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11265 SW FAIRHAVEN STREET vti 1. 1 N Cn C n D 2 D m Z m r i I I i i 11265 SW FAIRHAVEN LANE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---� BUP —_ _Date Requested AM __PM — BLD _ Location . >;l, ` !i" lc,l'�/'1 — Suite MEC _ Contact Person _ Ph A PLM — Contractor _ Ph SWR BUILDING Tenant/Owner �;,1?i /1 CCt a i?,; — GLC Reta�ning Wall ELR --E Footiog Aa FPS Foundation NOT REQUESTED Ftg Drain FOUND DURING RESEARCH SGN Crawl Drain —ns --- Slab _ NO INSPECTION(S) IN FILE SIT Post Beam C, Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - - --- ---- --- ----- --- - -- — ------- FirewallFire Sprinkler Sprinkler Fire Alarm Susp'd Ceiling --------- -- ----- - --- Roof Misc. -- ------ ------ ---- Final PASS PART FAIT_ -----.- ------- -------- d PLUMBING Post&Beam - - ---- -- -- - - Under Slab Top Out Water Service Sanitary Sewer — — Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Hearn --.-_--_-- Rough In GasLine -_ .. - ----------------_._—__---------- - Smoke Dampers Fina! --- - ------- _ -- --------- PASS PART FAIL ELECTRICAL Service Rough In — -------� UG/Slab Low Voltage Fire Alarm Fi ,' ASS1 PART FAIL -- -------_ - -- ---- --------- -- ------- Backfill/Grading — '---- -- - ---- ---- Sanitary Sewer Storm Drain [ ) Reinspection fee of$ — _ _required before next inspection Pay at City Hall, 13125 SW Hall Blv, Catch Basin I Please call for reinspection RF ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk !� %� �r Ext Other Date Inspector _ _ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMTT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PECSTRTCTED ENERGV PERM TT #: ELR97-0070 DATE ISSUED,- 03/1171/97 PARCEL: 2SJ.03DC---00-8JC-, . TF ADDRESS_ : q1,J FAT RHAVE 1BDTVISION. . . . : VTRGINTA ACRES NO, 2 ZONING: R--3. 5 OCF. . . . . . . .. :_ LOT. . . . . . . . . . . . . . t8 eject Description: INSTL BURGLAR At-ARM RESIDENTIAL____.__...___.._ B. n()DTO 8 9TER1711. nPUTO & SI'FR.EO. . TNTERCOtel F, r-,AGTNG. BURGLAR ALARM. . . . s BOILER. . . . . . . . . . s LANDSCAPE/IRRIGAT. . : OPPAGE OPENER. , . . CL (IrK. 11FIXICA1.. . . . . .. . . . . . . .. HVAC. . . . . . . . . . . . . .. DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : Y0(:1 11JM SY13TEM. . . F T PE A[- nptll. . . . . . : OUTDOOR I LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : T119TRUMENTnTION. : OTHER. . - : .1 TOTAL 14 OF SYSTEMS: 0 n e 1", _ FF •S ,-)YNE HELSEL type amai.tnt by date reept ; 270 GJW F(-)1RHPVFN r,'T' PRMT 14-0. 00 TAT @37/10/97 "')7--2- 91454 71PCT P. 00 TAT 03/10/97 97-291.4"i4 i GARD OR 9'72;7-,3 10ne #: ,)I Pjr_CUR !TY ALARMS 41:--,. 00 TOTAL. -713 NE HANCOCK ------- REQUIRED INSPECTIONS 9PTUAND OP 972112, Ceiling cavpt' Elect' I Ser-vic:e linr.F #- 503-284-3265 Wall Cover Elect' l Final ,,g #. . : 000599 ,is permit is issued subject to the regulations contained in the --:A gard Municipal Code, State of Ore. Specialty Codes and all other Flev'm i t; P S 1.1'R t I.t ippiicatlp 'laws. All work will be done in acco-dance with approved plans. This pet-sit will expire if work is not started ,thin to@ days-of issuance, or if work is suspended for more '~in 0 days. T5 Baer By OWNER ONL-Y 'ie 1.nsl.allation is being made an property I own which is not intended fur k1p, 1. ale, at- rent. '.4NF---R' S 17,1 CNATU PF DATE —CONTPACTOP INSTALL.AT TON ONI Y tGNATURE OF SUPR. EL.EC' N: DATE: TrrN9F NO: Call fat- inspertion - 639--4175 CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:� 10. 13'125 SW HAIL BLVD Date Recd: _ TIGARD Oh 47223 PRINT OR TYPE V- 5C{-639-4171 X304 Permit#: � F - 503-6814-'297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Fee....................................... $40.00 (FOR ALL SYSTEMS) JOB Street dressSte# ADDRESS ' �1 11 Check Type of Work Involved: i �Slc zlC ` _ CState " Phone# Audio and Stereo Systems a Burglar Alarm Garage Door Opener' OWNER Mailing Address City/State 7 Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name ADT SECURITY SYSTFM16 wo ❑ Vacuum Systems' 103 HANCOCri KRILAND.OR 91133 F-1 Other CONTRACTOR Mailing Add ress -- TYPF OF WORK !NV'JLVcD -COMMERCIAL (Prior to issuance a C_ylState Zip Phone# Fee for each system.............................................. $40.00 copy of all licenses I (SEE OAR 918-260-260) are required if Oregon Contr.Brd Lic # Exp Date / expired in C O T ` , y V_ Z Check Type of Work Involved. data base) Electrical Contr Lic,# Exo Date ❑Vic_ ' Audio and Stereo Systems C O T or Metro Lia# Exp Date ❑ Boiler Controls Y— Owner's Name _ Clock Systems OWNER - Mailing Address APPLICANT [j Data Telecommunication Installation City/Stale ZIPPhone# Fire Alarm Installation I - This permit is issued under CAE 918-320-370 This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)tinder this HVAC perp it and to do the following ❑ Instrumentation 1 Only use electrical licensed perscns to do installations where required Certain residential and other transactions are exempt from licensing u Intercom and Paging Systems These have asterisks(') All others need licen:inq, ❑ Landscape Irrigation Control' 2 Call for inspections when installation Linder this permit are ready for inspection at 503-639-4175; ❑ Medical 3 Purchase separate permits for all installations that are iiGi ready for an ❑ Nurse Calls in3pechon when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this per must be the applicant or a r 'son No licenses are required licenses are required for all other Installations authorized to bind the I — -- --- `J FEES: �� ---- ENTER FEES Si atUf i 5%SURCHARGE(.05 X TOTAL ABOVE) $ Authority if other than Applicant TOTAL $_ ? %resele doc 12/99 CITY OF TIGARD DEVELOPMENT SERVICES 13125 5W Hall Blvd., Tigard,OR 97223 (503)639.4171 4 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 9722.3 Permit # Date Issued Phone (503) 639-4171 CITY OF TIGARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: d. Complete Fee Schedule Below: Name of Development A tit k C e,,5 ',rl-ul Number of Inspections per permit allowed Address (/ Z(.- j ceJ F.Lt ,. .r1 c,-f— Service included I' -s Cost(ea) Sum City/State/Zip ir0 -,0- 2-z 3 4a. Residential -per unit 1000 sq. ft, or leas 3 t t no -------- Name ___- _Name (or name of business)_ Each additional 500 sq ft.or $25 00 portion thereof Limited Energy $2500 Commercial �_1 Residential Each Menuf d dome or Modular Dwelling Service or Feeder $6800 2a. Contractor installat.'on only: 4b. Services or Feeders r• Installation,alteration,or relocation Electrical Contractor lit:, he- L(r,i out 200 amps or less $6000 Address f ci&, 23 e ry T 201 amps to 400 ampsw $80 00 2 401 amps to 600 amps �,n,� $12000 2 p - 6,01 amps to 1000 amps $180 00 city_ Z) State f�.t. Zi t I --- z Phone No. c,3 / _— over 1000 amps or volts __ $340 00 2 Job NO. SL ? t Reconnect only $5000 2 contractor's license NO. 4 -? ,3 3 C_ _ 4c. Temporary Services or Feeders Contractor's Board Reg. No. Z Installation.al,eration,or relocation Signature of Supr. Elec'n 200 amps or less 2 _ 201 amps to 400 amps A� $5000 License No. l59 1-_ Phone o G ZY 3L 1 401 amps to 600 amps __ $75 00 - --- 2 Over 600 amps to 1000 volts $10000 — - 2b. For owner installations: see"b above 4d. Branch Circuits Print Owner's Name_ _ New alteration or extension per pane Address a)The fee for branch circuits with 2 City State_ _ Zip_ purchase of service or feeder fee Each branch circuit $500 Phone No. ___ b)The fee for branch circuits without The Installation is being made on property I own which is purchase of service or feeder fee. - 2 First branch circuit �_ $1500 P not intended for sale, lease or rent. Each additional branch circuit L $500 Owner's Signature_ _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle $4000 Each sign or outline lighting S40 00 Signal circult(s)or a limited energy Please check appropriate item and enter fee in section 5B panel,°Iteration or extension 34000 4 or more residential units in one structure Minor Labels(10) __. $10000 Service and feeder ?25 amps or more �^System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing speaal occupancy the allowable in any of the above as described in N E C Chapter 5 Per nn _ $3500 r�er hour $5500 in Plant $5500 -- Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. .5. Fees: 5a. Enter total of above fees g _ NOTICE 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTIONSubtotal q AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Ser,3) 5 A PERIOD OF 180 DAYS AT PNY TIME AFTER WORK IS Subtotal $ COMMENCED Trust Account 0 w�+cit Balance Due S -�