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InitiallyGood ca 0 W C Zl Z 2 D N 9079 SW BURNHAM ST CITY OF T I G pH R D _ ELECTRICAL PERMIT PERMIT#: ELC2002-00654 DEVELOPMENT SERVICES DATE ISSUED: 12120/02 13125 SW Hall Blvd., Ticiard. OR 97223 (503) 639-4171 PARCEL: 2S102AD-01400 SITE ADDRESS: 09079 SW BURNHAM S1 SUBDIVISION: ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Project Description: Install 1 branch circuit _ RESIDENTIA_LUNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS_ 1000 SF OR LESS: — 0 - 200 amp: PUMP/IRRIGATION: TA EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG- LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W!O SRVC OR FUR: 1 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: CLA°.S AREA/SPEC OCC: Owner: Conti actor: HENDERSON,JACK R+ MARY S RANDALL.HILL ELECTRIC INC 9075 SW BURNHAM ST 14819 SW BELL RD TIGARD,OR 97223 SHERWOOD,OR 97140 Phone: Phone: 625-5606 Reg #: LIC 56501 -- — - --- SUI' 30S I S FEES I'L I. 3-257( Description Date Amount — Required Inspections II 1 11RM"11 1'.LC Permit I.' `ii rC $46.85 -' --- --- I A X 18",,State. 'I ae 1-1 21M2 $3.75 Rough-in Elect'I Final Total $50.60 - This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicab!e laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 2.46-6699 or 1-800-332-2344 Issued By: — ,'c-��'_< r_ �r — — Permit Signature: ---- _ OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: �. _ —_ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: —��_ —_—_.—__ — _ DATE:- LICENSE NO: Call 639-4175 by 7:00pm for an inspection the nixt business day ' l Electrical Permit Application C nn Date receive _G Y Permit City of Tigard R EC E I V I Kkti,ppi-no.: Expire date: Cityuj Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Re.eiptno.: Phone: (503) 639-4171 < 0 20 Fax: (503) 598-1960 DECC ase file no.: I'aymcnt type.: Land use approval: CITY OF TIGAHD IMUMOING DIVISION U I &2 family dwelling or accessory U Commercial/industrial U Multi-family Li Tenant inlpriwesnent U New construction XAddition/al teration/replace ment U Other: _ U Partial JOHNITIFINFORMATION Job address: Bldg,no.: Suite no.: iTax map/tax lot/account no.: Lot: Block: Subdivision: Project name: I Description and location of work on premises: E:stinlated dale orf curnplctiorn/inspection: APPLICATIONCONTRACIfOR 1 Job no: rr� �ttrs Busmen$name: T_. __ t)esetipllon Ufy. (ea.) total no.insp – New residenllal-,single or multi-faodly Per Address: l dn'ellingunit.Inclmkcs allached gnragc. City: ISA 1 State: ) I ZIP: v Service included: Phone: I Fax:(Q?.51r. E-mail: 1000 sq.ft.or less 4 Each additional 500 s;l Il.or portion thereof CCB no.: r') Elec.bus.tic,no: ;fig")(� Limited energy,residential 2 .I 'tro lic.no.: Limited energy,rion-residential 2 M Each manufactured home or modular dwelling Si atur o su ervising eler-Irician(re uired)� bate Service and/or feeder 2 Sup.clect.nnnrr.(print): d/c / License no:�C'j7 Servicesorreeden–inslallation, alteration or relocation: 11111011MI'V OWNER 200 amps or less 2 Name(print): 2.01 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to IOW amps 2 City_ Slate: Z11, Over I(1fx)amps or volt: _ 2 Phone: Fax: I E-mail: Reconnect only - I Owner itistallalion:The installation is toeing made on property I own Temporaryservices or feeder which is not intended for sale,lease,rent,or exchange according to Installation,alteration.urrelocation: 2W amps or Icsa 2 OILS 447,455,479,670,701 201 amps l0 400 amps __ _ 2 Owner's si nature: Dane: 401 to 600 ams 2 ranch circuits-new,alteration, Name: or extension per panel: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: State: Z1 P' B. Fee for branch circuits without purchasr — of service or feeder fee,first branch circuit: ' Phone: I ,u: E-tttilll' Each additional branch circuit PLAN ItEVIF1% (Please check Misc.(Service orreedernot included): 0 Service over 225 amps-commercial U Health-care facility Fach pump ur irrigation circle U Service over 320 amps-rating of 1&2 U Hazard,sus location Fach sign or outline lighting family dwellings U Building over I0,0W square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders.4W amps or more •11.,scri tion: U Occupunt load over 99 persons U Manufactured structures or RV pork FArh additional Inspection over the allowable In any c the above: U Epress/lightingplan U Other — Per inspection Submit.—sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Otber z7k Y5- Not all jurisdictions accept cart it carsfs,pleaw call larisdiction fu,more informatlon Notice:This permit application Permit fee.....................f; U Visa U MasterCard expires it'a permit is not obtained Plan review(at _— %) $ Credit card number — — --L L_ within 180 days after it hits been State surcharge(8%)....$ :zL2 Expire` accepted as complete _ Name of cardholder u s own on credit card p . TOTAL .......................$ S C wdholdet eignature !mount 4404615 tG'nalC•OM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: ..................................... $75.00 l� Restricted Energy Fee.............. .. 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 _ 4 ❑ Audio and Stereo Systems' Each additional 500 sq.f1.or portion thereof _ $33.40 t ❑ fiurglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90— ❑ Garage Door Opener" Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or leso $80.30 2 201 amps to 400 amps $106.85_� 2 ❑ Vacuum Systems 401 amps to 600 amps $160.60 _ 2 6U1 amps to 1000 amps $240.60 _ 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only _ $66.85! 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100,30 2 401 amps to 600 amps _ $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, sae"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or (] Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder fee.or Alarm Installation First branch circuit $4685 ❑ Each additional branch circuit $665 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle _ $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal clrcull(s)or a limited energy panel,alteration or extension $75.00 _ ❑ Landscape Irrigation Control' Minor L3be!s(10) $125.00 _ �] Medical Each additional Inspection over the allowable in any of the above Per inspection _ $62.50 ❑ Nurse Calls Per hour $62.50 In Plant _ $73.75 ❑ Outdoor Landsc.,pe Lighting' Fees: Protective Signaling Enter total of above fees $ _ ❑ Other 8%State Surcharge $ _ _ Number of Systems 25%Plan Review Fee See'Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application. _ -- Fees: Total Balance Due $ - - Enter total of above fees $ I__J Trust Account# 8%State Surcharge $ _ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i,Wsts\forms\elc-fees.doc 08/30/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)539-4175 MST INSPECTION DIVISION, Business Lina: (503)639-4171 _- 1 fw ,A ' BLIP - Received --1 Date Requested ,- SAM PM __ _-_ BUP Location _._.__ � 1. ��suite - - -_ MEC Contact Person Ph( ) -__._.d_ PLM - Contractor__ �� ZggPh SWR — - BUILDING Tenant/Owner - ELC - Footing ELC Foundation Access: - Fig Drain ELF! Crawl Drain Slab Inspection Notes-,r � SIT Post& Beam Shear Anchors - Ext Sheath/Shear � Int Sheath/Shear Framing - - --- — _ Insulation Drywall Nailing - --- --- -— -- Fii ewall Fire Sprinkler Fire Alarm Y•� Susp a Ceiling Roof Other: - Final PASS PART FAIL PLUMBING _ Post&Bears 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 PASS PART FAIL - -- ---- --- ELECTRICAL Service _ �- Rough-in - UG/Slab — Low Voltage Fire Alarm Reinspection fee of$_ requlree sore next inspection. Pay at City Hall, 13125 SW Hall Blvd, PART FAIL. SITE _ _ LJ Please call for reinspection RE: ��--_� Unable to inspect-no access Fire Supi.;y Line ADA Other:Approach/Sidewalk pig= -�� Inspector Other: __ Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 IAU ) _ - Date Requested ,�`� �_ -AM- _PM __— — BLD _ -- Location �7U J �r � w urn .ti Suite _ _ MEC Contact Person _ Ph yG z 7z 7 PLM y Contractor SWR BUILDING Tenant/Owner ELC _^��J1f� Retairing Wall R F,)oting Access: !-oundation FPS _ I'tg Drain -- SGN _ Crawl Drain Inspection NoteS — --- Slab - - - -- ------ - ----- SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear - - --�---_-- Framing - -- —_-- - --- Insulation Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm Susp'd Ceiling - _ _ ----- Roof Misc ---- - -- ---- Final PASS PART FAIL --- - - PLUMBING Post&Beam -- Under Slab Top Out Water Service Sanitary Sewer - Rain Drains Final v- PASS PART FAIL. _ MECHANICAL Post& Beam - - -- - -- Rough In Gas Line - - - - -- - -------- --- - ------_�._ -- -- Smoke Dampers Final --- - - --- T I-All. Rervice RoughIn ---------- ------- -__ ---_- -- --__- ------ UG/Slab _ Low Voltage -� Flarm - -- - --- ----- - -- ----- --- — ---- SS PART FAIL Backfill/Grading -- ---� --- —� --- -- Sanitary Sewer Storm Drain ( ?Reinspection fee of$ - required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line ( 1 Please call f r reinspection RE _ _- ( ]Unable to inspect no access ADA Approach/Sidewalk n Other Date __ _ .�'✓ Inspector __ _T Ext Final �~ PASS PART FAIL- AO NOT REMOVE this inspection record from the job site. 6 1 LyECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC2000-00154 DEVELOPMENT SERVICES DATE ISSUED: 4/6/10 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6341 PARCEL: 2S102AD-0140(, SITE ADDRESS: 09075'SW BURNHAM ST r G+l IVII / SUBDIVISION: L11 U ,i ` ZONING: CBD BLOCK. I LOT : JURISDICTION: TIG Proiect Description: Installation of 1 200 amp service/teeder and 12 branch circuits. ,lob No 59966. RESIDENTIAL UNIT _ _TEMP SRVCIFEEDERS_ _ _ MISCELLANEOUS 1000 SF OR LESS: 48 ^0 200 amp: PUMPIIRRIGATION: _s 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: 12 PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FPR: 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: HENDERSON, JACK R 4- MARY S FRAHLER ELECTRIC CO 9075 SW BURNHAM ST 11860 SW GREENBURG RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 639-4627 Reg#: LIC 00037410 SUP 1816S ELE 34-13C FEES _ Required Inspections F Type B Date Amount Receipt N yp Y Elect'l Service PRMT DEB 4/6/00 $128.45 0001218 Elect'I Final 5PCT DEB 4/6/00 $10.28 0001216 Total $138.73 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 nct started within 180 days of issuance,or N wor k is suspanded for more than 180 da-Is. ATTENTION: Oregon law requires you to folios rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952401-0010 through OAR 952-001-0080 You may obtainwi5les ofthese,�iules ordirect questions to OUNC at(503) 246-1987 i PERMITTEE'S SIGNATURI: ISSUM BY: 4'*1./lZi _ OWNER IN TALLATION ONLY The installation is being rna-le on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:-- CONTRACTOR ATE:._ _ CONTRACT_O_R INSTALLATION_ONLY---------- SIGNATURE NLY _ ____SIGNATURE OF SUPR. ELEC'N: l�t _ ...— DATE:. _ LICENSE NO: __ 1_ C-) Call 639-4175 by 7:00pm for an inspection the next business day CITY OF'TIGARD Electrical Permit Appli a Plan Che 131'25 SW HALL BLVD. RE�t` Recd By Date Recd TIGARD OR 97223 ma ` Date to P.E. Phone(503)639-4171, x304 pK YM4 Date to DST Inspection (503)639-4175 Print of type uFVFLu Permit# �CrCXJ•dUl'1y Fax (503) 598-1960 Incomplete or illegible will ridge accepted Called._Y 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business)_ TIGARD ALIGNMENT Service included: Items Cost Sum Address 9015 SW l3URiVlihvi _ 4a. Residential-per unit City/State/Zip__T I LARD, OR 97223 1000 sq ft.or less $ 117.75 4 Each additional 500 sq.ft.or portion thereof $ 28.25 _ 1 Commercial ® Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $ 72.75 - (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor I kN ILER ELECTRIC C01,01\W 200 amps or less 1 E 6425 $64.25 2 Address 11860 SW GREENBURG ROAD 201 amp^to 400 amps $ 85.50 2 Cit TIGARD State OR 7_i 91223 401 amps to 600 amps $ 128.50 _ 2 y- p 23 601 amps to 1000 amps $ 192.50 2 Phone No 503) 639-4621 \ Over 1000 amps or volts _ $ 363.75 2 Job No 59966 Reconnect only $ 53.50 2 Elec.Cont Lice. No. 34-13C Exp.Date 10/(11/00 4c.temporary Services or Feeders OR State CCB Reg. No, 37410 Exp.Date 712101 Installation,alteration,or relocation COT Business Tax or Metro No. 987_Exp.Date 12/1101 200 amps or less $ 53.50 2 // I 201 amps to 400 amps $ 80.25 2 Signature of Supr Elec'n 4, !. ` 1 401 amps to 600 amps - $ 107.00 -'- 2 Over 600 amps to 1000 volts, License No._ 1816S Exp.Date_ 10/01/01 see.,b„above. Phone No _ 503_639-4627 _ 4d.Branch circuits New.alteration or extension per panel a)The fee for branch circuits 2.b. For owner installations: with purchase ofservice or feeder fee. Print Owner's Name Each branch circuit �� $ 5.35 %1.20 b)The fee for branch circuits Address without purchase of service City. _State zip. --.-_ or feeder fee. Phone No _ _ First branch circuit $ 37.50 Each additional branch circuit $ 535 _ The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or Irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 4275 Signal circutt(s)or a limited energy panel,alteration or extension $ 60.00 3. Plan Review section (if required):* Minor Labels(10) $ 107.00 Please check appropriate item and enter fee in section 58. 4f.Each additional Inspection over _4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50.00 - Per hour $ 50.00 __ System over 600 volts nominal In Plant $ 59.00 _ Classified area or structure containing special occunancy as described in N E C Chapter 5 5. Fees: 5a Fnter total of above fees $ 128.45 ` Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(05 X total fees) $ _ Q Not required for temporary construction services. Subtotal $ 6b.Enter 25%of line 6a for NOTICE Plan Review if required(Sec.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 18o r AYS ❑ T iost Account# AT ANY TIME AFTER WORK IS COMMENCED. v-_ I Ttal balance Due _ $ h Odsts',ormsWleciric.doc X + : 0 0 DC) N N (n cn (U (D in cu (D N 0 0 0 (D O C) D 00 00 --,j C) _0 :3 J Q 0 Ln Ul n. a o W (I If- n n n_ (D(D a o CD � i vi Q- _4 9j S 't0 � .9f6. 9p .y VO 9j� a � 90 ¢ (!9PCS ,�- �, \ ill tea_ 1 D' (S' 06) oASO CD C`J t \ s b v O� Off, off, � S � e coig O AVE v � V) n) .\cn p -0p o Ln Q h C L, v � 0000 N t7 C) CL) 000 O rn Q) to U)U) co rn LiJ u L +� ?_ Q �j