Permit 1j 1 '
''• CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00311
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/29/2005
PARCEL: 1 S133AD -02200
SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE ZONING: R - 7
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Extend fire & security circuits to 2nd phase of bldg.
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
WESTGATE BAPTIST CHURCH ADVANCED SECURITY & FIRE
12930 SW SCHOLLS FERRY RD 2218 NE SUNRISE LN
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: Phone: 503 -519 -4550
Reg #: ELE 34- 560CLE
LIC 152853
FEES SUP 611LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 9/29/2005 $150.00
[TAX] 8% State Surcha 9/29/2005 $12.00
Total $162.00
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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: ?a Permittee Signature: _
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.
09/, TUE 10 :00 FAX 5035244560 Westgate baptist church Z 001/003
Oft/27/2005 08:13 FAX 50354 t 0F TXGA1tD X1001
ir
plA 'Electrical Permit — 3 1icatzon volt oF •UCE USE ONLY
City of Tigard EP 27 2W: . Received ip _ le r _ /ll )
`J b Dakipl I � I P J retinal NO,t `7 , ._L a) -� / 1
13125 SW Bull Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639,4171 Fax: 503.598.1960 CITY OF T . � n._ /t,* ?�,i i i i ; , , Date/X1 y Other Penult; .
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Inspection Line: 503.639.4175 , ' Date RendyJtty; � I tit tr,see rage 2 for
Intenlet: www,ci.tigard.or.us BUILDING ,', r � � . NodtTC4JMethait Cr' U Su (ccnea l rnfor,nntlon •
' ' ... .. Tyr P)3. OP 'WO : - I'LAN R.Eritcv, '
X New construction ❑ Addition /alteration/replacement Please check all that apply:
in Service over 225 amps, comnt'l DI location
O Dttnolition • ❑ Other:
OService
over 320 amps -rating ❑Bullring over 10,000 sq. f ., • `' : '::C'CATEGORY' OF CONSTRUCTION : ": • ....:;.•; , of I. and 2-family dwellings 4 or more new residential
❑ I ., and 2-'family dwelling ,K Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in ono structure
❑Building over three stories ❑Feeders, 400 ramps or more
❑ Multi - family ❑ Master buiIdcr ❑Other;
.:,. , • ': . .. persons ❑Manufactured stnretures or
:.:
• ccupant load over og c
r0it SJT i INFORMATION AND LO(iAUU1N , .: - : "• :' lEgress,lighting plan RV park
Job no.: 70b Sito addres`' c A- r7 Health -care facility ❑ Other:
/Q J �.�� �1 • I/ ,. ubmit 2 sets of plans with tiny of this above_ •
r /
City/State/ZIP: 7 -; 0 `•y , p a i Je; ,,;c ? W.. The above are not applicable to temporary construction service.
SUite/bld /a t_ no. FEE'.• �CJi7bUZ,E ;',
�. p 'rojectname :a / 1. .1 - , fire I /) i ; ) ` ..
...� Deteripdun Qty. 1'c+•, _ 1 Tolnt I ;
Cross Street/directions to job site: (' /)4 / **Ch 6(. oe / New residential single- or multi - family dwollitlkunit,
Includes attached garage.
i
_ .. 1,000 sq. tt,or less 145.15 4
Subdivision: Lot no.: Ea, add'! 500 sq, A portion 33.40 1
-•" Limited energy, residential 75.00 2
Tax map /parcel no M Limited energy, non-residential 75.00 2
; I)Lr.+CIOTX01V : OFD WORD. ::.'�,.::? : � . '.'. �• .. . ••;:., Each manufactured or modular •
� ( dwcllin servi and/or feeder , 90.90 2
_-_JT X 6' J) d // /�
:> T e ! ' e 9 • & / i ( 7 (' ! / it / r . � Scr" ccs or f ce ee lttstn l l ut i on,. atteratton, at ?rl /or xervcittfon
%rt:i /T ? SC 0 7 h e i ris=e / Jl 2a0 ampsor lcaa 80,30 � - 2 i
XtoPX')Xt'xy owr4 Z ''` : '0 TI3NM4T 201 amps to 400 Al ._. 106.85 2
Y
401 amps to 600 amps 160.60 2
Name: . 601 amps to 1,000 amps .... "" - .. 240.60 2
Address; Over 1,000 amps or volts 454.65 2
- - --• Reconnect only 66,55 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or . •
Phone: ( ) Fax: ( ) relocation ,• _ -
200 amps or less 66.35 1
Owner instaltntiort: This imstallation is being made orr property thnt 10wtt which is not 201 amps to 400 inrps 100.30 _ 2
intended for salt;, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 • 2
Owner signature: Date: - Branch circuits - new, alteration, or extension, per panel • CAN CJ CONTACT) PERSON
. . (, ANT:' A.I'ccforbranchcircuits
service or feeder fee, each G.GS 2
X3ttninC.0J name: r branch circuit
/ , f ,7-) B. Fee for branch circuits
Contact tannic: J , / , 7 d / v
` / ;, ' / t4' without service or feeder fee,
46.85 ?,
Address: each branch circuit
`-' ` _!� ; : 544 %) 0,,,.5 r . i P • • _ Each add'l branch circuit 6,65 2
City /State /ZIP: //;-//$'/¼ /+6 '/ q 2 //, 4/ Miscellaneous (service or feeder not included)
Phone: ( 3) 5' / C/ ^ 4 1 , 5 1 .5 - . 0 Pox : (se. ) 6 d.m" ;,/ ..... Pump or irrigation circle — 53,40 2 •
Sign or outline lighting 53,40 2
E- trail: :
._ Sl can s X90
' • ' .. • • CONTRACTOR : . ' .. n rgy Pane or
c 1, alteration, •o � -
' -" ' extension. I c n/ 2 /
� . Describe: oG Page `�� � 2
13usinoyy name: / 9 r • t v' /1 C ( ' e 7 „5 e . C . ' . / r f 1 / 'II )- f / / 1 t�
i Each additional Ira ection over allowable in any of the above
A ddress: � /V /v 6 ld/? /r' /3G' 4.%) . P y
/ PCT inspection 62 -50
City /State /ZIP: /-1; //5 no f•. )• . C " , _ Investigation Lic - :� per hour _(1 hr min) 62
[ - i
Phone: ((.5 2 ) -.5 % < •- ii �' Fax: (f } ) 4,4i - f " Jndustrisl plant per CTRL W r 73.75
v '.Ir.LETCTO/CA1(• ;' lri.�14I��' .I+',I�iE.S' °. I3 j, g . 5 Etaclricttl I,.tc,3 5 0c uprv. Lic. :
� • / f � ` �� �
C P stlbrota �� o
1 Suprv. Electrician signature, rea CC l i ced: j Plan'review (25 of ltermlf rise)
Y` 4424.4:1 %''7L�r -x. .. ,� .
}} " / �- State surcharge (8 "/0 of permit fee) 42 , 04
■ Print name: i v1 d �� of� 9 v / /, " Date: 9 — t) ) _ i 5 —
�) / 1 TOTAL PFItivllx'Ir)F;I /4,,Z °°
Authorized signature: 1, r , 7a/ 7 YLre4 t t" pa expires p
Ali � , 'ftt� permit application ez ,rrs if n ot Writ is 'tine obr ?iHr.A within 180
) '1 � days after it has been accepted tilt complete
Print name: 1/ 4- v / c 01 4 ` r 9 v i A. Date: 9 e jl. 2 -' G • t /ee tpp4i0dolotry set by Tri- County Building Tnrin>;tiy rMMitc J3oord
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••••• •• ta rbtr of in^pacrions per permii allowed- .
iN 31,ilJineWeanits \el.C- pennilApp.doc 12101 a4, <0131•p0 /02/COivflwpa
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2005
Phone: (503) 639-4171 % zr/ ilIii
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 1:01AM PAGE: 59
SITE ADDRESS: 10730 SW 130TH AVE MULTI CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WE.T.+GTE BAPTIST
DESCRIPTION: Extend thL security circuits to 2nd phase of bldg.
OWNER: WESTGATE r TI ST CHURCH, PHONE #:
CONTRACTOR: ADVANCED SE RIP( 8, FIRE PHONE #: 503-519-4550
Inspection Request Scheduled For: Date: 1/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final \ 02427341 503-572-7392
Corrections/Comments/Instructions:
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"i) NW, v se l Te
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PASS El PARTIAL APPROVAL E CANCEL 0 NO ACCESS
fl FAIL fl CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: N U:S ' Phone #: (503) 718- 244 le
(St Date: a 04
CITY -s TIGARD
BUILDING DIVISION PERMIT #: ELFZ2QO'S -QQ311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2912005
Phone: (503) 639 -4171 ipn I
Inspection Requests (24 Hrs.): (503) 639 -4175 4 __..
INSPECTION WORKSHEET FOR DATE: 9/30/2005 TIME: 7 :05AM PAGE: 93
SITE ADDRESS '10730 SW 130TH AVE MULTI - PURPOSE CLASS OF WORK:
SUBDIVISION: LOT #: - \ ' � y /' TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST
DESCRIPTION: Extend fire & security circuits to 2nd phase of bldg.
OWNER: WESTGATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: ADVANCED SECURITY & FIRE ---- PHONE #: 603-519-4550
Inspection Request Scheduled For: Date: 913012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 \ Low voltage 017071 -01 503 - 519.4550 Y
Corrections/Comments/Instructions:
iIW(1)b LV A.,
6, i>e-
•
icp PASS n PARTIAL APPROVAL ❑ CANCEL Li NO ACCESS
N
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I/ Inspector: r I / c..)-- Date: 6 , Phone #: (503) 718-