Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY kzt , ,r. DEVELOPMENT SERVICES PERMIT #: ELR2000 -00279 "��'� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/27/2000 SITE ADDRESS: 12123 SW 69TH AVE PARCEL: 2S101AA- 02900A SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE BLOCK: LOT: OOA JURISDICTION: TIG Project Description: Data telecommunications. • 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: TIGARD CORPORATE CENTER LTD CHRISTENSON ELECTRIC INC 15400 SW MILLIKAN WAY 111 SW COLUMBIA BEAVERTON, OR 97006 STE 480 PORTLAND, OR 97201 Phone: 503 - 646 -2202 Phone: 241 -4812 Reg #: LIC 000458 SUP 3289S PLM 2468S ELE 26 -34C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 11/27/200C $75.00 2720000000 Elect'I Final 5PCT CTR 11/27/200C $6.00 2720000000 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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Issued by Permittee Signature au ,47 icy; 70j/ - A/9 L 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 • Electrical PermitAppBt • Date received: 1/ 2/ Dz) Permit no.: EL/22oop 40!17• r.0..., r„ , ' .i�ii City of Tigard r`�y 2900 Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigart,0%/7 DI:VELOP�, ?Ef b ate issued: By2 # Receipt no.: Phone: (503) 639 - 4171 , +'' IT Fax: (503) 598 -1960 • Case file no.: Payment type: CHUCK, CITY OF TIGARD INSPECTOR 639 -4171 EXT 356 Land use approval: ..' TYPE OF PERMIT' 0 1 & 2 family dwelling or accessory Nal Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration /replacement 0 Other: 0 Partial JOB SITE INFORMATION • Job address: 12123 SW 6 9TH Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: I Subdivision: Project name:RENINNANCE HOLDINGS I Description and location of work on premisesLOW VOLTAGE DATA /TELECOMMUNICATION Estimated date of completion/inspection: Q UESTIONS? CONTACT CARL STENSRUD INSTALLATION . - _ _. NI L Z 'P ; I.G.W .� s'rU�- , '�` }-c ti-- ._-j4 •. - .:..A- �;- !SCI�EI#-LL .4::::-.4;�..,....,14_,.,-:..k:......:_ Jobno: 119 -9070- Fee Max Business name: CHRISTENSON ELECTRIC, INC. Description Qty. (ea) Total no. insp New residential - shigle or multi- family per Address: 111 SW COLUMBIA, SUITE 480 dwelling unit. Includes attached garage. City: PORTLAND I State:OR I ZIP:97201 -5886 Service included: Phone: 241 -4812 I Fax: 241 -0519 I E -mail: 1000 sq. ft. or less 4 CCB no.: 458 I Ele . bus. lic. no: 26 -34C Each additional 500 sq. ft. or portion thereof Limited energy, residential 2 City /metro lic. ,o.: 5246 Limited energy, non- residential 2 Each manufactured home or modular dwelling Signatu -, :'. • -mot'. Date 11/20/00 Service and/or feeder 2 ec Sup. elect. name (print): License no: Services or feeders— installation; • alteration or relocation: ........:.. OWNER : ,,...:. 200 amps or less • 2 Name (print): 7. /Gy2 b e'z et-,/ ,e_ G 77A 201 amps to 400 amps 2 401 amps to 600 amps • 2 Mailing address: / 5 yzi—� S'a /t.L/, e.„9, w r9Y 601 amps to 1000 amps 2 City: g E "27 / (State:6e_I ZIP: ?06 do Over 1000 amps or volts 2 Phone: - 6 y�, - ,2 Fax: (E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - • which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 am s 2 Branch 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: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E -mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2 O Service over 320 amps- rating of 1 &2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 1 75 . 2 0 Building over three stories 0 Feeders, 400 amps or more *Description: LV DATA/ TELECOMMUNICATION O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan 0 Other. Per inspection 1 I I I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ 7 5 . 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ 6 ." Expires accepted as complete. TOTAL $ 81 - 00 l Name of cardholder as shown on credit card / $ Cardholder signature Amount 440-0615 (6/00/COM) • Electrical'Permit Fees: • Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY P Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4, Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less . $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof _ $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular . ❑ Garage Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less $80.30 2 ❑ 201 amps to 400 amps $106.85 2 Vacuum Systems 401 amps to 600 amps $160.60 2 _ 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65 2 _ Reconnect only $66.85 2 • Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation 200 amps or less $66.85 2 Fee for each system $75.00 201 amps to 400 amps $100.30 2 (SEE OAR 918 - 260 -260) 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts, Check Type of Work Involved: see "b" above. Branch Circuits El Audio and Stereo Systems New, alteration or extension per panel ❑ a) The fee for branch circuits Boiler Controls with purchase of service or • feeder fee. ❑ Clock Systems Each branch circuit $6.65 2 b) The fee for branch circuits - ❑ Data Telecommunication Installation without purchase of service • or feeder fee. ❑ Fire Alarm Installation . First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous (Service or feeder not included) ❑ Instrumentation Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Signal circuit(s) or a limited energy Intercom and Paging Systems panel, alteration or extension $75.00 ri Minor Labels (10) $125.00 I I Landscape Irrigation Control* Each additional inspection over ❑ Medical the allowable in any of the above Per inspection $62.50 Per hour $62.50 ❑ Nurse Calls In Plant $73.75 - - -- . -- - � _ --- - - - - Outdoor Landscape Lighting Fees: ❑ Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ 25% Plan Review Fee Number of Systems See "Plan Review" section on $ front of application. * No licenses are required. Licenses are required for all other installations Total Balance Due $ Fees: ❑ Trust Account # Enter total of above fees $ 8% State. Surcharge $ Total Balance Due $ i:\dsts \forms \elc- fees.doc 10/09/00 • CITYJOF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST / BUP Date Requested l / — ff - AM PM BLD Location 1 Z 1 a 3 5 w l09 Suite MEC Contact Person Ph PLM Contractor C/YI 5'1 d jg41 $ -C- Ph ) _ `/ a SWR BUILDING Tenant/Owner ELC n Q Retaining Wall ELR 2a010 0003 7 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: r L � Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final • PASS PART FAIL — PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm • S PART FAIL IT€ Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date // _' i Ins �� Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.