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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 ELE"CTR I CAL_ PERMIT —
RESTRICTED ENERGY
PERMIT #.- EL..R97-0291
DATE ISSUED: 10/16,/97
F'A RCE L.: 2 S 102AD -01400
rTE ADDRESfi. , , :013081. SW Bl.1Rl`al•IAI�I ST
IBD I V T S I 014. . . . : ZON T NG:CPD
OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURTSDICTN: TIG
J ert De srr i pt i on : Add a burglar alarm to an existing commercial tenant occpy.
rl. RES I DENT I AL. __._._._._------ H.
AUD T O R STEREO. . . : ALJD I O R STEREO. . : INTERCOM R PAGING. . : 1
BURGLAR .'1L_ARM. . . . : X BOTLER. . . . . . . . . . : LANDSCAF'E/TRRIGAT. . e
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL.
HVAC. . . . . . . . . . . . . . DATA/TOLE COMM. . . NURSE CALLS. . . , . . . . .
VACUUM SYSTEM. . . . : FTRF' ALARM. . . . . . : OUTDOOR I_ANDSC. LTTr- Y
OTHER: FIVAC. . . . . . . . . . . . . r'ROTECTIVE SIGNAL. . .
TNSTRUME'NTnTION. : OTHE"R. . :
TOTAL # OF SYSTEMS: 0
FEES p
WnKEFTEI_D type amol.knt by date _......___r-ec_t..__._.._
90131 SW. BIJ9NHAM PRMT t 40. 00 GCO 10/16/97 97--300139
TTGARD OR 972.;13 SPCT `n 2. 00 GEO 10/t6/97 97-300139
ADT SECURITY ALARMS f 42. 00 TOTAL_—
703 NE HANCOCK
RCOU I RED INSPECTIONS'
.._.._..
PORTLAND OR 97'21,12 Low Voltage Insp
Phone # : CE44-3265 Elert' 1 Find
Reg #. . : 000599
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. A1'_ worb will be done in accordance with approved plans. This permit will expire if worth is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law -equires you to follow rule 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 question a! 312.46-1987,
Permittee Siynat,jre w
. ..____OWNER TNSTALLATION ONLY-----_
The installation is beim; made on property I own whi,-:h is not intended fo
-ale, lease, or rent.
OWNS'R' S S I GNATURE: M DATE:
INSTALLATION ONLY-
T CNf1TURr. OF' SUPR. EL EC' N: DPTE
' I CENSE NO:
1'+++++4.....+.++++++++++.l•'4+++++++++++4-+++++4-+4.++++-f.++4-4.++-[-+4++4.......... ++++++a'+++
Call 639-41.75 by 7.-00 P, M. far an insper_ti.on needed the next b .isines,s day
++++++++++1 +++ 4+++++4-+++4+++++J ++4-4-+4........ F a i i++++ F h++ 4 h+-4-F f+
I
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL_APPLICATION Recd by:
13125 SW HALL BLVD Date Recd:
TIGARD OR 97223 jo #,,�J3 yPRINT OR TYPE
V- 503-639-4171 X304 5 / Permit#: L
_
F - 503-684-7 97 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.CaII'd:
U -16,/ 6,19 $I WILL IJOT BE ACCEPTED
sine of Devel pment Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee... ..... .......................... ... $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste#
ADDRESS , Check Type of Work Involved
r
C ty/Slatq Zip Phone# ❑ Audio and Stereo Systems
Name 1 ? Burglar Alarm
/CL
OWNER Meiling Addresir If
f❑ Garage Door Opener'
City/State Z Phone# L_, Heating,Ventilation and Air Conditioning System'
Name Vacuum Syst;ms'
703 HANCM
1111111111111t AND,DN 9121f Other _
CONTRACTOR Mailing Address nov
TYPE OF WORK NVOLVED -COMMERCIAL
(Prior to Issuance a City/Stale Zip Phone# Fee for each syste.n.............................................. s40.00
copy of all licenses (SEE OAR 918-260-260)
are required if Oregon Contr. Brq LI
expired in C.O.T. f Check Type of Work Involved:
data base). Electrical Contr. Lid.# Exp Date
❑ Audio and Stereo Systems
C OJ or Metro Lic.# Exp. Date ❑
Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT [] Data Telecommunication Installation
City/State Zip Phone# ❑ Fire Alarm Installation
This permit is issued under OAE 918-320-370 This applicant agrees to
make unly restricted energy Installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following.
❑ Instrumentation
1 Only use electrical licensed persons to do installations where required
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing,
❑
2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control'
inspection at 503-6394175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an Nurse Calls
inspection when the inspector is out to inspect under this permit; ❑
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and;
❑ Protective Signaling
5 Assume responsibility for calling for a final-nspection when all of the
corrections are completed ❑ Othtr
Permits are non-transferable and on-refundable and expire if work is not
started within 180 days of i ua ce ori work is suspended for 180 days _ _Number of Syst%ms
The person signing f is p it ust be the applicant or a person No licenses are required Licenses are required for ali other installations
authorized to bind t appli n
FEU: OU
—S—I Fnat ffire ENTER FEES s )
5%SURCHARGE(.05 X TOTAL ABOVE) $-—Q 1142
Authority if othe7 than Applicant -- TOTAL $
Vesele doc.12196
Jwf�r�►rnr�t�
W#IK K."
RECE►vr-f'
OCT 1
COWS'',
CITU OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested; pp — A.M. P,M. MST:
6
Location: 33 -" 21 BUP:
Tenant: — _ Bldg: MEC:
Contractor: / — Phone: PLM:
Owner: _ — Phone: ELC:
SIT:
BUILDING F-LDG Dcon't) PLUMBING MECHANICAL LECTRICAL SITE
Site Pt,st/Beam Post/Beam Post/Beam Cov Sewer/Storm
Fooling Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing 'fop out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Tcmp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih Heat Pump Low Yo
Approveo Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved t ved Not Approved
FINAL FINAL FINAL FINAL, FINAL:
C]call for reinspection D Reinspextioq fee�c+f S� requin•d before next inspection O Unable t inspect
[nspector:�,_�_C�: �,_� t\ Lk.l'�� Date: /� P e / of -,
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: ..z / ' 7 A M P.M. MST:
Location:._ Cf OF !L a,-rK–, *At
•1'cnant: LU/t1s -11E LD G 1Jr Suite –Bldg: _ MEC:
Contractor: Phone: 66 off- g/ 9 PLM:
L
Owner: i �.C _Phone: _��'a '' r�–g ELC:
ELR: t 1—tJa— T
SIT: _
BUILDING BLDG(can't) PLUMBING MECHANICAL TRICA SITE
Site PevUBeam Post/Beam Post/Beam I C SeweriStorm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In Uta Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Ihywall Storm Furnace Temp Service misc.
Masonry Ceiling Rain Drain A/C U
Shear/Shcath Fire Spklr/Ahn Crawl/Found Dr Beat Pump Volt
Approved Approved Approved pprovt Approved
Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved
FINAL FINAL FINAL AL FINAL
0 Call for reinspection A A Reinspection fee of 3 / required beforenextinspection U Unable to inspect
Inspector: — _-- _ Date: / 7 —
777--- Pege of
CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERV!:ES PERMIT #: ELC97--0200
13125 3W Hall Blvd., Tigard, Oh 97223 (.503)639.4171 DATE ISSUED: 06/26/97
SITE ADDRESS. . . :0`3081 SW BURNHAM ST PARCEL: 2S102AD-01400
SUBDIVISION. . . . : ZONING:CBD
BLOCK,. . . . . . . . . . : L01.. . . . . . . . . . . . . JURISDICTION: TIG
Pr,o j ect Descriptions Electrical service and
_-_--.-_______.----------__ _____________ __
- --RESIDENTIAL UNIT----- ---TEMP ERVC/FEEDERS--•-- -_ ------MISCELLANEOIJS---
1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : o PUMP/IRRIGATION. . . . : o
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+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : o
----SERVICE/FEEDER---- --BRANCH CIRCUITS-.---- ----ADD' L INSPECTIONS----
_ __
0 200 amp. . . . . . : 4 W/SERVICE OR FEEDER: 57 PER INSPEC'TION. . . . . : o
201. - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . , : 0
601 - 1000 amp. . . . . : 1. -----------------PLAN REVIEW SECTION-------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . :-
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : X CLASS AREA/SPEC OCC. 1
Owner,: _.___________----_.______-------_ FEES
JACK. HENDERSON type amount by date _-- recpt
10915 SW GREENBURG RD FJRMT $ 615. 00 DRA 1134/02/97 97-292634
TIGARD OR 97223 PL.CK f 153. 75 DRA 04/022/97 97-292634
SPCT $ 30. 75 DRA 04/02/97 97--292'634
'hone #: PRMT $ 90. 00 GEO 06/20/97 97-296280
SPCT $ 4. 50 GEO 06/20/97 97--296280
Contractor-:
FRAHLER ELECTRIC CO f--894. 00-TOTAL ---��--� _-~
11860 SW GREENBURG RD
------- FEDUIRED INSPECTIONS -----
TIGARD OR 97223 Ceiling Cover Elect' l Service
Phone #: 639--4627 Wall Cover Elect' l Service
Reg #. . : 000374
This permit is issued subject to the regulations cnntained in the Tigard Municipal Code, State of Oregon Specialty rides 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 189
days of issuance, or if work is suspended for tore than 180 days. ATTENTIONi Oregon law requires yo-, to fellow the rules adopted by
the Oregon Utility Notification Center. Those rules arp set forth ;n OAR 952-901-9919 through OAR 952.001-1987. you say obtain a copy
of these rules or direct questions to OX by calling (503)246-1987.
Pr,rmtttee Signati.ar,e : Issued
--- --------OWNER INSTALLATION ONLY-------------
The installation is being made on property I own which is not �inte eci—for `
siale, lease, or rent.
OWNER' S SIGNATURE: DATE:
— --'-------------- -----CONTRACTOR INSTALLATION ONL_Y-------------•---
SIBNAT1JRE OF SUPR. ELEC' N: DATE:
LICENSE IVO:++++++++++++++++++•++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 6:00 p. m. fat- an inspection needed the next business day
++++4-++•#-++++4.++++++++4++++++++++-1-+++++++++++++++++++++++++-1 ++++++++++++++++++++
CITY OF TIGARD Electrical Permit Application Plan Check N_
13125 SW HALL BLVD. Recd By-. _
TIGARD OR 91223 Date Recd_
Date to F.E.
Phone (503)639-4171, x304 Date to DST
Inspection (503) 639-4175 Print or Type PermitaAdd' 1 To ELC97-0200
Fax (503) 684-7297 incomplete or illegible will not be accepted Called-
--1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of b'isiness) WAKEFIELD ENTERPRISES Service included: Items Cost Sum
Address 9081 Std Burnham F4a. esidential per unit
City/State/jib9a rd, OR 97223 q.ft.or less $110.00Each additional 500 sq ft or !-
Commercial ® Residential ❑ Limited
thereat $25-00 I
mned Energy -A $25.00
Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder � $88.00
(Attach copy of all current"renses) 4b.Services or Feeders
Electrical Contractor I kAI I LL R L LLC I'R I C Installation,alteration,or relocation
Address 11860 SW rhe61) r 200 amps or less $60.00 v
Cit y^ r State Zip___ 201 amps to 400 amps $120.ps $80.00
1 9 a
-�� 401 amps to B00 amps
Phone No. -4627-~ 601 amps to 1000 amps $180.00 2
Job NO. Over 1000 amps or volts $340.1X) 2
Reconnect only $50.00 ?
Elec.Cont. Lice.No. 34-13C Exp.Date 1011/97
OR State CCB Reg. N�0 Exp.Date 711497 4c,Temporary Services or Feeders
COT Business Tax or Metro No. 198/ Exp.Date 9 Installation,alteration,or relocation
�r a 200 amps or less $50.00201 ams to 4amps $75.00 ?
Signature of Supr.Elec'n x"IV U'1-cL /Gr, 401 amps to 600 amps $100.00 a
1816 S Over 600 amps to 1000 volts,
License No- Exp.Date Q c'7 _ see"b"above.
Phone No._-_ 639-4627 _ - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner in . UCj�n
a)The fee for branch circuits with
�� {' � � purchase of service or
Print Owner's Name _ {{�i11 feeder fop. 18 g0.1)1i
Address Each branch circuit $5.00
--- h)The fee for branch circuits
City _ s state UUI ltip-_--- without purchase of
Phone N0. _ servire o,feeder tie.
First branch circuit $35.00
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
Each sign or outline lighting $40.00
3. Plan Review section (if required):* Signal circult(s)or a limited energy
panel,alteration or extension $40.00
Please check appropriate item and enter fee in section 5B. Minor Labels(10)
_4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
i_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 $55.00 --
' Submit 2 sets of plans with application where any of the above apply. 5. Fees: 90.00
Not required for temporary construction services. 5a.Enter total of above fees �-
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 25%of line ba for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review ft required(Sec.3) $ ---
NOT C04MENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotsl $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account p $ 94.50
notal balance Due
I cosMeLcss err nw sees ----- -----`^- -�