Loading...
Permit S < ' CITY O F TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY 1lii> DEVELOPMENT SERVICES PERMIT #: ELR2004 -00256 -`l'�' `-•' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/12/2004 SITE ADDRESS: 10300 SW GREENBURG RD 590 PARCEL: 1S135AB -01003 SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L ZONING: C -P BLOCK: LOT: JURISDICTION: TIG Project Description: Low voltage - voice /data wiring. 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: EQUITY OFFICE PROPERTIES TRUST ESP TECHNOLOGIES 10260 SW GREENBURG RD #100 7929 SW BURNS WAY STE. F TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Phone: 503 628 - 4195 Reg #: LIC 73872 • ELE 34 269CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 8/12/2004 $75.00 Elect] Final [TAX] 8% State Surcharl 8/12/2004 $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 through OAR 952-091-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by / _ . /. 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day Elet 4 Permit Application - - - - FOR - OFFICE- USE -ONLY -- • --- City Of Tigard Date/By: h /a / ��11 Permit No.. I1 OK.t/'ir • ti[/d • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Gx "H /yuip pll'�' i Date/B : Other Permit: Inspection Line: 503.639.4175 Date Ready/By: UR a See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information - %`�''='%?t, �,: h.#.,€'- C�§:w:: �. ' 7.'3 �; .a. - - �.�,�., >iN.3:�r - �k »�3.:r„;'"_ i�t=s?_y SCE: ^,.ad" €�";d.k y , N ���. , . ; F ,r `.. .ia „S c ;s»�K,�w_�. ,, � , e .} �, .: .4a `' �i�' €r.�rr,� �sx :VSR'a;'i �'• & g .3. Nu " "R.Y'=' »,: ts".q....., . D r, 7 gip•, +�.;�y,, .',: . 00.45 , `1� ''4T T` Q i` ,,,,, 4 ' l4 f. CEr^r+ , ' ',:% , ;",',„„' , A W � ,: , , ,,t , `, , ,&•:, _. �a -F,.- .m'�r,�_,�, u�': sttr:.ar's: �..wiezJs ``. t.., iku:, :`r' �''�t�au� .:a+'sr�•�� , .. - ".. .,.. ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: Service over 225 amps, comm'l Hazardous location ❑ Demolition ❑ Other: r ,..,.._ ,, . y . ems: ,. x � „ . � , h , m _ Service over 320 amps - rating EBuildng over 10,000 sq. ft, k y se r, a x + E G®� t i OO P)JONSTi G` trdii � rvoV a ^ t of 1 -an 2 f dwellings 4 or more new residential �. .. Y g ❑ I- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure ❑ Multi family ❑Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more " r F% � „, °§ ,, 1 ° Other: ; , ❑Egress O cupan load over 99 persons EManufactured structures or ❑ c t o 9 to ,�n tI;IO,)F#", STPrE OR1VIAiTN JI? ONA I®I�l � ` # /lighting plan RV park ''�°:�.. c*h ^ .4 a,.aeszasa 4: ur��s.,:c. s.3�a�sw�. .rs =�.:�. ra�nu: w�'a � Wgr � �y Job no.: () � 11( Z Job site address: i 03D° s W GA,r.,: _v o 9 Rd ['Health-care facility ❑Other: J Submit 2 sets of plans with any of the above. City /State /ZIP: pc, a . 0 (4- O' ')- 22 3 y 10 The above are not applicable to temporary construction service. a ftr ` t ' ` t 'f E* 'i" HE U)'lEl Suite/bldg. /apt, no.: Project name: SD VL In r2 GNtaKG: � Q , ' ; ' ' " .. � .. ii?:�� =_,:.. .. Description Qty, Fee, Total Cross street/directions to job site: MO 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'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ,tsr „_ a „� ,,,, -,. = , f , r .. / i 4, Limited energy, non - residential 75.00 2 r .. y u �e� �T DES RI�TX i O WORK g..w ii-,_, : .'��fi Each manufactured or modular vD k � - ,} _, N.. dwelling, service and /or feeder , 90.90 2 TO- Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 :.' . " .,._,. � :, 1 , ,. ,f : , k'VRo 201 amps to 400 amps 106.85 2 RM. '' ?u ` ', , c ,x' pE 1E1;1,� '' 1 }�, ,, . _i,. ` v., 4T , # � '',� ?.' k- �,.,g'1�,,,..,.,.." ' :' ©ner:: .' at� :� � "H+i.',1.ir'*:'"' t, ��1� . 't�\ k�," '�Gk .. i�xin "' t "" 401 amps to 600 amps 160.60 2 Name: - /;• 1n Y Co 0 V\-D- I /\ Lt2.C.r4 ai 601 amps to 1,000 amps 240.60 2 Address: l © '3o O S 1A1 G i,, ( . c, I S(-� s l o Over 1,000 amps or volts 454.65 2 `^�_ "` �„ Reconnect only 66,85 2 City /State /ZIP: -p. C h.' t Gtr ) vi c} 1.-Z..3 Temporary services or feeders installation, alteration, and /or 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 : " ;0 r a. f l' 0 x r. � ` ` d ittlA O $ 'Vr' A. Fee for o branch circuits r f ede with :.. ,„ ., ,- � - ,x«, � .,, n ' G service feeder 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'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53 40 2 E - mail: Signal circuit(s) or limited - 1101101, . ;'':".x: ,:p �,.€ = .tt^.,*t . "t:,� - ;.: -, :a;„�,�,r:, .' "va`,'�� „ � 't ��*"?N®l1 * 15,61M,, a . . '. `" ''',,, ..,o€�',3�', energy panel, alteration, or Business name: extension. Describe: I Page 2 -( O . 2 ESP T�e.6, eS Address: 9--01 S (A) Each additional inspection over allowable in any of the above ` u �VIS " " ' �� Per inspection 62.50 City /State /ZIP: W % \ s0 \r‘, Vi 1 e 1 Dt.-- °I To Investigation per hour (1 hr min) 62.50 Phone: (Sb3) (9.2.'k-{ «S Fax: (53) /' q1,- 21-1 ( Industrial plant per hour 73.75 A ;s ?, EVAECfiI2 G'r O ItIVI T FEa *, `,' .: ,.:,,.: , CCB Lic.: 3g-. Electrical Lic.:3(� Z69(t.� Suprv. Lic.: 2, I ii ' C n Subtotal ' - DI - Suprv. Electrician signature, required: ; T - a.. -- �+� - Plan review (25% of permit fee) • Print name: 0'7 State S G r. Sr, Date: State surcharge (8% of permit fee) ,�i . t' D TOTAL PERMIT FEE b 1 0 0 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. is\ Building \ Permits \ELC- PermitApp.doc 12/03 440 -461 sT(l0 /02 /COM /WEB Electrical Permit Application - City of Tigard ' 4 Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: - �«.:.m- :x +va,� ^rr. ..- :s�m.�.-'�«�. A �a �sns ::- s�.^•;.�� - ' „- ..,a;�. ,� +��„u"'- ea+�', m�Ya� fi x', '�,d� ,�-�. ...k ',r;,..:�`:a4'.t,rt,`.. � : °_�,x.�'.��z °s.:h(a= "_��;.�b Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: n Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems '* Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling . ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i.\ Budding \Perrmts\ELC- PermitApp.doc 04/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Lire: (503) 639 -4171 MST BUP Received Date Requested ' a AM PM ---S Suite BUP Location 0 306 ,41.A 1 ! _ I Suite `-' / U MEC Contact Person Ph ( ) 15 � PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Ov q �.-‘, 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 M) � or,L4F /4/4- Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam I / 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 - • Low Voltage Fire Alarm Fi Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A PART FAIL ❑ Please call for reinspection RE: � Unable to inspect — no access Fire Supply Line ` /.'LJ ADA i Approach/Sidewalk Date v ©� Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL