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15786 UPPER BOONES FERRY ROAD BLDG D w , J� 15786 SW Upper Boolles Fel-r% Rd IlIdg! U ELECTRICAL - /\ CITY OF TIGARD _ _ _ _ RESTRIC EDPEN ENERGY DEVELOPMENTDEVELOPMENT SERVICES PERMIT #: ELR2002-00095 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 5!'24/02 SITE ADDRESS: 15786 SW UPPER BOONES FERRY RD BLDG D PARCEL: 2S1 12DD-007(10 SUBDIVISION: ZONING: IF' BLOCK: LOT: JURISDICTION: TIG Project Description: Install Data &Telecommunication drops. A. RESIDENTIAL. _ B.COMMERCIAL vAUDIO & STEREO_ AUDIO & STEREO_ INTERCOM & PAGING: BURGLAR .ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: x NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATICN: OTHER: TOTAL#OF SYSTEMS: -1 _ Owner: Contractor: PACIFIC REALTY ASSOCIATES HEWELS & MCCOY INC 15350 SW SEQUOIA PKWY#300-WMI PO EOX 20009 PORTLAND,OR 97224 PORTLAND, OR 97220 Phone: Phove: 255-5125 Reg#: ELE 26.895CLE LIC 63699 FEES Required Inspections _ _Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 5/24/02 $75.00 2720020000 Elect'I Final 5PC7 CTR 5/24/02 $6.00 2720020000 Total $81.00 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: 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 0.1R 952-001-0080, You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by Permittee Signature .� OWNER INSTALLATION ONLY The installation Is being made on property I own which Is not Intended for sale, lease, or rent. OWNER'S SIGNATUPF- DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. FLEC'N _ CATE: LICENSE NO: -- -__.____.�— ---_-_.-_ Call 639-4175 by 7.00 P.M. for an inspection needed the next business day 1 X t Electrical Permit Apl;licatiun I E= _ 7ate erved "� IV Permit no.:!! �{a,ally Of Tigard eppl.no.: Expire date://o,+u+� Address: 1317.5 SW Hall Blvd,Tigard,OR 47_'_1 ued: 3 �� Receipt no,: Phone: (503) 639-4171 Fax: (-503)598-1960 Case file no.: Payment typ^- Land use approval: \1 ?YWOF :JN,*w family dwelling or accessory AIICommercial/industrial U Multi-family U Tenant improvement onstruction U Addition/altcral' i/rcpl:iteinew U Other: U Partial Job address: 1.)44WBldg.no.: Suite no.: 'fax map/tax lot/account no.: Lot: I Block: Subdivision: Project nanle:(�j'L c� «, Description and location of work on premises: 7 _ r — --*--�- Estimated date of completion/ins action: ,� Z t✓ -Z:. CON I RAC I Olt Al-1111V All]ON FEE.SCHEDULE Job lr3: y -zzZ62 2 —pL Fee Max Bosin-.ss name: -Ed'ike. ^� ��—���^�-'9 C2 Irmion 1)I). (ca.) 1 alai nn.im r Address: J!?/L — New residential-s!ngk o or multi-family •r dwelling unit.bulutks anaclavl garage. City: Stale. ZIP:972 Q Seniceinclurk-6: Phonc: c hrlx: ' 1rF 3-mail: IWO sq.It +r less a Each additional 5(x)sq.ft.or portion thereof CCB no.: &JI,' Elechuslic.no: J,e,-Y( I.inutedenergy,resictemial 2 C"tl / Ctro IIs,no _ Lintitcdenergy,non-residential 2 _Q Bach manufactured home or modular dwelling - -_-'-- 2 Signature of supervisin cicclncian-(r-e�-aired—) � Date _Service and/or feeder Sup.clecl.name(print): / License no: tiLlamps lfeeden-Inslallatlon, r relocation: less 2 Name(print): 400 amps 2 Mailing address: 600 amps 2 1000 amps 2 rity:_ SlalC: 1.1P: Over IWin amps or volts' 2 Ph,•nc: Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary writers or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alterallon,orrelocatlon: SIN)aml: or Icss 2 (.)RS 447,455,479.670,70I. 2111 sugars aro 41NI:unps — - 2 Owner's sl nature: Date: -toi rn wto am n Branchcircuils ner,alteradon, or extension per panel: Name: _ A. Fcc.for branch ct„utls with purLIWIt It Address: _ service or feeder fee,each branch rtrunl City: Stale: ZIP: B. Fre for branch circuits without purchase Phone: �F a x E-mail: f service or feeder fee,first branch circuit ? Phone: Fax: E-mail: --- Each additional branch Luer it. Misc.(Service or feeder not Included): U Service over 225 amps-commercial U licalth-care facility Each pump or irrigation circle _ 2 U Service over 320 amps-rating of 1 Rr2 U Hazardous location Each sign or outline lighting T—W 2 family dwellings U Building over 10.000 square feet four or Signal circuit(s)or a Iomred energy panel, n '.System owr 6lxl volts nominal more residential units in one structure alteration,or extensim , U Building over three stories U Feeders.41x)amps or more *Description � _ U Occupant load over 99 persons U Manufactured structures or RV park Foch addillonal im lwiHort o er the allowable In any of the above: U Egress/lightingplan U Other: _- -- Peri•ispection Submit_seta of plana with any of the above. Finvesfigation fee The above are not applicable to temporary construction service. I Other Not all itrtiatlictions accept credit cards,pb„r cal!jurisdiction f x more infamtatlon. Notice:'Ibis permit application Permit fee.....................$ U visn U Mastercard expires if a permit is not obtained Plan•"view(at _ %) $ a cress card r:_ Hamne _ -_ _ _. �_ within IRO days eller it haState surcharge 8%s been td ( ) ••••$ Name of cardholder as shown on cit cud-- Expifes accepted as complete. TOTAL ............... — _ f _ Cardholder signature ��_ Amount 44046151NWOM) ELECTRICAL PERMIT FEES: LIPAITED ENERGY PERMIT FEES. -- --- - - - TYPE OF WORK INVOLVED -RESIDENTIAL Complete Fee Schedule Below: Restricted Energy Fee..................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of work Involved: Residenti;it -per unit 1000 sq.ft or I, s $145.15� a ❑ Audio and Stereo Systems Each additional 500 sq ft.or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energv $75.00 Each Manurd Home or ModularElGarage Door Opener' Dwelling Service or Feeder $90.90 ? Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 1:1Vacuum Systems' 201 amps to 400 amps $106 85 _ 2 401 amps to 600 amps _ _ $160.60 2 ❑ Other 601 amps to 1000 amps — _ $240.60 2 --- ------- -��-- Over 1000 amps or volts _ $45465 _ 2 Reconnect only $68.85 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 _ $88.85 2 (SEE OAR 918-260.260) 201 amps to 400 amps $100.30 2 Check Type of Work involved: 401 amps to 600 amps $133.75 2 yp Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ with purchase of service or Clock Systems feeder lee. —' Each branch circuit $8.65 Data Telecommunication Installation b)The fee for branch circuits CIL without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.65 ❑ HVAC Each additional branch circuit $6.65 Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $5340 Sigpanel,alts ation or extension ed $75.00_ _ $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) 5125.00 _ Each additional Insp Action of e. F-1 Medical the allowable in any of N+.a above E] Nurse Calls Per inspection Per hour __ $62.50 _ $62.50 ❑ In Plant $73.75 Outdoor Landscape Lighting` Fees: ❑ Protective signaling Enter!otal of above fees $ -__- ❑ Other —� - 8%State Surcharge $ —_Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other Installations See"Plan Review"section on front of application _ -- - � Fees: Total Balance Due $ Enter total of above fess = - ❑ Trust Account# _�^ — 8%State Surcharge : - Total Balance Due $All New Commercial Buildings require 2 sets of plebs. i ldsts\fomis\elc-fees.doc 09/30/01 CITY OF TIGAF:— 24-Hour BUILDING Inspection Line: (503) 639-4175 MG'T -- INSPECTION DIVISION Business Line: (503) 639-4171 BJP Received __ -_ - _-Date Requested `� AM--- PM __-__ BUP 24 Location __ r �a .-Suite MEC -- - Contact Person ----_-__ _---___ - _ Ph( ) _ - PLM Contractor -__ - Ph(_ ) SWR BUILDING Tenant/Owner _...._..------ - —__- ELC -. Footing - - - _ ELC n Foundation Access: Ftg Drain Crawl Drain _ — Slab Inspection Notes: SIT Post&Beam _- Shear Anchors - Ext Sheath/Shear _ Int Sheath/Shear Framing - Insulation Drywall Nailing f---- - --- - __ -- '— Firewall Fire Sprinkler --- -------= --� - -- — 1 Fire Alarm Susp'd Ceiling --— - -J-' — Roof Q Other: Final �--_-- PASS PART FAIL - ----- 1 PLUMBING- — -. Post&Beam Under Slab -- Rough-In Water Service -- — Sanitary Sewer Rain Drains ---- - - Catch Basin/Manhole Storm Drain -- --- -- - ^- — - Shower Pan Other: -- -- - — Final - -- PASS PART FAIL --�------------ -- - ---- ---- 4 MECHANICAL -------- ------ -- --- -- — Post&Beam Rough-In --- -- rias Line Smoke Dampers --- -- - ---- ----- — Final PASS_ PART_ FAIL - ELECTRICAL Service �----- --.--- - — — Rough-In Fire Alarm _ PART FAIL ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. SITE __ [ Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA Data�� y C) Inxpador ad— Approach/Sidewalk Other: _- Final DO NOT REMOVE this Inspection mcord from the Job site. PASS PART FAIL F I;{TURE UNIT fiAT I Com_ M .� r TOTA'. TOTAL F I XTI IRE `IALUF NUND&R NUMBER DAFTISTRY/FONT BATH - TUB/SHOWER 4 JACUZ/%IPI. 4 CUSPIDOR/WATER ASP 1 D 1 EU-MASHER COMMER 4 I)OF.1ESi"f 2 DRINKING FOUNTAIN 1 FI.OfJR DRAIN 2 I NC`i 3 INCH 5 4 INCH 5 GARDAC,E U I SPOSAF. DOM (TO 3/4 HP) 16 COW (To 5 HP) 3 2 IND (OVER 5 11P) 48 OIL SEP (GAS STA) 6 S1110MER GANG I STALL 2 S 114 _ BAR 2 �.. - BRADLEY - COM►dERC 1 AL 3 SERVICE WASHER, CLOTHES 6 (MATER EXT 6 WATER CLOSET _r 6 UR I NAI_ 6 E '.L� r'� 1 NSPr__ TOTAL DAT ©lRS I NESS /R / If Q� �alr s�rg hr 0 l LJ. PERMIT NIS ADDRESS gC1l�JTED IF TAX MAP/LOT 73-25 RBI