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15550 SW 116TH AVENUE Ul cn 0 fD C A 15,550 SW 116"' Avenue �� w�� _ ELECTRICAL. PERMIT (�,+� PERMIT#: ELC2002-00491 DEVELOPMENT SERVICES DATE ISSUED: 9/20/02 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2.S110CD-07500 SITE ADDRESS: 15550 SVV 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT : JURISDICTION: KIN Proiect Description: Install 4 branch circuits for lottery outlets and low voltage for phone line to video lottery. __RESIDENTIAL UNIT TEMP SRV_C/FEEDERS _ --.—MISCELLANEOUS 1000 SF OR LESS: 0 • 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _J SERVICE/FEEDER _ _BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amt.): EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: �> 600 VOLT NOMINAL: Reconnect only: _. SVC/FDR >= 225 AMPSv___ CLASS AREA/SPEC OCC: _ Owner: Contractor: TOBIAS INVESTMENT CO ATLAS ELECTRICAL CONTRACTORS 300 SE SPOKANE ST 4403 SE ROETHE RD PORTLAND, OR 97202 MILWAUKIE, OR 97267 Phone: Phone: 659-2212 Reg #: SUP 2581S LIC 1532 ELE 3-2C _ FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PI M r CTR 9/20/02 $141.80 2720020000( RoughFi Elect'I Final L,PCT CTR 9/20/02 $11.34 2720020000( Total $153.14 This Permit Is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specially Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire H 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 sei forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: – __ Issued By: r— 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 INSTALLATION ONLY SIGPJATURE OF SUPR. ELEC'N: _ _ —_ ��__—.__ __ DATE:_ LICENSE NO' -- Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application / r ' Date received: 7777 noCity Ol Tlg`slyd -�`�� Project/appl.no.:CirvofTigard Address: 13125 SW Hall BIAAAM,141722.1 Date issued:Phone: (503) 639-4171 Fax: (503) 598-1960 �EQ1 Case file no.: Land use approval: t i ❑ 1 &2 family dwelling or accessory IR Commercial/industrial ❑Multi-family ❑Tenant improvement ❑New construction ❑Addition/alteration/replact m n( ❑Other: ]Partial .1011 SITE.INFORMATION J ob address: 15550 SW 116th AVE, KING CITY Bldg. no.: Suite no.: 'I-ax mapitax lot/account no.: o! Block: Subdivision: name: SHARP S -Description and location of work on premises: INSTALL R . OUTLETSY EStimateddate ofcotnpiu(ion/in,,peritim: ONTRACFOR Job no: 9812 _ _ Fee Max Business name: ATLAS ELECTRICAL CON'T'RACTOR'S Description (Nc. tea) Total no.ias Address: 4403 SE ROETHE RD. — New residerrtbif-singleormulti-familyper F17 dwelligailLInchnksattached garaQe. City: MILWAUKIE State: OR I ZIP: 97267 — Servfceiocluded: - Phone:F-' - Fax:659-4944 E-mail: 1000 sq.ft.or less _ a CCB no.: = 11 Elec.bus. lic.no: 3-2C /. Each additional 500 sq.ft.or portion thereof 2432 N Limited ene•gy,residential 2 City/ tmllc no. Limitedenergy,non-residential 2 911202 Fach manufactured home or modular dwelling Signatureof su rvisin electrician rec uired I Date Service and/or feeder 2 Sup.elecLmum(print):LEONARD H WARNKE Licenseno: 2581S Serricesorfes�den-iinstallation, alteration or relocation: 2X10 amps or leas Name(ptint): 201 arttps to 400 ami_ 2 Mailing address: -- - ao1 straps to 600 amps 2 _ 601 amps to 10(x)mpg City: State: ZIP: _ Over Ift)amps or volts --- 2 Phone: Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or Icss 201 ami.r to 40X1 amps _ 2 Owner"; ;ignatiliv: Date: 401 to 6fx1 amps I 2 Branch circuits-new,slieration, or extemion per panel: Name: — A. Hee for branch circuits with purchase of Address: _ service or feeder fee,each branch cvcuit City: _ State: v LIP B. Fee for branch circuits without purchase -- of service or feeder fee,first branch circuit. 1 46.8 2 Phone: I E-snail: FAch addumnal branch circuit: Misc.(service or feeder not Included): 0 Seri is Duct 225 amps-commercial I Health-care facility Fach pump or irrigation circle O Service ova 320 amps-rating of ldt2 U Narmlous location Fach sr n or oulline lighting __ 2 fatNly dwellings U Building over 10,000 square feet four or Signal cimuit(o or a limned energy panel, ❑5)etemover600volts normnal more residential units in one structure alteration,or extension* O Building over three stories U recders,4110 amps or more •Ikxn tion: U Occupant load over QQ persons J Manufactured structures or RV park Fich additional inspection over the allowable In any of the above: Q Ggirss/lightingplan O Other _-_ -- Per inspection 1—�- Submit_.sets of plaits with any of the above. Investigation fee The above are not applicable to temporary construction service. other --- """""'$ r' Not WI puhru.wa tecta rttrtii,anti.pleasr call junvticuon tar nwre muli tsuittat. Notice:This permit application Permit fee.......... ——•• ❑Visa U MasicrCa-d expires ifa pennit Is not obtained Plan review(at — %) $ Credit card number _ within 180 days atter it has been State surcharge(89i) ....$ aptros accepted as complete. TOTAL $ 3 A i Name of cardholder as shown on credit card i ardfwldet uanaturr — Amowu __ 440.46ly Ity1XkCOM1 Electrical Pen-nit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Tota! Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq.ft.or portion thereof _ $33.40 _ 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manuf d Horne or Modular Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener' Services or Feeders ❑ 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 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Semites or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feudor fee. Each branch circuit _ $6.65_ 2 ❑ Data Telecommunication Installation h) I;,.-foe for branch circuits wlfhcuf purchase of service [❑ or feeaiv foe. Fire Alarm Installation First branch circult _ $46.85 _ Each auditional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump ur irrigation drrIe _ $53.40 Each sign or outline lighting $53.40 Intercom and Paging __ ❑ Systems Signal circuit(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional inspection over ❑ Medical the allowable in any of the above Por inspection _ $62.50 �� Nurse Calls Per hour $62.50 In Plant $73,75 _ ❑ Outdoor LrndsnApe I.Ighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other, 8%State Surcharge $ _Number of Systems 25°L Plan Review Foo See"Plan Roview"sectinn u„ $ No licenses are required Licenses are required for all other installations front of application Fees: Total Balance Due $ "—'�- Enter total of above fees $ _ El Trust Account M 811.State Surcharge $� J Total Balance Due $ i 4hu\fnrmsWc•fees.doe pi/n9i(y) 09/19/2002 15:07 5036393771 CITY OF KING CITY PAGE 02/02 I KIING CITY 15,300 S.W.116th Avenue,King City,Oregon 99294.2693 Phone:(503; 639-4087.a PAY(503)939.8771 Notice To ontractors Working In King City Due to an intergovernme al agreement with the City of Tigard, marry building related permits for projects in King City a issued and inspected by the City of Tigard. If your permit application )OES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application le 'bly and submit it to the Icing City staff. The King Cin• staff will collect all fees and fax the ipplication to the City of Tigard. City of Tigard sT,af# «ill then create the permit, issue the permi , and perform inspections. Please indicate on the permit application whether you would like th Tigard staff to call you when the permit is ready for issuance or whether,you prefer it to be ailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible applicati n is received. If your permit application I OES REQUIRE PLAIN REVIEW, this form must be signed by a King City staff person. Kir g City staff will simple sign this form indicating land use approval. Take this signed form to th City of Tigard Development Services Counter located at l"125 SW Hall Blvd, Tigard, to submi applications and plans. Development Services Technicians are available at 639-4171 Ext. 3 4 should you have any questions concerning submittal requirements. All permit fe s will be assessed and collected at the City of Tigard. The City of King City hereb ,authorizes applicant to pursue permits at the City of Tigard I 11 __ Building Department for the follo%ving project; AD�►� , ,nom_r, located at- MLA L LX King City Representative 1 DSTS Kc;Nsr ooc CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP Received _ Date Requested-&:�!L _ AM____ _ PM BLIP Location - /5 S -U Sw//�, �t X,*_ /C C- Suite _ MEC Contact Person Ph( ) l � - PLM Contractor��/a�� '�17.��fi�i SWR � - BUILDING Tenant/Owner Footing — ELC Foundation ELC Ftg Crain Access: _— Crawl Drain ELR _ Slab Inspection Notes: _ Post 8 Beam SIT _ Shear Anchors Ext Sh iath/Shear -- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall , Fire Sprinkler Fire Alarm Susp'd Ceiling Roof — Other: --- Final — _.-- PASS PART _FAIL PLUMBING Post&Heam Under Slab _ Rough-In Water Service Sanitary Sewer _— Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: _ Final _ PASS PART FAIL - MECHANICAL _ Post& Beam Rough-In Gas Line -- --- Smoke Dampers _ Final —_ PASS PART FAIL 78b ice ------ - _� - h-In v - lab — - — - _ oltage ---`--- larm —. Reinspection fee o►$�� BART FAIL - required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd. - -- -___ _� Please call for reinspection RE:____ _____upply Line - - Unable to inspect-no access ach/Sidewalk parte n• actor: _._ � py Ext DO NOT REMOVE this Inspection record from the job site. S PART FAIL_ ELECTRICAL PERMIT- CITY O F T I G"A R D _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR2002-00130 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 7123/02 PARCEL.: 2S110CD-07500 SITE ADDRESS: 15550 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING BLOCK: LOT: JURISDICTION: KIN Proiect Description: Installation of protective signaling. Job No. Shan's A. RESIDENTIAL _ B.COMMERCIAL ------ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL.: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR L-ANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL.: X INSTRUMENTATION: OTHER: �— L TOTAL#OF SYSTEMS: 1 Owner: Contractor: TOBIAS INVESTMENT CO ALLIED SAFE + VAULT INC 300 SE SPOKANE ST AKA ALLIED SECURITY PORTLAND,OR 97202 1609 NE MARTIN LUTHER KING BLV PORTLAND, OR 97232 Phone: Phone: 281-1177 Reg#: LIC 64465 SUP 373JLE ELE 26.243CLE _ FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CT-R 7/23/02 $75.00 2720020000 Elect'I Final 5PCT CTR 7/23/02 $6.00 2720020000 �.•�Vir Total $81.00 % 1 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of UR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work 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-rb 'TGlhra�gh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246- Issu,246- 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 SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY - • SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day BEP�n � Permit Elk - Electrical Permit Ins ectio n Description—; Date Passed B ,� Ins ection Description Date Passed B .� Under round cover Footin /Setback Wall cover — Foundation walls Ceiling cover - Footin �! to Electrical rou h-in Wate roof bF tit walls Electrical service _ Stab in Electrical final Crawl dra Underfloor insulation post beam structural Shear walls/anchors .Y. ELR - Restricted Ener Permit Roof nailin —_ Ins ection Descri tiott Date Passed B Firewall Low volts e Tilt-u anel Electrical final Masonr /Reinforcement — -- Framin MFG-Structure set-UP MEC - Mechanical Permit Insulation I is ection Deon Date Passed By scri ti Dr wall nailin Post/beam mechanical —� _ Sus nded ceilin Gas line Enjineered soilsMechanical rough-in _Welding Lab Fin—al — Fire dam Concrete Lab Final Duct work_ Boltin Lab Final Smoke detector -- Structural observation Mechanical final Fire roofinLab Final _— Final inspection _ PLM - 1'lutubin� Permit _ Ins ection Ucscrilt(iiin Date Passed By BUP — Fire Protection System Permit Plu►nbin�underslab - _ Crawl drain spn D Inectioescri)tion Date Passed B S rinklerunderfloor/slab Post/beam -Out _ S rinkler rough-in Plumbin ton-Out er fine._•__ 1 ___ --------- RP/backflow reventer 5 rinkl — Fire alarm f inal _— Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer - Ins ection Descri tion _ Date Passed B p la /rill/catch basin i tank Footin s --- Foundation -Foundation walls - S rinkler supp_�ly lines — S rp lnkler underfloor/slab - Catch basin/Manhole SWR - Suver Permit _ En sneered soils _ __ Inaction Descri Date Passed B E_n incerin acceptance Sanitary sewer Final ins ection �„ _.— Final inspection inspection Record - l3UP, PLM, SWR, ELC, Et.R, MEC, SIT Pertllits i:\d,t9\rormi\in4pRecordRUP.doc 04117101