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Permit
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00124 11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/20/2005 PARCEL: 2S115AA-OTOOA SITE ADDRESS: 16215 SW 108TH AVE BLDG D ZONING: R -25 SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG Project Description: Fire alarm & data. 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: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 2 Owner: Contractor: OT2 LLC FIRE & SECURITY GROUP LLC 5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST. LAKE OSWEGO, OR 97035 CAMAS, WA 98607 Phone: 503- 620 -4373 Phone: 360 - 833 -9938 Reg #: LIC 153226 ELE 37- 338CLE FEES SUP 3862LEA Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 5/20/2005 $150.00 [TAX] 8% State Surcha 5/20/2005 $12.00 Total $162.00 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. Issued By: 12 , P Permittee Signature: ) . o (N 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. May 20 05 11:50a Rick Stevenson 360- 833 -1727 p.4 hats @l See Page 2 for FOR OFFICE l'SF. ONLA Electrical P j � ermit Application- ( \� \J�JJ • J� �/ City of Tigard ® 9am (� !/ ED ; RT - l'.► �U INI Permit , 'V Oo /// 13125 SW Hall Blvd., Tigard, OR 97223 `' i PI= Review OthaPe ©�`�"OG) 7 b `� Phone: 503.639.4171 Fax: 503.598.1960 1 2 0 2005 `,, � ' Inspection Line: 503.6 5 � Date Rea trotilled/ 1. a hod: ' (j Supplemental Information Internet www.citig,azd.or.us .onus (`ITvr,c-rtnAr..- 'Q,RtK! REVIEW . e+epn � Please check all that apply: � New construction ❑ Addition/alteration °Service over 225 amps, camm'l ❑Hazardous location ❑ Demolition ❑ Other: ❑ Service over 320 amps - rating ❑ Buitdng over 10,000 sq_ ft., . UCfYOId .. oil- and 2-family dwellings 4 or more new residential .. • . 600 vol ts nominal one structure °System over units is 0 1 -and 2- family dwelling Commercial/industrial [] Accessory building °Building over three stories ❑Fetes, 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other. ❑Occupant load over 99 persons ❑M� + or - . Egress/hg Pan JU>3; iiMa2o rwD .IAC AyT)GpN ...... _ �xeauh� are facility Job no.:��•k. • E I Job site address: /6,215 Sid /0(3 Al „b Submit z sets of plans with any of the above. City/State/ZIP: 1 t O K - q 7 ,g(gil The above are not applicable to temporary construction service_ - Suite/bldgJapt. no.: /�. Project name: ..On R. "1 /Tr 1 s = u tv ' -. ;.. �s • T s� ' I Ta,t i ,. Cross street/directions to job site:7)vQ,(mqfiel /0 New residential single- or mniti-famlly dwelling unit. Inchides attached garage. _ 1,000 sq. ft. or less 145.15 4 Subdivision Lot no.: Ea. add'/ 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non-residential 75.00 2 10 c :: `.. ::, '• ` :: ..: ' ; : , : ; Each rnamd'aclu e d or modular :_.7J]E 90.90 2 t t • :' ,. .'. - :.; ': , z'. :.;. _ .:. ", , ,: dwelling, service and/or feeder , pe- ALt Jul. lk t, 13/1-171 'EM-2./14 Services or feeders installation, alteration, and/or relocation 2 200 amps or less 80.30 : .. to 400 206 85 1• ❑ T NAiVT. 401 amps to 600 amps 2 160.60 2 N] . I2OPERTY. QWN',ER � ` t Name: 601 amps to 1,000 _60 2 Over 1,000 amps or volts I 454.65 2 Address: - Reconnect only 66 -85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) l Fax: ( ) 200 amps or lea 66.85 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 0 0 . 30 intended for sale, lease, rent, or exchange, according to .ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel Q CE'Y 'AGF.P$It,�1K `- �;• ::.,,; A for branchcucwts AP!hl , , = ;, ''. : _ service or feeder fee ea 6.65 - Business name: t �� � f E . , /- branch circuit C &k b�� G B. Fee for branch circuits Contact name: C it `\ Cl�e` � ) c. JE. NI pso wit mu service or feeder fee, 46.85 • each branch circuit Address 9._53 N • e • e FTT '5-i Each add'I branch circuit 6.65 City /State/ZIP: CA-pt R S g(O 1 �ns (serviceor feeder not included) , 1),) {t C / Q Pump or irrigation circle 53.40 P h o n e : ( A 9 / ) �� ) g 33 _e 38 I Fax :: ( 3i00 ) g 33 - 1 7. - ..7 Sign or outline lighting 53.40 . E - mail: Signal circuit(s) or limited- / , - energy panel. alteration' or ,� "aOTgq ire�f TOR' _ extension. Describe: 49 t Page 256,o Business name: 54fYL r icK a"gp-vr Lacs additional inspection over allowable in any of the above Address: . Per inspection i 62.50 City /State/ZIP- Investigation per hour (1 hr min) 62.50 I Industrial plant per hour 73.75 Phone: ( ) Fax: ( ) _ . <• :'; ;:ELECTRIiCAti TERIVOF' FF.'ES' /0 : L CCB Lic.: 153a Electrical Lic.: 37 ( 4 99� Cc _ Su . Lic.: 3 S` v L A✓r Subtotal ; - � ' / - (,'"'!% ��� Plan review (25 %ofpamit fee) Suprv. Electrician signature, required : 't_ State surcha rge (a%ofpermit fee) 4 Print name: R : C Vie Si Nso; ,, Date: 5 " t �} 5 mrAl, r rc 06.E e / «`_t-- :.. - y .' _ _ This permit application aspires if a permit is not obtained nithiD IM Authorized 91gn8t13Ie. ` '&./ t l ` ' days atter alms been accepted as complete Date: 6/9,0 `` • Fee methodology set by Tn.-County Building industry Service Board Print name: l t l �� C - S C !vt J Q 1 1� I " Number of inspections per Detroit allowed . CITY OF TIGARD - bIUILDING bIVI§ION PERMIT #: ELR2006-0014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2006 Phone: (503) 639- 4171 , w 1 aq�� ,1piyl l 1 l Inspection Requests (24 Hrs.): (503) 639 -4175 -...��1r- INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7 :10AM PAGE: 25 SITE ADDRESS: '16216 SW 108TH AVE BLDG D CLASS OF WORK: SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE: /� PROJECT NAME: OAK TREE II APARTMENTS ( DESCRIPTION: Fire alarm & data. OWNER: OT2 LLC, PHONE #: 603 - 6244373 CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 364833 -9938 Inspection Request Scheduled For: Date: 10/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 019265 -01 603 - 888 -2082 N Corrections /Comments /Instructions: SS ❑ PARTIAL APPROVAL n CANCEL (l NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED .1 I Inspector: d. Date: / C) - � -.�` ° Phone #: (503) 718- 1 1 ' CITY OF TIGARD BUILDING � �IL�ING b ION PERMIT #: ELR2005 -00124 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2006 Phone: (503) 639 -4171 i i 111, it I1\ Inspection Requests (24 Hrs.): (503) 639 -4175 „_,W I (- INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:10AM PAGE: 65 SITE ADDRESS: 16216 SW 108TH AVE BLDG 0 CLASS OF WORK: SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: OOA TYPE OF USE: PROJECT NAME: OAK TREE II APARTMENTS DESCRIPTION: Fire alarm & data. OWNER: OT2 LLC, PHONE #: 503- 620 -4373 CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 360 - 833 -9938 Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 019252 -01 • 360-518-2823 Y Corrections /Comments /Instructions: CIO tom, • �• - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED J/ Inspector: Q Date:/ — 2S `'Phone #: (503) 718- r . CITY OF TIGARD ELR2005 BUILDING DIVISION PERMIT #: 5/20/2005 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Alb Allt Inspection Requests (24 Hrs.): (503) 639-4175 lt 1 W24/2005 7:02AM 67 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 16215 SW 108TH AVE BLDG D SITE ADDRESS: OAK TREE NO. 2 APARTMENTS 00A CLASS OF WORK: SUBDIVISION: OAK TREE II APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: Fire alarm & data DESCRIPTION: 0T2 LLC, 503-620-4373 OWNER: FIRE & SECURITY GROUP LLC PHONE #: 360-833-9938 CONTRACTOR: PHONE #: 10/24/2005 Inspection Request Scheduled For: Date: Pour Time: Co # INgspfgrcription Vigigdti %t 1 1 Meilage • Corrections /Comments / Instructions: c4.NL.444,-(1 9 d f9e- o c ct-k_f I I PASS El PARTIAL APPROVAL El CANCEL NO ACCESS -F<FATIL [3<rALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: -e-4-A Date: /0 - - OS Phone #: (503) 718 r ' CITY OF TIGARD - , IF: BUILDING DIVISION PERMIT #: ELR2005 -00124 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2005 Phone: (503) 639 -4171 ' ; ° "' �4n iii 111 - Inspection Requests (24 Hrs.): (503) 639 -4175 L J INSPECTION WORKSHEET FOR DATE: 7/26/2005 TIME: 7:07AM PAGE: 51 SITE ADDRESS: 16215 SW 108TH AVE BLDG D CLASS OF WORK: SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE: PROJECT NAME: OAK TREE II APARTMENTS DESCRIPTION: Fire alarm & data. OWNER: OT2 LLC, PHONE #: 503 - 6204373 CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 360 - 833 -9938 Inspection Request Scheduled For: Date: 7/26t2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Lou voltage 012134 -01 360.833-9938 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ ALL FOR SPECTION El ADDITIONAL FEES ASSESSED Z �� Inspector: Date: 20 C Phone #: (503) 718 - Inspections Required for: ELR2005 -00124 ✓ Code • Inspection Description PASS Date By ✓ Coc Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service /reconnect 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 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 fmal 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls X 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry X 199 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 Duct work 498 Grading final 630 Fire 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 PLM - Plumbing Permit 910 Sprinkler rough in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain • 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 325 RP/backflow preventer 999 Sprinkler final 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 I :\Building \IVR \InspCard- AOP.doc 02/02/2005 CITY TI CARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00124 DATE ISSUED: 5/20/2005 -ter 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA -OTOOA SITE ADDRESS: 16215 SW 108TH AVE BLDG D ZONING: R -25 SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG Project Description: Fire alarm & data. _ 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: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 2 Owner: Contractor: OT2 LLC FIRE & SECURITY GROUP LLC 5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST. LAKE OSWEGO, OR 97035 CAMAS, WA 98607 Phone: 503- 620 -4373 Phone: 360 - 833 -9938 Reg #: LIC 153226 ELE 37- 338CLE FEES SUP 3862LEA Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 5/20/2005 $150.00 [TAX] 8% State Surcha 5/20/2005 $12.00 Total $162.00 vl This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other O 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. Issued By: , Permittee Signature: 5p . a cw ,,0 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.