Permit X71
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT H P Tigard, � 639 -4171 DATE PERMIT E �R� 003 -00388
13125 SITE ADDRESS: 09430 SW CORAL ST 150 PARCEL: 1S126DC -04400
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P
BLOCK: LOT: 007 JURISDICTION: TIG
Proiect Description: voice and data cabling.
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:
RENAISSANCE DEVELOPMENT CABLEFORCE COMMUNICATIONS
1672 SW WILLAMETTE FALLS DR. 2737 NE NELA ST
PORTLAND, OR 97210
Phone: 503 -557 -8000 Phone: 503 -557 -8000
Reg #: MO3- 77847541112
ELE 26-1161CLE
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 12/22/03 $75.00 Elect'I Final
[TAX] 8% State Surchar€ 12/22/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throuc
Issued by Permittee Signatures
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
DEC 22 2003 10:21AM CABLEFORCE COMMUNICATIONS (503 778 -7475 p.2
]Electrical•Pbrmit Application FOR OFFICE 1 SE ONLY
Received / Q Electri
Date/By: 19 / 3 B & Permit No. :j 4 a3 - (9032(
City of Tigard R 'EEC E II VE (� Planning Approval Si
13125 SW Hal Blvd.
�( Date/$y: permit No :
Plan Review Other
Tigard, Oregon 97223 DateBy: Permit No.:
n �r > J �
Phone: 503- 639 -4171 Fax 503 - 598.1960' 2 P Land Use
/lya I I, DateB
1 �' J Case No.:
Internet: www.cLtigard,or.us
24 -hour Inspection Request: 503 �63 41 ' Contact
? Luis.? ®9ee Page 2 for
BUILDING DIVISION Narne/Method: I Supplemental Information.
E.. ::Cii INI -nfa ,.ki ;..Fr:2 !Y r� i . R.M.r grai4 . Eat 't F "L �' , i t n W �H / 2 a ua:: .
- - S,..ad.,!,2 .a.= S�xVi'Il�rt "3. >rs,;.r ��t,:mcwJ.�i l�, ���Uk.'� �F M,:.,���� i���l! ! �t,a�s5 a �"Fl���" r lar�°�n
■ constriction • Demolition ■ Service over 225 amps- MI lGk... :
P MI Health-care facility
tlo
r'i�Addl a lacement • Other
commercial El Hazardous location
5f#�+;� ' �' i L .i a E.'s-{ l c e 3 A'� ,, �'�" �'"•' u^ l x ❑ Service over 320 amps of
: .x1F.,w�. 'h� t ,,.. gr I ��� 5.Ilan' �.1 i ¢plan '�,=ti , ;iAll .Oka;It � nt�r� - _.`. 8 ❑Bur or over 10,000 square feet,
I }� 1 & 2 family dwellings four or more residential units in
L�Id�1YrI Commercial/Industrial ❑Sym 6 voltsnom structure
11.1 Accesso Building ❑ Busteildin over g over 0 three stories inal [] one Feeders, 400 amps or mor
El Occupant load over 99 persons ❑ Manufactured structures or 1W park
E Master Builder p ar
Other ❑ E gress/lighting plan ❑ Other:
J b s `l , ,1,E i' 5 r a � r 7 n t lied $t Ni d� l' tik � 2 ' li(1 submit _ s of plans wi
t ;`�� iii � ,
,.a ; €��„ ..; �, .�.,� .s,s.�. .a • �.�..��n i'��.'�7�F' ,, iitf � °� of the above
dress S (.J 2 The abo a not a . hcable to ter � ra anp construc service_
CO 4 t. S a' iiiktlsi p igiati :'iO t4 mss . -t"d n 1 '.i f 'j t k i �F 5 till }a rt 7 t 4i�j`7f " P i k
- Bld_. /Act. #: �' : ,- �..�,_ m liar ��i.4,tt.ta
Number of inspections per permit allowed
Pro'ect Name: A q T T e- t✓/LG -L IMF Description Qty Fee (ea.) Total
Cross street/Directions to job site: New residential-single or multi-family per
dwelling unit. Includes attached garage.
Service Included:
1000 sq. ft. or less 145.15 - 4
Each additional 500 sq. ft. or portion thereof 33.40 1
Subdivision: Lot #: Limited energy, residential 75.00 2
Limited energy, non residential / 75.00 75 2
Tax ma e / . arcel #: Each manufactured home or modular dwelling
ika m .. a t nn?tl -�att 't "-' ' ,,' .:-',, �'.r ..a, .•fi '� _ i.. t.t ils� i �1�: T % service and/or feeder 90.90 2
r / i f Servi or f ee d er s - i
alteration or relocation:
200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
y 401 amps to 600 amps
F?. .,,aN' :211: i j " t h,. a ".N.. a ll' s l i s tr ? °a Y s t i r � kv�t . t t� kt i a Ps 160.60
240.60 2
�_ it , �ti �-�, t � 601 to 1000 am
Name: - ov er 1000 amps or vo les 454.65 2
Reconnect 66.85 2
A e pancYrs;<,r.Z Temporar servic or -T� . alteratio less
celocatioa: feeders - installation,
Cit /State /Zi • : A
7 Z 200 amps or less 66,85 I
Phone: S o3 2.0 2.3 Fax $63 2 2S _ 2 0 1 mps to 00 amps 100.30 2
55 3 0
} 3 "!c pQi3� y '�. 4Jtf 'awT.s ",C82� 1� i ��� 11 41 to a 600 am4 133.75 2
. , ::t ;:.t:'.. °tit € Branch circuits - new, alteration, or
Name: extension per panel:
Address: A Fee for branch circuits with purchase of
service or feeder fee, each branch circuit 6.65 2
Cl /State /Zi • : B. Fee for branch circuits without purchase of
Phone: service or feeder fee, fast branch circuit 46.85 2
Fax Each additional branch circuit
6.65 2
E-mail:
M isc.(service or feeder not included):
Ritr i ,. g `i, ! d a t a° l itt +n u n a +t a �. a , j Each Each pump or irrigation circle 53.40 _ 2
`: t . i .. r b,.iik0 1-15, ... i gNin l ;`!' tt.�. vi,lAnt or outline lighting 53.40 2
Job No: C161-/f • 2c4 COIN MG,to✓/ , 1 . . Signal circuit(s) or a limited energy panel,
Business Name: alteration, or extension Page 2 2
Description:
Address: w t . •
�� Each additional inspection over the allowable in any of the above:
Cit /State /Zi • : 'G2
_ Per inspection per hour (min. I hour) 62.50
.
Phone: . 2 - / Fax: 3 2 - p'7 7 o ) Investigation fee:
CO Lic. #: '" / 2 Q om ; ^ p
Supervising electrician d'� � d � d i�j : �� r ii Sl4 tN , i 1 j t t i .:i � r u btota l iA <J gt s 1 $ nt' + 1 9Aq{dj
: attire re. uired: Subtotal $ S S. 0 6
si
Plan Review (25% of Permit Fee) _ S
Print Name: it ../ z(, IMICIESEIWAIII State Surcharge (8% of Permit Fee) S , 0 0
Author
ized /� • TOTAL P IIT FEE $ g�. p O
f Notice: This permit application expires if a permit is not obtained within
Signature: Date: / 2 /2 2 180 days after it has been accepted as complete.
4 OP *Fee methodology set,by Tri- County Building Industry Service Board.
30 t4' C HO9a42 -
�'/ (Please pr name)
i:\Dsts\Permit FormslElcPertnitApp.doc 01/03
CITY OF TIGARD 24 -HoL'x
BUILDING liispeaiion Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received / (2Z 0.Q Cate Requested 1 2423/03 AM PM BUP
Location 4/ "O.' 'z q.3 9 C 3 i Gl J'4-T r Suite / 5Z MEC
Contact Person Ph ( S(2) l
Contractor Ph ( -'S 5 s:5'7 ' 'Z ) SWR
BUILDING Tenant/Owner Q �i C (/l�� Gc cJ ELC
Footing
Foundation EL
Access:
Ftg Drain Q� 3 ��
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
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
Cow Voltage
Fir- --
( al Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
S ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA � 3 _
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL