Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
lb' ii _ a 3_ c�v38CJ CITY OF T ELECTRICAL PERMIT - RESTRICTED ENERGY 44‘ DEVELOPMENT SERVICES PERMIT #: ELR2003 -00179 °=- 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 6/23/03 SITE ADDRESS: 11308 SW 68TH PKWY 1ST FL PARCEL: 1S136DA-00100 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Project Description: Low voltage for fire smoke damper. 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 LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: SMOKE DAMP X TOTAL # OF SYSTEMS: 1 Owner: Contractor: BENENSON 68TH PARKWAY OREGON ELECTRIC CONST /GROUP KEY LLC, THE 1010 SE 11 TH AVE BY FIRST AMERICAN TAX VALUATIO PORTLAND, OR 97214 WORCESTER, MA 01615 Phone: Phone: 503 234 - 1001 Reg #: L503- 23425800 SUP 4460S ELE 26 -95C FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 6/23/03 $75.00 Elect'l Final [TAX] 8% State Tax 6/23/03 $6.00 Total $81.00 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 throuc Issued by 1 / - ,4Pr Permittee Signature jr1/ 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 •---a— [Electrical Permit Application OFFICE USE ON City of Tigard Date received - A_p Permit r �G4 3 -a)/ 11 z 13125 SW Hall Blvd Project/appl. no.: Expire date: Phone: (503) 639 -4171, FAX: (503) 598 -1960 Date issued: By: 05 (Receipt no.: Internet address: www.ci.tigard.or.us Case file no.: Payment type: 24 -Hour Inspection Re. uest 503 - 639 -4175 U 1&2 family dwelling or accessory U CommerciaUindustrial U Multi- family ❑ Tenant improvement ❑ New construction ❑ addition/alteration/re • lacement ❑ Other: . ❑ Partial JOB SITE INFORMATION Job Address: 11308 SW 68 Parkway Bldg. No.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision Project Name: Tigard Data Center Description and location of work on premises: LV circuit for 1 fire smoke damper Estimated Date of completion/inspection: Will ou call for ins • ection within 24 hours? Yes ❑ No ❑ Pro'ect Contact John Vitro 503) 849 -2787 Phone CONTRACTOR APPLICATION FEE SCHEDULE . ax no. Job No.: 18437 Description Qty Fee (ea.) Total insp New residential- single or - multi- family per dwelling unit. Business name: Oregon Electric Group Includes attached garage. Service Included: Address: 1010 SE 11th Ave. 1000 sq. ft. or less $ 145.00 $ - 4 City: Portland(State: OR Zip: 97214 Ea Addl 500 SF or Portion $ 33.40 $ - Phone: (503) 234 -9900 Fax: (503) 234 -1001 IE-mail: Limited Energy, 1 8 2 Family $ 75.00 $ - 2 CCB no.: 20 E - . us. lic. no.: 26 -95C Limited Energy, Multi- Family $ 75.00 $ - 2 City /•-f•% .N•: Each manufactured home or • J modular dwelling. Service .Signature. supervising than (nqui. d) . - /20/2003 and/or feeder. $ 90.90 $ - 2 Service or Feeders - Sur. Elect. Name •rint :Mark Ken 1111 License no: 4460S Installation, Alteration or Relocation: PROPERTY OWNER 200am•sorless $ 80.30 $ - 2 Name (print): 2olamps- 400amps $ 106.85 $ - 2 Mailing Address: 401amps - 600amps $ 160.60 $ - 2 City State: (Zip: 601amps- 1000amps $ 240.60 $ - 2 Phone: Fax: I E -mail Over 1000A or Volts $ 454.65 $ - 2 1 Owner Installation: The installation is being made on property I own which is Reconnect Only $ 66.85 $ - not intended for sale, lease, rent, or exchange according to ORS 447, 455, Temporary Services or Feeders - Installation, 479, 670, 701. Alteration or Relocation: Owner's si nature: Date: 200 am s or less $ 66.85 $ - 2 201amps - 400amps $ 100.30 $ - 2 Name: Over 401amps - 600amps $ 133.75 $ - 2 Branch Circuits - New, Address: Alteration or Extension Per Panel: A. Fee for branch City: State: Zip: dreuits with purchase of service or feeder fee, each branch Phone: Fax: E -mail: circuit $ 6.65 $ - 2 B. Fee for branch circuits W /Out Purchase of Service or Feeder. PLAN REVIEW 1st Branch Ckt $ 46.85 $ - 2 ❑ Service over 225 amps -comrr ❑ Health -care facility Each additional branch circuit $ 6.65 $ - ❑ Service over 320 amps - rating of ❑ Hazardous location Miscellaneous - (service or feeder not included) 180 family dwellings ❑ Building over 10,000 square feet four or Each pump or irrigation circle $ 53.40 $ - 2 ❑ System over 600 volts nominal more residential units in one structure Each Sign or Outline Lighting $ 53.40 $ - 2 ❑ Building over three stories ❑ Feeders, 400 amps or more Signal Circuit(s) or Limited Energy Panel Alteration or Extension' ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park 1 $ 75.00 $ 75.00 ❑ Egress /lighting plan © Other: fire alarm 'Description: Each Additional Inspection over the Allowable In any of the Above. Per inspection $ 62.50 $ - Submit 2 sets of plans with any of the above. Investigation fee: The above are not applicable to temporary construction service. Other Permit Fee $75.00 Notice: This permit application Plan review 25% j expires !/a permit Is not State Surcharge 8% $6.00 . obtained within 180 days after it has been accepted as complete. Total � Sri CITY OF TIGARD 24 -Hour BUILDING Inspectoot Line.. (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received 1- / / to P 1 Date Requested 1/ 2o AM PM BUP Location % U ' /- g / /6-4J -A4 Suite MEC Contact Perso _ • 1 : JlC�J P 5 - v 5 qb 7 — / " PLM I Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain �-j _c) 7 Crawl Drain Slab Inspection Notes: /� SIT Post & Beam / - Shear Anchors l Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall l 'pi ► � ,1V P 6 � ■ Fire Sprinkler \ - Fire Alarm Susp'd Ceiling ^_ r C , Roof • I, si - il\1 . ►� _ • b Other: — Final PASS PLUMBING FAIL g �6J . C V)( 1 V fr; 09 0 r D P 3 Post & Beam - 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 ELECTRICAL Service Rough -In UG/Slab Low Voltage Fi _ -- ina ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SI — ❑ Please call for reinspection RE: [] Unable to inspect — no access Fire Supply Line ' Approach/Sidewalk Date 7 V v ADA Inspecto Ext Other: Final DO NOT REMOVE this inspection record f om th ob site. PASS PART FAIL