Permit ELECTRICAL PERMIT -
CITY OF T I GA R D RESTRICTED ENERGY
�� II� DEVELOPMENT H BMEN ) 639 -4171 DATE PERMIT #: ISSUED: 7% 2004 -00196
SITE ADDRESS: 12240 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00300
SUBDIVISION: GREENWAY TOWN CENTER ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Data telecommunications.
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:
BPP RETAIL LLC LIBERTY COMMUNICATIONS
BY BURNHAM PACIFIC PROPERTIES 2191 NE LIBERTY AVE.
ATTN: JOHN WATERS GRESHAM, OR 97030
SAN DIEGO, CA 92101
Phone: Phone: 503 674 - 4922
Reg #: LIC 101807
ELE 26- 1035CLE
SUP 3990LEA
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 7/7/2004 $75.00 Elect'I Final
[TAX] 8% State Surcharl 7/7/2004 $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 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699.
Issued by Permittee Signature y` L C r , '�t�
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
.
F,. ' .
lill 001
07%01% CITY OF TIGARD 2604 08:50 FAX 5035981080 ..
Electrical Permit Ap i I ■ • fiChEIVED
Fr)it OFF ICE US17. 0 \ 1_,N
City of Tigard Received
., .., „ '7 0 A ia!Cl i _ gr■ Id - MY',
v."'
13125 SW Efa11131vd- liesed. OR 07.rrt JUL i 20044,
Ramat .
Phone: 503.639.4171 FCC 503598.1960
41,11.• Pan, dal
InSOCrtiOn 7 irn IV AM 630.417S __ . , . . j i i ■ _oz r
MN f7 See Pager rar
Bitumen www.ci.tigentams CITY OF TIGA' ' -"I"- Neatiodadated: napplemand Waren den
.' ,... . ....- ; 1 . ..
0 New eattStruction reslahiesdatbara.0 nwrerw .1........sam.
Doc/vice over zio amps. =null rIfia,entnue 1.,....:-
r, a Jamminem, Mita-
- 1-1dervict over 320 araps -eating aluildng a ver 10.000 sq. ft.,
, , .2.7. I.:X. . .1 - 711' , ..17 ';.',
=-1;::.., - .", 7; i: 17,. . ;2- . 1-2;. _ :-%, : --- .Si )1. 1.1 11 2±: 4 ' 1- c.t.1[1 ,, IL r f :::1:; 7 :1:71; 21 .- . I : i s . -L ,It of 1- and Matally dwellings 4 °more new resitterrtfal
..
0 I- and 2 dwelling If COnnnereildfneduateial Q Accessory building faSystern aver 600 voice nominal Mils to one structure
0 M- • . El Matter builder 0 Other OEteildleg over three stories eta, 400 eons
' : or mare
t 10ad aver 99 person ar structures or
i.-77.1.,-,. 4--- . ,.. , r - i -- ;•.1r.,..7 . ;-; ';? - -, ,.
:---- - - '- , :1 -7-- -'1 . 6 -, \': - :" ..2 - 7- 1 1 arT(1 , -, - A , 7 R ucalinill • R,v park
"....:." L ShbuRPlim
Job no Job site ddross /, al../0 '/,,t.2 &J?(//jail 1 pilealth-cara emlity °Other:
, - Subenft .2,. we ofpleas with my orate above.
City/StntePZIP: '-/-
r -* 0 if. ' -......_11111111b, The above ore tot eppReable to teamorary consinictien 'mow.
. , _. -, , . ...„..,., • •....,;.... - et -- ..- 7 ... - ;%4-7;•;;;•-•..F.....-.‘;: - -_t_', T i : - •-.......r.r..1-: - --
Osiu1Gb.lalaket. uti.:
C=r10 't _ ..,
ori ' a.' ,, _'.... , ., - , - 4,,.. , ..:_11.:;1 :: , a . - .: c ..2. 44. ,L.2f,„.. . i. ,:, j ..:.:4,1.-st 0,.. "'•
rtemeedsa Qt7 Pea Thed gig
Crass aireet/directIons to job site! New residential single- or andti-thmily dwelling mil
Includes arttaeheigarage.
_ 1.000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ba. add 500 sq. it or pardon II 3140
U
74 IRA
Unitrd r,aklacitiactilignsw 7.7.00
, -• I.- -- - -_,. , • -........::_::,=)-:- ..; .:,-.1:::, '=: r....k numus.... ..........1.4,aa
aw...ietese. loarInc.... a.,.TAlt llsoier • 90.90 2
Services Of fOadefd inseelhersoZ, eltopadem, oalfar ranumbea
xi
t
401 snot to 600 amps_ 160.60 2
Nan=
601 amps to 1.000 aw j 240.60 f 2
Addresic Ovcr 1,000 amps or volts 454.65 ' 2
— _
Roomeem only 66.85 2 ;
City/State/ZIP:
Temporary centres or feeders installation, alba-Mica, mcVor
.
.
relocation
ROW: ( ) I Fax: ( ) •
200 amps or Ices -1 I I 1
Ownerinstallafiont This installation in beluga:fade on property that I own which isnot 201 amps to 400 amps 10030
intended fttraale, louse, rent, or exchange, according to ORS 447, 449,670, 00d 701.
401 p ton
am to 600 _ - 1 I 133.75
Owner signannft Data: Brooch circuits- new, kittfOtiO% Of eatension, per panel 1
.7 . . „ - ,7. : ' '.7. :.".! 7:::: C -7 , 7 : 77 1'7. , - , 7 . .1 . - ,::: - ,:,'' ,T• - 1 A for branch cimuits Mth
........ — . .. • _-- -'..:.- . - • .._ ...., _:._....,f ._: 1. :.,;,-„. .. ..,.
, 1 acniice or Reeder fee, each
6.65 2
Bat:Mass rionsm ___,PL! Ceti') a ii ,k1C.- branch circuit
B Fee fur branch circuits
Contact name: Lae - a wfthour service or teed= fees
46-85 2
Aildre= c.:2 19 1 Ae... i_ltwit Li 4__ each branch circuit
Bach midi band] circuft 6.65 2 .
Cit rci rtaDha-Yr1 P. Ci7 0 bfiseellaneons (service or feeder net inducted) ,
Pump or Irrigation circle 53.40 2 '
Pilmw ir 3 ) , - -q9ia Pax: : (503) 6 7 . - 4 19 ' ' Sign or outline aghtiais I
'
Signal circuit Or drafted- ,
Dusioess non emension. Describe: Page 2 2 I
=
—"-—
Addresic Each additional hispertios over atletrable In nay of the above
— — ' er tenwerkful 62...to
(Nry/RmerZips
Tnv...theatian 111411rour et 1. ...ha 111 ...1.641 •
I Pia: ( )
rt latuerund • bmt per hour 73.75
, •L',-1 . .: .1.-:..1]
cu' F-I.: . r (7': -- istoctrical Llo.: :2 t. . ty i,... Suray.2 -
Subtotal
Sup:v. Electrician signexe, required:
Plan =view (25% of paralt the)
*
. "
tate surcharge (834 ofpoodt foe) c , 0
Frit:drum= ... _tr.& / i - L.. ,s 4.- A,' i ir- Dorm - . - . .AIII S—
TOTAL M14=
Authorized sigantztre./....,_--..- -- „,....z- Mt Newt apelleadan cardres Ifs winkle aet °Massed within 1e0
- t
,____ /
- ...-..-T--
dive after a Ins bum accepted we eamolete
Print us= . ' .,, L .--. 17atte: ...'-_ /.‘:- • 12.4. enot1.0.4.11.fly ... Ir. Yro6Casra.a. rualent., .maimay 4...ow. 1:1,..1
•
4404gintialtatCatiVWEB er p/. a-0 •
2 ' °I 2E6ir-irL9-ECIS OWI'WWOO A1d3iII1 e6t-:o tr0 TO InC
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re nested g 7 AM PM BUP
Location /■ a Suite MEC
-
Contact Person 01+0 Ph ( ) 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELRo764
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam /
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation / �P �
D
Drywalywal l Nailing � 1 �
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
Low Voltage
R 1� - rm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
041441110 PART FAIL
SIT El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA �Q�Q,Q
Approach/Sidewalk Date S ` ¶ Inspector 4-- /411 PL l P Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL