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8154 SW DURHAM ROAD 00 tJ1 A C x D 8154 `W DURHAM RD. CITY ITY O F T I G A R D ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00296 13125 SW Hall Blvd.. Tipard. OR 97225 (503) 639-4171 DATE ISSUED: 9/29/03 SITE ADDRESS: 08154 SW DURHAM RD PARCEL: 2S113B0-00400 SUBDIVISION: TONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Low voltage: Protective signaling. A.RESIDENTIAL _ _ _ B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGA GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: Ol HER: TOTAL#OF SYSTEMS: 1 Ot rner: Contract's: — DLRHA.M I LLC LIVE WIRE TECHNOLOGIES LLC 8100 SW DURHAM RD PO BOX 952 TIGARD, OR 97224 TUALATIN, OR 97062 Phone: Phone: 503-670-9910 Reg#: ELI: :.4-599C'EII Llc 1:4771 SUP 3345LEA _ FEES — Required Inspections _ Description _ Date Amount Low Voltage Inspe Aon 11.11IRMT1 FI.R Permit 9/29/03 $75.00 Elect'I Final ITAX181.11,State Tax 9/29/03 $6.00 Total $81.00 I This Permit is issued subject to the regulations cor tained in the Tigard Municipal Code, State of OR. Specialty Codes and cell 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 niles are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by r_ f ? Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which Is not intended for sale, lease, or int. 0;NNER'13 SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO- Call 639-4173 by 7:00 P.M.for an inspection needed the next business dny � 1 1 1 lcctrical Perinit�plieat>ion kecetve`s ,. �.-�L � - J --- ---- Datc/By /)' ! 1��/ Permit No.-- -� &2 "l�J Planning Apprdval Sign cli y of T i0 a1-d DateB : Permit No,: 13125 SW Hall Blvd. Plan Review Other Date/D : Permit No.: Tigard,Oregon 97223 Post-Review Land Use Phone: 503-639-4171 lax: 503.598-1960 Date/By. Case No.: Internet: www.ci.tigard.or.us Contact Juns.: See Page 2 for 24-hour Inspection Request: 503-639-4175 "Y Name/Method: _ Su lemental Inf^•matron. TYPE OF WORK _PLAN REVIEW Please check all that apply) Service over 225 amps- health-care facility 13!Ad!diti-on/alteration/replacement construction DcmOlitl4n Hazardous location commercial ❑Other: E]Service over 320 amps-rating or ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 &2 family dwellings four or more residential onus in ❑System over 600 wits nominal one structure 1 &"2-Familydwellin CommercialAndustrial n Building over three stories [:]Feeders,400 amps or more Accessor Buildin Multi-Family ❑Occupant load over 99 persons E]Manufactured structures or RV )ark ONE ElEgress lighting plan ❑Other:__ Master Builder _ Other: �._ Submit sets of plans with any of the above. JOB SITE INFORMATION and LOCATION The ab we are nott a Ifcahle totem orar cunstructlon service. Job site address: r7 W '0 uFEE*SCHEDULE Shite#: Bldg/Apt.#: Number of Ins ections Per ermit allowed -r-- Descri tlon Qty Fee(eo.) Total Pro'ect Name: )C,, .� C��,c av'� 1 rr"�C 1_� New residential-single or multl•famlly per Cross street/Directions to Job site: dwelling unit.Includes attached garage. Service Included: 145.15 4 1000 54,n.or less — Each additional 500 s .Il.of rrtion thereof 33.40 1 _ _ ----- Limited encr residential 75A 2 Subdivision: _ Lot#: Limited energy,non esidential 75.00 2 TIIX map/parcel#: Each manufactured home ur modular dwelling 90.90 2 service and/or feeder DESCRIPTION OF WnORK Services or feeders-instailatlon, �1![�\�\(`I 1 c �kl C(ll 1 t 1 - SCef' alteration or relocation: -^ 80.30 2 — � 200 amps or less 201 amps to 400 amps _ 106.85 2 401 amps to 600 arnps — !60'60 2' 601 amps to IWO ams 240.60 2 PROPERTY OWNER TENANT Over 1000 amps or volts 45476�6.8A 65 2 Name: - Reconnectonl 72 Temporary services or feeders-Installation, Address: _ __. __ — alteratiot:,or relocation: 1 City/State/Zi —___ 200 am to less 2 - 201 amps to 400 amps Phone: F'�X' _ __ 401 to 600 ams . 2 APPLICANT CONTACT PERSON lirauch circuits-new,alteration,or extension per panel: Name: - — A.Fee for branch circuits with purchase of 2 Address: _ - service or feeder fee each branch circuit 6.65 ----- H.Fee for branch circuits without purchase of 2 City/State/ZL r_ _ service or feeder fee,first branch circuit 46.65 2 Phone: Fax: Each additional branch circuit Misc.(service or feeder not included): 5340 2 p-mall: Each pump nr imgation circle 2 _ CONTRACTOR Each sian or outline li htin 53.40 Signal •cuit(s)or a limited energy panel, v, Job No: x.' _ __ alteraNcyor extension I Pae 2 Business Name: 2 �. l t, Description: ' , -��t � `�>` ; -, Address: �� a f �`1)t�t � s �- fit= all�` Each additional Inspcctlan over the allowahlc In an of the above: Clt State/ZI : r �n 6 \ (� C l a t Per iris _ n r holo min.ln�esI hctuL 62.50 PhonS;�& Fix: c5it'5 c 1 1� 1-) Otherigationfee' Other: CCB_Lic. #: 7 c) ) I,ic. #: - �� -�f- Electrical Permit Fees* Supervising electrician i signature re wired: '�Xf'r /"� Plan Review(25%of Permit Fee S =LIC. # State Surcharge(89%of Permit Fee S C) Print Name:.k•'/ ! — TOTAL PERMIT FEE S Authorized - Notice: This permit application expires If aper^.alt Is not o twined within complete- Signature: — Date: _ 180 days after It has been accepted i's complete. 'Fee methodolop set by Tri-County Building industry Service Board. '-'- (pLasc print name) is\Dsts\Permit Forms\ElcilerrmtApp.doc 01103 Electrical Permit A licatit�n - City of TigajA , Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL,WORK ONLY: Feefo, all systems............................................................ 875.00 Check Type of Work Involved: Audio and Stereo Systems* L� Burglar Alarm (1 O irage Door Opener* Nearing,Ventilation and Air Conditioning Sy stem* Vacuu n Systems Other COMMERCIAL WORK ONLY: Feefor each system.......................................................... S75.00 (SEE OAR 918,260-260) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems Data Telecommunication Installation ED Fire Alarm Installation 0 HVAC Fj Instrumentation 0 Intercom and Paging Systems ElLandscape Irrigation Control* Medical Nurse Calls El Outdoor Landscape Lighting* rx Protective Signaling Other —____L__Number of Systems * No licenses are required. Licenses are required for all other Installations is\Dsts\Permit Forms\ElcPermitAppPg2.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST —_— BUP -- — ._— Received _-- Date Requested -"7 AM_—. _ PM _ — SUP — Location -- ':97/4� j Suite-- MEC --.— Contact Person w — Ph( ) _��3'- 5�aZ— PLM _ Contractor _.._.___ Ph( ) SWR BUILDING TenantlOwner ELC — --_— Footing ELC Foundation Access: 3L Ftg Drain — Crawl Drain SIT Slab Inspection Notes: -- — Post&Beam ---- Shear Anchors / bee k ,211 Ext Sheath/Shear -- Int Sheath/Shear Framing _- -_— - —� ---- --- Insulation Drywall Nailing - ---- -- ---- Firewall Fire Sprinkler -- `--- Fire Alarm Susp'd Ceiling -- ---- -_-�---�-- -- - Root Other: --- --- --- -------- ----------- Final PASS PART FAIL - -^ — --- -�— -�— PLUMBING -------- - ---- Post& Beam Under Slab ------ --- ---- - -—------ Rough-In Water Service - -- -- --- - ---- -- Sanitary Sewer Rain DrFdns -- -- `-- -- - -_-- Catch Basin/Manhole Storm Drain --- ---_--- - - — _ Shower Pan Other: ------ - --- — ------._- - Final PASS PART FAIT. --- --- -- -- ----------- MECHANICAL _ -. — ------- _. ---------- - — — —- Post&Beam - Rough-In - - -- -- - - - --_.. -- -- -- ---- Gas Line Smoke Dampers --- --------- -- ---- _ __ _--- Final RT FAIL -------- --__--- - - --.-- _ ----- -- LECTRICA ------ --- --- - ------- ---------- --- Rough-In --- -------__-� —____ _. UG/Slab w o —_— i re 7m M in ART FAIL Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P — CJ Please call for reinspection RE: __ - Unable to inspect-no access Fire Supply LineADA 1 y -- Approach/Sidewalk Dots l_. Inspoete r a Other: Final DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITY�� ®� ��D ELECTkiC.A.t. rtRMIT (�.w'- PERMIT#: ELC1999-00610 DEVELOPMENT SERVICES DATE ISSUED: 10/15/1999 13125 SW Hall Blvd., Tigard, OR 97,23 1503) 639-4171 PARCEL: 2S113BO-00400 SITE ADDRESS: 085 ,4 SW DURHAM RD SUBDIVISION: ZONING: I-P BLOCK: LOT : J%JRISOICTION: TIG Proiect Description: Install 3 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ v MISCELLANEOUS 1000 SF OR LESS: 0 V 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amts: SIGN/OUT LINE l TG: LIMITL-D ENERGY: 401 - 600 brnp: SIGNAI_IPANEL: MANF HMI SVC/ FDR: 601+amus - 1000 volts. MINOR LABEL (10i: _ SERVICE/FEEDER _ BRANCti GIRCUffS ADD'L INSPECTIONS 0 200 amp:- W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L. BRNCH CIRC: 7 IN PLANT: 601 - 1000 amp: R_ ___ PLAN_ REVIEW SECTION__ 1000+ .-►nplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: — CLASS AREA/SPEC OCC: Owner: Contractor: DURHAM I LLC JARMER ELECTRIC INC 8100 SW DURHAM RD 5105 SW 45TH AVE TIGARD, OR 97224 PORTLAND, OR 97221 Phone: Phone: 246-5381 ; '� R I G I N A L Reg #: LIC 00006924 1 11 r ` SUP 3488s ELE 26-144C —'FEES -- Required Inspections Type ByDate Amount Receipt Elect'I Service PRMT KJP 10/15/199E $49.20 99-319105 Elect'I Final 5PCT KJP 10/15/199 $3.86 99-319105 Total $52.06 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 OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE ISSUED BY: �Q \ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: _ DATE:---.---. CONTRACTOR ATE: -- CONTRACTOR INSTALLATION ONLY — SIGNATURE OF SUPR. ELEC N: - c`� / ------ DATE:__LICENSE N O: - ------- __1 .S — --- - ----- — ---- Call 639-4175 by 7:00pm for an inspection the next business day J CITY OF TIGARD EE RECEIVED Plan Check# 13125 SW HALL BLVD. RECEIV&iectrical Permit Application Reed By oC1 1999 TIGARD OR 97223 Date Ree cd Phone(503)639-4171, x304 uI%T 7 1999 COMMUNITY DEVELOPMENT Date to P.E. Date to DST Inspection(503)6394175 COMMUNITY DEVELUPMENI Print of Type Permit#6LC ( o_Iu_ Fax (503)598-1960 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 ofbusiness) ^' SerAce included: Items Cost Sum Address t 1 1 pty hoc, 4a. Residential•per unit City/State/Zip re Each ad tt �� fl or less $ 117.75 4 Each addltlonal 500 sq .or Commercial Ltd Residantial 0. portion thereof $ 28.25 t Limited Energy E 60.00 Each Manuf d Home or Modular La. Contractor installation only: Dwelling S^rvice of Feeder $ 72.75 2 (Prior to perms;Insuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data se). Installation,alteration,or relocation Electrical ContractorC 200 amps or less $ 64.25 2 Address 201 amps to 400 amps $ 85.50 2 Cit State Zi a 401 amps to 600 amps $ 128.50 2 y -� - p 601 amps to 1000 amps $ 192.50 2 Phone No._ �[ Over 1000 amps or volts $ 363.75 2 Job No. (� Reconnect only $ 53.50 2 Elec. Cont. Lice. No. Exp.Date- /D 4c.Temporary Services or Feeders OR State CCB Reg. No. 9',-qExp.Date - O Installation,alteration,or relocation COT Business Tax or Metro NoW6013t Z-Exp.Da e/ 200 amps or less $ 53.50 - 2 -- ��-- 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n /t 401 amps to 600 amps $ 107.00 _ 2 - ► Over 300 amps to 1000 volts, see"b"above. License No._ < S _Exp.D to / O c2 4d.Branch above. Phone No ircuits New,alteration or extension per panel a)-ie fee for branch circuits 2b. For owner installatlr, ns: with purchase of service or feeder fee. Print Owner's Name Each branch circuit _ $ 5 35 7 Address b)The fee for branch circuits -- without purchase of service City State Zip or tooder fee. Phone NO. First branch circuit $ 3750 JL5 C Each additional branch circuit _ - $ 5 35 / > The installation is being made on properly I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle S 42.75 Owner's Signature Each sign or outline lighting _ $ 42.75 _~ Signal circuits)or a limited nergy panel,alteration or extension $ 80.00 3. Plan Review section (if required):* Minor Labels(10) $ 107.00 Please check appropriate Item and enter fee in section 5B. 4f.Each additional inspection over 4 or more residential units in one structure the allowable In any of the above Service on,l feeder 225 amps.) irrr,a Per inspection $ 5000 - - Per hour $ 50 OC .__._Syste^t over 600 volts nominal In Plant _ $ 59 no Classified area or structure containing special ucrupan,,y as described in N.E.0 Chapter 5 5. Fees: " 5o.Enter total of above fees $ " Submit 2 sets of plans with application where any of the above apply. ,11111/Surchirge(05 X total fees) r}4j $ _.rte i1 Not required for temporary construction services. Subtotal $ _ Ob.Enter 25%of line 6a for NOTICE Plan Review If required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED 'otal balance Due 5,� e $ Tr , i^,&Wforms�cicciric.doe