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12110 SW GARDEN PLACE 1 N 1J N O E G7 d CT1 z ro r :d rn or. b; --'32110 SW GARDEN PLACE f4 r f i CITYFOTIGARD DEVELOPMENT SERVICES r7�i Fr"mTrr.)j .0 _ r r-M I T, 13125 SW H811 Blvd, 7798rd,OR 97223 (503)6394171 1PERMIT it. FUC97-0'17A 1744TF T`M;,T1). 07W.27/0-7 r,,n P,rT!- 7'1 1 0 r314 (WRI)EN #P1-1 P D D R ES'71, - � .- 1 e 4 (SIMI)T Y Pn T nN. F,POW r1r,RK 7 7 ON I NG-C--(3 PI. OCIN . . . . . . G'* -J,J ec-t r)ec .... j,Pt i TKON OFFICE SOLUTTO�JS adding 2 NO ito services and 46 ;; branck circuits, AORK W - Ca,,Jol job #97-139, ---,-,M I S)CEU,ANr-D.." IP EM, 171 0 c".00 amp. . . . . . . . 0 1-,L.JMr1/TRRTGAT1[.,q. PMH Ot))',, I.. M 171 i 0 T P,D 0 S 1 SNAL I`PANFL.. MTNnP V T CT 7F.rTTR------ C]'PrU J Tq--- ......ADW T N S P E C1 T W -pv /71 r TCF OP, rE.'"T"P. 0 N-7.0 TN19P "TTON. . . . . . . 0 tst w/n spv7 np rr)r?. * o HOUR. . . . . . 0 F0. (417)DII n-PlNIf"114 (-'J.pr`! lt,F. i 1v r1i-ONT 0 RVIV T Fw SFCTTDN----- "A 00 1 0 PENTT�7,. F'ov, VOLT NOWMA! ,orincwt n r r, 'let, 1 • CO T.W.' F)rv- wAy "'T 1/10 TMH 9 7 NJ; T.1k 10 7/PT/97 if fl.._-CTPTC CC) I Nr 3C,7, rr?,rr)j n TprnQ T �nJ?)V 41 7- 1*.n u if !-7 i?'55 M cy-f 7 E. 9f8t f f DT. Vol!�Rbl e laws. 4111 work wi': he cv,v {pprovfd plans, -hii pertit will exp:— othin IN days of siviAnce, it if wo, '14 6k h- 180 days. ti t I r3 9,T 011AT!,.117F .7-7) 7-01 7S Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall 131vd. Tigard, OR 97223 Permit #1 12 Date Issued � �� I=— Phone (503) 639-4171 GW !/ CITY FAX (503) 584-7297 J OF T IOARD TDD No. (503) C;84-2772 / Inspection (503) 639-4175 r 1. Job Address: 4. Complete Fee Schedule i3elow: Name of Development K� Number of Inspections per permit allowed Address1 /-L+ 'z i rervice included Items Cost(ea) Sur, City/State/Zip / � �11 4a. Residential -per unit T��; 1000 sq H or less $t 1c no Name (or name of business) ,lire t1 Each addil'onal 500 art It or portion Iheieof $2500 Commercial Residential o Limited Energy $2500 _ Each Manuf'd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b. services or Feeders /1/t �L� ' Installation,alteration,or telocahon Electrical Contractor�Jlt('1 t . ��lC'_ 200 amps or less _7 $6000 /)c_._ 2 Address /.r�1 i/C f A/8-GiibIzz (.-., Y 201 amps to 400 amps $80,00 2 1--.-- j' 401 amps to 600 ams $12000 2 City /c.,�"i��� _� Statec2- (-'-L Zip �JL� 601 amps to 1000 amps $leo.on i'� z Phone No :':�r . `"l�f5'c� Over 1000 amps or volts $340 00 _ 2 Job NO 13`L Reconnect only $5000 _ 2 cu t'ractor's license NO, ff Contra stor's Board Re N4c. Temporary services or Feedersg o. Installation,alteration,or relocation Siynature of Supr. Elec'n '��a 200 amps or less • 201 amps to 400 amps S50 00 - License No. 3/ ; _ Phone No. Z5 S - �� 401 amps to 600 amps $75 00 - Over 600 amps to 1000 volts $10000 2b. For owner installations: "b"above dd. Branch Circuits Print Owner's Name New,alteration or extension per pane Address _ _ a)The fee for branch clrcults with City S ate Zip purchase of service or feeder lee. Phone N0 Each branch circuli -14 SS oo b)The lee for branch circus Without 'The installation Is being made on property I own which is purchase of service or feeder fee. First branch circuit $3500 not intended for sale, lease or rent. Each additional branch circuli 55.00 Owner's Signature— _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40 00 Each sign or outline lighting $4000 Signal circuit(s)or a limited energy 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 or more 4f. Each additions' inspection over System over 600 volts nominal Pe Classified area or structure containing special occupancy the allowable in any of the above - 535.00 as described in N E C Chapter 5Per Inspection --..-....__.. Per hour $5500 "'--- Submit 2 sets of plans with application where any of the above in Plant $55.00-- apply. Not required for temi,orary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ 3' 5%Surcharge (05 X total fees) S 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 15 SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3)Subtotal $ Subtotal A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS u E COMMENCED. m��.a.,�w, I_! Trust Account# wm mp $ - Balanre Due $ 7(, )S, CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Bu-+%!,s Phone: 639-4171 Date Requested: &/,-;� ? / X114 ( P.M. MST: Location: BUP: Tenant: Suite: Bldg: MEC: _ Contractor: --`�• LLI` Phone: f TPLM. Owner:-_-- — — Phone: " ELC: -- E LR: Ct' —�� SIT: BUILDING BLDG(con't) PLUMBING AUCHANICAL ELECTRICA SITE Site Post/I3eam POSt/Iieam Post/Beam Cover ice Sewer/Stonn Footing Roof UndFUSlab Rough-in Ceiling Water Line Slab Framing Top Out Lias Line Rough-In Uta Sprinkler Foundation Insulation Sewer liood/Duct Reconnect Vault Bsmt Damp Drywall Stonn Furnace Temp Service 11dISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Ir Heat Pump LoW V011 Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approvedved Not Approved FINAL FINAL FINAL AL FINAL C1 Call for reinspection C3 Reition fee qf S required before next inspection 0 Unable to inspect Inspector: Date: —<_—J,9 Pg,.---L of_L ■ CITY GF TIGARD PAt PERMIT E:L(:96-0611 COMMUNITY DEVELOPMENT DEPARTMENT DATE= ISSUED: 13125 SW Hall Blvd,Tigard,Oregon U7223.8199 (503)839-4171 PARCEL:: 'S 101 E B--0 t 46?IQI SITE ADDRESS. .. . : 117.11.0 SW GARDFN Pl_. #13r 4 SUBDIVISION. . . . . CROW PARK 2,17 ZONING:C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .c Project Description : IKON OFFICE COLUTIONS FORMERLY AUTOMAI'EI) OFFICE SYST'E=M- ADDING ONE SIGN CIRCUIT, I N SPECT I ON AND TAX --... --RESIDENTIAL UNIT - ---TE1,9P ERVC/FEE-DERS--.__- ------•--MISCE'L(-ANEOUS•- - 11100 SF OR L.E~SS. . . . : v7 0 - 200 amp. . . . . . . : 0 PUM:�/I RR I GAT I ON. . . . : 0 EACH ADD' L. 500SF-. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE I_TG. . : 1 LTMITED EINERGY. . . . . : 0 41211 C:,1211Z1 CAmp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . � MANF". FIM/ GVC/FDR. . : 0 601+aMps--1000 volts. : 0 MINOR LABEL ( 10? . . . CIRCUIT 5-.--- - ---.--ADD' L I N�PECT I ONS--.. - 0 - x:0171 ainp. . . . . . : W/SC:RV ICE OR FEEDEP: 0 PER INSPECTION.. . . . . : 0 .01 - 400 amp.. . . . . . : 0 1st W/0 SRVC OR FDP. : 0 PER HOUR. . . . . . . . . . . : 0 4 01. - 617.117 amp. . . . . . : 0 EA ADD' I_. SRNCH CIRC : lb I IV PLANT. . . . . . . . . . . . 0 6,711 - 1.000 amp— . . ' 1Z1 _._._._._._.___...__--.---___.-FLAN REVIEWC�EICTION _..__,__._.----._---_--..._._ 1400.1- ramp/volt . . » . . : 0 =-4 RCS U1IIT~. . . . . . • . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/EPEC OCC. : Owner: _...__..__..__._____�._._..__.. _..__._._._ ._....___.___....._...._...-._ ._......_._._._..._.,_.._..._.._ Fr-.-ES _.___.._.._...._._._...._.. .. IKC1N OFFICE SOLUTIONS type amo _int. by date r-ecpt (FORMERLY AUTOMATED OFFICE SYSTEMS) PPMT $ 4.171. 00 JMH 09/25/96 96--01E14417 1 :110 SW GARDE=N PLACE SPCT $ x'. 00 JMH +719/0/96 96--284417 T I GARD OR 97j.23 Pflone Mf: Coni:r,,actor: JIM STI:_I N GTE 1 N S i GN COMPANY, t 4: . 00 T0TAt_. 39818 CROWN POIN i HWY" _.___._-....- REQUIRED I NSPECT I ONS _ .... CORBFTT OR 970113 Ceiling Covet- Clect' 1 Ger-vice [-"Thorne #: 690--322'0 Wall Cover Elect' 1 Final R t:, ., 11. ., . lblbC. 4:17 TI-ns permit is 15SUed subject t: the regulations :ontained in the Tigard Municipal Code, State of Or-e. Specialty Codes and all ether Per i gnat lit-e applicable laws. All work Mill 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 tore than. IS? dans. _. .. ... _. . .. _..._. _. _ .. . .___. .... CIWNC:R IN)TAL.LATTM-1 ONI..Y The installation is being made on proper-ty I owr which is not intended for- sale, lease, or- r^exit. OWNF"R' S SIGNATURE: __. _ DATE: INSTALLATION SIGNATURE OF SUPR. _:I..E[.- N -..___.._. __.._.� DATE: Call for^ inspection -- 639 -417°, Community Development ELECTRICAL PERMIT APPLICATION 13125 SW ball Blvd. Tigard, OR 97223 Permit # _ _ _ Phone (503) 639-4171 Dat? Issued CITY OF T1�ARD FAX (503) 684-7297 TDD Nu. (5G3) 684-2772 Inspection (503) 639-417u 1. Job Address 4. Cornplote Fee ScheJule Below: Name of Development .�KOA7 Number of In:sw.lops per permit allowed Address_ j 7-�GAJ "���C I} l�(�1 ���/J C F _ Servlcc Included: Items Cost(ea) Sum City/State/Zip 4a. Residential -per unit 1000 sq ft or less 5110 LX) 4 Name (or name of business)_ Each additional 500 sq.ft ot Dation thereof $2500 Commercial Ei Residential E, Ltrruted Energy —'— $2500 t Each Manurd Norm or Modular OWellstg Servce.r Feeder 566.00 2 2p Contractor installation only: 4b. Services or Feeders Electrical Contractor r�L int!Sit+N Instrllrtton.reersuon,or reioci twin 200 amps or loss 500 00 2 Address ;cl is Crcrwr,i /->t 6fw- W eat emits to 400 amps $ea 00 —�_— 2 I.ItV State = zip_r J('r _ 401 arms to 600 arms $12000 _ Phone No. U 6c I Simi to 1000 amps $190 00 z �rf�i Zz -- over 1000 amps«roes sa40.00 2 Job NO. _ OA, V Reconnect only —T— sw00 _ 2 contractor's licen,:e NO. z ) 4c. Temporary Services or Feeders Contractor's Boafs!_' . r4o. &4 / Instrllattrxh,s",eratoon,or n lox etxxh Signature of lturr. Eia,;n 200 arnDa ur toss 2 201 ann-s to 400 amps 5so 00 2 License�rVO.�:',', Phone No. 45 32-20 401 saps to crimps —" $25 00 ---- z -f Over 600 eir.ps fo 1(100 h oft$ —--- $100.00 --- 2b. For owner installations: See*b*above. 4d. Branch Circuits Print Owner's Name _ New,snemhon or extensior ner paten Address _ _ _ s)The h or branch crcuas wWt City--- M _ ;'tate--- Zip____.__ porhAs101aerviceorleariarree. Each branch ckmit %500 Phone NO. b)The fee for branch ewes wWPoui The installation is being made on property I own which is purchase of swvic,-or feeder M. First brarcit ckcun not intended for sale, lease or rent, $35 on Each addWrhal branch crrxill $500 Owner's Signature_ i_ 4e. Miscellaneous (Service or feeder not included) 2 3. or irrigation cr .arrm t to %4000 2 Plan Review section (if required): fh pu Each sign or outline lighting �_ $4000 Sgna1 ciraia(s)or-NnMM rr)eTp, 2 Please check appropriate item and enter fee in section 5B, panel,alteration or e.tension _ $4000 4 or more residential units In one structure Minor Labels(10) _ 510000 Semite and feeder 225 amps or more T Systern over 600 volts nominal 4f. Each additional irnspecN=n over Classified area or structure containing special occupancy the allowable In any of the above as described in N.E.0 Chapter 5 r''t�speG1On x.1500 rpt hair _ S5500 In Plant $,55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE Sa. Enter total of above fees S C 5%Surcharge (.05 X total fees) S _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S �_— AUTHORIZED IS NOT COMMENCED WTHIN 180 DAYS, OR IF 5b. Enter 25% of fine A for CONSTRUCTION OR WORK IS ;:USPENDED OR AOANDONED FOP Plan Review if required (Seca) A PERIOD OF 130 DAYS AT ANYTIME AFTER WORK IS rSuubtotal COMMENCED. se�e.�a. L l Tlust Account # pT p $ Valance Due S 4�� UNIFIED SEWERAGE AGENCY OF VASHINGTON COUNTY FIX_ RE UNIT RATINGS TOTAL- TOTAL F 1 XTURE VALUL: ! I o�F y NUMBER NUMBER BAPTISTRY/FONT 4 -r BATH -' TUB/SHOWER 4 - JACUZ/X-HPL 4 CUSPIDOR/WATER ASP 1 D I SHWASHER -" COMMER 4 MWST 2 DRIW ING FOUNTAIN 1 FLOOR DRAIN ""' 2 INCH 2 - 3 INCH 5 I -- 4 1 NCH 6 GARBAGE DISPOSAL — DOM (TO 3/4 IIP) 16 COMM (T17 5 HP) 32 -._ IND (OVER 5 HP) 48 OIL SEP (GAS STA) 6 S1 IDYIE R - GANG 1 -_ STALL 2 S 1 rx -- BAR z +- - BRADLEY 5 COM,IERC I AL 3 SERVICE 3 WASHER. CLOTHES 6 ^� WATER EXT 6 WATER CLOSET 6 URINAL 6 3 Fk value this ten ( _ EDU - this tenant. Run. f x value - b ldc. \ Run. EDU - bl.d . Sewer ermit DATE INSP TOTAI EDU _ BUSINESS / // —' ��-- ADDRESS - CJ ►, tel:. - - PERMIT NO. TAX MAP/LOT COUNTED FROM 73-2S R83 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT -- 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR97-0120 DATE ISSUED: 04/16/97 PARCEL.- 2SI0I88-0t400 SIVE ADDRESS. . . : 12110 SW GARDEN PL #BG 4 SUBDIVISION. . . . :CROW PARK 217 ZONING:C–G BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :2 JURISDICTN: TIG Project Description: instl of 0tateleTommunication ---------------------------------------------------------------------------------------------- A. RESIDENTIAL--------- B AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : B(IRGLAR ALARM. _ . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . - G'ARA13E OPENER. . . . . CLOCK. . . . . . . . . . MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . VACUUM SYSTEM. . FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL— : INSTRUMENTATION. : OTHER. . - TOTAL # OF SYSTEMS: t Owner: -------------------------------------------------------- FEES ----------------- IKON INC type amount by date recpt '12110 SW GARDEN PLACE PRMT $ 40. 00 TAT 04/16/97 97–E93317 WILSONVILLE OR 97070 5PCT $ 2. 00 TAT 04/16/97 97–�?q331 7 Phone #: rontractor: ESP COMMUNICATIONS, INC. $ 42. 00 TOTAL '::,A170 sw snSFRG RD ------- REQUIRED INSPECTIONS WILSONV111-E OR 97070 Ceiling Cover Elect9l Service Phone #: 503-682-4195 Wall Cover Elect91 Final Ppq #. . : 073872 This permit is issued subject to the regulat ons contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitpol Signati-ir 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 then 10 days. Issi.ted By -------------------------------OWNER INSTALLATION ONLY-------�' The instr ' lation is being made on property I own which is rot intended for sale, lease, or rent. F)WNFRIS STGNATURF- DATE: --------------------------rF)NTPA('JnP T1\1c)TAl-LATION ONLY------____--____–___----_. q T GNATURE NLY-------------------------- qTGNATURE OF SUPR. ELEC' Nr DATE: TrFNSF NO: Call for inspection – 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall tslvc! C Tigard,OR 97223 PERMIT#_ L f� 1 7` U�,_ 6) _ Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED TDD No. (503)684-2772 T— CITY OF TIGARD Inspection (503)639-4175 ISSUED BY /,9//() PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK - ^�,l�^� RESIDENTIAL—Restricted Energy Fee . , 40.00 N 1..1�..1 « (FOR ALL SYSTEMS) City ..JJ State zip Check Tyne of Work Involved: 1'FRMIIS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Sy5tem5 IS NOT STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 1110 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor C T� t ype �' __ OJ Vacuum Systems' ❑ Other Address Date �� ��� _ __ COMMERCIAL—Fee for each system . . . . . . . . . 140,00 (SEE OAR 918-260-260) Property Owner 'EN �—_ _ Check Tyne of Work Involved: Conliactor's Board Reg. No, ❑ Audio and Stereo Systems El Boiler Controls Phone ��� � _ _ _ 0 lock Systems 3. OWNER APPLICATION 0Data Telecommunication Installations ❑ Fire Alarm Installation _ ❑ HVAC Print Ownv`,,Nike' Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Lip ❑ Medical ibis permit is Issued aide r UAR 9111.3:0.370.ibis appiirant agn•es to make only ❑ Nurse Calls restricted energy install.ttions(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' following: 1. Only use electrical h-enwd persons to do installations where required.(Certain ❑ Protective Sig.taling residential and other transactions are exempt from licensing.These have ❑ Other__ asterisks(`),All others ieed licensing). 2. Call for an inspection%hen all of the installations under this permit are ready for inspection at 503•631-417.1 Number of Systems T Purchase separate permit: for all installations that are not ready for Inspection when the inspector is out th inspect under this permit. •No licenses are required. Licenses are required for all other installations. 4. Assume responsibility for as,uring that all corrections required by the inspector are done,and 5. Assume resfxmsihility for calling for a final inspection when all of the 5. FEES corrections are rompleted. /\ 1 he person signing for this pennit must he the applicant or i person a. Enter Fees $_ VO author d to hind the apphc aw. b. 5%Surcharge(05 x total above) $ Sig re TOTAL $ _ Authority if other than applicant ENERGAP.CHP