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7615 SW BEVELAND ROAD y, rn �n t� x 0 a i ,t '7615 BEVELAN RP CITY OF TIGARD BUILDING INSPECTION DIVISION / MST 24-Hour Inspectiun Line: 639-4175 Business Line: 635-4171 -� ------- BLIP _—Date Requested �'- _ AM PM — BLD Locationi �' -��- L9 e de (0.4 _ Suite MEC --- _ _'-- Contact Person r'h _�/G y 77_ V`� PLM Contractor Ph SWR BUILDING Tenant/Owner EI-C Retaining Wall -- ELR I-c Footing Access: - Foundation FPS Fig Drain �Crawl Orain grain Inspuc.tion Notes: SGN Slab SIT Post& Beam - ------------ Ext Sheath/Shear _ Int Sheath/Shear -�- Framing _ ---- --------- - Insulatinn Drywall Nailing - — -- --- - - --- - - Firewall Fire Sprinkler -ire Alarm ---------------_------- ---- ------ -- --- Susp'd Ceiling Roof Misc: Final PASS PART FAIL ---- ----�--�/-- . PLUMBING Post& Beam -- - -"- Under Slab Top Out -- - Water Service Sanitary Sewer Rain Drains �. FinLI PASS PART FAIL MECHANICAL — Post& Beane Rough In Gas Line ----— — — — Smoke Dampers Final —--- PASS P'.RT FAIT_ XLECTBI Service Rough In — UG/Slab e ri Alarm tpa� PASS PART FAIL SITE Backfill/Grading ---- -- — Sanitary Sewer Storm Drain ( Reinspection fee of$— -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: [ J Unable to Inspect-no access ADA / Approach/Sidewalk DtInspector E Ie - nspecor �l Ext Other _ 101- -G' -- Final PASS PART FAILJ 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 635-4175 Business Line: 639-4171 — - BUP _—Date Requested_ Z'' ?� AM !/ PM — _ BLD Location �(> /5 S �✓ �vPLc�.- Suite _ MEC — Contact Person Ph3 PLM Contractor Ph _ — SWR — BUILDING _ Tenant/Owner ELCS— Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: -- - -- ----- Slab SIT Post& Beam --- -- Ext Sheath/Shear Int Sheath/Shear Framing — da==h _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- ---- - Roof Misc:A--_---- Final PASS PART FAIL - --- - -- PLUMBING Post& Beam -- Under Slab Top Out - - -- - Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam - - - -- --- - — — Rough In Gas Line — Smoke Dampers Final - p -_SRT FAIL LECYRICAL --- -- —� g=ugh In UG/Slab Low Voltage / F. rm - --- - ( PART FAIL - - -- — ---- - ---- - 61TE Backfill/Grading -- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: _ Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Other Inspector �EXt Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. �\ CITY ®F T I G A R D ELECTRICAL PERMIT PERMIT#: E 0-00665 DEVELOPMENT SERVICES DATE ISSUED: 12/04/2/04/2 000 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 PARCEL: 2S101AB-01500 SITE ADDRESS: 07615 SW BEVELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT : 023 JURISDICTION: TIG Proiect Description: New electrical service drop. Job No. 79351-201 - Lowes Project. _RESIDENTIAL UNIT TEMP SRVC/FEcDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 .imp: � PUMPIIRRIGATION: 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 CIRCUITS _ ADD'L_ INSPECTIONS_ _ 0 - 200 amp: 1 W/SERVICE OR FEEDER: — PER INSPECTION: — 2.01 - 400 amp: 1st WO SRVC OR FDR: PER HOUR 401 - 600 amp: EA ADU'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: — >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect onrT. SVC/FDR >=225 AMPS: —^ CLASS AREA/SPEC OCC; Owner: Contractor: JOHNSON, JERRY E SHARI A ELECTRICAL CONSTRUCTION CO 7615 SW BEVELAND ST PO BOX 102.86 TIGARD, OR 97223 PORTLAND, OR 97296 Phone: Phone: 224-3511 Reg#: LIC 049737 SUP 2986S ELE 26-45C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 12/04/2000 $80.30 2720000000( Elect'I Final 5PCT CTR 12/04/200C $6.43 2720000000( i Total $86,73 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable lawzi. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Ce iter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(5U3) 246-1987. PERMITTEE'S SIGNATURE ��,�� _f..�xE _ ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. ON/NER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. El_EC'N: r ATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 11/24/2000 14:29 150c2953012 E C COMPANY PAGE 11 50 0 ]Electrical Permit Application W Date received: // 2! Permit no.: ne zPPy-DOIi City of TigardpW1 Project/appl.no.: Expiredate: City ofTigard Addrrss: 13125 SW Hall Blvd, it .& Date issued: By�ff Receiptno.: Phone: (503) 6394171 dJ Fax. (503) 598-1960 -19,061- e! -rijAnd I Case file no,; Payment type: Land use approval: Mail GC lo: C 0 1 Rc 2 family dwelling or accessary Comnte.rciaUindustnxl aMulti-family F)Tenant improvement L NeW construction LI Addiriutt/allcratiun/rcplar_ctn:nl 13 Other: ❑Pttrtial lab address: 07 U I _&JWto�d Bldg. no,: Suite no. Tax map/tax lot/account no.: Lot' I Block: Subdivision: Project nam Description and location of work on prcmiees:r)tkj tlearieAl JerV114 Utinuted dare of completion/ins ectici . Job no: Fee Moa $Ueimes5 name: _ Description 9tr. (sem) Total no,Iru 'n� New ralda stial•single or mid-h y per Address: a r�� dwelWtgark InchWes si ached ip rage. City State ZIP: to Ser.ioalnehrdsdt Phone 0 FruQ mail: 1000 .ft.or leas _ 4 CCB no.. Ele s. lic,no: Bach additional 500 sq.ft.or portion thereof Limited energy,residential 2 City/met i . O.' Limited energy,non-residential 2 Each manufactured horse or modular dwelling Si stun of upervising el tric_lan(roqulred) Date Service and/or feeder 2 Su elect,name(pdeU: Licenseno; ti icesorfeedm-huts adon, ration or relocation: amps_or less 2 Name(print): am to 400 amps 2 Mailing address: amps to 600 ams 2 8 amps to 1000 amps 2 City: State' ZIP: over 1000 amps or volts _ 2 Phone: rw. E-mail: Reconnect only I Owner installation:The Installation is being made un property I own InuTaraponryrrrviatiew o,orreoc which is not intended for sale,leads,rent,or exch.ytge according to 200 aratlowr lessalterlon,arrebeatlon: ORS 447,4S5,4?9,670,701, 200 ams or lata 2 201 tsps to 400 amps 2 Owner's ilgriviture, Date: 401 to i5oo ams 2 Bn rich c rear Is-ren,alteration, or extrusion per panel: Name; _ _ _ A. Pee for branch circuits with purchase of Address. service or feeder fee,each brooch circuit 2 c'Ify' State: ZIP- 6, Fee for branch circuits without purchase - --- of service or feeder tea,first branch cirruic 2 i'ri'ses Fax' E-mail. Each additional branch circuit vibe.(Service or feeder not Ineledd)t O service ver 725 unfit-cornmercal v Health•cam facility Twh pump or irrigation drele 2 ❑Servieu over A20 amps-randy or I IR2 O Hazardous locadoo Each sign or outline lighting 2_ familydwellings U Building over 10,000 square feet fouror Signal eircuit(s)or a limited energy panel, 0 System over600 volts nrminal more residential units In one structure alteration,orextensione _ 2 0 Building over three sturies t]Peedcn.400 amps or more 'Description; _ _ U Occupant load v,er 99 persons O Manufactured structure,or Rv park F.aeb eddhlanel laspection over rhe eel nvvable In any of the above., U Egress/lighting plan O Other: Per inspection 1i Submit__sets of pbula with any of the above. Invest won fee 'Ills above are not spilillitable to Impomry eondmetlon service. O NM ail Judsdletions mew c adh cants,please call 1wisditeas for moa Innxmauon. Notice:This permit application Permit fee...... ..............s U Visa U MasterCard txpiras if a permit is not obtained Platt review(at ._ 9h) $ ctedir cad nurrher ___ 1_. within 190 days after it has been State surcharge(8%) ...,$ carriholar tSapire" accepted ae complete TOTAL _ S Cardholder signaturt Amount aa6A915Ir9002'aM) ELECTRICAL PERMIT- CITY OF T I G A R® RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: E:LR2001-00108 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639.-4171 DATE ISSUED: 04!'12/2001 SITE ADDRESS: 07615 SW BEVELAND RD PARCEL: 2 S 101 AB-01500 SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 023 JURISDICTION: TIG Proiect Description: Installation of Burglar Alarm. A. RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BO!LLR: LANDSCAPE/IRRIGAT•. GARAGE. OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : X TOTAL#OF SYSTEMS: 1 _ Owner: a Contractor: JOHNSON, JERRY E SHARI A ADT SECURITY SERVICES, INC 7615 SW BEVE LAND ST 2815 SW 153RD DR fIGARD, OR 97223 BEAVERTON, OR 97006 Phone: Phone: 503-469-7244 Reg #: LIC 59944 ELE 26-209CLE _ FEES Requil ed Inspections Type_ By Date Amount Receipt Low Voltage Inspection PRMT CTR 04/12/2001 $75.00 2720010000 Elect'I Final 5PCT CTR 04/12/2001 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. ' Issued by Permittee Signature 61 �. L, )),V) OWNER INSTALLATION ONLY The Installation Is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: CAI 639-4175 by 7:00 P.M. for an inspection needed the next business day X3340 Electrical Permit Application Dale received: ( Permit no.: / -L City of Tigard Project/appl.no.: Expire date: _tJAddress: 13125 SW Hall Blvd.Tigard, 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax. (503) 598-1960 Case file no.: Payment type: Land use approval: fTVPF 6F kRWT FI &2 family dwelling or accessory �ommercia/industrial U Multi-family U Tenant improvement ENew construction U Addition/alteration/replacement U Other: U Partial JOB SITE INFORNIA1 ION Job address: Xa 3' f Bldg.no.: Suite no.: III ax map/tax lot/account no.: Lot: I Block: ubdivision: Project name: Description and location of work un premises: Estimated date of completion/inspection: ' 11111 SCIIIA)l I'll, Job no: Business name: 1►cscription <)ty. (ca.) liptnl no_insp r, New residential-chrgir or multi-famlly icor Address: _ dwelling will.lncludesattacl+edgarng.e. City; aid) Servicelrncluded- Phone: Fax: (� - E-mall: 1000 sq.n.or lea 4 CCB no.: Glee.buslienn: + finch additional 500 sq.i1.or union thereof ,,, . . _ Limited encrey,residential 2 City/metro lic.no.: _ Hinked energy,non-residentiall 2 _ p U Hach manufactured home or modular dwelling n ure of s rvishtg electrician r ulred) Dat Seryl Sicc and/or feeder 2 Sup.elect.name(print): (t License nu i services or feeders-Installation, Iteration or relocation: t 200 amps or less 2 7Nea,me(print). 201 amps to400 amps 2 401 amps to 600 amps 2 s: _ 601:props to IWO amps 2 City: Stale: ZIP: Over I(xx)amps or volts 2 Phone: Fax: E-mail' Reconnect only i Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,aiterallon,orrelocation: 200 amps or 2 ORS 447,455,479,670,701. 400 _ 201 amps to 4011 amps 2 Owner's si nature: Dale: 401 to 600 amps 2 Oct]IN N Branch circuits-nee,Iteration, 6or extension per panel: Name: -_ A. Fee for branch circuits with purchase of Address: _^ervice or feeder fee,each branch circuit 2 City; State: ZIP_ B. Fee for branch circuits without purchase --- of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: Each-IditiotnalbranchcircuiI ON Misc.(Service or feeder not Included): UServieeovei22.,anips-coiwuri,nd UI!r:1l,hcarelacilay Laehpump orirrtgationcircle 2 Cl Service over 320antps-rating of 1&2 U 11 umdou-location Lachsign oroutline lighting familydweVings U Building over 10,000 square feet four nr Signal cimuit(s)or a limited energy panel, I O System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders.400 amps at more "Descrition: _ U Occupant load over 99 persons U Manufactured structures or RV park FAch additional inspection over the allowable m any of the above: U Egresstilghtingplan U Other _ Per inspection Submit^_awls of plans with any of the above. Investigation fee The above are not applicable to temporary condruction service, other Not all Jurlidiction crept credit cards,please call Jurisdiction Rx more irnFotmaion Notice:This permit application l'ennit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number within ISO days atter it Itas been State surcharge(8%)....$ _ sp res accepted as complete. — — TOTAL .......................$ Name of cardholder u t owl n o— n-fit card _ S Card older ddnelure ---- - Amount 440-4615(6MWOM) Electrical i"ermit Fees: Limited Energy Fees: --- ---— ---- - _^—-- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: f Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less _ $145.15 a ❑ Audio and stereo Systems Each additional 500 sq.ftor portion thereof — $33.40 1 ❑ Burglar Alarm Limited Energy — $75.00 Each Manufd Home or Modular ElGarage Door Opener' Dwelling Service or Feeder $90.90 2 Sorvices or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 _ 2 ❑ Vacuums systerne 201 amps to 400 amps _ W 106.85 2 401 amps to 600 amps $160.60 2 (( 601 amps to 1000 amps $240.60 2 I] Other Over 1000 amps or volts $45465 2 — --"- Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system....................... $66.85 _ 7 � �- � �• $75.00 200 amps or less (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 401 amps to 600 amps $13375 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)'I he fee for branch circuits wlllt purchase of servlce or ❑ Clock Systems feeder fee. Each branch circuit $6.65 b%The fee for branch circuits ❑ Data Telecommunication Installation without purchase of Service at leader fee. E] Fire Alarm Installation FI ti branch circuit $46.85 _. Each additional branch circuit $6.65 ❑ HVAC Miscellaneous (Service or feeder not Included) ❑ Instrumentation Each pump or irrigation circle $53.40 Each sign or outline lighting — $53.40 ❑ Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigaaur Control" Minor Labels(10) $125.00 Each additional Inspection over ❑ Medical the allrnvable In any of the above Per imspeclion $62.50 ❑ Nurse Cells Per hour _ $62.50 In Plant _ $73.75 ❑ Outdoor Landscape Lighting' Fees: &?---`F`rolective Signaling Enter total of above fees $ _.. Other ------ 0'/.State Surcharge $ __.. Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No Lenses are required, Licenses are required for all other Installations front of application _ Total Balance Due $ _ _ Fees: Enter total of above fees $ �00 ❑ Trust Account p __ bU 8%State Surcharge $ Total Balance Vue $ — i:\dsts\fonroklc-fees.doc 10109/00