Loading...
Permit p `I CITY O F TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR2004 -00150 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/8/2004 SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE PARCEL: 1S133AD -02200 SUBDIVISION: ZONING: R -7 BLOCK: LOT: JURISDICTION: TIG Project Description: Limited energy for fire alarm wiring. 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: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 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 SUP 611LEA FEES Required Inspections Description Date Amount Low Voltage Inspection [TAX] 8% State Surcharl 6/8/2004 $6.00 Elect'I Final [ELPRMT] ELR Permit 6/8/2004 $75.00 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 Ho- . - adopted by the •regon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 t ough OAR 952 -01 • 0100. Y•it: . itain copies of these rules or direct questions OUNC at (503) 246 -6699. ssued by L �� 1 � ���� � �. Permittee Signature `r, / :, 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 Electximal Permit Application l:OR OFFICE USE ONLY City of Tigard Received DateB / L_/ .� i Permit No.: ��� City 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone: 503.639.4171 Fax: 503.598.1960 ANI i �v `! ( - Date/By: Other Permit: Inspection Line: 503.639.4175 1 Date Ready /By: burls: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please . check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l DHazardous location ['Service over 320 amps — rating DBuildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Conunercial/industrial ❑ Accessory building ❑System over 600 volts nominal units m one structure ❑ Multi - family ❑ Master builder ® Other: Church / School ❑Building over three stories [Weeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION I AND LOCATION N ❑Egress/lighting plan RV park Job no.: Job site address 10 3© Ito /� ,` .4.0i. DHealth-care facility DOther: Submit 2 sets of plans with any of the above. City/State /ZIP: Tigard, Oregon 97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: West Gate Baptist Chruch FEE* SCHEDULE Description l Qty. I Fee. I Total I .* Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'! 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 1 2 DESCRIPTION OF WORK Each manufactured or modular Fire alarm detection system. dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 /PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 - 401 amps to 600 amps 160.60 2 Name: t ot � j ra ti l- - 4,94' eieLbeefi 601 amps to 1,000 amps 240.60 2 Address: / $ 9 6.0 6 &J./ a � �o Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: 7/I 4D c./C n 9 7 +r1 l t Temporary services or feeders installation, alteration, and/or lO �/ relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, 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 ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Advanced Security & Fire Address: 2218 NE Sunrise Ln. Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Hillsboro OR 97124 Investigation per hour (1 hr min) 62.50 Phone: (503) 519 -4550 Fax: (503) 640 -8311 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 1528p Electrical Lic.: 34- 560CLE Suprv. Lic.: 611LEA Subtotal 75 00 E Ie c /�, s Suprv. c cra signature, required /% /Q� l // ° ` Plan review (25% of permit fee) nn Date: 6/7/04 State surcharge (8% of permit fee) Print name: (1 /9 V / l� �M SA I TOTAL PERMIT FEE glfx� Authorized signature: �� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. ■ CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST (� / BUP Received Date Requested - l ( -7l — AM PM BUP Location (07 �(X3 ( 'Sr) `'` Suite MEC Contact Person Ph ( J 0- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 2 034-6:025- 0- Footing Foundation ELC Access: g ELR V -`0d l� Ft Drain Crawl Drain Slab Inspection Notes: s - -0 2 — O©P9'7 Post & Beam ELIg E- 03 z,3 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Drywall ywall Nailing 0 r, MI) t1 7/ " P 4/ — O ! �S Dywal ,K MI) 1/C/7 � f� c�> /V Firewall /1 r 77 � W 5 Fire Sprinkler T l I T Fire Alarm G Susp'd Ceiling / /1 f&,11--,0, AJ dam,, Roof ( `��f P ( .S � W I�.-c�l iLa S Other: Final M PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sewer Sanitary Sewer Rain Drains v1 V 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 g LECTRICAL Rough -In UG /Slab Low Voltage Fire • larm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL S Please call for reinspection RE: El Unable to inspect — no access 7. App ADA Line roach/Sidewalk Date ..� 1 7 • Inspector I Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL