9908 SW TIGARD STREET ADDRESS:
i:\records\micretlm\targets\building.doc
� '� INSPECTION DIVISION
,t� , CITY OF'fIGARD BUILDING INS C
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: _ — l� - 0 T _ A.M. P.M. MST:
Location: SLG 4-t Bim'
Tenant: B/�► (�-1 f2_ CC)P_ Suite: Bldg: MEC:
Contractor: Phone: .3q— (O D PLM:
Owner: ne: ELC:
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL c-"ELECTRICA SITE
Site Post/Beam Post/Beam Post/Beam Cover/Seivice Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out etas line Rough-In UG Sprinkler
Foundation Insulation Sewer liood/Duct Recx,nnext Va•att
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved o roved Not Approved
FINAL. FINAL FINAL INAL FINAL
A -
i'
' C7 Call for reinspection 1 in lwaion fee of S __ _required Wore next inspection 0 Unable to inspect
Insp=tot: Dalc _^0_� ` Page—_—_of
1!w
CITV OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 639417 Business Phone: 6394171
Date Requested: 0 A.M. _ P.M. MST:
L(cation:_ C OA _ _ BUR
Tenant:___— I?A-V--�?_I L P_ fz P Suite:_---Bldg: MEC:_
Contractor. ;1A _ Phone: PLM: _ �
(honer__— -- Phone: _ (^� f'�-/_ ELC: 6.L-�)
ELR:
_ SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ��' LE TRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cov�ervice'- Sewer/Storm
Footing Roof Undl'I/Slah Rough-In Ceiling Water bine
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spkir/Alm Crawl/Found Ih Meat Pump 1,24 Yolt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved o oved Not Approved
FINAL FINAL FINAL AL FINAL
__Al Y i,&l o
O Call for reinspection einspection fee of Srequired before next inspection Cl Unable to inspect
Inspector: _ _— Ihtte. Page__ of_.
,CITY OF TIGARD ELECTRICAL PERMTT
DEVELOPMENT SERVICES FERMI"f #: Dr 12/15/9
DATE ISSUED: 1/15/97
13125 SW Hall Blvd., Tigard,OR 97223 (303)639.4171
PARCEL.: c-,3102BA--00302
SITE ADDRESS. . . :0`908 SW T IGARI) ST
SUE.DIVISION. . . . :NO. T1GARDVILLE ADDITION AMEND. ZONING: I—P
BLOCK. . . . . . . . . . : L.OT. . . . . . . . . . . . . :O22 JURISDICTION: T I G
Project Descr,i pt i on : Installation of one branch circuit-,building N2.
---RESIDENTIAL _INIT----_------TEMP SRVC/FEEDERS----- ------MISCELLANEOUS----- -
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' I_ 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401. ._ 600 amp. . . . . . . : 0 LiIGNAI_/PANEL
.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+,amps-1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0
---SERVICE/FEEDER.---- _--BRANCH CIRCUITS----- —.--ADD' L INSPECTIONS--
0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
x'01 — 400 amp. . . , . . : 0 is W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 -- 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN FLANT. . . . . . . . . . . : 0
601 -- 1000 amp. . . . . : 0
------------------PL.AN REVIEW SECTION--
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC _OCC. :
Owner: _ _- -_-_.-------__-._..______-_____________________.._.___.__.---•_-- FEES
BARRIER CORP. type amount; by date recpt
9908 SW TIGARD STREET PRMT $ 35. 170 TJH 1/15/97 97-30174`:,
TIGARD OR 97223 SPCT $ 1.. 75 TJH 12/15/97 97--3$17µ``i
Phone #:
Contractor: _._.._________.__._____________._____________________._--___---------•-_._---------..
F-RAHLE.R ELECTRIC CO '1; 36. 75 TOTAL
11860 SW GREENPURG RD
REQUIRED INSPECTIONS
---------
,TIGARD OR 97223 Ceiling Cover- Elect' l Service
Phone #: 63'9-4627 Wall Cover Elect' ] f=inal
Reg #. . : 000374
This perait is issued subject to the regulations contained in the Tigard Municipal Code, State o` Oregon Specialty Cosies and all other
applicable laws. All work will be done in accordance with approved plans. This peroit will expire if work is not started within 180
days of issuance, or if work is suspended for Bore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon ,Utility Notificaticn Center. Those rules are set forth in OAR 952-01-NIP, through OAR W-0011987. You vay obtain a copy
of these rules or direct questions to OUNC• by calling (503)246-198,7,.
Permittee
--OWNER INSTALLATION
The—instai 'lation -is�being made nn property I own which is not intended for
sale, leese, or rent.
9WNE R' S S I GNATURE: DATE; _. �._..._.._.__.__.
--- CQNTRACTOR INSTALL..ATION ONLY- - ------------- ----�-- _
7-ti. _ ._ ____ ___ DATE:
q r rh.;ATURE OF SUPR. ELEC N: __•�"1_��aP�I.L', —
LICENSE NO:
+++++++•+-++++.f++++-1 4 ++-4-h++•1-+++++-F+-F++++4-++++4......4....................•h i+++•4•++++
Call 639-4175 by 7:00 p. m. for- an inspection needed the next bl.tsiness day
++++++++++++++•++•+t+++++++++•++i++++++++++++ h++++ I +++++++++++++++++++++++++++�F}*++
In
Plan Check III
CITY OF TIGARD !electrical Permit Application -
Rer'd By r'
13125 SW HALL BLVD. Date Recd
TIGARD OR 97223 Date to P.E
Phone (503)639-4171, x304 Date to DST I rY1
Print or Type permit q Er-�-�'� "l.'t•' ��
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Called_
Fax (503)684-7297 ----
1. Job Address: 4. Complete Fee Schedule Below:
BUILDING b 2 Number of Inspections per permit allowed
Name of Development ---
Name(or name of business) 13ARRi ER CORpnRAT 10 Service included: Items Cost Sum
Address 9908 SIJ TIGARD AVENUE _ 4a. Residential-per unit
1000 sq.It.or less $110.00
City/State/Zip TIGARD OREGON 91223 Eachtl hereof oo sq.n.or __ $25.00
Commercial® Residential n Limited Energy $25.00 -.-
Each Manuf'd Horre or Modular
Dwelling Service or Feeder $68.00 --
2a. Contractor installation only: 4b.Services or Feeders
(Attach copy of all current licenses Installation,alteration,or relocation
Electrical Contractor FRAHLER ELE TRIC COMPANY 200 amps or less $60.00 2
Address 11800 SW GREEN11lIRG ROAD _. 201 amps to 400 amps $80.00 2
T t G it u f 1 State Zip 9 7 2 2.1 401 amps to 600 amps __ $120.00 2
City_ ,._____-- 601 amps to 1000 amps $180.00
Phone No. 639-4627 Over 1000 amps or volts $340.00 2
Job No.--')7833_ Reconnect only $5000 2
Elec.Cont. Licg. No _34 x -Exp.Date 10/l/98--
OR
1/OR State CCB Reg.No 37410 Exp.Date 712198 4c.Tsmporary Services or Feeders
EX Date Installation,alteration,or relocation
COT Business Tax or Metr n No. 1981 P - 200 amps or lass $50.00
201 amps to 400 amps $75.00
Signature of Supr. Elec'n_-- v ! 401 amps to 600 amps $100.00
over 600 amps to 1000 volts,
License No. 1816S cxp.Date 10/1/98 see"b"above.
Phone No._ 639'46?7 4d.Branch Circuits
New,alteration or oxionsion per panel
2b. For owner,ins
as. �I1A_ a)The fee for branch circuits with
APPMMAT'0N purchase. service or
feeder lee.
Print Owner's Name Each branch circuit $5.00
Address b)The fee for branch circuits
City State V rp without purchase of
Phone No. service or feeder fee. 1 $35.00 _LJ-,QL) 2
First branch circuit $5.00
Each additional branch circuit _
'The installation is being made on properiy I own which is not
intended for sale,lease or rent. 4e. Miscellaneous
(Service or feeder not included) $40.00 2
Owner's Signature Each pump or irrigation circle $40.00 ---. 2
Each sign or outline lighting
a Signal circulus)or a limited energy $40.00
3. Plan Review section (if required)' panel,alteration or extension 310000
Minor Labels(10)
Please check appropriate Item and enter fee in section 5B. 4t 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 $35.00
System over 600 volts nominal per hour $55.00 -
Classified area or structure containing special occupancy In Plant $55.00
as described In N.E.C.Chapter 5
`Submit 2 sots of plans with appllcnt on where any of the above apply. 5. Fees:5a Enter 1,nal of above fees $
Not requlred for temporary construction servlces.
5%Surcharge(.05 X total fees) $
TI Esubtotal $
5b.Enter 25%of line Be for $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Roview If r (Sec,3) $
NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOP;A PERIOD OF 180 DAYS AT ANY El Trust Arrount p _ 36.75 _
TIME AFTER WORK IS COMMENCED. $
Total balance Due
I1f;TBkEt.C66APP Nav!W9F
4' '.ei-w.t+.. .',C 7 .. 1F• .r: .....�,, h�,,,�,�.,,�..-..«,r"7`,r-�.r.'.t p-r r,.. ..
V
bSE '
REr,EIVEL1
OEC 15 1997
COMMUNITY OEVfIUPMlj4;
Z WN
CITY OF TIGARD ELEC•rRICAI_ PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97--0816
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/15/97
PARCEL: 2Sl02BA-003Or'
SITE ADDRESS. . . :O99O8 SW 'TIGARD ST
SUBDIVISION. . . . :NO. TTGARDVTLL_E ADDITION AMEND. ZONING: I---P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :022 JURISDICTION: TIG
Pro.j ect Descr-i pt ion. Installation of one branch circuit;build,,,n5 13.
---RESIDENTIAL_ IJNIT---.- ---TEMP SRVC/F'EEDF_RS---- -----MISCEL.L_ANEOUS-----
1000 SF OR LESS. . . . : 0 0 - d 00 amp. . . . . . . : 'If PUMP'/IRRIGATION. . . . : 0
EACH ADD' L 500SF'. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTO. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . . 0 SIGNAL/P'ANEL.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LAPEL ( 1O) . . . : 0
----SERVICE/FEEDER------ ----.BRANCH CIRCUITS---------- -----ADD' L INSPECTIONS—-
0 - x:'100 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSP'EC'TION. . . . . : 0
1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
c:O1 - 400 amp. . . . . . : It
401 - 607 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN P'L-ANT. . . . . . . . . . . : o
601 -- 1000 amp. . . . . : 0 --- - ----- ---- FLAN REVIEW
1000+ amp/volt. . . . . : 0 ) =4 RE'S UNITS. . . . . . . . : ) 600 VOLT n1OMINAL. . :
Reconnect only. . . . . : 0 SVC/FD;R ) _ 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: -- ---- --_--__- __..._._- __._..___._.... _......__._..------._____._.__-__._______ FEES -- __.----•----_____..
BARRIER CORP. type amol-Int by date recpt
9908 SW TIGARD STREET E'RMT $ 35. 00 TJH 12/ 15/97 97-30174:5
T'.GARD OR 97223 SPCT $ 1. 75 TJH 12/15/97 97-301745
Phone #:
Contractor,:
FRAHL.ER ELECTRIC CO $ 36. 75 TOTAL
111:160 SW GREENBURG RD
-- - - --- REDUIRED INSPECTIONS --- --
TIGARD OR 97223 Ceiling Cover- El.ect' l Service
Phone #: 639--4627 Wall Cover Elect' '. Final
Reg #. . : 000374
This pereit is issued subject to the regulations contained rr the Tigard Municipal Code. State of Oregon Specialty Codes and all other
applicable laws. All work will he done in accordance with approved plans. This persit will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 188 days. ATTFNTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8010 through OAR 952-881-1987, you say obtain a ropy
of these rules or direct questions to OUNC by calling (583)246-198'i.
Permittee S i g n a t i-t r e : I s s i-1 e d By :
----•---____._.___-_--.--_-.__--_OWNER
INSTALLATION ONLY--------------------------------
1,hp installation is heinri made on property I own which is not intended for
sal e, lease, or, rent.
OWNER' S SIGNATURE: _ r DATE:
------------ -------------CONTRACICIR INSTALLATION ONLY--- -- _-_-- -------
SIGNATURE OF SU9 'R. ELEC' N: Ir. G1 .4,, _..-�— DPTE:
LICENSE NO:
++++++++++•+•-++J ++•1-++++++++++•++++++++++++i+++++++++++++++++++++++++++++++++++-:++
C1. 1 639-4175 by 7.00 p. m. for an inspection needed the roef(t hi_Isiness day
+++ '+++++++++-#-+-1-++.+++++++•h+++.+++++++++�•q•+++++++++I+++4 4 4 4+++++++++++++++i-++++++
Id
CITY OF TIGARD Electrical Permit Application Plan Chock#- Q A
13125 SW HALL BLVD. Recd By- '
TIGARD OR 97223 D- I,C, ?_
Data to P.E. _
Phone(503)639-4171, x304 Date to DST ^
Inspection (503) 039-4175 Print or Type Permit# G i
Fax '503)684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development BUILDING #3 , Number of Inspections per permit allowed -
Name(or name of business) BA PIER CORPATION__-_ Service included: Hems Cost Sum
Address- 9908 SW T I GARU AVENUE 4a. Residential-per unit
Ci /State/Zi __, TIGARD+ OREGON 91223 1000 sq.ft,or less $110.00
ty p Each additional 500 sq,it.or
Commercial ® Residential ❑ portion thereof $25.00 _
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.0 2
2a. Contractor installation only:
(Attach copy of all current licenses) I 4b.Services or Feeders
Electrical Contractor I-WHLER ELECTRIC COMPANYInsiallatlm,alteration,orrelocation
,1 860 SW GR N UR ; RUAQ 200 amps or lase $60.0 2
Address
U� 201 art pa to 400 amps _ $80.00 2
City T i(;A R U--State (1 R Zip 92223 401 amps to 600 amps $120.0 __ 2
Phone No. 61Q-4627 601 amps to 1000 amps $180.00
Job N0. 51� Over 1000 amps or volts $340.00
Elec.Cont, Lice. No._3�_Exp.Date Reconnect only $50.00 2
g� --- -- --
OR State CCB Reg. No. O Exp.Date 19t L^ 4c.Temporary Services ur Feeders
COT Business Tax or Metio NO._____]_jULExp.Da:e__]_j L`j_U Installation,alteration,or relocation
200 amps or less $50.0
201 amps to 400 ams $75.Signature of Supr. Elec'n r d 401 amps to 600 amps $10000 2
Over 600 amps to 1000 volts,
License No. 1816S Exp.Date 10/l/98 see"b"above.
Phone No. 639-4627
- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner insON
A�PLICATION a1 The tee for branch ice or with
purchase of service o►
Print Owner's Name_ feeder tee.
Each brarch circuit $5.00
Address
A� b)The fee for branch circuits
City _ State--I4 alp without purchase of
Phone No. service or feeder fee.
=irst branch circuit t_ $35.00 35.00 _ 2
The Installation is being made on property I own which is not I Each additional branch circuit, $5.00 _ _ 2
intended for sale,lease or rent. 4 .Miscellaneous
ervire 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 circuit(s)or a limited energy-
Fanel,alteration or extension $4000
_
Please check appropriate item and enter fee In section 5B. Minor Labels(10) $100.00`
4 or more residential units in one structure 411.End,additional Inspectlor.over
-Servi^.e and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Pnr inspection _ $3500
Classifl,YJ area or structure containing special occupa:lcy Po,hour $55.00
as described In N.E.C.Chapter 5 In Plant $55.0
R Submit 2 sets of plans with application where any of the above apply. Jr. Fees:
Not required for temporary construction services 5a.Enter total of above fees $ --
5%Surcharge(.05 X total fees) $ I
NOTICE subtotal $ --
5b.Enter 25%of line 5s for
PERMITS BECOME VOID IF WORK,OR CONSTRUCTION AUTHORIZED IS Plan Review If rQQLrr (Sec.3) $
NOT COMMENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account a_- 36.75
Total balance Due $
1 q)8T9\ELC9fi AIT r"9/99
.____._ .._.. ..._..., ...... ........,_ _,.. ._...........v, .••..,r.upm•.Y.�+rrw�w': R..��,mvhrrv.. ly��i.la<vn ewr.,.^+""'C'.'y.;•....,�+�reava�.�-��t-.......,..,'.p...q,...,.�.....-.••.-•._ ..,. .__'
t
i
RECEIVED
u�� 1 �, 1991
�MMNN1r DEVF.11)PMEra��
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: T,��f �Q / / A.M. P.M. MS'r:
� `G �— Ben.
Location: �.
Tenant: �'yt-��'-L r�_ D't _ Suite:_ Bldg: MEC:_
Contractor: Phone: c 3 ' O PLM:
Owner: Phone: ELC:
EI-R: - _ J
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL ) SITE
Site Post/Beam Post/Bcam Post/Beam ---COver/SdMCE_ Sewer/Storm
Footing Roof UndFI/Sleb Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer HoodlDuct Reconnect Vault
Bsmt Dtunp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Grain A/C 11G S
Shear/Sheath Fire S&I Alm Crawl/Found Dr Heat Pump
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved vcd Not Approved
FINAL FINAL FINAL FINAL FINAL
7 Call for reinspeclio Reinspection fee of 3_ regal before nc inspixtion rl t rnable to inspect
Inspector: -_ -- Date: Page___-.of
CITYOF TIGARD
DEVELOPMENT SERVICES E.LECTRICAI. PERMIT -
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 RESTRICTED ENERG`,
PERMIT #: ELR97-0178
DATE ISSUED: 06/E,3/97
PARCEL: 2S102BA-00302:
SITE ADDRESS. . . :09908 `,W T i uORD Sl
SUBDIVISION. . . . :NO. TIGARDVIL.LE ADDITION AMEND. ZONING: I-P
BLOCK. , . : L.OI.. . . . . . . . . . . . . ..cc. J.J
RISDICTN. TIL.
Project Description: ADD PROTECTIVE SIGNALING
B.- _____ COMMERCIAL----- -�-_----__ ----
A. RESIDENTIAL-----------'-
AUDIO & STEREO. . : INTERCOM & PAGING. . :
AUDIO &
BURGLAR AL.ARM. . . . : BOILER. . . . . . . . . . : MFDLANDSCAPE. . . . . .. . . . :
GARAGE: OPENER. . . . . CL.00K. . . . . . . . . . . . NURSE
.. . . . . . . . . . . . .
HVAC. . . . ., . . . . . . . . : DATA/TELE COMM. . : NURSE CAI_I.._S. . .
OUT
ROT
VACUUM SYSTEM. . . . : FIRE AL.ARM. . . . . . PROTECTIVE
EECL;TIVE SIGNAL. : : 'I
LANUSC LITE
OTHER: . . HVAC. . . . . . . . . . . .
INSTRUMENTATION. : OTHER. . :
TOTAL_ # OF SYSTEMS: 1
FFES -----------------
BARRIER CORP. type amount by date recpt
GARD STREETPRMT $ 40. 00 GEO OF,/23/97 97--296299
9908 SW TI
f'IGARD OR GARD 5PCT $ 2. 00 GEO 06/23/97 97-296299
Phone #:
Contractor: ---.•-_._____._ _____----_-_--
SONITROL PACIFIC $ 42:. 00 TOTAL
1974 SW F,Ti l AVE _._- REQUIRED INSPECTIONS
- -
PORTLAND OR 97201 Ctei l ing Cover Eler~t' l i"final
Phone #: 223--r822 Wall. Cover'
Reg #. . : 000535
This permit is issued subject to the regulations contained in `he Tigard Municipal Code, State of Ore. 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 188
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in LIAR 952-801-0010 through OAA 95P-001-0088. You may obtain copies of
these rules or direct,questigns to OUrC at (503)246-1987,
1 s;s u e i i by �'fr'� t • t P e r ui i t t e e Signature -
_ ---_-OWNER INSTALLATION ONL.Y--------The installation is being made on pr�oper•ty I own which is not intended fcr
sale, lease, or rent. DOTE:
OWNER' S SIGNATURE: -----
INSTAI_.I_.ATION ONLY--------------
-----------------
SUF'R. ELEC' N: ' ~� __ DATE
SIGNATURE OF
LICENSE NO: --
+++++++++++++-;Y++++++•++++++++-F++++++++++++++++++++++++++++++++++++++++++++++++++1
Call 639-4175 by 6:00 P. M. for- an inspection needed the next business day
+++++++++•++++++•+++++-f ++++++++++++•t++++++++++++++•++++++++++•:+++++++y }+++++++++++i
fd
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW
Tigard,OR197223 PERMIT#AQP--U P--U-' 0/-7 Fl�
Phone(503) 639-4171
FAX(503)684-7297 DATE ISSUED
KIM TDD No. (503)684-2772
CITY OF TIGARD Inspection(503)639-4175 ISSUED BY —
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
q q 0 'w Te I _
AddressRESIDENTIAL—Restricted Energy Fee. . . . . . . . . $+U,14
-31 (POR AI-L SYSTEMS)
City State Zip Cher Tine of Work Involved:
PERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK [] Audio and Stereo Systems*
IS NOT STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
ISO DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION El Garage Door Opener*
1 r ❑ Heating.Ventilation and Air Conditioning System*
Contracto-- 1 l I CType 1�-n ❑ Vacuum Systems*
Address_Lt � �SL �IL� b _ "[ j ElOther _.- - --
Date �T __' -1 ��7 -- COMMERCIAL—Fee for each system . . . . . . 3 L►_lt
(SEE OAR 918-260-260)
Property Owner_ ,�'r�Px �t _ Check Tof Work Involved:
Contractor's Board Reg. No. JtSt� �J ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# _ – 54)— ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Install.:fions
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Interium and Paging Systems
❑ landscape Irrigation Control*
City State Zip ❑ Medical
This Permit is issued under OAR 910-310-370.This aliplirant agrees to make only ❑ Nurse Calls
restricted energy Installations(100 volt amps or less)tinder this permit and to(10 the ❑ Outdoor Landscape Lighting*
following:
1. only use electrical licensed persons to do installations where inquired.(Certain
Protective Signaling
residential and other transactions are exempt from licensing.Thes(t have ❑ Other
d.gIerlsks(*).All Others need licensing).
2. Call for an Inspection when all of the installations under this permit are ready
for inspection at 303.634.4175. --- —
Numher of Systems
3. Purchase separate permits for all Installations That are nnI ready for inspection —
When the inspector Is out to Inspect under this permit No licenses are requirerl, Lk enw%are required for all other Installations.
4. Assume responsibility for assuring that all corrections requirod by the insper for
Am done,and
5. Avsume responsibility for tailing for it final inspection when all of the currm titins 5. FEES
are completed.
The parson signing;for this permit must he the applicant ora parson a. Enter Fees $�tn
authorized to hind the app' ant.
h. 5% Surcharge(0.5 x total above) $ p1
Signature (10
TOTAL $ Z
Authority if other than appli(ant
ENERGARCHP
January 6, 1997
CITY OF TIGARD
OREGON
RE:
Our records indicate that either no inspections have been conducted on the project authorized by the above
noted pennit OR urspexajon(s) have been conducted but Ac have no record of am•subsequent or final
inspections within the past 15 days. Oregon Administ auve Rule(OAR)918-260-270 requires initial
ittapemons be requand within 24 hours of completion of installation and inspections for o rr+ections to
be made within 15 d ws.
Permits and inspections required by the Tigard Municipal Code are an important part of your project
Permits help to ensure that work is done in compliance with rturimum code requirements. Inspections are
intended to protect the occupants of buildings and building owners. As the electrical contractor,you are
responsible for obtaining the required inspections.
The City would like to work with you to close out this projw with steps taken to assure that at least
minimum code compliance has been achieved.
If you are rrady to schedule the ne=t inspection plot se call our 24-hour Inspection Recorder at
6394175 within 15 days Be prepared to provide the following itrforrrration: Permit number, address of
property,your nam,your phone number,and the date you are requesting the inspection(inspection tennis
cannot be guaranteed.but you may request a.m. or p.m.).
z�*veru need additional time to complete your project please respond,IN WRITING,within 15 days.
You may request an additional 15 days. Please provide the following information: Permit number,
address of property,your name, a day time phone number,and a,i explanation for the request
IT YOU ARE UNSURE ABOUT WHAT PROJECT THLS LETTER IS REGARDING.OR HAVE
ANY QUESTIONS, please con4�ict the Building Division at 6394171 eit. 610 (voice mail). To better
serve you. please have the following information. Permit number, address of property. your name and a
day time phone number.
Thank you for your cooperation in this matter. Please note that the City may pursue civil enforcement,
locally"and at the state level, if work has proceeded without inspections o, if an unfinished protect is
outstanding Your prompt attention will resolve this maacr ane'_ citable u,,to provide you with the
required inspections.
Jeanne Temple
Building Division
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (5031 6842772
til• ft
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Ree # -26 - a7/3S9
Permit # ci0 -ova 5 —
`�' Phone (503) 639-4+71 Date Issued _lo -e; -9�:FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684 2772
Inspection (503) 639-4175 _ __ _•.
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development BARRIER C O R P O R A T I QN Number of Inspections per permit allowed -
Address 9908 S . W . TIGARD S T . Service Included Items Cost(ea) Sum
r
City/State/Zip T I G A R D , O R E G O N 9 7 2 2 3 4a. Residential- perunit —$110 DO 4
1000 sq It or less
Each addNionsl boo W h or
Name (or name of business) portion thereof $2500
Limited Energy $21,00
Commercial® Residential❑ Each Manurd Home or Modular 2
55262 Dwelling service nr Feeder $68 00
2a. Contractor Installation only: 4b.Services or Feeders
2
Installation,adoration,or relocation
Electrical Contractor F RAH L E R ELECTRIC _ 200 amps or lose $6000 2
201 amps to 400 amps $60 oc 2
Address 11860 SCJ GREENBURG RD TIGARD 401 amps toF"vamps $12000 2
City T i G& I) State OR Lip 91 7 2-L Rol amps to two amps $18000 2
000
Phone No. b 3 A-4 6-? 7 -- over amps or voNe $$5
Reconnect
ed only $�0 00
Contractor's License No. •t a- 1 .;r
Contractor's Board Reg. No. -A 7 a I rI 4c. Temporary Services or Feeders
Lvslallation alteration or relu:alion
Signature of Supr. Elec'n � l ��- GL��'�tj 200 amps or less $,0 00
201 amps to 400 amps $7500
License No._ ?3 3 4 S Phone No. 639-4627 401 amps 10 600 amps —_ $10000
CTrer 600 amps to 1000 vole
2b. For owner installations: see'h,above
RETURN ► PPUCATION 4d, Branch Cioulls
Print Owner's Na1T1(? Nuw,alteration or extension per panel
AddressA -� a)The Ise for branch circuits wMh
'—-- purchmee of oervke a hailer lee.
City_ -- - �r_-�- Zl�l--- Each branch mrcu I $I'00
Phone No. b)The fop for branch arcudr. wrrh�ut T -
The installation is being made on property I own which is purchaea of marks or hailer fee.First branch circuit 1 $3500 3 b . U U
not intended for sale, lease or rent. Each additional b,anrh circuit $500
Owner's Signature _ 4e.Miscellaneous
(Service or feeder not included)
3. Plan review section (if required): Each pump or nnpelron circle _— $40 00
Each sign or oidBrw lijhting f40 QO
Signal arcuil(s)or a Ixnded energy
Please check appropriate item and enter lee in section SH panel,adoration or extension $40 00
4 or more residential units in one structure Minor labels(10) $10000
Service and feedAr 225 amps or more 41. Each additional inspection over
System over 600 volts nominal the allowable ill any of the above
Classified area or structure containing special occupancy Per inspechon $3500 _
as described in N'E C. Chapter 5 Per hour $5500 _
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:
5s. Enter mull of above fees S 45 . 00
NOTICE
5%Surcharge(.05 X total fees) S
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Erter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec.3) $ -
CONSTRUCTION OR WORK IS SUSPENDED OP',ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED ❑ Trust Account M $
Balance Due $ 1
4
.dirt—ds Opp