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11825 SW GREENBURG ROAD m N Ln (fl F H m CD Q C h 1D CL E 1 �1 4 4 rvm cxmt,asn tAS ciZBTT CITY OF TIGARD ELECTRICAL. PERMIT - RE5TRICTED ENERGY F #: ELR96-0197 ::OMMUNITY DEVELOPMENT PERMIT HATE issuEn: 06/11/96 13125 SW Hall Blvd.T;gerd,Ornyon 97223.8190 (503)839-4171 PARCEL: IS135DC-00200 1 TE ADDRESS. . . ,. 11825 SW GREENBURG RD #1-C: SUPDIVISION. . . . : ZONING:C-P BLOCI•S. . . . . . . . . . . 1-01.. . . . . . . . . . . . . : Project Description: A. RESIDE.NTIAL_.__.______ B. COMMERCINL--_______.____.____._____________.__.__ +.._.v AUDIO & STEREO. . . a AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGEOFTENER. . . . : CLOCK. . . . . . . . . , . . MEDICAL. . . . . . . . . . . . r HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . a FIRE ALARM. . . . . . : OUTDOOR I_ANDSC LITEa OTHERS a : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :X INSTRUMENTATION. : OTHER— : : a T01"AL t OF SYSTEMS: 1 01.,ner: ---------------•---•- ------------------------------------ FEES CAREER OPPPRTUNITIFS LTD type amount by date recpt 11825 5W GREENBURG RD PRM"I• $ 40. 00 CJS 06/11/96 96-280478 SUITE #1-C 5PCT $ 2. 00 CJS 06/11/96 96-280478 TIGARD OR 9722.3 Phone #: Contractor: PDT SECURITY ALARMS s 4;'-:,, 00 'TOTAL 703 NE. HANCOCK REQUIRED INSPECTIONS PORTLAND OR 97212 Wall Cover Elect' l Final Phone fit: 503-284-3265 Elect' 1 Service Reg #. . : 39944 This permit is issued subject to the regulations contained in the _ _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Fler__.mi.tee Signat�.rre applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started rL - within 188 days of issuance, or if work is suspended for more C..�C x J5t':Am Ld1- than AS days, Issued By INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURES DATES --__----CONT RAC;TUR INSTALLATION ONLY-- ------- -- SIGNATURE OF SUPR. ELE:C' N: 00 _ jD P1�c�t�.nDATE: LICENSE NO: !7 Call fir inspection - 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 I,LRMI I # jF4&96= 7--- — ----- --- — Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED �- // - �L. --------------- ------- TDD No. (503)684-2772 CITY OF TIGARD Inspection (503) 639-4175 ISSUED BYL PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF NSTALPATION 1 4. TYPE OF WORK � - � i c��- Addr RESIDENTIAL---Restricted Energy Fee . . . . . . . . . 440.00 �,i •3 (FOR ALL SYSTEMS) City g State Zip Checker oe of Work Involved: PERMITS ARE NON-TRANSfLRARLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS Of 116UANCE OR If WORK IS SUSPENDED FOR 180I)AYS ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ED Garage Door Opener' ❑ Heating,Ventilation and Air Conditioning System' Contractor__SD1 SECtIR(TY SYSTEMS.INGI ype Vacuum Systems" 703 NE HANCOCK ❑ Other Address MRTtAND,OR 91212 -- Date -�� COMMERCIAL—Fee for each system . . . . . . . . . S40.00 (SEE OAR 918-260-260) Property Owner. 1 �� k Tv„ne of Wurk Involved: C.'CL ❑ Audio and Stereo Systems Contractor's Board Reg. No. ❑ Boiler Controls Phone# -- ---....__ ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION nn �} 7 ❑ fire Alarm Installation ,tl�,,L �a?� — /rte" ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address Q Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medica' This permit Is issued under OAR 918.320•370,This applicant agrees to make only ❑ Nurse Calls restricted energy installations 11(x1 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' followingprotective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain / residenlial anti other transactions are exempt from licensing.There have ❑ Other-_ asterisksl•).All nihms need licensing). 2. Call for an inspciunn when all of the install:tions under this permit are ready for inspection at 503(,.19.4175. [] Number of Systems 1. Purchase separate pk for all installations that are not ready for inspection when the inspector is Inspect under this permit. •No licenses are required. Licenses are required for all other 6rstallations. 4 Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling fer a final inspection when all of the 5. FEES corrections are complet . !, r The•person sign! f this permit must he the applicant or a person a. Enter Fees $ L��) authorized to h c applicant.pP b. 5% Surcharge(.05 x total above) $ C7 Sig ure TOTAL Authority if other than applicant ENERGAP.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP 31 mate Requested_---,?--2— ___AM_— PM _ BLD ' Location � L1.,�,�. �r'� _ --- Suite MEC -------- Contact Person —_ — P'1 .�1� PLM -------- - Contractor -„e�. j�,�1�— _ Ph � .��,5%f SWR BUILDING — Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain — Crawl Drain Inspection Notes: SGN — Sla ----- - - --- ---- SIT Post& Beam --`---- - -- Ext Sheath/hear 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 Drairs Final -- ----- ___ - PASS PART FAIL MECHANICAL ---- - Post& Beam Rough In Gas Line - ----- ------ Smoke Dampers Final ---- - - -- PA FAIL L CT ICAL --- forvier-� Rough In ir oltR,ge-erm _- F inal PAS`; PART FAIT_ SITE Backfill/Grading -- - ----- - - -- - -'— Sanitary Sewer Storm Drain I J Reinspection fee of$_-___ ,_ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd BasiB Catch n Fire h Basipply Line [ J Please call for reinspection RE __- ( J Unable to inspect-no access ADA -� Approach/Sidewalk pat`' b i Inspector_-_ �- -t�_ 4 l Ext Other - — - - - Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. — ^— FLECTRICALPERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-002.72 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 119/00 PARCEL: 1 S135DC-00200 SITE ADDRESS: 11825 SW GREENBURG RD 1-A SUBDIVISION: ZONING: C P BLOCK: LOT: JURISDICTION: TIG Proiect Descriution: Burglar Alarm A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARRI: X BOILER: LANDSCAPEIIRRIGA.T: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDS,C LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: � Contractor: NIC;OLAISEN, JAMES E + ADT SECURITY SER/ICES, INC DAVIS, MIRIAM G TR 2815 SW 153RD DR 1440 SW TAYLOR BEAVERTON, OR 97006 PORTLAND, OR 97205 Phone. Phone: 503469-7100 Reg #.: LIC 0059944 ELE 26-209CLE FEES _ Required Inspections 'Type By Date Amount Receipt _ Elect'I Final PRMT CTR 11/9/00 $15.00 2720000000 5PCT CTR 11/9/00 $600 2720060000 Total $81.00 r _ L 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. Oregor 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 obtai.,copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by �J2"r� _ _ Permittee Signature�L� OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE _ _ i DATE:-------. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ ^_ ^_ _ DATE:------ LICENSE ATE:__ __LICENSE NO: -- Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day Electrical Permit Application RECFty Pate received: Permitno.: 1,„a Oo �72- City of Tigard Project/appl.no.: Expiredatc: ` City ofTigord Address: 13125 SIN liall Maud,Tigard,OR 97-2 3 _v. --- p OjE�Iest,ed: B I-Ltec-ei tno Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.. Payment type: COMMUNIIr u, Land use approval: TYPE 1 , U I &2 family dwelling or accessory U Commercial/indusnial U Multi-family U Tenant inlprovcOn'nl U New construction U Add ition/al leration/re placemetit U Other: U Partial JOB SITE INFORMATION- Job ' 1Job address:I - Or 111:If. nit Suitt no.: Tax map/tax lot/account no.: Lot: I Block: ISijbdivision: ____ •--���- Pmject name: / r I Description and location of work on pren►ises: &L 4&L Estimated date of completion/inspection: SCHEDULECONTRU7014 APPLICATION FEE job - r - Dcseriprkrn ry. (c'a) rulal non.tI nsp Business name: Y perewresenA -single ormuay -I}= Address: ) n 1 . rinellingun)LIncludes attached garage. City: t;Y state: ' ; zIP — service included: Phone: l Fax �f/ + E-mail: 1000 sq n nr Ic,, Each additional 507 sq.ft.or portion thereof CCB no.: f. - - Elec.bus.lic.no: Limited energy,residential 2 City/metro lic.no.: Limited energy,roan-residential 2 Each manufactured home or r.wduiardwelling Signature of lupery s ng a betrician(requir Irate Service and/or feeder __ Sup.elect.narru(print) License no: Services or feeders-W!Allatlon, alteration or relocation: PROPERTY OWNER 200 snips or less 2 Name(print): 201 amps to 400 amps 2 _ 401 amps to 600 amps 2 Mailing address: _ 601 amps to 1000 amps 2 City: ~- Slate: ZIP' Over 1000 amps or volts 2 Phone: Fax Email: Rcconnectonly I Owner installation:The installation is being made on property I own 'Ientporary services or feeders- which is not intended for sale,lease,rent,or exchange according,to Installatior.,alteration,or relocation: 21 amps or less 2 ORS 447,455,479,670,701. 0 _ _ 201 amps to 400 amps 2 Owner's si nature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: _ - A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City-- —` - [State. ZIP - B Fee for branch circuits without pt:rchase - -- -- of service or feeder fee,first branch circuit: 2 Plume: Bach additional branch circuit. PLAN REVIEW(Please check all that apply).- Misr.(.Service or feeder not included). U S ivitt met 22 m p,-inmvi,ial _j health"m to,dim F&ch pump or irrigation circle - 2 U Service over 320 amps-rating of 1&2 U liar rdous location Each sign or outline lighting 2 famllydwellings U Buildingover 10,00(1 square feet fournr Signal circuit(s)or a limited energy panel Cr U Sy.tem over600 volts nominal mme residential units in one structure alteration,or extension* 2 U Buil ling over three stories U Feeders,400 amps or more •Descrition: _ - U Occupant load over 99 persons U Manufactured structures or RV park Itch additional Inspection over the allonable In any of the alcove: U Egressflightingplan U Other _- Per inspection _ - Submit %etc of plans with any or the above. Investigation fee _ 'lire above are not applicable to temporary construction service. Other — Permit fee_...................$ �D Nat ail Jurisdiction,accept creat cards,pleaw call jurisdiction for more information. Notice:This permit application U Visa U MasterCard expires if a permit is not obtained Plan review(at _` %) $ _ Credit card numbs __ _ - -- - /-1-- within 190 days after it has been State surcharge(8%)....$ card r•.,pires acc.pted as complete, TOTAL .......................$ i Name of cardholder i,ihown one t s -- --— Cardholder sianature Amount 4404615(NDWOM) Electrical Permit Fees: Limited Energy Fees: _. TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below:P Restricted Energy Fee........................ ........ $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Co-,t Total Check Type of Work Involved: Residential-per unit 1000 sq it or less $14r,15 4 ❑ Audio and Stereo Systems Each additional 500 sq it or portion thereof _ $3340 1 ❑ Burglar Alarm l-imited Energy $75.00 Each Manufd Home or Modular F]Dwelling Service or Feeder $9090 Garage Door Opener' Services or Feeders U Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 U601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65 2 - - Reconnect only $66.85 2 Temporary Services orFeeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY installation,aiieratiurr,ur rolwaiion 200 amps or less $6685 2 Fee for each system.............................. ........................ . $7500 201 amps to 400 amps $100.30 _ 2 (SEE OAR 918-260-260) 401 amps to 600 amps $133 75 i _ 2 Over 600 amps to 1000 volts, Check Type of Work Involved: see"b"above. ❑ Audiu and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ a)1lie fee for branch circuits Boller Controls with purchase of service or feeder fee. ❑ Clock Systems Each branch circrit $665 _ 7 b) [tie tee for branch circuits _ ❑ Data Telecommunication Installation w1thoul purchase of service or feeder fee. ❑ Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 _ ❑ HVAC Miscellaneous (Service or feeder no'included) ❑ Instrumentation Each pump or Irrigation circle $53.40 Each sign or outline lighting _ $53.40 ❑ Signal circuit(s)or a limited energy Intercom and Paging Systems panel alteration or extension $75.00 Minor Labels(10) $125.00 ❑ Landscape Irrigation Control' Each additional Inspection over ❑ Medical the allowable In any of the above Per Inspection _ $62.50Nurse Cells _ ❑ Per hour $6250 ` In Plant $73,75 Outdoor Landscape I_Ighting' Fees: ❑ Protective Signaling Enter total of above fees $ ----- ❑ --- ---- 8%Slate Surcharge $ Other_ _ 25%Plar,Review Fee --Number of Systems See`Pian Review"section on $ frord of application ,T No licenses are required Licenses are required for all other installations Tota I Balance Due Fees: El Trust Account# Enter total of above fees $_ _ 8%Stale Surcharge $_ - Total Balance Due $ i\dsts\fmrms\elc•fecs doc 10109/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 639-4175 Business Line: 639-4171 ----- ---- BUP _Date Requested_ -- Zo _ AM� PM BLD ----- -__ --- Location_ iI�Z —S�� �-j'��^ � — _ Suite A — MEC Contact Person _ _ Ph PLM Contractor — i `— V Ph SWR - BUILDING Tenant/OwnerELC Retaining Wall -- — FLRv-c, 2 Footing Access Foundation FPS Fig Dain SGN Crawl Drain Inspection Notes: ,: ---- --- Slab& Beam —�C /Lam_ --- --------- SIT ------- -- Ext Sheath/Shear Int Sheath/Shear -^--�—�------- F-raming - Insulation Drywall Nailing Firewall - -- --- Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Misc -- -- -- ) Final PASS PART FAIL _ PLUMBING Post& Beam `--- --- Urder Slab Top Out -- --- Water Service Sanitary Sewer � --- --- '------ _-LL} Rain Drains Final -- PASS PART FAIL _ MECHANICAL. Post& Beam --- - ---- ------- Rough in Gas Line --- ---- - -- ..----- --- Smoke Dampers Final --- - -- - P T FAIL F1 Ef Service _ Rough In UG/Slab Low Voltage larm F SS_, PART FAIL Backfill/Grading -.-� -- -- -- `—'---- ---- ---�-- Sanitary Sewer Storm Drain I Reinspection fee of$ _required before next inspection. Pay at City Hall, 13128 SW Mall Blvd Catch Basin I ]Please call for reinspection RE: 1-?Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk / Other Date Inspector—__ Ext Final �_- PASS PART —FAIL 00 NOT REMOVE this inspection record firom the job site.