7150 SW FIR LOOP STE 100 • • • • • • • • • • • • • • /�
it • • • •• • • • • 1 • /s/
• • • • • • • • •
• • ♦ • •• • 0 •dio • i •
_—..._._----------------------fir• '1r—T'—.'�'•—_.•-----
• • • • 7 • • • •
• • " _ • • • • •
New 3 112' Framing to structure, o •• 000 o • ••
sound insulation, 5/8 Sheetrock • • • • ` •' " • •
both sides, one side to structur, for , • . •• 0 a• • . • OFFICE
security • • A L AI • • •
e •• • W o • • • 9'-1"x 10'-9'
OFFICE OFFICE OFFICE p_-
11'-7"x 14'-2" 12-0•x 14'.' 11'-10'x 14'-2' g
OFFICE STORAGE
10'-O*)t 19'-2"
I� I Il
C,c! and c:,p (e) plumbing/patch wall HALL �.
54'-6"x 4'-7"
DF.r f
HALL
93'-5"x T-1"
/
' 74'-0 114
Relocate door/ Infill opening
I I Dema (E)walls I I
--- --20'-0"
OFFICE OFFICE OFFICE y OFFICE 20'-0 -- -------�
19'-5'x 11'-10" 9'-7'x 11'-10" g'-7"x 11'-10" g'-7'x 11'-10" 11 11
I II II
II II
FLOOR CITY OF TIG ARD
7150SWFir Loop, AREA RT & Associates, Inc. Approved ..................................4819 sq R
11858 SE Solomon Ct., V,)nditionally Approved ................... .
��� �- m Tigard , OR Portland, OR For only the wor4 as described in:
PERMIT NO. <!d/�-�D�� 17a „
503-777-8096
First Floor See letter to: a-5
First J
EIVED 2/15/02 ....
��� Af�ac ( l
F° G e 5 15, 1' Job l��dddr ss: f ^ v
8y' %gam Date: 2 -1
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BUILDING DiMMON
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NOTICE: IF THE PRINT OR TYPE ON ANY �� � Ir � Il � I � i � � iI � lye ► 1 � � r1 � iI � rIi rTr T�. l_rr. _i (�r .��� -11.T i..li �1 �. .rft .rli �.Ii � i1 � —111 1111.111 111 iIi � 1i ili ►�� 1Ir �� � �—� r i r� i r�� lTr1�—� l . r_��- rpt— i��l � Ll i ! i alt i ! i ! i i
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IT IS DUE TO THE QUALITY OF THE _ _ _ No.36
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CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hell Blvd., Tlgerd,OP,4/223 (503)639.4111 PERMIT #. . . . . . . .. PLM98-0151
DATE ISSUED: 06/01/98
SITE ADDRESS. . . : 07150 13W F1 R LPPARCEL: 2SIOIDA-01500
SUBDIVISION. . . . : 72ND BUS I KIESS CTR--VARNS PARK ZONING C--P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..005 JURISDICTION: TIG
-----------------------------------------------_ _--
CLASS OF WORK. . :REP GARBAGE DISPOSALS. : 0 MOBILO: HOME SPACES. ; 0
TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : �h
STORIES. . . . . . . . s 0 WATER HEATERS. . . . . : 0 CATCH BA:SINS. . . . . . . : 0
FIXTURES---------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : rr
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : o
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUBiSHOWERS. . . : 0 SEWER LINE (ft) . . . : 100
WATER CL_OgETS. : 0 WATER LINE (ft) . . . : 0
DISHWASHERS— . - 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Pepair
Owner: --..___._._.____.__._______._.___._____-----___ FEES ----------------
BTE LEASING IIVC type amor.rnt by date recpt
PO BOX 23577 PRMT $ 30. 00 P 06/01/38 98-306157
TIGARD OR 9Y '81 5PCT $ 1. 50 B 06/01/96 98--30E157
Phone #:
NORTH' S PLUMBING
17120 SW SHAW
BEAVERTON OR 97007
Phone #: 649-5544 $ 31. 50 TOTAL.
Req M. , : 000003
------— REQUIRED I NSPECT I FINS -This per:it +:s is,njed subiect to the regulations contained in the Sewer Inspertion
Tigard Mu ricipal Code, State of O•e. Specialty Code, and al l other Final Inspection V
appl cable laws. All work will be done in accordance with �`—
avp,oved pians. This permit will e>tpir-P If woris not. started
wrt�lln 190 gays of issuance, jr if work is srspeneed for mnrE
than Ile day ATTENTiDN: Oregon law r"oires you to follow rules
adopted by th+ Oregon Utility Notification Center. those rules are
:Pt forth in GIR 352-0001-0010 through DAR 9510-MI-Ft080. You may --
ohta:n Copies of thesP rules or dire t questions to OINK by calling
(50:3)i!46-1397.
tPd By fl_..A%I `�a'��"' -- Pe►-mittee Signati.rre:
tLF -
i ++ii-+++++t+++++++++++++++++++++++•+++++++++++++++++++++++++++++++++++++•+ +++-�
Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.rsiness day
++f++++-F++++++++++++++++++++++++++++++++++++++++...+++++++++++++f++++++++...+++
1
City O jigard _PLUMBING PERMIT APPLICATION Planck/Rec. #
'13125 SW Hall Blvd. Permit # Hy-O[5
Tigard, OR 97223 REGEW[J-)
(503) 639-4171
JiA '' MIIMUM $2:'.00 PERMIT FEE + ST. SURCHARGE
Wm� 1 vwnm
At
♦I�, -,�i I i� •II �(`{{.JI�J_. New Single Family Residences Only
Job 'I '� BATH HOUSE$14, 00 U 2 BATH HOUSE $195.00
Address „ JJ ❑ 3 9ATH HOUSE S225 00
Fee includes all plumbing fi,lures in the dwelling and the first 100 feet
' of water service, Fanitary, seH it and storm sewer. See fees below.
m�is •ul 6.Mi�N) -
FIXTURES _ QTY PRICE AMT
Gtr _.ra, lt ,re mink
900
MM0 A"" P ipn" Lavatory
9.00
aWl ler D, r ),1 Tub or Tub/Shower Comb. 900
Shower Only 900 -"
Water Closet
9.00
N� la n�m�al W�n�ul
Dishwasher 900
Occupant _ Garbage Disposal 900
Washing Machine 9.00
Floor Drain 9.00
Water Heater 900
Laundry Room Tray 900
Urinal _ 9.00
MNnp.1du�u
_ Other Fixtures (Specify) 900
,.
Contractor goo
/r/& - 9.0o
L'•IYI 1�1� :C �— —
�j _ 9 00
—7a / JQ Sewer 1st 1UU' — 3000
n .Nr�u"aan rh, are Eti.. .0 nn -- 25 ,)
_ "R/n ^Se.ier -ea Addd. 100' _ U0
oci?& Water Sc vice 1st 100' 30.00
I hereby acknowlecigo that I read this application, that the Water Service ea Addit. 200' 25.0 --
information given is cu,rect, that I am the owner or authorized agent of __ 0
the o er, that plans su ed are in c nce with State laws, that Storm & Rain Drain 1st 100' 3000
I a n glstered with th Cons c Contract s Board, that the Storm Rain Drain Addit. 100'—
nu ber given is corse t. (If exe pt from a registration, please 25 00
giv rea on below) Mobile Home Space 25-0_0
Back Flow Prevention
{ Device or Anti-Pollution Device 900
7Anyap orWaste Not —cted to a Fixture 900
Describe work new ac'dition U alteration repair Catch Basin -`gl)0
to be done residential v non-residential (_) Insp of Exist. Plumbing — 40 U00
Spec;ally Requested Inspections 40 00/hr
Existing use of _
building or property —v _ —_ Rain Drain, single family dwelling 30 00
Residential backflow Drevertion
devices 1500
Proposed use of --- - --
building or property -- _
residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, CR IF 5°4 SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
I /
Special Conditiars -- TOTAL
_— — _.ate issued by
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CITY OF T I GA R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2002-00054
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/19/2002
PARCEL.: 2S10'1 DA-01500
ZONING: C-P
JURISDICTION: TIG
SITE ADDRESS: 07150 SW FIR LP 100
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK
BLOCK: LOT:005
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: UNK
^CCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: MAIN STREET SOFTWARE
REMARKS: Commercial TI to remove 4 v.alls and adding 1 new wall
Owner:
WAYNE JACKSON
628 NE BROADWAY
PORTLAND, OR 97232
Phone: 503 2R9-6768
Contractor:
RT ASSOCIATES INC
11858 SE SOLOMON CT
PORTLAND, OR 97266
Phone: 777-8096
Reg #: LIC 101818
This Certificate issued 4/1/211112 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Specia*,Codes for the group, occupancy, and use under which the
referenced permit w,al is "&
13UNG 1 SPELTT0R B IL I OFFICIUL
POST IN CONSPICUOUS PLACE
CITY 4F TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: {503)639-4171
BDP
Received --__ _ Date Requested AM _ _PM _ BLIP - _----__- - -
Location _ __. 5 C —_ _ SuiteAc�_—_-_ MEC
Contact Person Ph( ) _ ��! S w �~- PLM
Contractor - - --- Ph(—) -- -- --- SWR - -
BUILDING Tenant/Owner _-___ - __ ELC
Footing --��-_-- - ELC
Foundation cceS "''
Ftg Drain _ ELR � �L[.=�
Crawl Drain
Slab Inspection es: /, SIT -_
Post& Beam
Shear Anchors
Ext Sheath/Shear ..
Int Sheath/Shoar Qv
Framing - ----- ----- - - -- --- `
Insulation
Drywall Nailing - --- ---- - --
Firewall 1
Fire Sprinkler --
Fire Alarm �41 1n1 _�� L
Susp'd Ceiling -- -- �- ----- - - --- -
Roof
Other: - - - -
Final
PASS PART FAIL
LUI
PMBING______
Post&Beam
Under Slab ---------.._._. -- --------- —
Rough-In
Water ServicF� - -- -------- — -
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 — - _ --- �-
_ELECT_RICAL ._.—
Service —
' ouLh-1n' --- --- ------ --_
UG/Slab
--
Fire' m
[�A;t PART -FAIL Reinspection fee of$- _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_
SI F-I Please call for reinspection RE. -- -__----. Unable to inspect -no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ �_ IExt
nspea ___.--_ d �_;� _
Other:__-
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4174 MST
INSPECTION DIVISION Business Line: (503)639-4171 BUP d 7�,`
Received — Date Requested AM PM BUP
Location _ �-1 s t:� Y Suite MEC
Contact Person PLM _
Contractor___ Ph SWR
0 Tenant/Owner ELC
--
FF
Foundation Access: ELC __—
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _.
Post& Beam _
Shear Anchors O _
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -
Drywall Nailing --—
Firewall
Fire Sprinkler —
Fire Alarm
Susp d Ceiling —
Roof
Other: --
m _
ASS ART FAIL --
SING
Post&Beam -
Under Slab _—
Rough-In
Water Service ----- — -
Sanitary Sewer
Rain Drains ---------- �.�--- — --
Cat:.h Basin/Manhole
Storm Drain — ----- - —
Shower Pan
Other: — ---- --- --— —
Final
PASS PART FAIL —
MECHANICAL
Post 8 Beam i - -__---- -- — _ —
Rough-In —
Gas Line
Smoke Dampers ---- -------..- ___..-_---_
Final -- —
PASS PART FAIL ---- ------ — —
ELECTRICAL
Service —�—
Rough-in
Low Voltage
Fire Alarm ----- -- ----
Final F] Reinspection fee of$_—_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE — Please calf for reinspection RE:_—_ _ _ _ Unable to inspect-no access
Fire Supply Line I ( I O
ADA
Approach/Sidewalk Date --- _ Inspector n Ext
Other:
Final ------ DO NOT REMOVE this Inspection record from the fob*It*.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
SUP
Received _ Date Requested AM PM BUP
Location Suite MEC
Contact Person _ Ph( ) �' �1 d PLM �1 U 62 600-
Contractor Ph( _) _ SWR
BUILDING TenanUOwner 'St �, �_ ELC
Footing
Foundation CLC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam —
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- -
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Other: --
Final
PAS FAIL -- - -- -
PLUMBING -�---
Pos earn
I
Slab-InServicery Sewer
rainsBasin/Manhole rDrainr Pan
3 PART FAI[.ANICAL.
Post& Ream
Rough-In
Gas
---- --- ----__� --
Gas Line
Smoke Dampers ---- ---
Final
PASS PART FAIL - ----— --- -- ----
ELECTRICAL
Service—
Rough-In —
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE — Please call for reinspection RE: Unable to inspect-no access
Fire Supply line ?L
ADAApproach/Sidewalk Date-_�— Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
BUILDING_PERMIT
CITYOF T I G A R D PERMIT#: BUP2002-00054
DEVELOPMENT SERVICES DATE ISSUED: 2/19/02
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S101DA-01500
SITE ADDRESS: 07150 SW F,R LP 100 ZONING: C-P
SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK JURISDICTION: TIG
BLOCK: Lor: 005
— FLOOR AREAS
REISSUE: EXTERIOR WALL CONSTRUCTION
N_
FIRST: sf N__ `�: E: W'
CLASS OF WORK: ALT SECOND: sf PROJECT OPENINGS?
TYPE OF USE: COM YE: W:
TYPE OF CONST: LINK N: S:NK
OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD:
BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR- HT: ft REQUIRED —
BSMT? SMOK DET:
: MEZZ?: _ _ REQD S_ETBACKS `_
FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL:
DWELLING UNITS: FRNT: ft REAR: ft PRO CORR: HN PICP Y
PARKING:
BEDRMS: BATHS: IMP SURFACE:
VALUE: �� I C(.-i)• C CJ
RemarKs: Commercial TI to remove 4 walls a"d adding 1 new wall.
Contractor:
Owner:
BTE LEASING, INC RT ASSOCIATES INC
11858 SE SOLOMON CT
c/o MASON, H CARL +
PORTLAND, OR 97266
HAFNER, ROBERT E PARTNERSHIP
T LARD OR 97281 Phone: 777-8096
Phone'. Rpg #: uc 10181H
------ - REQUIRED INSPECT IONS _
i E_E S
Date Amount Receipt Framing Insp
[TType BY Gyp Board Insp
pRMT CTR 2119/02 S62 50 27200200000 Final Inspection
;PCT CTR 2119/02 $5.00 272.00200000
PLCK CTR 2/19/02 $40.63 27200200000
FIRE CTR 2119/02 $25.00 27200200000
Total $133.13
this fx'rmit is issued subject tolitWr�fk wall berdonerie accorined dance the (gard Municipal with approved plans. ThistpE�rnOt wiSexp�iareyfC�ork is
and all other applicable law. A
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregonlaw
OAR
requires you to follow the rul952-001-1987.d by t1You mayOregon
obtain a cNotification
these rules or direct ose lquestio ses are r to 01UrNC by
952-001-0010 through OAR
calling (503)246-6699 or 1-800-332-2.344.
Permittee r—
Signature:
Issued By: -----
Call 639-4175 by 7 p.m. for an inspection the next business day
Building,r,g ifion
Ci of Ti a�
Vni! �(1 ,�j[�
rDateceived;- ///y 02 Permit
g ProjecUappl.no.: Expire date:
Addresji 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: B ' `,J, Receipt no.:
Fax: (503) 598-19 ^ Case file no.: Payment type:
1 \I 1&2 family:Simple Complex:
Land use approva
U 1 ⁢family dwelling or accessory Commercial/induslrial U Multi-family U New construction U Demolition
U Addt.ni/alteration/replacement O Tenant improvement !J Dire sprinkler/alarm U Oiher:
.1011 SITV INFORMATION
Bldg,no.: `oily n„
Job address: r- Su0 T -
LAW File ck: bdivision: I Tax map/tax lot/account no.:
Prt,ect name, t `r RoJgi t.��1���
Description and location of work on premises/special conditions:�Ps_ Jam_ D t-FIL ft£'i . t`av I-U �-
Name: A QL- �kG rev 1J
Mailing address: 'Z� M J.1 A 1 &2 family dwelling:
City: C(Z�h�tJ Stale: l ZIP: .7 73'7 Valuation of work.......................................I $ Soo
Phone: 3 '�,�b
Fc.x: G E-mail: No.ol'bedroonts/baths.................................
Owner's representative: Total number of floors.................................
Phone: Fax: E-mail: New dwelling area(sq.ft.) ..........................
Gnragc/carport area(sq.ft.).........................
Covered porch area(sq.ft.) ........................
Name: LIA p Deck arca(sq.ft.) ................................ ....... _.
Mailing address: 'S`?4 SYz- OL K40I-' C
State: 7.IP: Z G� Other structure arca(sq. ft.)................ ........ —
City: SJ`)!� -• Commercial/Industrial/multi-family:
Phone: r 6TII tx: E-mail: - ,% t t
Valu:won of work ...... --
Existing bldg.area(sq.ft.) .......................... ----
Business name: {�� /}�.� OL,.r_j&I I£�j ,�4 L .__-- New bldg.area(sq. ft.) ...............I................ --
Address: �Z '►� o'N Number of stories........................................ —
City �+/ 7 t ,��1:ifl State: ZIP: Type of construction
F mnil:
Phonc:���7 sy,'�Ct(,• Fax: X31 Occupancy group(sl: Existing:
CCB no.; I __ _. New:
City/wotro lic.no.: j Z ,tNollce:
All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Name: jurisdiction where work is being performed.If the applicant is
Addrss:e _- - exempt from licensing,the following reason applies:
City: — Slate.
Contact person: Plan no..
Name: contact lx rson: Fees due upon application ........ ................. $—
Address: Date received:
S $
�/ -
City: tate: ZIP: Amount received ........................................ —__-_
Fax: E-mail: Please refer to fee schedule.
Phone: _ — —
hereby certify I have read and examined this application and the Not all judidicaons weep cmlit cants,ukase call jurisdiction for more information
attached checklist. All pro cions of lows and ordinances governing this q Visa U MasterCard
Crean end numhn __._—_ _- ----
work will be complied tell ;ed herein or not. --- Expires
V (� Date: �0 L Name�r cardholder a shown on credit cod $
Authorized signature. q� -
Print name: f1 j 01_,4 _+� cardholder signature Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.
4JOI61 J(6�tx1CO�i 1
t1
Commercial Plan Submittal
Requirement Matrix
Cit.),of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must includt,iocation of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
i
Fire Protection Syste.n 3**
Mechanical 2
I
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
**"New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level °3" technicians.
I:\dsts\forms\COM-matrlx.doc 9/24/01
SEE 35MM
ROLL #20
FOR
OVERSIZED
DOCUMENT
ELECTRICAL PERMIT
CITYOF T I G A R D PERMIT#: ELC2002-00076
VICES DATE ISSUED: 2122/02
DEVELOPMENT SER
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101DA-01500
SITE ADDRESS: 07150 SW FIR LP 100 ZONING: C-P
SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK LOT : 005 JURISDICTION: TIG
BLOCK:
Orolect Description: Demo existing and install 3 branch circuits.
TEM— P SRVCIFEEDERS MISCELLANEOUS
RESIDENTIAL UNIT — - 0 - 200 amp: PUMP/IRRIGATION:
1000 SF OR LESS: 201 - 400 amp: SIGNIOUT LINE LTG:
EACH ADD'L 500SF: 401 - 600 amp: SIGNALIPANEL:
LIMITED ENERGY: MINOR LABEL (10):
MANF HMI SVC/ FDR: 601+amps - 1000 volts:
_
SERVICE/FEEDER BRANCH CIRCUITS ADD'L PECTION:
WISERVICE OR FEEDER: � PER INSPECTION:
0 - 200 amp: PER HOUR:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 IN PLANT:
EA ADD'L BRNCH CIRC:
401 - 600 amp: 1 —
_ PLAN REVIEW SECTIO:
601 - 1000 amp: >=4 RES UNITS: > 600 VOLT NOMINAL:
1000+ ampIvolt: CLASS AREAISPF!' OCC:
Reconnect only: SVCIFDR >=225 AMPS:
Contractor:
Owner:
BTE LEASING
c/o MASON:, H CARL +
HAFNER, ROBERT E PARTNERSHIP
TIGARD, OR 97281 Phone:
Phone: Reg #:
Required Inspections
- FEES _ — --
-_------- ---- Ceilinc Cover
[PRNMT
ype By Date Amount Receipt
Wali Cover
CTR 2122102 $60.15 2720C20000( Elect' Final
5PCT CTR 2122/02 $4 81 2720020000(
Total $64.96
_ ---- .r applicable laws
al Code
of
alty
This Permit is issued
subject rv.ghlapprove rpaansd This per�iiit w^Ilard uexhir�e if work is notstarted within 180 days sOf Is and uance,all or i work is
All work will be done in accordance
suspended for more than 180 days ATTENoul01N0ARr 952-001-0080�Yoyou tay olbiarnrules
c�pieadopted
these rules or direct ectUtility
questions to OUNC tfication at(503)se
rules are set forth in OAR 952-001-0010 th g -
246.6699 or 1-800-332-2344 r
Issued By: � l
Permit Signature:
OWNER INSTALLATION ONLY-__
The installation is being-de on property!own which is not intended for sale, lease, or rent.
DATE: —
OWNER'S SIGNATURE:
CONTRACTOR INSTALLATIO�LY__.___-- ----- ---- -
SIGNATURE OF SUPR. EI.EC'N: _ _----- ---
LICENSE N O: _-- -- ----- -- _--`
Call 639-4175 by 7:00pm sur an inspection the noxt business diy
Sent by: CHRISTENSON ELECTRIC
5032056-121 ; 02/21 /02 10:54AM;JA,(1Ea L-V 06;Page
Electrical Permit�;Lpplication Date received: �2 oz Pemb o.: '
Ai city of Tigard R E C E I V E D Project/appl.no,: ___ expire datc.
Address: 13125 SW Hall Blvd,Tigare,OR 97223 Dateitsued' Sy: / Receipino.;
city o(rrgnrA �-
Phone: (503) 639-4171 Payment file no.: Payment type:
Fax: (503) 598.1960
C11-Y UF' EKVKUte� BLDG PERETTO BUP2002-300054
Land use approval: _
Multifamily )Wenant Improvement
O 1 &2 family dwelling yr:.0 cssory :{XxCummcrcinl/industrial is Partial
O New consttutUon 61�Addition/alterauc�n.hr-.pl,tu:ment Other: -
Job address: 7150 SW FIRLOOP TIGARU Bld •no.: Suite no.: Tax matax lot/accounl no.:
—
1 ot: Block; Subdivision: ---
pro ect name; H MAIN STREET Dcscri don and IocaUon of work on remisec: DEMO PLUGS AND INSTALL NEW FLU S
BsUmated date of
ion►pletiolt/inspr;ction: Q 1E5 IONS•CONTACT DICK BECKF.L(503)228-02h2
Fru Max
Job not 63-26814 — UactiptloO Wy• (ca) 'Total no.ln,
Business name:Cl?R;STEN SON ELECTRIC INC. he1.Ra,tn,t;el-'I.eleorN.N.
Addtets:l l l aW COLUMBIA,SUITE 480 _ __ dw�tlinpmta trkl"' "rt„t"`lK*rw;°
i State, ZIP:9720 �cr�iczincl+ded 4
C'ityy_
PORT
t'CH P�n4812 50324'^�1 Email:
Phone5 � Ia110cohadditional
es5sWqarportion thereof -
2
o 2 - Fdgy,rc:dntlul45 bus lie. Limteetter
2
City/metro o. 5 46 Limitedenergy,non•retidential
Each mamtfscrured hnme or modulo dwelling 2
p�
Service arullnrtu.its _-
S;gnAt� ofsurKrvi•,in_ex r required) Servicaorin;�n+-in+ltrllalirnt,
snp.elect.nime(pnno- BRT.AN CHRTSTOPgFR Lictmeno. 873S alteration Orrelorstinn•
200 Amp:m lrss 2
201 srrtj)6 to 400 atop%
lxalllp•ipritd)i- --- 401 unpg to 600 amps
�
ailing,address: _ _- 601 amp'Its 10110 a.•npc 2 ta1C: ZIP; -(yvcr 1000 amps or volts
City: � -_ I J_ � Rcronnrcl only -
Fez: ��B-tttaiL
phone: --- -- Tewpnrxry service!nr fc'alerx
ow""one:Instal anon:The installation is being made on property 1 own InstallatlOryallrranar,ar Relocation: 2
which is not intended for salt,lee,s,rent,or exchange according to 200 amp,or k" _ 2
()ILS 447,455,479,670,701. 20i n,rrcto4W atop%- _ 2
dalC: 401 to 600 amps _
Owner's signnnire' �— --- Brwch clrculls•ne",eltnal on,
nr estrrtsiott per pane L•
FCC fu branch circuits with purchase of 2
wervice or feeder fee,each branch circuit _
rerfnfbranchchcvltsWit out;'urchaw ) - 46.8 2
State. �= - of service nr feeder frc,first hranch citrin
3.3
1'Itcutr 1:tX, E-mail Each adTuonalhranchcirrair,
Mise.(Service a feeder not Included): 2
U Hraldr cue facility Each pump Or trrigation etreie
UServiceova2t5amps�nmrerad UFtazarckruslcwarton Fac hsigneroutlrnelightin
U Stryiclove
r 320 tmpt-rating of tat: SI naJ circult(al^.r n lim trd energy panel.
Willy we I:]Buildm oc'et IO,nOus uarr Peet four nr B 2
g q Fa
Buildirgover thralteratlon.orexlrnaton'
O System over 600 volts nummal Fere r 4si01Xndil units to one structure
(7 et stod" Ll Feeders,41 amps or more ectad tion:
❑Qccupartt load aver 99 persons l]Manafwtured ewaura or RV park Feh addlttotsal tagkalton ovtr 1 al owe a any of IM start:
O 6gwsniihrin{plan O Othtr, — Par rnspeetion —
5abta1l__sets of plana with any of the above. Invesdgado_ n foe _
liublc totem tarp cott+trlMetlon aardcr. 0u'rr
The above are toot app_ Po - - -- .
Permit fee.....................$
Not dliurirJctirnr accept credo card+'plrau call iurirdictioe for mare intor.vtlen Notice 'lltt5 permit appllCaliun plan review tat __ %) $
UYtsa U M.tvtcrCsrd expires if a ptmnit Is not obtained State curchargr.(896) S
within 190 days atter it has been TOTAJ. ............. S 6
�rodlresronumOec __— __._�_— -- sots. accepted asWr-iplelt as**a*** TRUST ACCOUNT DEDUCT*******
Nam ar-�o� u vn rm credit card
4404613,y0[YCUM I
+I'EFS ON BACK OF ;'ORMM
OCT.2000
CITY
OF
7I OA R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT 0• r'LM2002-00053
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSU1 x121/02
SITE ADDRESS: 07150 SW FIR LP 100 PARCEL: 2S101DA-01500
SUBDIVISION: 72ND BUSINESS CTr�-VARNS PARK ZONING: C-P
BLOCK: LOT: 005 JURISDICTION: rIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS. RAIN DRAIN: ft
Remarks: Cap (1)sink.
FEES
Owner: -"
Type By Date Amount Receipt
BTE !_EASING, INC PRMT CTR 2121/02 $72.502720020000 0
c/o MASON, H CART_ +
HAFNER, ROBERT E PARTNERSHIP SPCT CTR 212110 $5 80 27200200000
TIGARD, OR 97281 Total $78.30
Phone 1:
Contractor:
MSI MECHANICAL SYSTEMS INC
21195 NW EV'RGREEII PKWY STE 20
I III_LSBORO, OR 97124 REQUIRED INSPECTIONS
Phone 1: 503-642-1234 Final Inspection ^
Reg #: LIC 00070032
PLM 34-183
This permit is Issued su!)ject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Ccdes and ,JI other applicable laws. A*J work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION- Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-00)1-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued Elly� Permittee Signature:
;;all (503) 639-4175 L y 7:00 P.M. for an Inspection needed We next business day
Plumbingtion" ,I
C �) L f_ permit no:�
_ T-�--
fate received:'� t �.f 1 xv+�'
City Of 1'igar Server permit no.: Building permit no.:
Address: 13125 SW llall Kj*TijW,OR W-) 3 f
('i(1,0/I1.i%ar,lphone: (303)639j1171 project/appl.no.: Expire date:
l
Fax: (503)398-1960 Date issred: By: Rept nos:
('ase file no payment type:
Land use approval$. . - -
wig
U I & 2 family dwelling or accessory (omme-c•ialstrial 7 Multi-family )Tenant improvement
U New construction 'A Addirim;alieratnm/replacement J food service ]Other' _
Ilericriplion Qty. F'ee(ea.) Total
tub address: r] �j Q tY Loop Neer 1-and 2-fainily dYellingF only:
Bldg.no.: Suite no: IL(Q (IactodM I IMt M.t�K e.ch utility n�aedioa�
Tax map/tax lot/account no.: SFR(1)bath
Lot: Block: Subdivision: SFR(2)beth
Project name: N 1 vt St✓<t t_�C f {ulp vC SFR(3)bath _
City/coon �i C (tvl ZIP: Each additional bath kitchen
De prion and location of work on remises: a� T�t�
site utilities:
} �y ('etch besin/area drain
_
U wells/leach line/trench drain
Eat.date of coin letion/insu:ctian: Footing drain(no.lin.tt.)
Manufactured home utilities
Business name: M� j, NAt V o ti, w w Manholes __
Address: 11 q S uJ t)t✓city
in drain connector
State:UR IP: q j }� Sanitary sewer(no.lin.
Pho
4, �✓£� l
Phone:C �pfr. } Fax:u - ' 1 E-mail: Storm sewer(no. in.ft.)
Water service no. tt.)
CCB no.: —(;O Plumb,bus.reg.no: L. ' Fixture or hest lin.
City/metro lic.no. 2 `G Absorption valve
Contractor's representative eignahire: Q t Back flow oreventer
Print tame.CL 1 f' ), cV Date:) Backwater valve �—
Besins/lavato _
Clothes washerE.
_
Name: 1.(S 5 S r--_v�--_--.__ — Dishwasher _
Address' , �,t Drinking fountain(s)
State: ZIP: F'.'ectors/etunp -
Phone: E-mail: Expansion tank
Fixture/sewer ca
Floor drains/floor sinks/hub
Name Garbe a dis sal _
Mailing address: Nose bibb
Ci!y: Siete:— AP: Ice maker
Phone: Fex: E-mail: Interce tp or/grease
---
Owner iustallation/residential maintenance only: The actual installation -Primer(s)
will be made by me or the maintenance and repair made by my regular Roof draht commercial)
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's, st nature: Uats: Sump —
Titbs/shower/shower pan _
Urinal
Watercloset
Address: Water heater—v _
City: State: ZIP: Other:
Phone: _ Fax: E-mail: - o
_.._ Minimum fee ..... ... ..... S
Nd all iurudt:tiem�aecepl er O cards.plane call hrciadirWil Mr mese inaxmalMn Notice ibis permit application plan review(at_� %) s
O Vies Ll Medeword expires if a permit is not obtained State surcharge(8"'0).... 7✓f"�°'V
CWk cord numbs,: 1--- within 180 days after it has been • tate AL..., i_--
- - Expires .. .... ...... ..... l U
accepted as complete.
----Name or cardholder a+nlaiwn em cridli cirri - S
— _. Cardholeier aiputun - 110461616I0470M1
A—i
r
Accumulative Sewer Tally
Tenant Name:Main Street Software This SWRA N/A
Sitn Address:7150 SW Fir Loop Ste. 100 _ This PLM# 2002-00053 `
Fixture V,+lue Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off#s count # value #s values
Baptisery/Font 4 0 0 0 0 0_
Bath-Tub/Shower i 4 _ 0 0 0 0 0
- Jacuzzi/Whirl pool 4� 0 0 0 0_ 0
Car Wash- Each Stall 6 0 0 0 0 0
_ - Drive through 16 0 0 0 0 0 —
Cuspidor/Water Aspirator 1 _ 0 0 _ 0 0 0
Dishwasher- Commercial 4 0 0 0 0 0
- Domestic _ 2 0 0 0 0 0
Drinking Fountain _1 0 0 0- 0 0
Eye Wash _ _ 1 0 0 _ 0 0 - 0
Fluor Drain/Sink-2 inch 2 0 0 0 0 0
3 inch 5 0 0 U 0 0
4 inch 6 0 0 0 0 0 ^_
Car Wash Drr 6 0 0 0 0 0 _
Garbage Disposal
_ Domestic(to 3/4 HP) 16 0 0 0 0 0
Comow ria_•to 5 HP) 32 _ 0 0 _ _ 0 0 _- 0
Industrial(over 5 HP) _ v 40 0 _ 0 _ 0 _ 0 _ 0----
ice
_ —Ice Machine/Refrigerator Drain _1 0 _ 0 _ _ 0 0 0 T
Oil Sep(Gas Station) 6 0 00 0 _ 0
Rec,Vehicle Dump station 16 0 0 — _ 0 0 0
Shower-Gang (per head) 1 0 0 _ 0 0 -40
Stall 2 0 _ 0 _ 0 0 0
Sink- Bar/Lavalor 2 _ 0 1 2 _ 0 -1 1 -2 _
Bradley 5 -- 0 -0 -- 0 0 0
Commercial 3 0 — 0 0 0 0
Service _ 3 _ 0 0 0 _ 0 0
Swimming Pool Filler 1 0 0 0 0 _ 0 _—
Washer-Clothes _ _ 6_ _ 0 0 0 0 0
Water Extractor 6 0 0 0 0 -_0 -
Water Closet-Toilet 6 0 0 0 0- 0
Urinal `6 0 0 0 0 0 —_
Previcus EDU Count 4 64 64
Capped EDU Credit 0
1OTALS 1 0 1 64 1 2 0 0 -1 62
Current Fixture Value 62 divided by 16= 3.9 Curre ' JU t f I it l $2.300.00
Previous Fixture Value_ 64 divided by 16 = — 4.0 Previous EDU
Change 2 - divided by 16 = -0.1 over (under) $ (230.00)
Enter EDU Change Here -0.1
HISTORY
Notes:4 EDU from accounting. PLM# EDU# _ SWR#
PLM# E:DU# SWR#
_--
POM EDU# SWR# -
Name: _ Date:. - 5--OL
Signature of person that calculafed this tally sheet and date perfrornet'is required
CITY OF TIGARD ELECTRICAL -
ENER
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2002-0003
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-x171 DATE ISSUED: 3/11/02
SITE ADDRESS: 07150 SW FIR LP 100 PARCEL: 2S101DA-01500
SUBDIVISION: 72ND BUSINESS CTR-\/ARNS PARK ZONING: C-P
BLOCK: LOT: 005 JURISDICTION: TIG
Prolect Description: Tenant Improvement - d eta telecommunications
A. RESIDENTIAL _ B.COMMERCIAL
AUr)!O & STERE( : AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: L.ANDSCAPEiIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1 _
Owner: — Contractor: — W
BTE LEASING, INC TELEPHONE CONNECTION SERVICE
c/o MASON, H CARL + PO BOX 2075
HAFNF_R, ROBERT E PARTNERSHIP BEAVERTON, OR 97075
TIGARD, OR 97281
Phone: Phone: 642-7374
Reg #: LIC 50013
_LE 34-142CLE
SUP 458JLE
FEES Required Inspections
r
_Type By Date Amount Receipt �I Ceiling Cover
PRMT CTR 3/11/02 $75.00 2720020000 Wall Cover
5PCT CTR 3/11/02 $6.00 2720020000 Elect'I Final
Total $81.00
J
This Pemlit is issued subject to the regulations containr,d 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 s,ispended for more than 180 days. A rTENTION: Oregon law
requires you to follow rules adopted by the Oregon Wility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at 1'503)
246-1987.
Issued by yyL ,yQ__ _ _ Permittee Signature
OWNf_R INSTALLATION ONLY
The installation is being made on property I ow,i which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
\C(ONTRACCTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELFC'N k' V �iUtt� DATE:
LICENSE NO: —�_—
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
I�L Electrical Permit Application
Datereceived: j (�,,Z PermitnoELK,2,W
City Df Tigard Project/appl.no.: Expire date:
Gly(u figard Addreft: 13125 SW Ilall Illvd,Tigard,OR. 97223 pate issued: By: keceiptno.—
Phone: (503) 639-4171
Fax: (503)598-1960 Case file no.: Payment type.
Land use approval:
CI 1 &2 family dwelling or accessory �ommercial/industrial U Multi-fam;iy J'I'rnanl tnlpr(Ivcnu,nt
U IJew construction U Addition/alteration/replacement U Other:
Joh address: /5tj _ Bldg.no.: Suite no.: pTax map/tax lot/account no.:
Lot.. Bltxk: Subdivision: _
Project namer#)A&AJ (� gT' Description and location of work on premises: � 6,t6b t-j(p - -
Estimated date of cont letion/ins6ction:
Job no: Fee Max
Business name: Dewriplion Qty. (ea.) total no.Inc 1
New rrcl(kndal-single or multi family per
Address: D75 dwelllogunil.lncludesatlachedgarage.
City: Slalev,o ZIP: 4,1701Senlevineludird:
Phone:Soj :)-"73-7y jFax: .-mail: 1(00 sq.ft.or less 4
3 -1 Hach additional 500 sq.ft,or oroon thetcol
CCB no.: VV 1 3 iilec.bus.tic.no: u 4 Limited energy,residential 2
Cily/nee o.: 14 It U Z" — Limited energy,nor,-resident ial 1 2
p Fach manufactured home or modular dwelling
Signalurof sups:vising electrician(required) nate Seryice and/or feeder _ 2
S-1p,eleo! mu.ie(111"1l. L =(7L --- Licenwno: •Seniresorfeeders-installallon,
alteration or relocation:
200 amps or less '-
Name(print): _ 201 amps to 4W amps— _ -_ 2
— 401 amps to 600 amps 2
Mailing address: _ 601 amps to 1000 amps 2
City: State: ZIP: Over I(1(X)amps or volts -- 2
Phone: Fax: E-mail: Reconnect only _ t
owner installation:The installation is bring made on property I own Temporary wrvices or feeders
which is not intended for sale,lease,rent,or exchange according to installation,alteration.or relocation:
201 amps or less 2
ORS 447,455,479,670,701 _
201 amps to 410 amps _ __ 2
owner's si nature: Date: 401 to 600 ams 2
flranch circuits-new,alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit_ _ 2
City: State: !_I I' B. Fee for branch circuits without purchase
-- of service or feeder fee,first br nch circuit: 2
Photic: Fax: F mall: Each additional branch circuit --
Mlsc.(Service or fe-der not Included):
U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of 1(lt2 U Haiardous location Each sign or outline lighting 2
fatlli ly dwell i figs U Building over 10,000 square feet tour or Signal circuit(s)or a limited energy panel,
U System over 6(x)volts nominal more residential units in one structure alteration,orextension• 2
U Building over three stories U Feeders,400 amps or more •Descri tion:
U Occupant load over 99 persons U Manufactured structures or RV park Eich additional Inspection over the allowable In any of the above:
U F.gress/lightingplan U Oilier --------__-_-- Per inspection —
Submit -_sets of plans with any of the above. Investigation fee _
The above are not applicable to temporary construction service. other`
lease call unwlicli�m fn nxxe infixr(u(tim Nolicc 'MiS nrlit application
Permit fee..................... .
N(tl all)Uflsdi('ngla aCl'epl c(e(tll l'Nds,p I FK pp
U Visa U Mnstert'nrd expires if a permit is not obtained Plan review(at
credit card number within 180 days after it has been State surcharge(Rete) ....$ _
Expire` accepted as complete. TOTAL .......................5
Name of cardiol .r u s own on cre I c
Crdholder alpmture Amount 4-u .0 IS W.
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
------ TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Comp:'ete Fe�Sch�edule�B�elow: . Restricted Energy Fee...
...............
$75.00
ons r rmit allowed) (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Wcrk Involved.
�sidential- or
unit $145 1,3 4 Audio and Stereo Systems'
on sq it r less —
Lach adds ,nal 500 sq ft or $33 40 1 Burgle Alarm
portion thereof — -- $75 00
Limited Energy
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or I eerier $9090 _
Heating,Ventilation and Air Conditioning System'
Services or Feeders
Installation,alteration,or relocation $8030 2
200 amps or less ____— 2 Vacuum Systems"
201 amps to 400 amps $106 85
$16060 2 I�-1 -
401 amps to 600 amps _—�__. 2 LJ Other _
601 amps to 1000 amps $240 60
Over 1000 amps or%alts _ _ $$614 65 2
$66 85 2
Reconnect only — TYPE OF WORK INVOLVEQ -COMMERCIAL ONLY
Temporary Services or Feeders Fee for each system................................... ...... $75.00
Im,lallation,alteration,or relocation $66 85 2 (SEE OAR 918-260 260)
200 amps or less - $100 30 f _ 2
201amps to 400 amps $133 75 --- 2 Check Type of Work Involved:
401 amps to 600 amps -----
Over 600 amps tr)1000 volts, Audio and Stereo Systems
see"b"above.
Branch Circuits Boiler Controls
Now,alteration or extension per panel
a)The tee for branch circuits CIO-,k Systems
with purchase of service or
feeder fee. $6i 65 2 Data Telecommunication Installation
Each branch circuit ----
b) The fee for branch circuits Fire Alann Installation
without purchase of servlcr,
or feeder fee. $46 OF, —,__ ❑
First branch circuit �_� -- HVAC
Each additional branch circuit $6 65 — — —
Instrumentation
Miscellaneous
(Service or feeder not included) $g3 40 __ Intercom and Paging Systems
Each pump or irrigation circle .4D53
Each sign or outline lighting $ - — --
Signal circuit(s)or a limited energy $15 00 Landscape Irrigation Control'
panel,alteration or extension ---- $125 00
Minor Labels(10) _ -- - Medical
Each additional Inspection over F-1the allowable In any of the above $6250 J Nurse Calls
Per inspection - — $6250
Per hour --— $7175 - ❑ Outdoor Landscape Lighting'
In Plant --- --
Protective Signaling
Fees:
$ L J Other
Enter total of above fees ---- —
$ —^Number of Systems
g%State Surcharge ------ -
25%Plan Review Fee $ tJo b enses are required Licenses are required Ior all other Installations
See"Plan Review"sectio I on
front of applicalion --- Fees:
$
Total 6818ncB Due Enter total of above fees
------
s--�
ElTrust State Surcharge Trust Account# _—___.___- -- ----�-----_"� :
---- ----- Total Balance Due
All New Cornmerclal Buildings require 2 sets of plans.
i\dsts\fonw\elc-fros.doc 08/30/01