO MAk Community Development ELECTRICAL PERMIT APPLICATION 13125 SSV Hall Blvd. COMMU 1Y set I I ur'Mi N1 Tigard, OR 97223 Planck/Rec. # Permit # - 0( IA Phone (503) 639-4171 Date Issue111)-2'2 - 9I FAX (503) 6x34-7297 Issued b 0 CITY OF TIGARD FAX No. (503) 684-2772 y Inspection (503) 639 4175 1. Job Address: JOB NO. 80097 4. Complete Fee Schedule Below: Name of Develof rnent public Service, Tiaarc. Number of Inspections per permit elle ved — Address 12800 SW Ash Servlceincluded Items Cost(ea) Sum City/State/Zip Tigard, Orr) 97271_ 4s. Residential- per unit 4 1000 sq It or leen $11000 Name (or name of business) Ci t-3j n f T i nn rri Each eddhonal 500 aq it or - 1 portion;nerool $2500 Commercial ® Residential ❑ Limned Energy �— $2500 Each Manul d Home or Modular 2 Dwelling Service or Feeder $88 00 2a. Contractor installation only: 4b.Services or Feeders Installation,alteration or reheat on 2 Electrical Contractor OregonElectric groom_ 200 amps or less 28000 2 Address_1 01 0 SE 1 1 tlOAvp 201 amps to 400 amps $8000 2 401 amps to 600 amps $120 00 _ 2 City� �,a— State� Zip 9 7 21 4 601 amps to 1000 amps $18000 2 Phone No 2 3 4_ggp p� Over 1000 amps or von$ $34000 _ 2 Contractor's license No. 26-q rc, Reconnect only $5000 Contractor's Board Reg. No. � - 4c. lemporary Services or Feeders tallalion alteration or relocation 2 Signature of Supr. Flec'n ��' - r� i Ins200 amps or lase $S000 2 License No. PhNo. 2 201 amps to 400 amps $7!00 2 2 8 4 1 S one — .01 amps 10 600 amps $10000 Over 600 amps to 1000 voles 2b. For owner installations: see W above 4d. Branch Circuits Print Owner's Name _^ New,alteration or extension per panel Address a)The lee for branch cvcrnls with –' purche"of earvke of fwaer fee. 2 City _ State Zlp _ Each branch arcus $500 Phone N0. h)The lee for branch circuits artthouf T he installation is being made on property I own which is purchase of service or Mader fee. 2 not intended for sale, lease Or rent. Fust branch circuit 1 $35 00 35. 00 2 Each additional branch circuit �_ $500 � Owner's Signature4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (i/ required): Fart pump or angr:boncircle $4000 2 Each sign or outivw lighting $4000 _ Signal cucun(s)or a limned energy 2 Please check appropriate item and enter fee in section 5B. panel allerntlon of eirlansion $40 00 4 or more residential units in one structure Minor I POWs(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4i. Each additional inspection over W Classified area or structure containing special occupancy the allowable in any of the above as described to N E C Chaplet 5 Per vepecbmn $3500 Per hour _ $5500 _ `— Submit 2 sets of plans with application where any of the above In Plant $55 00 apply. Not required for temporary construction services. 5. lees: NOT'CE Se. Ener total of above fees $40. 00 _ 5%Surcharge(05 X total fees) $ Z ciao PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal 5b. Enter 25°0 of line A for $4 9 0 0 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED Plan Review if required(Sec 3) $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTEn WORK IS Subtotal $ -- COMMENCED 11 Trust Account N Balance Due $ 42. 00 .+voane.a.ra�rr.,re CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99--0138 13125 SW Nall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 03/09/99 PARCEL: 2S102AD-03000 f Tl:: ADDRESS. . . ; 12800 SW ASH AVE: il1BDTVlSInN. . . . :BURNHAM TRACTS ZONING:CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION. TIG Pro j Pct Descri pt i on: Add one (1) branch circuit. . ----RES I DENT J AL UNIT---- ---TEMP SRVC/FEEDERS------ -----MISCELLANEOUS-------- 12.100 ----MISCE.LLANEOUS-------- 1.T00 SF OR L_ESS. . . . : 0 3 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACI1 ADD' L 500SF. . . : (A 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 1-IMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . ; 0 MANF. HM/ SVC/FDR. . : 0 601+amps- 1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0 - ---SERVICE/FEEDER------ ------BRANCH CIRCUITS-------- ----ADD' L INSPECTIONS--—_ — 2 00 amp. . . . . . : 0 W/SEP,VIL"F OR FEEDER: 0 E'ER INSPECTION. . . . . : 0 L_OI — 400 amp. . . . . . : 0 1st 14/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401. - 600 aimp. . . . . . . 0 EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 1 601 — 1000 amp. . . . . : 0 — ---------- ---_--PL.AN REVIEW SECT I 01\1------------------ 1000+ amp/volt.....: 0 > --4 RES UNTTS. . . . . . . . . ) 600 VOLT NOMINAL. . : ( Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -____..______.._____________----.----_.__._____._—_.__-----___-__- FEES ------------------ CITY OF TIGARD type amol.rnt by date recpt 1.3125 SW HALL BLVD PRMT $ 35. 00 GEO 03/09/99 99--313563 TIGARD OR 97223 5PCT $ 1. 75 GEO 03/09/99 99-313563 Phone #. Contractor: PHOENIX ELECTRIC CO $ 36. 75 TOTAL 7379 SW TECH CENTER DR. REQUIRED INSPECTIONS -- TIGARD OR 97223 Elect' 1 Service Phone #: 684-3600 Flect' 1 Final Reg #. . : 000522 This permit is issued subject to the regulations contained in the ligard Municipal Code, State of Oregon 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 core than 180 days. RTTENT111N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rales are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OX by cal�i 3)246-1987. Permittee Issi-red By: Is, I NSTALLAT T ON Tree installation is being made on property T own which is not intended fore alv' lease, or•, rent. CIWNFR' S SIGNATURE: DATE: INSTAL.L.ATION r."I GNATURE OF SUPR. ELEC' N: �J ` DATE: !_ T CENSE NO: i 4"0'.9 F.+++++++++..++++•1 ++++++t+++++++4++++t+++++-F+*++.++++i•++4.++++t+.++++t++++t+.++++ Call 639-4175 by 7:00 p. m. for an inspection needed the nrext br_:siTie ss day 44+++++++1-f+++t+++++++++++++•+++++-F+Fa ++++i...4-++++i•...++++++++.+++-F+++++++++++++++++ MAR-09-99 TUE 04;26 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02 C!T'r"OF TIGARD Electrical Permit Application Plan Check 4. 13125 SW HAIL, BLVD. Recd ey TIGARD OR 97223 Date Date to P.E.`Reed _ Phone (503) 639-4171, x304 Inspection (503) 639-4175 Print or Type Date to DST Incomplete or illegible will not be accepted Permit N.F4 Fax (503)684-7297 P 9, p Callod 1. Job Address: 4. Complete Fee Schedule Below: Name of Development__ G m_�_, f�,l o Number of Inspections per permit allo%.)d Name(or name of business), ��@.` � Service Included: Iterns Cost Address-\-1)"D�� �, ) �_ 4a. Residential-per unit City/State/tiptoot)sq.h.or less $110 00 __ ,L-� � _ PCZ- Each additional 500 sq.It.or 4 Residential ❑ portion thereto $25 00 Commercial -- —.-- 1 Undled Energy 525.00 ��` e\ �� ( ,� �tG�ti. ✓ Each Manurd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $68,00 (Attoch espy of all current licensor.) 4b.Servlces or Feeders Flectncal Contracto h hb- < Installation,alteration,or raloca(ior —, I Addt 200 amps or less $60.00 S Gl.l ' ' t—= 201 amps to 400 amps $8000 ^-- 2 City Stag_ Zip���� _ 401 amps 1t)sot)amps .$120,00 _ 2 80 Phone N _ 7 $180, C 1 amps to 1000 amps 00 _ 2 Job NO._ J -- Over 1000 amps or volts $340.no -- 2 Else Cont. Lice. No. Fix= Reconnect Reconnect only __ $50.00 2 OR State CCB Reg. No, .L'�Exp.DaiO __ __ 4c.Temporary Services or Feeders COT BUy..teSS Tax or Metro No. {� EXp.Date Installation,alteration,or relocation 200 amps or less $50,00 _ 2 Signature of Supr. Elec'n 3 c- i; 201 amps l0 400 amps $75.00 —. - 2 G, -- 401 amps to 500 amps $100,00 2 Ovor Soo amps Ir,1000 volts, License No -Exp.Date sea"b"above. Phone No.- 4d.Branch Circuits New,alterallon or exionsfon rer panel 2b. For owner lnstallatlonS: a)Tho fee for bench circuits with purchase or service or Print Owner's Name_ feeder fee, Addressu Each branch circuit --' b)The lee for branch circuits City State Zip` _ Ktithout purchase of Phone No. _ serylee or feeder loo. �� First branch circuit $35.00 2 The installation is being made on property I own which is not Erich additional branch circuit. $5.00 2 intended for sale, lease or rent. 4a.Miscellaneous (Service or(oeer not ind,jdad) Owner's Signature_____ _ cEach pump nr irrigation circle $40.00 Each sign or nulline lighting $40.00 3. Plan Review section (if required):* Signal circull(s)or a timiled anergy panel,alterallon or extension S4000 2 Please check appropriate item and enter fee in section 5B. Minor labels(10) $10o no- -" -' - _ 4 or mora residential units in one structure 41.Each additional Inspection over Servire and feeder 225 amps or more the allowable In any of the above System c jar 600 vdts nominal Par inspection Classified area or structure containing special occupancy Per hour 355.00 as descnbad in N.E C Chapter 5 In Plant -`-- $55.00 *Submit 2 sets of plans with application where any of the above apply. S. Fees; Not required for temporary construction services. 6a.Enter.olsl or above fees $ 5%Surcharge(A5 X total fees) $ NOTICE Subtotal s - lb.Enter 25%of line 5a for PERMITS RFr.OME VOID IF WORK OR CONSTRUC,ION AUTHORIZED IS Plan Review f r r (Ser.3) $ —� NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal � S IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1�Trust Account Total balan,a Vue ---'--- CITY CSF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99--0093 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 02/1.6/99 F'ARCE.L: ID'S 102AD-03000 SITE ADDRESS. . . : 1`C100 &.4 ASH AVE: SUBCrIV.ISIO14. . . . :BURNHAM TROCTS ZC.INING:LBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : .JURISDICTION: TICS F'r oJect Desct—iption : Install signal circuit or limited energy panel. --RE��IDENT IAL_ UNI1'_-__. ----TEMP SRVC/FEEDERS------- -----MISC•ELLANEOU5-._-- _- 1.000 S,= OR LESS. . . . .- 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADI ' L_ 500SF. . . . 0 E'01 400 amp. . . . . . . : 0 SIGN/OUT LINE: LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : t MANF. HM/ SVC/FDR. . : 0 6,01 +amps--1000 volts. : 0 MINOR LABEL_ ( 1.0) . . . : 0 ___._SERVICE/F: EDE.R - -_----BRANCH CIR(wUITS-__...__...._-. _- -ADD' I- INSPECTIONS-— �� - -='00 amp. . . . . . : 0 W/SE:RVIC:E OR FEEDER: 0 FUER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 I st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amr). . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 --------------------PLAN REVIEW SECT I ON- - ----_--- --- -- 1000+ amr)/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : Ch,oner. _.___-.--------__.__.__.____.___-----.----_____---_-_--_______-• FEES CITY OF TIGARD PUBLIC WORKS type amol.int by date recpt 1311-5 SW HALT_ BLVD PRMT $ 40. 0,T GEO 02/16./99 99-312957 TI(:'0RD OR 9733 SPCT $ . 00 GEO 02/16/99 99-312957 Phone #: Contractor: ----------------.-__.___-----.-_-- ENTRANCE CONTROLS INC $ 4_. 00 TOTAL. 12606 NF 95TH sT RE:ET SUITE C;-100 ---- --- REQUIRED INSPECTIONS VANCOUVER Wf, 981.34 Elect' 1 Ser,v i cp Phone #: 283--2533 Elect' 1 Final Reg #.#. . : 000t.:,55 - This permit is issued subject to the regulations contained is the Tigard Municipal Code, State of Oregon Specialty Codes and all ether applicable laws. All nark will be done in accordance with approved plans. This permit will expire if wor'! is not started within 180 days of issuance, or if work ;:, suspended for more than 180 days. ATTENTION: Oregon la-s requires you to follow the rules adopted by the Oregjn Utility Notit,cation Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001--1987. You may obtain a copy of these rules or direct questions to RIC by calling 15031246-1987. f f e r m i t e e 9 i n a t i.t r e • /_... I s s i-te d BY. :. INSTALLATION ONLY-- ------------- ----_-.-------_ ._...... The installation is being made on property T own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: - ----- --- -------------CONTRACTOR INSTAL.L_.ATION I GNAT URF OF SUPR. ELEC' N s _ . -__ DATE: L_I CENSE NO: ++++++++++++++4++•++++++4+4•4++++++4•+++++++++++++++++++++++++4•+++++++++++++++++++ Call 539--4175 by 7:00 p. m. for an inspection needed the next bktsiness day ++++4-+•+++++•++++++1+F++t++ +i+++++4-4-+++•++•++++++++++++++++4••1-+++4•+++++4-+++•h++++•i•4-4 CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit Fax (503) 684-7297 Incomplete or illegible will not be accepted called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development ICIL, v 1�"61-h Number of Inspections per permit allowed Name(or name of business) �LTy OL 77/r*-O Service included: Items Cost Sum Address e1!6 `J.C�� 4a. Residential-per unit Ci /State/Zi _T-/f�r1, (� CMZ. �1 �� 1000 sq.It.or loss - $110.00 _ a City/State/ p ___.� Each additional 500 sq.ft.or Commercial- Residential portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 �_ 2 2a. Contractor installation only: (Attach copy of all current licenses) w 4b.Services or Feeders L / Installation,alteration,or relocation Ei.�(.K..;^nniractor ;+• Y e/� L 6e y ` 200 amps or less $60.00 2 Address L E r r .vim Z 201 amps to 400 amps - $80.00 _ 2 CItyU At,e., Y a. _State_��A. Zip `tkc,Er'Z._ 401 amps to 600 amps $120.00 _ 2 Phone No. '_£i3 ? >"s i 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts - $340.00 2 Elec. Cont. Lice. No. 37 3f r-;c:LL. Exp.Date I 1 q(' _ Reconnect only $50.00 _ 2 OR Stale CCB Reg. No.-,6,;`5- IF f Exp.Date S- ,' 4c.Temporary Services or Feeders COT Business Tax or Metro NrCX--&Aaxp.Date-1 C _ Installation,altoratinn.or relocation 200 amps or less _ 050.00 2 Signature of Supr Elec'n v >r _ 201 amps l0 400 amps __ $75.00 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 vc. - License No. 6C f, SLE Exp.Datel0/001q� see 00 above. Phone No., "�t"i -Z i s •-Ll 3 3 4d.Branch Circuits New,alteration or oxtr nsion per panel 2b. For owner installations: a) '-he fee for branch circuits with purchase of service or Print Owner's Name feeder lee. Address Each branch circuit $5.10 - 2 b)The fee for branch circuits State Zip___. _! without purchase of Phone No. _ service or feeder lee. First branch circuit $35.00 _ 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature_ Each pump or irrigation circle - $40.00 2 Each sign or outline lighting $4000 ,J 2 3. Plan Review section (if required): Signal circuits)or a limited energy- $4U 00 �. ✓ 2 panel,alteration or extension �_ Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00 _4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable Ir,any of the above System over 600 volts nominal Per inspection _ _ $35.00 -__-- ____ Classified area or structure containing special occupancy Per hour $55.00 - as described in N.E.C.Chapter 5 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. 5. Fees: t Not required for temporary construction services. 58.Enter total of above fees b � -- 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ Sb.Enter 25%of tine 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reouired(Sec.3) $ t -�-- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY .. 7 C TIME AFTER WORK IS COMMENCED trust Account#__ f L Total balance Due I IDSTSTLCt:BAPP HN91N! �- CITY OF TIGARD ELECTRICAL PF..RMTT DEVELOPMENT SERVICES PERMTr 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE I S SUED: 01 /26/99 PARC17I.._: 2S 1 W_`AD.-030'D0 ITE ADDRI SS. . . : 1,2:1800 5W A!7)I1 AVr '';LIND I V 191 ON. . . . :BURNHAM TRACTS ZCIN I NG:CBD 111 OCK. . . . . . I OT. . . . . . .. . . . . . . ]I.IRISDICTTON: I' I'( I oJectDescriptiolf : Installation of Signal circuits for fire protection system. --RESTI)E'NTIAI_ L1NTT -_TEMP 9)RVC/FEEDFR5—_.--_ ) 000 Sr OR LF"SS. . . . : 0 0 x:'00 a m p. . . . , . . : 0 PI IMF,/T RR T GAT T.CN. . . . : t* r•',rH ADD' I_. 500cF. . . 0 '201 -- 400 amp. . . . . . . 0 TGN/OUT L_ INE LTG. . : 0 rMITED C'NERGY. . . .. . : 0 401 F,00 ,aIII l.r. . . . . . . : 0 SIf3NAL/PfaNF=L. . , . . , . : 1 111-IF. HM/ SVC/FDR. . s 0 601 +amps -1000 volts. : 0 MINOR LAPEL ( 1.0) . . . s 0 ^ERVICr./FEEDER.----___ -.... ..SRANCH CIRCI.1Trr_...._._..... ADD' I_ TNrI`'E,^.TIONS _. 0,00 amp. . . . . . s 0 W/,F'RVTCC OR FEEDER: 0 PER INSPECTION. . . . . : 0 `01 400 amp. . . . . . : 0 1 si W/O SRVC OR FDR. ; (,- F'ER IIQ►1R. . . . . . . . . . . .• 0 101 - r,00 r_,m p. . . . . . : 0 EA ADD' l NRNCH CIRC: 0 IN r-,LANT. . . . . . . . . . . . 0 ".Qj1. 1000 amp. . . . . : 0 _....___..__.__..._ .. ._ - f'L_AIJ REVIEW ' 000+- ramp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMTNAL. . s '`econner_t only. . . . . : 0 ;VC/FDR > _ 2;29 AMPS. . : 17I-AS5 AREA/SPEC nrc. FEFS "TTY Or TTGARD type ama+_fnt by date rer. pt 1 X31 2*9 SW 14(11.I_ AL VD F'RMT E 40. 00 DEA 01 /0A/99 99-31204F1 I'TCARD OR 97,'223 `iw:irT s ''„ 00 DEB 01 /08/99 9 99-31204S "'hone #: "IFTRO 5Ar-F"TY AND ETRE TIVC t 4;:'. 00 TOIAI._ 1055 NE BI. T SAN REPUIRE'D TNSPECTInNS _... __._.-. "ORTLAND OR 9721:3 r'l ect' 1 r3er'v i (-e Ffhone #: 231-2999 El Pc-t' 1 f=inal �-�__�.... This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All wore will be done in accordance with approved plans. This permit will expire if worir is not st2rteo within 181? 'ays of issuance, of if worlr is sospended for more than 188 days. ATTENTION: on aw res yo,, to follow the rules adopted by }he Oregon Utility Ilotificatiar, Center, those rules arP set forth ir• DAR 88I 601e through 9Sc?-081-198'. You may obtain a ropy of these rules or direct questions to nX, by calling (583)246-1967. 1 s='_r fly _.__..(IWNER IN9)TAl._.L..ATTnN ONLY pie installation is being made on property I own whir_•h i = not intended For, leasr, nr, rent. ll lh1F Ft' �, r I CiNC1TL.IRE: Df1TL-:: R TW3TALL.11ITION ONLY - ,TGNATIIRF OF S•t.IF'R. EI..E:C' N: rj ! -�� _ DATE: C T CENSE NO: F- f•+-++ +-F+-I-++++•F+++++A..f++f-1-+++++ 4-•++.++4.4-+++ +++•++++++++++4.4.4.+-+1.i.{.+++++++++++++.+++ Call 639-4175 by 7:00 p. m. for an inspection needed the next hrjs:ines�s clay ++-++++4-44+4--1# 1 t4-4+44 +++f++++4+ F+•++++++++4.4 ++-+++i.++-++f.-f-++.++++++++++++++44.++++4.+ r CITY OF TIGARD Electrical Permit Application Plan CheO n 13125 SW HALL BLVD. Recd BY_ L TIGARD OR 97223 bate Rec'dDate to P.E. ' Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type � Permit p �Li r 7 '�-'C-'�'('i Fax (503) 684-7297 Incomplete or illegible will not be accepted Called 1, Job Address: I 4. Complete Fee Schedule Below: Name of Development L) i to C:r T1C H+2� Number of Inspections per permit allowed - Name(or name of business) f�k,l�� �:� (i�� Service Included: Items Cost Sum Address /1�goG r�k I '`�� 4a. Residential-per unit City/State/Zip I j r{r:L> 1000 sq.fl.or loss $110.00 1 Each additional 500 sq,ft.or (('�� portion thereof $25.00 _ 1 Commercial Residential LJ Limited Energy $25.00 Each Manut'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Installation,alteration,or relocation Electrical Contractor M �-��� S q1- �T�1 `fd n�- 200 amps or less $60,uo 2 Address j 5 l,/C r1H -- 201 amps l0 400 am Ci •4- :� State 1: Zi 7 Zf p p $120.0 2 ry _( __Zip 401 amps to 600 amps $120.00 2 Phone No. 411-Z`1J`/ 601 amps to 1000 amps $180.00 2 ,lob No. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. eta I? Reconnect only $50.00 2• __ OR State CCB Reg. No. 4..31.'4 f -Exp.Date_ o 4c.Temporary Services or Feedors COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n_ l ' �1 ry 201 amps to 400 amps $ .-_ --'� - 401 amps to 600 amps $100.0 1tX).OU 2 2 Over 600 amps to 1000 volts, i license No. i KCCT _-Exp.Date �� �l - see"b"above. Phone No. - 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase or service or Print Owner's Name__ __ _ _ feeder fee Address Each branch circuit $5.00 2 b)Tho foe fu,branch rircuils City StateZip _ without purchase of Phone No. _ service or feeder fee. First branch circuit $35.00 2 The instp.11ation is being rnade on property I own which is not Each additional branch circuit $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature (Service or feeder not included) g _ Each pump or Irrigation circle $40.00 ---.-_ Each sign or outline lighting $40.00 2 3. Plan Review section (If required):* Signal circult(s)or a limited energy- ' ` Q panel,alteration or extension $40.00 _LG 2 Please check appropriate Item and enter fee in section SB. Minor Labels(10) $100.00 _4 or more residential units In one structure 4f.Each addltlonal Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection _ $35.00 _a Classified area or structure containing special occupancy Per hour $55.00 _ as described In N E.C.Chapter 5 In Plant _ $55.00 "Submit 2 sets of plans with application where any of the above apply. 5. Fees: JC Not required for temporary construction services. 5a.Enter total of ab ove fees $ _ 5 Surcharge(.05 X total fees) $ NOT ICE Subtotal $ -- - 5b.Enter 25010 of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Ser 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY r� TIME AFTE9 WORK IS COMMENCED. ❑ Trust Account Total balance. Due $ neSMELCBe.APP Rev W% CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested_ �' AM PM — — BLD _ Location__ I _ '-,— — Suite _ MEC Contact Person ��'�IC>!C� Ph --2 PLM Contractor _ Ph SWR _ 61jILUING Tenant/Owner in) b�-k ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain ��. Crawl Drain Inspection Notes:, SGN Slab SIT Post& Beam _� _ Ext Sheath/Shear ^ Int Sheath/Shear Framing Insulation — Drywall Nailingy -- �% �- Y'.- Firewall Fire Sprinkler _ Fiie 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 Cas Line -- --- ----- -_-__-- _ _ _ Smoke Dampers -- Final ---- -- -- _-- PASS PART FAIL. ECTRIC --- -------- --�—.� _._ --- Ser"vTce i Rough In ---- - ------- ------ - UG/Slab L ow Voltage ---------- --� -- - ____--- Fire Alarrn Fri -------- -----.�---_-- __-_�__._------ A PART FAIL SITE ------------ --- ---- backfill/Grading ----------- ---- Sanitary Sewer Storm Drain I ] Reinspection fee,of$—_ _ required before next inspection. Pay at City flail, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE._ _ [ )Unable to inspect-no access ADA Approach/Sidewalk Other _ —, Date -w �`/ __ Inspector__ _ _Ext Final -- PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST Bup _— Date Requested /t 'Yc� AM_iPM _ BLD Location_ Z ,C�C� (� �rl.'1 -c�, Suite 17 2_1 Contact Person Ph I-<<i��1 PLM Contractor Ph _ SWR _ !!1. __G!? -- Tenant/Owner _� �Lt r� [ �d 7�'S ELC Retaining Wall ELR Footing - Foundation Access: / 00 ' FPS Ftg Drain -` Crawl Drain Inspection Notes- , SGN Slab con Post& Beam - SIT % Ext Sheath/Shear Int Sheath/Shear — - Framing _ Insulation -- - ---- --- Drywall Nailing ___--_- Firewall - ------ ---- Fire Sprinkler r� SuCeiling - Roof --� fvl;sc: -- —�-- —--- — - ZSaJANG PART FAIL. ----- -- — _ ---- --_----- ---- --- — Post& Beam -- ---- -- - --- -- ------- Under Slab Top Out ---- -- — ----------- Water Service Sanitary Sewer - ----------- -----__ --- — — Rain Drains Final --- — — PASS PART FAIL [lost R Beam - -------- — --_`—.-- ------ — _ ---- Rough In Gas Line Smoke Dampers (I%ASSJ PART FAIL - EL TRICAL — -- -- —._ .-- -- Service RoughIn ----------- ._. —.�— — --------,----- UG/Slab Low Voltage — ---- ----Y-- Fire Alarm Final __.— - __------------------ - — __--_ - PASS PART FAILSITE ----- ---- --- Backfill/Grading _� -------- ------- — —__ _—_ Sanitary Sewer Storm Drain ! ]Peinspecticn fee of$—— _—required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Bas n Fire Supply Line l ) Please call for reinspection RE. —_ --- ( ]Unable to inspect-no access ADA Approach/Sidewalk �J Q Other —_ Date _ t �L_�Inspector �9 -iL Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-!lour Inspection Line: 639-4175 Business Line: 639-4171 --- - BUP Date Requested �t ��) `c� �� _ AM PM BLD Locafion_`I Suite MEC contact Person ���'l,�LL Q/�Q Pn PLM Contractor Ph _ SWR BUILDING Tenant/Owner ��t.,L,l1 , �, '(�U,' ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Note SGN —_ Slab -- - Post& Beam SIT --- - Ext Sheath/Shear 11�y Int Sheath/Shear — Framing — Insulation --- - DrywallNailing Nailin fir Firewall - Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof — Misc: -- —-- -�-_ -- —.-- -_ Final PASS PART FAIL PLUMBING Post R Beam -------- --------- - Under Slab r TipOut ---___.--------_--_------_--- ----- - Water Service Sanitary Sewer ---� -�-- ---`-^ - --- Rain Drains ' Final ---------------__--- ---------- ____------_ — PASS PART SAIL MECHANICAL -.-�-----_--_---- ------------- - - ---- Post& Beam ---- -------- - - - _ ---- - - ------------------- Rough In Gas Line ---------- -_ __-------- ------- - -- — Smoke Dampers Final - - ------- PASS PART FAIL --�--- ---------- ---_--- Service Rough In --- -- UG/Slab Low Voltage Fire Alarm Fina ---___-------- - ------- -- -- -----_----- (rASW PART FAIL - StTE - --- Backfill/Grading - -- --- - -- - --- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ -_A 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 �, Other Date _ Inspector % _ Ext Final —� PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY CF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC97-•01 E,1 DATE ISSUED: 03/20/97 PARCEL: E:S 102.AD-03,000 I T1-F- ADDRESS. . . : 1 1,800 SW ASH AVE i!FHDTVTST.nN. . . . : Bi_IRNHAM TRACTS ZONTNG:CPD N'1!. . . . . . . . . . : I.-OT. . . . . . . . . . . .. .. .. "•ojpct Dessr.riptione INSTL_ 1 BRANCH CIRCUIT # 2058-384 _._.RF"STDENTTAI_ UNIT-----. ---TEMP SRVC/FF=EDE:RS----- -------MISCELLANEOUS-------- 000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 Pl_1MP/IRRIGATION. . . . : 0 ACH ADD' L. 5006F. . . : 0 P01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 TMITFD EINEROY. . . . . : 0 401 - E,00 amp. . . . . . . : 0 SIGNAL/PANEL-. . . . . . . a 0 OANF. NM/ SVC/FDR. . : 0 6011 +amps-1000 vol.ts. : 0 MINOR LABEL. ( 10) . . . : 0 --_---BRANCH C I RCLI I TS----..._- _--ADD' l.. INSPECTIONS---- 800 NSPECTT.ONS--- 80.0 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 '01 - 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : i PER HOUR. . . . . . . . . . . 0 '101. (*,00 amp. . . . . . : 0 EA AAD' I-- SRNCH CTRL: 0 IN PLANT. . . . . . . . . . . . 0 .01 - 1.000 amp. . . . . : 0 ------------------PLAN REVIEW SECT T ON-.__._-___ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . . ) F,00 1)01- T NOM TNAI ... . Peronnect onl.y. . . . . a 0 SVC/FAR > _ 225 AMPS. . : CLASS AREA/SP,cC C)CC. lwner•: -- _._______-.___.__-__ ..-.-____.____.__._____...__._,..____.____,_ FEES �__._._.....__....__W......_... f;ITY OF TIGARD type amol-int by date reept 131 r^_-.5 SW HAL I.. PLVD PRMT $ 35. 00 'TAT 03/20/97 97-29202.1 5PCT $ 1. 75 TAT 03/20/97 9'7 1'T.CARD OR 97223 r-'hone! #: 639--41.71 PHnENTX ELECTRIC r,0 $ 36. 75 TOTAL 1 79 SW TF'rH CFNTF.R DR. - - ----- REQUIRED INSPFCTTONS - I VTGARD OR 97223 cei. 1 ing Cover 1_1nder•groiind rove i .hone #: 503-684-3600 Wal ] Coyer Elect, ]. Ser-vice Pe q #., . : 000026 This permit is issued subject to the regulations contained in the " Tigard Municipal Cade, State of Dr:. Specialty Codes and all other Pprmitte,e i gnatI..ir j"? applicable !aws, All Mork will be done in accordance with appraved plans. This permit will expire if Mork is not started within 180 days of issuance, or if work is suspended for fore than 180 days. nWK1rR TNSTAL_I..ATTnN ONL t The installation is being mane an property I own which is not intended for ;ale, laase, at, rent. ')WNF"R' c SIGNATURE: -- _ DATE _._.._._.__ _-- ---_--__-_._.. .___---.CONTRAf TfiR TNSTAL..I_ATTON T(;NATURE nF SUPR. EI_FC' N: _ _ DATE: TrENSE N0: Call far i.nsoecti.an - 639-4175 CITY OF TIGARD Electrical Permit Application Ian Check# 13125 C11 HALL BLVD. Recd By_ TIGARD OR 97223 Date Recd Date to P.E. Phone (503)639-4171., x304 Date to DST Print or Type Ins- -' on (503) 639-4175 Permit Fax (503) 684-7297 Incomplete or illegible will not be acceptedPermit 1. Job Address: 4. Complete Fee Schedule Below: Name of Development „ _ r Number of Inspections per permit allowed Name(or name of business,tCM PM%A&%P 11- Service Included: Items Cost Sum Address�1 e� 4s. Residential-per unit 1000 sq.ft.or loss $11000 ___ 4 City/State/ _ 4C��� . Each additional 500 sq.ft.or "ortlon thereof $25.00 1 CommerciaResidential El smiled Energy $25.00 Each ManuPd Home or Modular Dwelling Service or Feeder � $68.00 -_ 2 2z. Contractor installation only: (Attach copy all current licenses) I 4b.Services or Feeders Installation �lteralion,or relocation Electrical Coe'sem Contractor \�(_ f!f 'd� 200 amps or less $60.00 2 Addr _ Sr, }r 201 amps to 400 amps $80.00 ___ 2 Ciry_ - _State Zip_ 401 amps to 600 amps $120.00 rp2 Phone N l 601 amps to 1000 amps $180.00 -___ 2 Job No. Over 1000 amps or volts $340.00 _ 2 E1>c.Cont. Lice. No. .� _ .- Exp. to \ t Reconnect only $50.110 _ 2 OF'State CCP,Reg. No. Z Ex Date_\J �3 4c.Temporary Services or Feeders CCT B� �Iness Tax or Metro No. Exp.Date > >t ' Installation,alteration,or relocation 200 amps of less $50.00 2 SiSignature of Su r. Elec'n ���' 201 amps to 400 amps $75.00 _ 2 9 P v - 401 amps to 600 amps $100.00 _� 2 Over 600 amps to 1000 volts, License No. __ Exp.Date____ see"b"above. Phone No. � --- - 4d.Branch Circuits New,alteration or rxiension per panel 2b. For owner installations: a)The lee lot branch circuits with purchase of service or Print Owner's Name_ feeder tee. Address _- Each branch circuit !. $5.00 ,._-_._-_ 2 b)The lee for branch circuits City_- State_ Zip--- without purchase of Phone No. ___ service or feeder fee. CIS First branch txcud J_ $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 Intended for sale,lease or rent 4e.Miscellaneous (Service or feeder not included) Owner's Signature _ Each pump or irrigation circle -- $40.00 2 Each sign or outlino lighting $40.00 - -. 2 3. Plan R vfiew section if required):*jSignal circuit(s)or a limited energy panel,alteration or extension $40.00 ---- 2 $100.00 ---- - Please check appropriate item and enter fee in section 5B. Minor Labels(10)i 4 or more residential units in one structure 4f.Eacrt additional inspection over Service at,d feeder 225 amps or more the allowable in any of the above --System over 500 volts nominal Por inspection __ $3500 Classified arca or structure containing special occupancy Per hour $55.00 -_�- -�as described in N E.C.Chapter 5 In Plant -- $5500 *Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 59.Enter total of above fees $ 5%Surcharge(05 X total fees) $ - NOTI E Subtotal $ 5b.Enter 251,of line 5a for PERMITS BECOME VOID!F WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rr0ir d(Sec.3) $ ----- NOT CONMr:NCED WITHIN 180 DAYS,OR IF CONSTRUCTION 09 WORK Subtotal $ --IS SUSPENDED OR APANDONED FOR A PERIOD OF 180 DAYS AT ANY � )� TIME AFTER WUHK IS COMMENCED lJ Trust.Account#_ S ■�l_a Total balance Dur' I\nSTS%Ll 1196 APP Rev N56 ---- ELECTRICAL PE=RMIT 96---16516 CITY OF TIGARD DATE:I ISSUED:C08/06/96 L r:OMMUNITY DEVELOPMENT DEPARTMENT 13125 5W Hall Blvd Tigard,Oroyyon 97223.8199 ((503)639.4171 PARCEL: 5102AD -0 a021Q1 SI l L . . . : 1.-"1300 5W 14VI- SUBDIVISION. . . . : BURNHAM 1RAC Tc; ZONING:CBD BLOCK. . . . . . . . . . . L_O7, . . . . . . . . . . . . : Project Description : Installing one branch circuit. ---RESIDENTIAL UNIT----- ----TEMP SRVC/FEEDERS-•--- ------MISCELLANEOUS--- 1000 SF OR LESS. . . . : 0 w - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : N EACH ADD' L 5001,3F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE: LTG. . - 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 21 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 _.---SERV I CE/FE=EDER---- --------BRANCH CIRCUITS----- ---ADD' L INSPECTIONS---. 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PEN INSPECTION. . . . . : 0 ,201 - 400 amp. . . . . . : 0 1. st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 10210 amp. . . . . : 0 -------------------PLAN REVIEW SECTION------•---- 10004• amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . e ) 600 VOLT NOMINAL. . s Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . 1 CLASS AREA/SPEC OCC. : Owner: --___._-_-...._-_--___--_-------------.--_-..___--_--_--_-- FEES -•---------- CITY OF' TIGARD type amount by dat,? recpt 13125 SW HALL BLVD PRMT $ 35. 00 CJ'", OF i 1!16/96 96-282500 5PCT t 1. 75 CJS 08/06/96 96-2825CO TIGARD OR 97223 Phone M: 639-4171 Contractor: -----------------_______-__._________.__________________._____...__.____.. _ . PHOENIX ELECTRIC CO 36. 75 TOTAL 7379 SW TECH CENTER DR. ------- REQUIRED INSPECTIONS -- TIGARD OR 1) 3 Wall C=over Elect' 1 Final Phone ti: 503-684-3 00 Elec=t' 1 Service Reg #. . . 52286 This permit is issued subject to the regulations contained in the ligand Municipal Lode, State of Ore. Specialty Ixodes and all other Permittee Signature applicable laws. All Mork will be done in accordance with appoved plans. This permit will eKpire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. Issued By INSTFIt_LOTION ONLY•------- --...___.__.___.._...__.___._.__.______.. The installation is being made on property I own which is not intended for sale, lease, ur rent. nWNE•R' S S I GNAT URE: DATE: _._ _-------------- ----CONTRACTOR INSTALLAT I OIV ONLY---------- - -_- - --------.__ . SIGNATURE OF SUFIR. ELEC' N e SIC 'JQ �. DATE: c��F� __._._...__.......__. __ LICENSE NO: Call for, inspection - 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 9722.3 Permit # ,LC ,-L`)516 Phone (503) 639-4171 Date Issued — CITY OF TIOARD FAX (503) 684-1297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Narne of Development t Number of Inspections pectlona per permit allowed � Address I r _rluo Service Included Items Cost(ea) Sum City/State/ZipA n ((��_`-1 ~ia1-� 4a. Residential -per unit 1000 sq ft or less _ — $11000 — 4 Narne (or name of business `ach additional WO sq ft or portion thereof $2500 (,otnmercial Residential �_� = Limned Energy =""" $2500 _ 1 Each Manufd Home or Modular Dwelling Service or Feeder $6800 _ 2 2a. Contractor installation only: 4b. Services or Feeders ` installation,alteration,or relocation Electrical Colnlractof 200 amps or less $6000 2 Address —1 0 201 amps to 400 amps $8000 2 City State !lp( 401 amps to 600 amps $12000 2 Phone NO. _ - - 601 amps to 1000 amps $18000 2 Over 1000 amps or volts $34000 2 Job NO % Reconnect only _ $5000 2 contractor's license, N' 4c. Temporary Services or Feeders Contractor's Board Reg No. Installation,alteration or relocation Signature of Supr Elec'n 0a. 200 amps or less License No / C� ritshone No. 201 amps to 400 amps -� $5000 �— -�--- L 401 amps to 600 amps ___ $75 00 - 2 Over 600 amps to 1000 volts $10000 — 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name, New,alteration or eytenslnn per ph•ie Address _ a)The fee for branch circuits will. Clly_ State purchase of service or Feeder fee 7 _� Zip Farh branch circuit _ $500 Phone No. b)The fee for branch c-rcuns without The Installation is being made on property I own which is purchase of service or Feeder Fee . 2 _ not intended for sale, lease or rent First branch circuit �--- E$500 2 Each additional branch clrCult $500 Owner s Signature _ 4e. Miscellaneous (Service or feeder not included) 3. ran Review section (if required): Each pump or irrigation circle $40 00 z Fach sign or outline lighting $4000 Signal urcult(s)or a limlted energy �� 7 Please check appropriate item and enter fee in section 5B. panel,altereuon or aytsnsion _ _ $4000 4 or more residential units in one structure Minor Labeis(10) $100 00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per inspection 13500 Per hour __ $55 00 Submit 2 nets of plans with application where any of the above In Plant $5500 apply. Not required for temporary construrtion services. 5. Fees: / �7�. NOTICE 5a. Enter total of above fees $ -- __ -_-- 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF W(IRK OR CONSTRUCTION Subtotal $ \ AUTHORIZED IS NOT COMMtNCED WITHIN 180 DAYS, OR IF 5b. Fnter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ Subtotal A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS $ - COMMENCED w dkcomdrn.ko 1A Trust Account tl 9 Balance nue E a i CITY OF TIGARD PERMIT#:I_ l-C) ilT r-'E:RMJI' #: El ---04;1 COMMUNITY DEVELOPMENT DEPARTMENT DATE. ISSUED: 07/12/96 13126 SW Hall Blvd.Tigard,Oregon 97223.0199 (603)839.4171 PARCEL- '5102AD-0.7000 1 TE ('()DRESS. . . 12800 SW ASH AVE. ''Ul3DIvISION. . . . ; BURNHAM TRALTS ZONING:CBI) bL0C:.K. . . . . . . . . . . L01.. . . . . . . . . . . . . : Project Description: Installing one branch circuit for an A/C unit. -•--RESIDENTI(IL. UNIT-.--- -----TEMFI SRVC/FEEDERS---- -i -----MISCELLANEOUS--- 101bill '3F- OF LESS. . . . : 0 0 -- 21210 ,amp. . . . . . . : 0 DUMP/IRRIGATION. . . . : o EACH ADD' L 5009F. . . : 0 20.1 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTU. . : 0 LIMIlLD ENERGY. . . . . : 0 '401 -- 600 ramp. . . . . . . : 0 SIGNAL/PANEI.. . . . . . . G' MANF. HM/ SVC:/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : _.. SE:RVICE/FEEDER-- - - -I?F�laNl'.Fi CIF,trIJITS-- _._._ ----..-ADD' L INSPECTIONS --- - -'00 amp. . . . . . : 0 W/SERVILL OR FEEDER: 0 PER INSPECTION. . . . . : 0 '01 - 400 amp. . . . . . . 0 1 tst W/O ERVC OR FDR. : 1 PER HOUR. . . . . . . . . . . . v 44..1 - 600 amp. . . . . . : N EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : Eh b01 1000 amp. . . . . 0 __-.-..._..__.__.__._....._..___.._FLAN REVIEW SE:CTION_.._____._.....___-_ .- 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS {'AREA/SPEC; UCC. Uwner: - __.__.----.__._____._________.___._._.._____________._....____- FE'E5 CITY OF' TIGARD type amount by date rer.pt 13125 SW HALL BLVD pRMT t 35. 00 CJS 07/12/96 96--2815>Ec; 1 IC•iAFtD OR 971223 SRCT $ 1. 75 CJS 07/12/96 96-28 15,, Phone #: 639-4171 Contractor: r-IHOEN I x ELECTRIC CO 4 :36. 15 T O THL. 7379 SW TECH CENTER DR. REOU I REL) INSPECTIONS ----- I IGARD OR 97223 Wall ("over F) ?ct ' 1 F=ina1 Ohone tl: 50;3-684--•3600 Elect, 1 Service This pereit is issued subject to the regulations contained in the / C- Tigard Municipal Code, State of Che. Specialty Codes and all other x,, n i.i t e e X51 yna t ... c applicable laws. All Mork will be done in accordance with approved plans. This pewit will expire if work is not started within 188 days of issuance, or if work is suspended for mo-e :han 18@ days. ,• L,r INFe'JAL..I_ATION rhe installation is veiny made or. property I own which is not intended fol 4. 1. e, lease, or rent . )WIVE R' S SIGNATURE : DATE: --.---_CONTRAC'TOR INSTALLATION ONLY------- .-_-_. -----------. --_.___ :i.I UNAY URE OF SUPR. ELM.' N: DATE : .I CENISE NO: Call for inspection - 639-4175 P t Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # .E1CqG- ')Y51 Date Issued - ;Vl;� , Phone (503) 639••4171 CITY OF TI�ARD FAX (503) 684-7297 TDD No (503) 6842772 Inspection (503) 639-4175 1. .lob Address: 4. Complete Fee Schedule Below: Name of Cevelopment \ Number of Inspection% per permit allowed Address 1;.s oc-- . �,f� ')�(� _ Service included Items Cost(Qa) Sum i"ity/State/ZIr �I (�(� T l!!( �1� �� �� 4a. Residential -per unit 1000 sq ft or less $11000 Name (or name of businedtE) ` u F.ach additional 500 sq ft or c pnrtion thereof $25 00 Y ` ( Limited Energy $2500 _ a>mmerctal Residential 0Each Msnufd Home or Modular [hveCing service or Feeder S6800 Y 2a. Contractor installation only: r 4b. Services or Feeders Electrica�_�G tractor ) Installationalteration,or relocation - /l r � 200 amps orles of leas $6000 2 Addresses i` f 201 amps to 400 amps $60 00 2 City.__ State Zip 401 amps to 600 amps —•-- $ta0 00 2 601 amps to 1000 amps ___ Phone No..LL' (.1 r� 1 Over 1000 amps or vgltg (340 00 2 Job NCF GyL��j (ra_ Reconnect only vi $5000 2 contractor's license NO < ') 4c. Temporary Survives or Feeders Contractor's Board Reg. No. installation,alteration or relocation Signature of Supr Elec'n _ 200 amps or lees _ _ 2 C 201 amps to 400 amps $5000 -" 2 License No fCa i— hone No("� 401 amps to 600 amps $7500 2 Over 600 amps to 1000 volts $1C0 00 -- 2h. For owner installations: see"b"above Print Owner's Name4d. Branch Circuits Newalteration of extension per ps.e Address al The fee for branch circuits with purchase of service or feedar fee. ` City _ State_ Zip_______ Each branch circuit $5.00 Phone No. __ t,)the fee for branch circutta wfthour The installation is being made on property I own which is purchase of service or feeder fee _ 2 First branch circuit ____ $35 00 4 not Intended for Sale, lease Or rent. Each additional branch circuit J $500 Owner's Signature __ _ _ 4e. Miscellaneous (Service or feeder not included) 2 W 2 3. Plan Review section (IIs required): Each pump or Irrigation circle $40 Each sign or outline lighting $4000 _ Signal circult(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000 4 or more residential units In one structure Minor Labels(10) $10000 Service and feeder 225 amps nr more System over 600 volts nominal 4f Each additional inspection over _Classified area o•structure centairnno special occupancy the allowable in any of the above as described In N E C Chapter 5 Perinspection $3500 Per hour __ $55 00 In Plant $5500 Suhmit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter tonal of above fees $ 5% Surcharge (OS X fetal fees) $ � PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) E A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS (Subtotal $ COMMENCED �,T,,.m�• •, t� Trust Account # �, r �- � Etalance Due _ a �--\ — MECHANICAL CITY OF TIGARD PERMIT#. . . . . . . i MEC96-0d01 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDo 07/08/96 13125 SW Hall Blvd.Tigard,Oregon 07223*8199 (503)839-4171 PARCEL: 25IO2AD-03000 ,1 TE ADDRESS. . . : 12800 SW 013H AVE !SUBDIVISION. . . . : BURNHAM TRACTS ZONINGS CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . :AL T FLOOR FURN. . . . EVAP COOLERS: 0 IYPE OF USE. . . . 1COM UNIT HEATERS. . : 0 VENT FANG. . . 1 0 OCCUPANCY GRP. . :B2 VENTS W/O APDL; 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 1-'UEL 0--,3 HP. . . . s 3 DOMES. INCINs 0 - /ELE/ 3-15 HP. . . . s 0 COMML. INCINs 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITSs 0 i1RE DAMPERS*?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 6AS PRESSURE. . . 50+ HP. . . . s 0 CLO DRYERS. . : 11.1 NO. OF AIR HANDLINU UNITS OTHER UNITS. : 0 V-'URN ( 100K BTU- 0 10000 cfm : 0 GAS OUTLETS. : 0 TURN ) =100K EITUll VA > 10000 cfm : 0 Remarks : Install 3-9100 BTU window units (block wall ', Owners FEES ----__—__---.._ GITY OF TIGARD type am(51.tnt by date t-ecpt 1 ,3125 SW HALL BLVD PRMT $ L18. 00 J*H 07/08/96 96-281377 5PUT $ 1. 40 J*H 07/08/96 96--281377 IARD OR 1-hone #1 639-4171 1'ontr,actor-: 13EITMEIER MELHANICAL INC !051 SW SANDBURG ST STE 400 11GARD OR 972i?3-6011 Phone #: $ .::,9. 40 TOTAL Reg 063E42' REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Mechanical Insp iga,d Municipal Code, State cf Ore. Specialty Codes and all other Cooling Unt Insp applicable laws. All work wi;i be done in accordance with Final Inspection approved plans. This pernit will ompire if work is not started within 180 days of issuance, or if work is suspended for more than IW days, v,ei-mittee issued By: fore inspecti-on 639--4175 City of Tigard MECHANICAL PERMIT PlanckfRec. # _ 13125 SW Hall Blvd. ��I,� APPLICATION Permit # mL-c'�- -OC I," Tigard, OR 972.23 (503) 639-4171 ""•°FXV1111111P1111MI Description Table 3A Mechanical Code CITY PRICE AMT Job •� L- 1) Permit Fee -0- -0- 10.00 Address •• 2) Supplemental Permit 3.00 "^'IN hMn W Millf1woUl / Furnace to 100,000 BTU '— 1) incl. ducts &vents 6.00 , "1 77i Owner 2) incl. ducts 3 vents 750 zip Floor Furnance 3) incl. vent 600 •"'""°""'""° "°"`••' Su%pended heater, wall heater 4) or floor mounted heater 6.00 Occupant ° "• "�• Vent no rnc. in 5) appliance permit 3.00 ,, •' bRepair of heating, re ng. 6) cooling, absorption unit 6.00 - .- Boiler or comp, ea pump, air coed i e;v E�.� ,,,,�.f r,,..• 7) to 3 HP, absorp unit to 100K BTU 600 •" °"• Boiler or comp, heat pump, air con . Contractor Y �•� s. 8) 3-15 HP, absorp unit to 500K BTU 11.00 Boiler or comp, eat pump, air con . CG 9) 15-30 HP, absorp unit .5-1 mil BTU 15.00 +1, 1-q •p'•°" / •° Boiler or comp, ea pump, air con 10) 30-50 HP, absorp unit 1-1 75 mil BTU _ 2250 hereby acknowledge that I nave read is app I a ion, it Boiler or comp, heat pump, air con information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1 75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with Air an inq uni o State laws. that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct (If exempt from State v an ilio unit registration, please (live reason below l 13) 10,000 CTM + 750 Non portable 14) evaporate cooler 450 -VnfTan conriecteT— — r' �� 15) to a single duct 300 en i a ion system riot yam,✓ -� --l , .� - "( 16) included in appliance permit 450 �" ,. r°,.,• - ---�:r. oo serve y - - 17) mechanical exhaust 450 �_. Describe work new 0 addition a era ion repair ommercial or industrial to be done residential O non-residential Q 18) type incinerator 3000 xis inq use of er I e woo stove. wa er building or property 19) heater, ,olar, clothes dryers, etc 4 50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property - — 7.1) More ;han 4-per outlet (each) 2.00 Type of fuel - oil Q natural gas Q LPG Q electric (j NOTICE Minimum Fee $25 00 SUBTOTAL ( _: PERM17-S BECOME VOID IF WORK.OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 6%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR --- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL k)L AFTER WORK IS COMMENCED -- TOTAL Special Conditions L--- -" T — -- _ ----- Date issued -- _by ---- ---- -- n,irl D3TS.MEC�PMi .` __.,\ � " NI I � � '� ,` `' 1\1 `,\ ''\ ti � _,�I"� r . 1 I L- -_ ? � 1 N 2 a 1(� rN � 7 a � O Q C v Ems 0 OD'. i C cn w CD 1 � 0 c^,' Ok co — CD I I II 7 �/) T gsa ate 6d ELECTRICAL PERMIT CITY O F T I GARD DATE PERMIISSUED:LC96-0362 06/11/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orogon 97223.61 99 (603)639-4171 PARCEL: 2S10r__'AD-0_*!'001Z1 SIVE ADDRESS. . . : 1L'800 SW PSH ol+.. SUBDIVISION. . . . : BURNHAM TRACTS ZONING:CBL! BLOCK. . . . . . . . . . : LUT. . . . . . . . . . . . . .. Projict Description : Installing one branch circLtit. UNIT—— ----TEMPI SRVCFEEDERS---- -----MISCELLANEOUS------- 1000 SF OR LESS- - : 0 0 200 amp. . . . . . . : 0 FIUMP/ IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 400 affp. . . . . . . : 0 SIGN/OU'l LINE LTG. . : 0 i-imi-rED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNA'_/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 121 601-famps-1000 volts. : 0 MINOR LABEL ( ILA) . . . : 0 -----SERV ICE/FEE7DER-----.- BRANCH CIRLUITS--.- .... - . ---.-ADDIL INSPECTIONS--... 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 400 Amp. . . . . . : 0 1st 14/0 SRVC OR FDR. . I PER HOUR. . . . . . . . . . . (o 401 600 ramp. . . . . . : 0 EA ADD' l_ BRNCH CIRCs 0 IN PLANT. . . . . . . . . . . : 0 601 1000 ramp. . . . . : 0 RI.:V EW SECTION----------_ 1.000+ ECTION-----------1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . .** 6011, VOLT NOMINAL. Rec_onnect only. . . . . : 0 SVC/FDR -25 AMPIS. . ., CLASS AREWSIDF-C OLC. : Owner-.- FEES CITY OF TIGARD type amol-int by date recpt 13125 SW HALL. BLVD PRMT f 35. 00 CJS 06/11/96 96-280438 511"Cl- It 1. 75 CJS 06/11 /96 96-280436 TIGARD OR 97223 Phone #s 639-4171 Contractors PHOENIX ELECTRIC CO $ 36. 75 TOTAL PO BOX 1432 ----------- REQUIRED INSPECTIONS 1UALArIN OR 91062 Wall Cover Eler-t1l Final Phone 503-692-b882 F. lect' l Service Peg #. 52aaa 1his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Siqnatl.ire Applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 18@ days of issuance, or if work is suspended fir more than 180 aays. Issi.ted By .-OWNI,-..R INSTALLAI ION 0N1..Y-_._._ rhe installation is being made on property I own which is not intended for sale, lease, or, rent. OWNER' S SIGNATURE: DATE: INSTALLATION ONLY- -------- SIGNATURE OF SUVIR. ELECIN: DATE: LICENSE NO: Call for, inspection - 639-4175 community Development ELECTRICAL PERMIT APPLICATION 13125 SW Han Blvd. Tigard, OR 97223 Permit # _c`LC 46-D&CI) _ ... Date Issued Phone (503) 639-4171 — CITY OF TlOARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4 Complete Fee S ohedule Below: Narne of Development Q Number if Inspections per permit allowed Address._ --`�L - _ _ Service included Items Cost(ea) Sum City/Stave/Zip� � G�� � 4a. Residential -per unit 1000 scl ft or less _ $11000 4 Name (or name of busines i)�� __Pr����1<� Each aiddional 500 sq It or portion the,-ml $2500 a Limited Energy 12500 _ 1 Commercial Residential ❑ Each Manuf'd Nome or Modular Dwelling Service or Feeder — 122 00 _ v 2 2a. Contractor ' stallation only: 4b. Services or Feeders Electrical Con raC or 1 Installation,alteration,or relocation r 200 amps or less $6000 2 Address G �/ 201 amps to 600 amps 12000 2 City C State - -- Zip 401 amps l0 600 amps $12000 — 2 601 amps to 1000 amps $18000 _ 2 Phone — �f amps or volts 1340.00 2 Job NO Reconnect only $5000 2 contractor's license NO --- 4c. Temporary Services or Feeders Contractor's Board Reg No. — _ Installation,allegation,or relocation Signature Of Supr Elec'n ?ff_:_-- 200 amps or less _ 2 201 amps to 400 ams $5-100 License No � �U_S _ hone No. 401 amps to 600 amps $7500 — - 2 Over 60)amps to 1000 vols $10000 — 2b. For owner installations: dee"b' above 4d. Branch Circuits Print Owner's Name - _ New.allerntlne or extension per pone Address e)The fee for branch clrcuM$with City_ State ZI purchase or a erv/ce or feeder fee. w_ -__- --- P- - -- Each branch Orcult $500 Phone No. __ _ bl The fee for In anch circuits wlthoid �G The installation is being made on property I own which is purchase of service or feeder lea ✓✓/ not Intended for sale, lease Or rent. Firs'branch,circuit 13500 2Each addltloned branch circuit $500 Owners Signature _ _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle 140 D0 _ 2 Each sign or outlire lighting $4000 2 Signal circuit($)or a limited energy Please check appropriate Item and enter fee in section 58. panel,alteration or extension 14000 _ 4 or more, resider-tial units in one structure Minor I abels(10) 110000 Service and feeder 225 amps a more _ System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N E G Chapter 5 Per inspection $3500 hcur _ $5500 In plan) $55 00 Submit 2 sets of plans with application where any of the above —' —'� apply. Not required for temporary construction services. 5. Fees: NOTICE 5a Enter total of above fees $ 5%Surcharge (05 X total fees) $ — PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal x __ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5G. Enter 2 i line A for Plan Review CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR eww if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS `Subtotal q - COMENCED - *••• :l Trust Account # $ Balance Due $ ELECTRICAL PERMIT CITY OF TIGARD DATE PERMI !SSUED: '05/02/56 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (5031639-4171 PARCEL: 2S 102AD-030 +0 SITE iiDDRLSS. . . : 1 L 6 0 0 5W E-4,:'11 NVI__ :SUBDIVISION. . . . : BURNHAM TRACTS /ONING:CBD BLOCK. . . . . . . . . . . LOT. . . * . . . . . . . . . . Project Description : FIRST BRANCH CIRCUIT/MAINTENANCE SERVICES, JOB 2055-141 ----RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDE:RS---- ---•--MISCELLANEOUS---- -- 1000 SF OR LESS. . . . : 0 0 - 200 .imp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 L:ACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L.IMITF_D ENERGY. . . . . : 0 401 - 600 amp. . . . . . . 1 0 SIGNAL/PANEL. . . . . . . r 0 MANF. Hh1/ SVC/FDR. . : 0 6014-amps-1000 voltrs. s 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- -----BRANCH LIRCUITS----- ---.-•ADD' L INSPECTIONS-- - 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 VIER INSPECTION. . . . . : 0 eOl - 400 amp. . . . . . 1 0 1st W/O SRVC OR FDR. : 1 VIER, HOUR. . . . . . . . . . . 0 401 - 600 amp. . . . . . a 0 EA AUD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1 000 amp. . . . . a 0 -------------------PLAN REV I FW SECTION.- 1000+ ECTION•1000+ amp/volt. . . . . 1 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . s 0 SVC/FUR ) = 225 AMPS. . : CI-..ASS AREA/SPEC OCC. : Owner,: ----------------------------------------------------- FEES CITY OF TIGARD type amorant by date r^ecpt ATTN: ROB PATTERSON PRMT $ 35. 00 JMH 05/02/96 96-278902 13125 SW (TALL BLVD. 5PCT $ 1. 75 JMH 05/02/96 96-27890`' TIGARD OR 97223 Phone #: 639-4171 Contractora -_________------_-------------•--------___._.__-----------_-___..____, __..-_-.__. I-"HOENIX ELECTRIC CO f 36. 75 TOTAL PO BOX 1,432 REQUIRED INSPECTIONS ------.. TUAL.ATIN OR 97062 Ceiling (;over- Elect' 1 Ser-ice Phone #: 503-092--5882 Wall Cover Elect' 1 Final Rey fl. . . 522813 This permit is issued subject to the regulations contained rn the Tigard Municipal Code, State of Ore. Specialty Codes and all ether - r-mitfee E3igna y— -- applicable laws. All work will be done to 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 188 days. Is ed By _.___ ___-----__.-_...___.___--•---•-OWNF_.R INSTALLATIO The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURES _ _ DATES ___-______.---•-__---_CONTRACTOR INSTAL_I_.ATION ONLY-----_- --------- ----..______. S I[NATURE OF SUPR. ELEC' N e _ DATE S LICENSE NO aCall for-for inspection - 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # _ tkc I _ Phone (503) 639-4171 Date Issued >{-6 Z., CITY OF TIG�ARD FAX (503) Issued by TDD No (5'13)) 6 684-84- 7772 _ l Inspection (513) 639.4175 1. Job Addresj: 4. Complete Fee Schedule Below: Name of Development (� N� c� Number of Inspections per permit allowe% Address ��0� \ 1 Service included Items Cost(ea) Sum CitylState!Zip— � q 4s. Residential- par unit 4 1000 wi II or I tss $11.,00 Name (Or name Of business) ` Eerh addAt°nal 500 na It or portion thereof $25 00 Commercial thl Residential Limited Energy $2500 V Each Manuf d Home or Modular Dwelling Serv,ry or reedru $6800 2a. 89002a. Contractor installation only: C 4b.Services or Feeders Installation alienation or relocalion 7 Electric' ltractor 200 amps or lean; $60 00 Address 201 amps to 400 amps $80 00 fqr\ 401 avers to 800 amps $12000 City State_ _ Zip o�a3 801 r n,ps 101000 amps $19000 Phone Nn ` Over 1C^ri amps or Volta $34000 --- Contractor's License No. Reconnect Only dao nc Contractor's Board Reg. No. 4c. Temporary Services or: veders _ Installation alteration or relocation Signature of Supr. Elec'n - 200 Amps.or lose stn oo License No hone No 201 amps to 400 amps $75 00 -yr�c —.-�- 40 1 empe to 800 amps _ $10000 Over 800 amps to 1000 volts 2b. For owner installations � see•b•at%)Ve Print Owner's Name \ 4d. Branch Circuits New alteration or a tent,on tit,panel Address A)The tee for branch. vis with City State zip purchase of service or Awdor W. Leah branrh carol $5!'n Phone No. h)The lee for blanch orcuits without I he installation is being made on property I own which is purchase of savke or Nader Aro. �— �- _ ` not intended for sale, lease or rent. f vst hranrh rvcuil $3F,00 3 F arh addomiml brenrh circuit $5 00 chvner's Signature— _ 4e. Miscellaneous (Sere"or feeder not included) 3. Plan Review section (if required): Each pump or trngahon curie $4000 -- ' Each sign or outline lighting Signal cucua(s)or a limited energy Planse check appropriate item and enter fee In section SB. panel attention or extension $40 on _d or moro residential units in one s,ructure Minor I Abele;10) $1 on no Service and feeder 225 amps or more System over 600 volts nominal 411. Each additional inspection over _Classified area or structure contalt inq special occupancy the allowable in any of the above as descrihed in N E C Chapter 5 pennecv*°"" $35 on -- Per hour $55 o0 In PIAnt $55 no -- Submit 2 sets of plans with application where any of the above apply, Not required for temporary construction services. 5. Fees: � Qy- NOT ICE Ss- Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF 'WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS rrS--u��btotal $ COMMENCED LJ Trust Account tx Balance Oure $ e.rrmn[MNWc pm IW f CITY OF TIGARD — ' ELECTRICAL PERMIT �y i a PERMIT#: ELC2003-00300 DEVELOPMENT SrRVICES PATE ISSUED: 5/27/03 13125 SW Hall Blvd- Tivard. OR 97223 (503) 639-4171 PARCEL: 2S102AD-03000 SITE AD[)RESS: 12800 SW ASH AVE SUBDIVISION: P.URNHAM TRACTS ZONING: CBD BLOCK,: LOT : JURISDICTION: TIG Project Dosci iption: Job#75274 Public works huilding: Install 4 branch circuits, check and repair outlets. [-------RESIDENTIAL RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS If 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: MANF HM/SVC/FDR- 601+amps - 1000 volts: MINOR LABEL (10): SERVICE:/FEEDER BRANCH C!RCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVIr:E OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: PLAN REVIEW_5FCTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: �_— SVC/FDR>=225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: IiGARD,C11Y OF OREGON LLECTRIC CONST/GRO'JP 13125S'NHd,:L 1010 SiL 11TH AVE TIGARD,OR 972.23 PORTLAND,OR 97214 Phone: Phone: 503-234-9900 Reg #: I.IC 203 -- SUI,l' 4460S f----- FEES 1:1) 26-955 Description Date Amount Required Inspections )I.1.I'RMT'J EEC Permit 5/27/03 —�-- $66.80 (TAX]8%StateTax 5/27/01 $5.34 Rough-iii Flect'l Final Total $72.111 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 wcrk 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 ado?ted 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 or 1-d00-332-2344. 1) Issued By: _ l L �J���L� L Permit Signature: �7�' OWNER !NSTALLATION ONLY The ir-stallation 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:— LICEI4SE NO: Call 639-4175 by 7:00pm for an inspection the next business day MAY-22-03 14:57 FROW T-526 P 001/002 F-221 FEiZ-CtriCal Yetr t City Of Tigard Date received:r-,.-,A, hr Permit no.:,:77 , P MAY 2 2 2003 13125 SW Hall Blvd Pro'ect/�no.:- Ext ire date: { - _ — �-- Phone:(503)639-4171.FAX.(503) TI�;ARD Date issued:_ N: ReceiQt no.: Internet address' www.cl.tlgar+�,.n1� 46,i• c Caae Me nu.: N rnrint type: 24-Hour Inspection Reoue�it'Sd3 (II�_1 132 tai ;dwelling or accessory ' CCommerciaUn,dE I�tl r�ml ❑TenFn :mp nvement I: New unnstruchon addition/alteratigN I ht L) OCIsc__ _—_a Partial Job Address. 12800 SW_ Asti,Turd JBIdg.No. - Suite no: — fax map' x latfaccount no. _ 910ck:_ SObdIyi l4y_On ------- — — — P eat Name: -of Tliaard Descri tion and location of work on promises: awlr outlets and rhedc _ 6trm2Led Date o!-co npletloii/ s ecti�n:— Will yo r•F It for inspection within 24 hours'? Yew No O , :ro eft Contact Rob Ter ua 03 64113972 1W P11. • u no Job Nu.: 7 4 _� __---, -. Description Q feet .1 _`oil_- MV --— — ew tee eltT nrrarai o or — mum-ramlly per dwelling unit Business name:Oregon E Grou __ _.___—� Includes armched gar". -- samee Included: Address. _ 1 10•SE 11 th Ave. _ ` iWo s .tt,ar Ioas_ s Is. $ Cl :Portland State:O :97214_-� Ea Addl 500 SF or Portion S .40 Phone 503)234-9800 Fax. 508 15 i•1001 Email: United ln4gy,1$2 Famll I E_ 5,00 f _ CCB n0.:203 Flec.bu lie.no,:26.95C 1_lmntra tnerg,Mullifamuy I- S 5,00 $ _ 2 Cit /me _ ------ Each ntanvbc4rred home or --r modular dweillna. Service s �,�, •kemr rq,r, _ 22/2003 --- androrfoader. — _ §_ " gervica or Feeders- Su .Flect.Name t Wark Kenn License n0.446t%S Inseexauon,Altersdon or Relnca0cn: zpo ariK-a le55 -- sb.30 1 $ ----_---_ _-1 Mailiii Address: - -- 4d, BOOempa -- 5_ C,so $ 2 _ Cit State; Zip; -- eo�a s•�oararnpa---- I s--- o.ao S _ Phone. Fax: E-mall_ -_ over io90A or vats _-_ S .65 $ owner Insfallatlon- The Installation Is being made on property I own which is Reconned Unly — $ ae.es Tamporery Services or not intended for sale,lease,rent,or exchange according to ORS 447,455, readers-Installallun, --- -479,570,701 Alteration or 119WOW: - owner's sl nature: Dato zoo emoe or 14x% 22tomps-e0oarroe T on.ac $ - 2 Ndm9' — Ovor 4Utam S-BOGemps 33,75 AltotoWn or Fxdaneton P n• Address_ --- ---- - pa..t: A. Foetornranen State'. ZID: ---- _ elreuttawte+purtirteeof:ervko or feederfoe,eaeh enrich Phune Fax: E-mal: clrcun `. F_ u.66 $ P.Foo for brtinch rirmals NNOUI Purchase"d sarvice a rr.rdrr, 1st yrancf,Ckt s ac Bs $ 46:65 s 17 Service over 225 amps-comrr ❑ Health-rare facility each xddltloral branch oft utt 3 s +e.ss i_ 18.85 L'7 Servlcn ave, 320:rmps•radng of ❑ Hazardous locaflon Misrenan"us-Iservtce,,ir loader not Ind'udedl 182 family ttwellings Cl Building over t0,00o t;quere teat four or Facn vu or vnnyUt^dre,e_ s M) _ i --, ?_ O System over 600 volts nominal more residential units in one sbucture t,aM s!ac n► +s uandng S _�lie,40 $ —,- ❑Building over three sales D Feeders,400 snips of;~;.e $trims Uo,lgs)or United Fnergy Peno.Nu.�tla+err r..renelnn• ❑ ompant load o,ar 99 persons ❑ 4tanufaml-MI";,r,ctlnme r RV park rl EgrrssAighfing plan U other..__ Fact,Addlrlonet lnsl.4.Non 0.4,wr the Allowable In y."r 1rt o 4bot,e. Per h4ecdon 1-1-S Submit 2 sets of phans with arty of the above. invosdp pan fee' _ --Tho above ere not pp Ip iCablo to temporary construNon serAm.-_. vmer F ennit Fee Nr or.e:This ponwtapprtcaeon Plan review 25% som ,- expires n a pernrrr is norip State Surcharge 8% L.r 19 obtained.0i too trays niter't $72.14 hat been eccepndi r.comalurn -Total CITY OF TIGARD ELECTRICAL PERMIT — PERMIT#: ELC2003-00486 DEVELOPMENT SERVICES DATE ISSUED: 818103 1312.5 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-03000 SITE ADDRESS: 12800 SW ASH F.vE ZONING: CBD SUBDIVISION: BURNHAM TRACTS BLOCK: LOT : JURISDICTION: TIG Projec+ Description: JOB NO. 72004 (1)circuit for air compressor RESIDENTIAL UNIT TEMP SRVClFEEDERS --_ MISCELLANEOUS —1000 SF OR LESS: — 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNrOUT LINE LTG: LIMITED ENERGY 401 600 Imp. SIGNAL/PANEL: MANF HMI SVC/FDR: 601+arnps - '000 v Its MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS —_ — ADD'L INSPECTIONS '0 200 amp: W/SERVICE OR FEEI?ER: PER INSPECTION: 201 - 400 amp: 1st WIU 1SRVC OR F!)R: PER HOUR: 401 • 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: — _ �_—_ PLAN REVIEW SECTION 1000+ amp/volt: —4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _ SVC/FDR—>=225 AMPS: —_— CLASS AREAISPEC OCC: Owner: Contractor: TIGARD,CITY OF OREGON ELECTRIC CONST/GROUP 13125 SW HALL 1010 SE 11 TH AVE I TIGARD OR 97223 PORTLAND,OR 97214 Phone: Phonc: 503-234.9900 Reg#: r_I(' 203 i SUI' 44605 _ FEES _ ELE 26-95C Description Date _ Amount _ Required Inspections — �I I,11kNi-T1 LLC Permit y rrt $0185 -- ` � r; $3 7� Elect'I Final I AXI R' Sra1c'I r: Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR Speaalty Crudes and ail other applicable laws Ali work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the r)regon 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 ordifect questions to OUNC at(503) 246-6699 or 1-800-232-2344 _ � �,�- --.--- Permit Signature: Issued By: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is nol intended for sale, lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUIPR. ELEC N: DATE:----------- LICENSE ATE: --_-- LICENSE NO --- ---- - — ------ --_ ----- Call 639-4175 by 7:00pm for an inspection the next business day AUG-06-03 10:22AM FROM-Oregon Electric Estimating 5032313587 T-955 P 001/001 F-851 IElectric:a.l perrnllt A.ppliicatfionl ' OFFICE-0,9E • —� City of Tigard Date received:Vilit,ItsPermit no.: 13125 SW Hall Blvd Pro'ect/appl. no.: Ex ire date: Phone:(503)639-4111,FAX:(503)598-1960 Date issued: i3 : Receipt no.: Internet address: wwwrXIA19�rd.orms Case file no.: Pa /Pent e. U-Hour Ins action Re gest 503-639-x175 1&2 family dwelling or accessory Commercialnntluctrial tS Multrfemlly G enant improvement O New construction R1 additionlalteratiorl!replacement ❑ Other. _ ❑ Partial JOB BITE INFORMATIQN Jab Address' 12800SW Ash old -No,: _ _. uito no. Tax mapltsx lot/account no.: Lot: 81ock: _ Subtlivis'on — Piroct Name City of Tigard 31 ng Shop— Deacrlptlon antl local,lon of work on premises: 0)circuit for nit compressor Estimated Data of Completion/inspection: — Nill ou:all for ins eCtlon wTlihln 24 nears? Yes C7� NO O Protect Contest Rnh wernu 80� 849-2588 Phone Job No.: 72004 —_ _- 13mm iption CiFoe(Be l total nso — --- ew en We sior multi-family per.walling unit. Business name:Oregon Electric Group -_ _Includos atuchod garage, Service Included: Address: _ 101 U SE 1 19,t ve. 1000 h.or lege $ 145 00 $ - City: Iland State:OR Zi :97214_ ___ Ea Addl 500 SF or Portion $ 33,40 $ _ Phone: 503 234.8900 Fax: So3 294.1001 E-mail: _-_ limned Ene gy,t 5 z Fartnly — $ 76,00 S i CCB no.:203 Elec bus,Iia.no.:26-950 Llmuea Energy,Multi-FaM9Y S 75,00 5 2 City/f'n0u IIG 0.: ---- ---- Each manufacturod hoinn or modular dwelling. Service 816/2003 _ _ and/orlocoor. s 80.80 S_ 2 -- I Service or Feeders- 5u Eect.Name tMark Kenn License no•44605 installation,Alteration or R•Iotalien: •- - • 200 amps or less _ 5 80,30 $ ^— 2 Name(prinl): 20lampe-40oomps S 1oG,e6 $ 2 Mailing Address: _ 401amoe-600emps $ 160,60 $ 2 CI Stale; Zi g-- 601limps-1o0oamps — $ 240.30 $ Phone: Fax: Email ____ overl000norvolls 454,65 $ _ z --- Reconne,d�.,ly — S 66.tlri — $ r Owner'natallallon:The installation is being made on property I own which is Temporary cervico;or not Intended for sale,lease,rent,or exchange according to ORS 447,455, Feder,-Installation, -- - 479.67n,701 Alteration or Relocation: Owner's sl nature: hate:_ >Oo anbe or late s 56.55 $ 2 2012m t-400empS S 100.30 $ T Nemo, Over40,amp:-600ampe-- S _ 133.75 $ 2 Alterttior,or FWanslon Per Aiddress- — panel: A Fee for branch CI : State: Z-z cis cults with ,'-:hast of service or foeder as,each Wrich Phone: Fax: -mail. eire,ru s r S z 0 Fee for branch eitcults Wlput Purchase of Service or peodor 1st Branch Ckl 1 s 46,85 $ 46.85 2 PLAN NEVIEW ❑Service over 225 amps-romrr Cl Health-rare facility Each oudi conal brancn circuit S ss5 S ___ * Service over 320 amps-tating of n Hazardous location Miscellaneous•(sorvice or faodernot Included) 162 family dwellings ❑ Building over 10,000 sci feet four or eaen limp or Irtloednn c(n e s _ 53.40 S ❑System over e 10 volts nominal mora residential units in one structure, each Slan or Outline Lighting S 63.40 $ 2 ❑ building over three stories ❑ FeederR,400 ompg or more signal cirauil(5)or Limited energy Panel Attbretlon or Fxtenainn• O Occupant bad over 913persons D Manufarturad structures or RV park 18.00 $ C] Egresshighting plan 0 Other------- Submit ther______ -Submit 2 sots of plans with any of the above. --- The above are notaplirable to temaaa constru Dion service. Each Additional Inspection over --- _ Me Allowable In any of the tJat ell!ulxtllcWn:accept Hoar gree.dean/tali lues Mr nom mto. Above. Per Ineoaeti5n p Nef/ce-T6Is Nvrmrr appllcat/on S 82.80 s W vISA MASTERCARD erplrus Ha permit h not — — p4/Oe oehrnod w1m,"1p,dw".hoc It in,*.d9ation too: Alan F White e•n2s has boon acraprod as comp/41e, OU,er Notre of arahelder n, +awn on card Permit Fee err C Plan review 25% >�00 slOnature of cardb0ldtx Ampunt State Surcharge 8% 53 75 a o -- - Totaii $50.60 CITY OF TIGARD 24-Hour EI)ILDING Inspection Line: (503)639-4175 MST ,1NSFkRCTI0N DIVISION Business Line: (503)639-4171 BUP Received a�--Date Requested_ / 0311;` _� AM�. _------- F`Mi -- BUP Location _ �J _ L !/ �-�tb�SS "Suit '%---- - MEC — Contact Person y - 4k_,�52), -_ Ph PLM Contractor _ _ Ph SWR BUILDING _ Tenant'Owner __- -- — -- -- ELC AZO�_C _ Footing A _7 ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Pos. ° Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- -- -- - --- - Insulation Drywall Nailing --- -- - ---- -- ----- - _.-_ Firewall Fire Sprinkler - --------------------- ---- Fire Alarm Susp'd Ceiling -- - Root Other: --- Final PASS PART_ FAIL -- - PLUMBING Post& Bearn Under Slab -- - - Rough-In Water Service - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other - - -- - Final PASS PART FAIL - MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final ART FAIL - -- -- — TRIC L Hough-In UG/Slab Low Voltage F' .Alarm i - I j Reinspection fee of$ -__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL _ SITE _ �- Please call for�einspection RE:_ __—��__ Unable to inspect-no access Fire Supply Line ADA Approach/S�dewalk Data _'' ��_� Inspscto� Other ' `" v- L Ext-_�- Ginal DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL