Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
� �� CITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT ~ COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00220 TtGA►tD', 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/16/2008 PARCEL: 1 S135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 125 ZONING: R -12 SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG PROJECT: WESTERN ARCHITECTURAL Project Description: Installation of low voltage for data. Job No. 90787 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: 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: TOTAL # OF SYSTEMS: 1 Owner: Contractor: SHORENSTEIN REALTY SERVICES CHRISTENSON ELECTRIC, INC. ONE SW COLUMBIA ST #300 111 SW COLUMBIA STREET # 480 PORTLAND, OR 97258 PORTLAND, OR 97201 Phone: 503 -412 -4800 Contact #: PRl 503 -419 -3300 FAX 503 -419 -3728 Reg #: ELE 26 -34C FEES LIC 458 Description Date Amount SUP 1994S [ELPRVIT] ELR Permit 7/16/2008 $75.00 [TAX] 12% State Surch 7/16/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 issua - • 's suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon U ' y Notification Cente . Those r es are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these r les or direct questions to • , at 51..'46.6699 or 1.800.332.2344. I ued By: ` � � / / ._� P ermittee S - �' /� / 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 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. JUL -16 -2008 WED 07:17 All CHRISTENSON ELECTRIC, FAX NO. 95034193695 P. 01/02 - .Electrical Permit Application C mit (MALE is I': I'tii.: O.NI.1 City of Tigard ---- 1.-0' ' igard ' paged p y 7 l t! D g Permit No -: f 4, 0 _ 009 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • Phone; 503,639.4171 Fax: 503.5981M d i' • DatetB ; Other Permit: i 111 A It I:r Inspection Line: 503.639.4175 date Ready /By: 1 ® Ses Page 2 for Internet: www,tigard -or,gov „' i1 tifed/Mcihod; //( , sal:Io mental Information ;: ! ... ;'' ,..,... i©P'',WD ` W.,:,7,;;;; , .J! AN Rty1;EW 'a.:i.,' , ❑ New construction r,Sa Addition /alteration /replilcelneitt Please check all that apply (submit 2 sets of plans w /items checked below): o f ❑ Service or feeder 400 amps or more ❑ Building over three stories. , ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. 'i i' ; ! CATI.1GO O ' ; CONSTRUCTION J " u ..coeds 1%000 amps at 150 volts or ❑ Flouting buildings. less to ground, or exceeds (4.000 ©Commercial -use agricultural ❑ 1- and 2- family dwelling Commercial /industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or " ❑ Emorganey system. larger separately derived ystem- ;. ;,JO 1.)4M T10N AND .',LOcATI'ONl s ., . ,. �. � - � ". ❑ Addition of new motor load of ❑ "A ", "L• ", "1 : ", "I -3 ", Job no.: qU1 Job site address: 10 12.0 .s Care nbt x ej f or oreres occupancy. Q Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: 'Tv a, o ,,,A ex-2_ c 7 22-3 CI Health -carc facilities. 1 Supply voltage for more then ❑Hazardous locations. 600 volt, nominal. — a/. no.; I a:5 Project name: kijeSker11 A I`aU } e c} ur4\ a " Service or feeder 600 amps or snore. c !.: i p'a SCHEDULE . , Cross street/directions to job site: (:,t. -t 0 ,,,,s .: S '5I,,.,„, 5'b> Li ` 9_ 33 oaatmiun I R1v. I Fw. I Tutd 1 - Now residential single -or multi- famlly dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 "),': .':DESCRIPTI'ON,''QP: WORK ,;,' ',,. Limited (with above sq. R) denial 75 .. . 2 L 0 II Limited energy, multi- family 1v'1 g 1` 'Air 5 ; vv-t ex n .i \ -\ - IA.-)CLQ.Q , r -, r - Y% c� v1. -''+4i residential (with above sq. n 75.00 2 J _ CAA-S (��.n e l Services or feeders installation, alteration, and/or relocatlon 200 amps or less 80.30 2 ' 0 PROP RTY,-;'OWNFtR ' Q : 1 1 1,10t I, P. p p 201 amps to 400 amps — 106,85 2 Name: 401 amps to 600 amps 160.60 + 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts I 454.65 2 City/State /ZIP: Temporary services or feeders Installation, alteration, and/or relocation Phone: ( ) i Fax: ( ) 200 amps or less 66.85 1 Owner Installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133 - 75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with : i.i: CJ, !Ri,ICANT' l .. u Q. :pi ?. SOIY (; above service or feeder fee, each branch circuit 6.65 2 Business name: B. l.ee for branch circuits - without service or feeder fee, Contact name: first branch circuit 46.85 2 Address: Each add'i branch circuit 6.65 2 — - -- Miscellaneous (service or feeder not Included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) I Fax :: ( ) Reconnect only 66.65 2 E - mail: Pump or irrigation circle 53.40 2 , ,; r ,;;'.i!: ;iCONT18A1;708 .!.:,:'.•!' : ' !'; a ; !'" ,r `.. , Sign or outline lighting 53.40 2 Signal circuit(s) or limited- Business name: Christenson Electric, Inc. energy panel, alteration, or Address: 111 SW Columbia, Suite 480 extension. Describe: I Page 2 ek 2 Ciry /State/ZIP: Portland, OR 97201 Each additional Inspection over allowable In any of the above Per inspection 62.50 Phone: (503) 419- 3300 x3328 I Fax: (503) 419 -3728 investigation per hour (1 Ihrmin) 62.50 CCB Lic.: 458 I Electrical Lie.; 26 - 34C 111111 Suprv. Lic.: 1994S industrial plant per hour 73.75 ELEC'i'RJCAti, :PERMIT: FEES ,: Suprv. Electrician signature, required: Subtotal: `I S.t.it 1 Plan review (25% of permit fcc): Print Home: Robert Axt Date: -, <D -U� State surcharge (12% of permit fee); 4 uU Authorized signature: 6r:A . TOTAL PERMIT FEF ` L\,UO I This permit application explree if a permit Is not obtained within 1R0 _..._J Print name: Date: days after it has been accepted as complete. — • Number of insPPections allowed per permit. hRuildinglPennia (RI-C.PermitApp.dnc 05/23(06 440 .46I5T(11l05 /COM /w Ea ` U.5A- INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: &Lo -pd 9 t REQUIRED ON GREEN INSPECTION CARD. • Code Inspection Description I PASS Date By 1 Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab_cover • 410 I Fill 110 Temporary electrical service 415. trading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls _ 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 L _ Sign installation 310 Crawl drain • 145 _A /C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool • 230 Underfloor insulation 195 Misc. inspection: .. 235 _ Shear walls /anchors 199 Electrical final • 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 _Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry >C199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit . 280 . Insulation 605 Post /beam mechanical 285 , Drywall nailing 610 Gas line .287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic,piping 899 MFG - Structure final 625 Ductwork 498 Grading final 630 Fite damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood • 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough in 305 Plumbing underslab 920 _ Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 , Alarm final 320 Plumbing rough -in 999 Sprinkler final • 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 • Excavation 345 Culvert/catch basin 410 Fill 350. Septic tank 415 Grading 395 Misc. inspection: 205 Footing • 399 Plumbing final 210 Foundation walls • 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. 'inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection 1: \Building\Forms\InspCard-AOP-Blank.doc 02/02/07