Permit 7 ,� f {u ��� ' ® ELECTRICAL RESTRICTED ENERGY PERMIT
,1 -'`0 COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00109
TIGARDI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/6/2008
PARCEL: 2 S 102 C C -00500
SITE ADDRESS: 13600 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG
PROJECT: H MART
Project Description: Installing audio, data and CCTV low voltage systems.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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:
INSTRUMENTATION: OTHER: CCTV X
TOTAL # OF SYSTEMS: 3
Owner: Contractor:
13500 PACIFIC CORP MANZURA ELECTRIC
BY CAP ADVISORS 13023 NE HWY 99 SUITE 7 -147
38345 W TEN MILE RD, STE 170 VANCOUVER, WA 98686
FARMINGTON HILLS, MI 48335
Phone: Contact #: PRI 360 - 772 -1321
FAX 503- 210 -1558
Reg #: ELE C137
FEES LIC 168391
Description Date Amount SUP 5184S
[ELPRMT] ELR Permit 5/6/2008 $225.00
[TAX] 12% State Surch 5/6/2008 $27.00 REQUIRED ITEMS AND REPORTS
Total $252.00
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 OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 o 800.332.2344.
Issued By: ��� , %' Per ee Signature: 1, // 2 75 Gf/-
OWNER INSTALLATION ONLY ��
The installation is being made on property 1 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 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Electrical Permit A iicax --. t�
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�f i1 . City o£ Tigard Z\ 0 R oa 1 t 1 <r, r
: t
'1R 13125 SW Han Blvd,. Tigard, OR 97223 k ,n\ ® � • = � . '� itx v , —c.0101
)ix Phone: 501639 4771 Fyn 503:598:1960 \l\N R c' a
r (..,'10:t), t ncpceti 50163 503 .639.4175 f . , i. , \1 •' : , " Other Permit: i . : 4 "mina: w....v.ticard - or. 01 1h , h t' . <<, • xe,oyray: . .; ■ C/�3
g �°V \ -)t_ , 1 ; < . Meti6e Juries ® See Pt�a'_Ur
es —Thar W ' &rPpleueeaal Information ••-- Pi New c0¢tstratchon * �'' PLAN REVIEW •
❑ Addition/altaati o . .lucartent PTntx cheek an apply (submisea fl that of
D Demolition Sarin pleas +rfitrms chocked hclaw):
❑ Other a Sas or feeder 400 amps ornate D Building over area stories,
CATEGORY OF CONSTRUCTION v.a ass the violable rain cermet ❑ Mtoindt and bootyarris
•
=cam 10,000 amps n 150 volts or 0 Nesting Uaildine
1- and 2- fam d welling ommereie1'indusirial lev !Muni Of ant cods ta,000 ❑ 1"orttmiecal use agricultural building stops for elf other installations,
hnrldin
El Multi- really 0 builder
❑ Dthcz: ❑Fire pump. ❑ instaltatian of 75 YVA or
J013 SITE LNFOl l►TA77[fN AND LOGA7TO7Y I ❑ Emergency trystem. larger separately derived system
/
❑ Additionofnowmot
Jnbno.: mtoador 0"A° •7• °1,Z_ "1 -
To b s address� S� ,y y/� j` ioo at mo c. aceu
Ti /r' / / wnq
City/S1 77 6,4 ,4) ❑ n - cam f cd ti e s. unit". 0Stgmly t .
�J � CI Henan facilities. Q St�jly voltage fire mom rhea
$Utoelb)dg. /apL no. JCCt laic: . I 0 tS
F m � 00 volts nominal
/V 721.7 ❑ soma oriteder000ampsor
Cross siteet/darcctions to jab sire: , Q� ' � ra sL •
O � �' ' IW ' = °rr,,ri°n i q 1 r+... 1 T•mi t -
New residential single. or multi- family dwelling no:L
i Subdivisio inelades alCseiscd garage.
Lot no.: 1.000 SQ. ft. or less 145.15 4
Tax map /parcel no.' i � ^• - Fa add 540 sq. it or portion 33.40 1
orn
D�ION OF WORK 1 itniced energy, residential G ,, y1 jwidr above sq. It) 1 75.00 1
by .11 A " A. r� L imitary energy. multi-family
at 45 Zsid cntial u lh ahosr sq. i!) I i 75,00 2
Services or feeders installation.,tterotion, and/or relocation
Q PROPERTY OWNER —. j 200 61gss or Less 5030 i
❑ TENANT 201 amps to 400 am C 2
Name: Ps 106.35 Z
Address 401 fII^'tr s m 600 amps ( 160. O
2 .
601 amps to 1.000 amps 24o.6 q 2
C i t y / S r a t r J T _ T p ; Oyer 1,000 amps or volts [ } 4 4
Temporary services or feeders inStakgtlon, alteration, and/or 1
reloeurien
Phone: { )
Fax: ( ) 200 alms or leas i 66.55
Owner installation This in stallation is being made on a th 201 am to 400
intended. for sale. lease. rent, or exchange, according to ORS 4 , 449 670. and C701 not 401 am to 599 amps i ]333 1 1 ,75 2
3 .75 2
Owner signature: _
Breach circrtib
Date new, alteranoa or extension, per pad
❑ APPLICANT A. Fee for branch eirevits with
~' ❑ comaCr PERSON above service or fMder fee,
Business name: each breech circuit 6_65 2
2, Fee for branch circuits
Contact name: wllhour s4 i
c e or e,
seeder fi
Address: �firstb ci rC a Uit 4685 Z
Bach &dell branch circuit 6.65 I 2
CarylStatc/LlY: M!)acellaneous .aerviet or feeder net included) '
Phone: ( ) —� I F u , ( ) dwelling service and/o fb ed l cce' 2 I
90.90 ______JJJ
Phone: Reconnect 66.85 2
Pump or irrigation circle - c
CONTRACTOR Seep 2
Sign or °rNrne fighting 53.40 2
Business nerve: "If A/ J � /C___ Signal eireuit(s) or limited -
s / 02. ? / f ,L�� L y�
energy panel, alteration, or
Addres
/ 97 S'U i/ —L 7-4°7 extension. Describe: I S OD
City/State/ZIP! �,/f�i�c �.'K /� T S I Pam o a ; 2 ,
City/State/ZIP! // Fachadd iliomd ;gs eeuonovuaB„waAlcin of tbea bove
Phone: ( f Perinspect t e0
2/ Pax: (r �3) 2i O (SS' xnveraigation per hour ( I hr min) + { 62.50
CCl3 Lic.: /,r 3 Electrical Lie.: u rv. l,ic,: �j —, I L
�� ' s p „j /Cl S Industrial alien per hour ll 73.75 J
Suprv. Electrician signature. required: ELECTRICAL !?Elm FIDES
Print natttg; � _ Subtotal: ' ,. , 5.4
"/ I 'L� U ,e , Date: - n Plan review (25% permit foc):
Authorized signature: - CJ Statesurcharge(12%ofpermitfee) a o p j
Pain] name: " L__ TOTAL PERMIT 1±.E,: a 5 g , OO
I Bare: Thi• permit apPltao d m permit
�p�� L9 not obtained ,•;thie 180
"—"— days alley tt has been accepted as comp /etc_
ousu:ldisew ianaze.P - soo osama6 — Murtha, of ie
44o- ootsT(I I1JS,17p1 ovvaB �CscCOnc allowed per Perrnic.
1 ' cl S6La SBB 09E eunyzueW e9Z:G0 BO 90 R W
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008-00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 116/2008
Phone: (503) 639 -4171 �f�l
Inspection Requests (24 Hrs.): (503) 639 - 4175 I p
INSPECTION WORKSHEET FOR DATE: 6/5/2008 TIME: 7:OOAM PAGE: 62
SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: H MART
DESCRIPTION: InUalling audio, data and CCTV low voltage syMems.
OWNER: 13500 PACIFIC CORP, PHONE #:
CONTRACTOR: MANZURA ELECTRIC PHONE #: 360772 -1321
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Low • • • • 070871.01 603 473 -6331 N
. : •ns /Comme nstruction
r\ \
'174 n PARTIAL APPROVAL CANCEL NO ACCESS
FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: vogiLE Date: 0' Vt Phone #: (503) 718- 111%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008-00 109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 646 /2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/27 /2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: 11 MART
DESCRIPTION: Installing audio, data and CCTV low voltage syc:tem :.
OWNER: 13500 PACIFIC CORP, PHONE #:
CONTRACTOR: MANZURA ELECTRIC PHONE #: 360- 772 -1321
Inspection Request Scheduled For: Date: 5/27/2008 Pour Time:
Code # Inspection Description # Contact # Message
135 Low voltage 070348 -01 503 - 473.5331 N
Corrections /Comments /Instructions:
1A 4. ) Issmiliwv4
Ck. ? LEN v►�n�>� csk 4 ..
1 -�-- 1,J \ I A I - 1 A P L20 urn, L i e
, -- ICJ y,�t
C,� > N L tJ y r vJ i CA\ I S 1%)6"1"
RAI fIsSO— PLZNv
n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
4 FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • 66 L Date: 2 0 Phone #: (503) 718- lA r k