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Permit CITY OF T I GA R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00502 DEVELOPMENT SERVICES DATE ISSUED: 10/10/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 110CD -07600 SITE ADDRESS: 15785 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT : JURISDICTION: KIN Project Description: Installation of 4 service /feeders and 84 branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 4 W /SERVICE OR FEEDER: 84 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TOBIAS INVESTMENT CO HUNGNAM OH ELECTRIC 300 SE SPOKANE ST 15865 STRATFORD LP #B PORTLAND, OR 97202 PORTLAND, OR 97224 Phone: Phone: 503 - 381 -4910 Reg #: ELE 34-461C SUP 4375S LIC 126274 FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 10/10/01 $879.80 2720010000( Wall Cover Elect'I Final 5PCT CTR 10/10/01 $70.38 2720010000( Total $950.18 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 Permit Signature: Issued By: 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: -L ' DATE: / LICENSE NO: 3 9 S Call 639 -4175 by 7:00pm for an inspection the next business day Electrical Permit Application A Date received: /d jp/,/ Permit no.: I,L ...l i City of Tigard Project/appl. no.: Expire date: City itfTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By/ Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT �� Cl 1 & 2 family dwelling or accessory CI Commercial/industrial ❑ Multi - family 1Q Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: 15178F g, In) ., I • a Av€ N B ld g. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: Subdivision: Project name: /5 Coin/ Gna■VbAy (Description and location of work on premises: �k h , Pt / W • o �5 Estimated date of completion/inspection: CONTRACTOR APPLICATION FEE SCIIEDLU,E Job no: Fee Max H 1 i Description Qty. (ea.) Total no. insp Business name: H iM^Q 14A 1) 1 New residential - single or multi- family per Address: I c'S b S,W 4 f r & Lr 4 a dwelling unit. Includes attached garage. City: (;1ixe I State: O gl ZIP: i'ry 224 Service included: Phone: 3" I --u4q ( o I Fax: I E -mail: 1000 sq. ft. or less 4 CCB no.: 1 2 4 z /1 I f I Elec. bus. lic. no: 3 4— - 4 6 1 Each d n sq. ft. or portion thereof Limited e energy, residential 2 City /metro lic. no.: // ZB o/ /" /d //O 2- Limited energy, non - residential 2 L a / 0 — I — o Each manufactured home or modular dwelling —;__ Signature of supervising electrician (required) ��r', �.te Service and/or feeder 2 Sup. elect. name (print): H w" . h A W oh - License n Services or feeders — installation, alteration or relocation: PROPERTY OWNER �, pp �o 200 amps or less 4 ,,Po- 324-- 2 Name (print): :° h c. � i_a y` 201 amps to 400 amps 2 i 401 amps to 600 amps 2 Mailing address: 15 q8 t ( S, W. l l b - +4t A V 2 V 601 amps to 1000 amps 2 City: 1 ...: „0, I State: 0 RI ZIP: q727-./» Over 1000 amps or volts 2 Phone: Q Fax: I 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, or relocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of �, / C 0 Address: service or feeder fee, each branch circuit 7 6,45 55 2 City: State: ZIP: B. Fee for branch circuits without purchase - • --way. of service or feeder fee, first branch circuit: .. - -- Phone: Fax: E-mail: Each additional branch circuit: ' _ ._:11. PLAN REVI (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2 O Service over 320 amps- rating of 1 &2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lighting plan ❑ Other. Per inspection I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other q Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ 0 79 �a ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number / / within 180 days after it has been State surcharge (8 %) .... $ Expires TOTAL as complete. TOTAL $ 9 O , / f Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6/00/COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: - • Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY /� Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Ni, Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 n A udio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 n Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular �- 7 Dwelling Service or Feeder $90.90 2 I I G arage Door Opener Services or Feeders n Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation // ��� 200 amps or less ` $80.30 3 � 2 201 amps to 400 amps $106.85 2 n Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 n O ther 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 Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918- 260 -260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 - 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. n Audio and Stereo Systems Branch Circuits New, alteration or extension per panel n Boiler Controls a) The fee for branch circuits with purchase of service or n Clock Systems feeder fee. p 6 oO 2 n Each branch circuit g $6.65 Sa i Data Telecommunication Installation b) The fee for branch circuits without purchase of service -- n Fire Alarm Installation f. or feeder fee. First branch circuit ' • • c :ii . ' Each additional branch circuit ' .•6.65 .7� n HVAC Miscellaneous n Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 n Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 n L andscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over n Medical the allowable in any of the above ❑ Per inspection $62.50 Nurse Calls Per hour _ $62.50 _ In Plant $73.75 n Outdoor Landscape Lighting Fees: n Protective Signaling Enter total of above fees $ 8"29 Pd n Other 8% State Surcharge $ 76 3P Number of Systems 25% Plan Review Fee See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ 95 , If Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i:\dsts \forms \elc- fees.doc 08/30/01 CITY OF TIGARD 24-Hour ' BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP Received Date Requested V4--- 3/ AM PM BUP Location l S � J / It' Suite MEC Contact Person � Ph ( ) S 9-/ PLM Contractor Ph ( ) 'D / F SWR BUILDING Tenant/Owner ELC 6 / � 0 S Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ?I% c Drywall Nailing Firewall Fire Sprinkler Fire Alarm \v f L Susp'd Ceiling I �l Roof Other: i ,11 n� Final S V� ( ) 5 J ► , -9 C c PASS PART FAIL PLUMBING Post & Beam Under Slab \ , Rough -In Water Service �y 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 Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date 3 v ' 2 Inspector Ext Other: Final DO NOT REMOVE this Inspection record from t e job site. PASS PART FAIL Vg } CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 .*„ F�;il our Inspection Line: 639 -4175 Business Line: 639 -4171 BUP LY. ( D ate Requested / - 3 AM PM BLD Location 1 . j /1& ) [- Suite MEC Contact Person Ph a q - e l d Se/ PLM Contractor / L) -z &l � et ° ric Ph ? ( -- 4 17/0 SWR BUILDING Tenant/Owner , -�C ELCL >c:l vG 51 2_ Retaining Wall ����✓� ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Po-6,6A ��� Slab SIT Post & Beam Ext Sheath /Shear "1i. 2,z/3 3 /45 j Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall J /� /� Fire Sprinkler j�J��'r� r�'� f.� d �� F --- !-`/� f - ,L-' 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 ELECTRICAL Service Rough t erip.la6 ab ow Voltage Fire Alarm Final PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date /,�Z - o -O> Inspector /, Ext Final CJ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD . . 24 -Hour BUILDING Inspection Line: (503) 639 -4175 ` MST //k/ q5 INSPECTION DIVISION Business Line: (503) 639 -417 / dd 3 Received Date Requested c" ) I 6 di l O P , , - 'or 401- 0 0 / — 0 03 ST Location /5 2 - /.-L? /I 6 Y-11, Suite 4120 c2AD / - ©ag62._ Contact Person Ph ( ) PLM Contracto Ph ( ) SWR Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 7701 ^ j 00- — 0 0 0 f1 q / �-� Framing d"� d" ! l Insulation -) \ el . t d v ' ` / O 07 C'i I C l c 9 AJ e . Drywall Nailing yy � Firewall Le.-- . _ ` �¢ Fire Sprinkler [ / _ ' Fire Alarm r L.44 !/�e f c__-66 -•/' Susp'd Ceiling ` `' 511/k.. / �L�° Oth Roof a----7.--, Co �D 6-r----/- . �r� 0 i_ - ` h■ U PASS PART E V PLUMBING � e -• C -s'�^ �A (* Post & Beam ' ' Under Slab r ' �� vt S boe,se , . Rough -In V. � Water Service 7• ) ` - v / — O O S o S Sanitary Sewer / — AJC;-- e Rain Drains ,,¢ Catch Basin / Manhole L v IS 9 c./1° ..) 4 r Storm Drain Shower Pan 1 M -o,(3 / — 06 36, Z Other: Final X , 1 5-e------e ��� c'-c L(--k. - .c_..0' PASS FAIL l A C ' / r c� �jY► �'Z ' a Post eam i Rough -In .034.---4-CL-t--c. C • Gas Line h, > J pter-- l__� ..c ` Smoke Dampers Final - PASS PART � li a ELECTRICAL _ _ il / / - },c1( Service s 1 - 2:,- i Rough -In 1. -/ La r / G(J Low olt , !��` 7 S e� Low Voltage � T� Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA � l --2---- L ` T) Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL l CITY OF TIGARD. . 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 • • INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received J Date Requested AM PM BUP / Location S�7 �S _ —5z-L) / /6 *--' Suite MEC Contact Person Ph ( ) PLM Conttr rtor Ph ( ) SWR (EDWIN? Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / , y� ( cs J ) 1 / ?D � _ Q 0 '7 Sd Framing (,O /� J !/ S 7 Drywall ywal l Nailing -X • ' 6 ( r � Firewall Dywal /) T//� '� -�� Fire Sprinkler ✓ J r^ 6 Fire Alarm 1 ! s-.-x . (bye- `e-e Susp'd Ceiling Roof -fi) ` j 2e Q, /� 7 / O d Other: A e_-- r � � - �� -"� J f1 3 PASS PART FAIL PLUMBING '•) wJ L. Post r labm 5 (0 _ / �j6 - S �ffi pi--e__02- Under Slab ��✓� Rough -In 36 ti ) ` , �/f, , Water Service '�/� Sanitary Sewer (P , 4' (- , 4 • It ILL Rain Drains �-' Catch Basin / Manhole r/ �l 4 L� j Storm Drain V • Shower Pan 1/1) � ,. f Other: Final bti 1-v- it r �� • PASS PART FAIL . - r4,AL Tom. • . - �� d D Rough -In Q. 6--- 4 , • Gas Line 7 • ` ) i _ / Sm a Dampers anal �% PASS PART AI ELECTRICAL 0 - r f S )P' 'L. Service ,S- u Roh- In ugh - IIVJJ UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ADA \ \ /(1 Z.__ l Approach/Sidewalk Date I nspector v Est 5 Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL `Z CITY ARC • 24 -Hour : . BUILD G Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / f /� AM PM BUP Location � S 7 F // -t Suite MEC Contact Person / 41 15 T �� Ph ( S`a3) 4 - « G 4 PLM Contractor Ph ( ) W 67 6 cv SWR BUILDING Tenant/Owner ■ff....,..tar _ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear ,q �, Int Sheath/Shear /Wire,��, _ tJ� Y y� -S - S j 14S Framing � Insulation /7 ,° a 0 / 0 6 3 5¢ c 7r / o) Drywall Nailing ' / " , t� ,� �1 `� /� 1 ff Firewall r PLC I c -d d� - U - a a 4 - � -. =�Sek cJc,e. Fire Sprinkler / ,�,� ,/ Fire Alarm me 4� O f - Q a 3 6 r Q �' (,?- 6 /" oo s 4 Susp'd Ceiling n - �f Roof ,--0/r//i S �-e4., X Other: /- A _ �+ /� J Final L.0 L /— 0 0 ( ) Q4 iS 4- 6 7' e Lt.; PLUMBING FAIL d ftz„ ,r f! Aicei 1'Y 624' 1 Post & Beam Under Slab • 1 -7 S e -di, - Rough -In 6/eiln i.S 4 ) , \ /- L D . Water Service Sanitary Sewer /L O d /- 06S - ash - - Fi07 Rain Drains w Catch Basin / Manhole i Cecc„ _-.i) S / — Glj Storm Drain Shower Pan / O d- i Other: J J4 ' 2 C.i (-k_ Final 0 P-- ' PASS PART FAIL MECHANICAL C A'a , 'ea At -- CL Post & Beam /�� Rough -In — /_`,et Ci�.) !y, Gas Line y _ f \ Smoke Dampers ��-�/� ./) Final PASS PART FAIL ELECTRICAL - "6z = ( ,- / - G A Y" 'r-- _/)r 4 f Service / , _ n / Rough-In 4 n (•/Ik`;' -c�rn UG/Slab /� Low Voltage 1 e4 1-C.0 Cl -.c--e • ) Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Est Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY 011IPARD • • 24 -Hour T BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear e 1 s Framing • Insulation /� N a �/S v-Q as*,✓4 �` I -a- Drywall Nailing Firewall i<>) N Sw -C(. ,,-- G r Fire Sprinkler Fire Alarm (r- VL PLL1 I– p 0 S - , e - v . Susp'd Ceiling V �1 �, ,, Roof k ? -) � LX —//( ' o --AL c_2 d n r r( L- )) Other: Final L - S p 6 T r lam• (I ?52{'. /1 . PASS PART FAIL PLUMBING 4. ) 11 /� Post & Beam S N�-c 4 - s Under Slab Rough -In J S � . �� / Water Service Sanitary Sewer Rain Drains 0/0 Catch Basin / Manhole �P S Storm Drain 1�c.' .,L�V Shower Pan � / ( �G" / ` 7 Q �P I. Uo . 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 Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL L — • • 0 O regon Department of Consumer and Business Services IN �:c Building Codes Division 1535 Edgewater Street NW John A. Kitzhaber, M.D., Governor PO Box 14470 • Salem, OR 97309 -0404 (503) 378-4133 FAX (503) 378 -2322 January 17, 2002 TTY (503) 373 -1358 http://www.oregonbcd.org TOM TAYLOR TAYLOR BOILER & EQUIPMENT 9943 NE 6th DR. PORTLAND, OR 97211 Re: QUIK WATER DIRECT CONTACT WATER HEATER As per your inquiry as to whether the Quik -water direct contact water heater falls under the jurisdiction of the Boiler Safety Program. I have reviewed the manufactures data on this unit and it does not fall under the jurisdiction of the Boiler Safety Program. The unit can not develop pressure in any of the sections ( i.e. open to the atmosphere) therefor is not classified as a boiler. If you have any questions please feel free to contact me, 503- 373 -1216. / O F. RAY •R ACTING CHIEF BOILER INSPECTOR •