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Permit
• CITYOFTIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY ''--- 1(/' DEVELOPMENT SERVICES PERMIT #: ELR2001 -00085 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/27/01 SITE ADDRESS: 13535 SW 72ND AVE PARCEL: 2S101 DC -00300 SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P BLOCK: LOT: JURISDICTION: TIG Proiect Description: NEW CONSTRUCTION - VOICE /DATA CABLING OF FLOORS 1 &2 JOB #62713 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: PACIFIC NW PROPERTIES LP OREGON ELECTRIC CONST /GROUP 9950 SW ARCTIC DR 1010 SE 11TH AVE BEAVERTON, OR 97005 PORTLAND, OR 97214 Phone: Phone: Reg #: LIC 203 SUP 1302S ELE 26-95C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 3/27/01 $75.00 2720010000 Elect Final 5PCT CTR 3/27/01 $6.00 2720010000 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 o follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 -1010 thr• gh OAR 95 You may obtain copies of these rules or direct questions OUNC at (503) 246-1'87. Issue • • y , ; Permittee Signature p ..422e_ 42 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 MAR -26 -2001 11:16 P.01/02 Electrical Permit Application P A • Datereaeived: 5, 0 Permit no.: , 00 . �' _ 4, i' Ci ry Ci ; ty of Tigard Project/appl. no.: ' Expire date: 1 igard Add 13125 SW Hall Blvd, Tigard, OR' 97223 T o f Address: Datc issued: By: l Receipt no.: Phone: (503) 639 -4171 re" Fax: (503) 598 -1960 Case file no.:' Payment type: Land use approval: • T1 EF OF PF:10111 0 1 & 2 family dwelling or accessory XXCommencial/industrial O Multi- family 0 Tena improveme;st . ;.,'• 0 New construction 0 Addition/alteration/replacement 0 Other 0 Parini • ' Job address: 1 153 S guy 7 ?Tit, Ave Bldg. no.: Suite no.: Tax map/tax lot/account no.: , Lot: Block Subdivision: Project name: RIO 1Descript ion and location of work onpremises: new rem atrr1Ci -a /rn Estimated date of completionspecdon: - . - , • • CONI RA('1OR : \1'1'1.1(,. ZION 1 1:1: S( 111:1)1 1.11 ' Job no: S 7 71 F , Business name: Deaaiptfaa Qty. (co.) Toad no. Imp Ore 0a1 F C rrrInp New retkienttal - strekormold.hmilyper Address: 10101 SE 11th Ave . dwelling unit Include, aooschedgarage. City: .your ± . l nd I State: OR I ZIP: 9 7 214 tsen;aeinduded: Phone: 9 9 0 C a't' - I 0 f -mail: 1000 sq. R or less - 4 Earl CCB no.: 2 /13 . bus. iic. no: 26- 9 5C Limited e d e ne r g y, son sq. ft of portion thereof 1�mited e e ergy_,tesidential Ci ��; .. ; ,•,2. ; , . ty / lie, no.: Limited energy, non- orsidential . 2 1 — ?. 6 - 0 1 Each manufactured home or :nodular dwelling Si lee tan Datc _ Semite andlorfeeder 2 Sup. elect, name ( Don Suhrb i er License no: 2064S "'= Of feeders —� ° • • <.•• _ alteration or relocation: 200 amps or less , 2 Name (print): . 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps • { l ' . 2 601 amps to 1000 amps l City: I State: I ZIP: Over 1000 amps or volts - .: I Phone: I Fax: 1E-mail: Reconneetonly - 1 ; Owner i nstall ati on: The installation is being made on property I own 7 � not•;ers or leaders - _ which is not intended for sale, lease, rent, or exchange according to lostallation, alteration, orrdomttom ,•: {c I ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps . .• -2 ' ' Owner's signature: • Datc: 401 to 600 amps ..2 . ! r Branch circuits - new,altetvtlon, . • or emersion per paoek ,. Name: • A. Fee for branch circuits with purchase of Address: service or feeder fcc each branch circuit 4.:c2.. City; I State: I ZIP: B. Fee for branch circuits without purchase Phone: per: gy . of service or feeder fee, Gist branch cirwit .;:'' t ' Each addidottal branch circuit_ PLAN REV11'11 (Please check all that appl )t Misc. (Service or feeder not meladed): O Service over 225 ampseommeteial 0 Health -care facility Each pump or irrigation circle 2 O Service over320 amps - rating of 1 &2 0 Hazardous location Each signor outline lighting "' 2 family dwellings 0 Building over 10,000 square feet four or Signal circuits) or a limited energy panel. . Cl System over600 volts nominal mote residential units in one structure alteration, or extension* 1 _7 9 7 5 _ :: O Building over three stories 0 Feeders, 400 amps or more *Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each addi(io®1 inspeelioa over the allowable in any of above: O Egresolighting plan O Other: Per inspection i I 1 tx --.', • Submit of plans with any of the above. . investigation fee , The above are not applicable to temporary construction service. Other . . No ail juttarda s sceepa clad, cam call *tufted= , please *tufted= for more information. Notice: This permit application Permit fee $ 2.5-,-C 0 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card lumbar / 1 within 180 days after it has been State surcharge (8%) -. $ 6 .0_ Name of cat older as shown on credit card accepted as complete. TOTAL S84,44---- N '1"...1.0 $ , ' 3 Cardholder signature Amount dw46' 5 (f/tnIOO•D MAR -26 -2001 11 16 P. 02/02 Elec Permit Fees: • • , . i . Limited Energy Fees: %/ TYPE OF WORK INVOL - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee • :T•• 575,00 Number of Inspections perpermit allowed (FOR ALL SYSTEMS) • •- Service included: Items Cost Total 4, Check Type or Work Involved: Residential - per unit 1000 sq. rt. or less 5145,15 4 ❑ Audio and Stereo Systems Each additional 500 sq, rt, or portion thereof ------ 533.40 1 Alarm •. •� r ti• ¢ : !• ,t.•••,.....• ,; • ;� Limited Energy .. $75.00 `- _, • { Ck: "` •',/ • , .._ ":4 !Ki a•..� - • Each Manurd Home or Modular Garage Odor Opener' Oweling Senior) or Feeder 590.90 2 El • Services or Feeders ❑ Heating, Ventilation and Air Conditioning Systerl• • Installation, alteration, or relocation 580.30 2 :` ' . : t e.. 't' 200 amps or less Vacuum Systems` 201 amps to 400 amps 5106.85 2 • 401 amps to 600 amps 5160 2 ❑ Other - 601 amps to 1000 amps $240. 2 . Over 1000 amps or vows 5454.65 2 -. • - Reconnect only 2 J • • Temporary Services o(Feedera ' TYPE OF WORK : INVOLVED - COMMERCIAL'ONLY Insta alteration, or relocation Fee for each system........._ . .575.00 201 amps to 400 amps 200 amps or less 500. 2 (SEE OAR 918-260-260) 401 amps to 600 amps ' 5133.75 2 • Over 600 amps to 1000 volts. . Check Type of Work Involved; see "b•' $bore. ❑ Audio and Stereo Systems • Branch Circuits -, New. alteration or extension per Panel d ❑ Boiler Controls ; ... __..._._ a) The tee for branch C*iIts _ - .. _ _ ... with purchase of service a Clock Systems feeder fee . - Each branch circuit 56.65 2 - - b) The fee for branch circuits Data Telecommunication Installation .. without purchase el service ..-:-..• "' '' V∎,' v",^ ti.`aht ; -, • i•■•• 7Es or feeder tee. ' • '' Fire Alarm •Installation First branch circuit 546.85 -,:v •/ • • Each additional branch circuit 56.65 � 0 . HVAC - - -- Miscellaneous ❑ (Service o feeder not included) Instrumentation . . •_` Each pump or irrigation circle _ $53.40 • Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems -, . . Signal &Coins) or a funned energy 1 $75.00. 7500 . panel. alteration or extension Landscape Irrigation Control Minor Labels (10) 5125.00 ' 171 Each additional inspection over , ❑ Medical . • the allowable in any of the above ,,. . $62.50 . Per inspection ID N urse Calls Per hour 562.50 „ _.. _ ... _. ..._ . - .._, . In Plant 573.75 ❑ Outdoor Landscape Lighting' .. ... , . Fees' ❑ • Protective Signaling Enter total of above ices ^ O ; , a :p .•.,-.7 t_.� ther 8% State Surcharge $ y 1 Number of Systems 25% Ptah Review Fee See 'Plan Review' sect $ ion on • No licenses are required, licenses are required for all other a nstatlaaons front of application. • • . ,I • • Total Balance Due $ Fees: • Enter total of above fees ''' $ Z.- 0 ❑ Trust Account R • _ 8% State Surcharge .. • $ ..-6 -- Total Balance Due $81.6b • i:ndstsformskicdo:s.doc 10/09/00 • TOTAL P.02 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24- Hour Inspection Line: 639 -4175 Business Line: 639 171 - – , / BUP II Date Requested ' z r AM PM BLD Location /3. 3r 54i 7 Z _ ' ' Suite MEC Contact Person • Ph S3) / 7r P -- Contractor /lA t 11 Ph Off r- Z- WR BUILDING Tenant/Owner LC ' `--et) 0 815 — Retaining Wall LR , kk Footing � Foonngtion Access: F Ftg Drain SGN ' b Crawl Drain Inspection Notes: Slab SIT 4 V-r"' Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final /' Final f ._ `►/ A10 PASS PART FAIL / ` PLUMBING Post & Beam / �_ / k .-.,, ■ Under Slab Av • Top Out IllrrrAIIIIIIIIIrf Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL t/ - &/-- . oZ ©a r --. Post & Beam Rough In Offir- , , Gas Line Smoke Dampers Final / PASS PART FAIL p ll v n / k V r� .� r y;I J /4 C�(/ /Q'" I e / �„ C.1 /1 Yf - GC) e? / / s' (# } 0 / 42 Rough In , / UG /Slab Low Voltage Fire Alarm 4 04..... PASS RT FAIL ITE 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 ZL A pproach /Sidewalk Other Date 0 I Inspector Ext Final PASS PART FAIL DO NOT this inspection record from the job site.