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Permit „A. CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00015 x,01& DEVELOPMENT SERVICES DATE ISSUED: 1/16/01 II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 112DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 100 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Installation of 43 branch circuits and one HVAC limited energy system. RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: - 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR:. 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 42 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: . PACIFIC REALTY ASSOCIATES ST JOHNS ELECTRIC INC 15350 SW SEQUOIA PKWY #300 -WMI 4415 NE MINNEHAHA PORTLAND, OR 97224 VANCOUVER, WA 98661 Phone: Phone: 360- 693 -5100 • Reg #: LIC 43135 SUP 3024S ELE 37 -350C FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 1/16/01 $401.15 2720010000( Elect'l Service 5PCT CTR 1/16/01 $32.10 2720010000( Elect'l Final Total $433.25 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) . 246 -1987. PERMITTEE'S SIGNATURE ISSUED BY: 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 7:00pm for an inspection the next business day Electrical Permit Application RECEIVED Datereceived: /- Permit no.:Ezeliew—aal/ ,4 j, a.npi : t 1 i I , City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigfitl 972a Date issued: By: I Receiptno.: Phone: (503) 639 -4171 1 ' Kai Fax: (503) 598 -1960. Case file no.: Payment type: COMM!1f11TY DEVE! OP.r. EMT Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory R. Commercial/industrial ❑ Multi- family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration /replacement O Other. ❑ Partial JOB SITE INFORMATION Job address: is: n- S i . U1911:1 • - R lash` - i " . Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: ubdivision: Project name: p p bi is , ,.., I Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR APPLICATION FEE SCIIEDU.E Job no: Fee Max Business name: 5±. �n L Ejs.c.4. z i r -1. - Description Qty. (ea.) Total no. Insp � + IU ' S New residential- singleormulti- family per Address: 4 / S M i 11 h = tea --- dwelling wit. Includes attached garage. City: Via ic.Dth 110 I Sta t2 /_ ZIP: Q� / r / Servicetnchrded: Phone: _ , i _ j l Fax:6' - I E -mail: 1000 sq. ft. or less 4 CCB no.: - 313 5 Elec. bus. lic. no:37 —35 O_ C, Each additional y 500 si sq. ft. or portion thereof Limited energy, residential 2 City /metro lie. no.: 666 as I 9 Limited energy, non- residential 2 ` r - Each manufactured home or modular dwelling Signature of supery sing elec (required) Date Service and/or feeder 2 Sup. elect. name (print): ) _ O 4 License n.: r ��orfeeders — installation, alteration or relocation: I'ROP1 14TY OWNER 200 amps or less 2 Name (print): 201 amps to 400 amps , • 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - . which is not intended for sale, lease, rent, or exchange according to hrstauation,alteratioo , orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits- new,aiterstian, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: State: • ZIP: B. Fee for branch circuits without purchase ,,/ Phone: Fax: E -mail: of service or feeder fee, first branch circuit: / 2 Each additional branch circuit: .5 b9• PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not lncluded): O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2 0 Service over 320 amps -rating of 1&2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, / 75;� ❑ System over 600 volts nominal more residential units in one structure alteration, or extensions* �, 2 • ❑ Building over three stories 0 Feeders, 400 amps or more *Description: r1 'ere- O Occupant load over 99 persons O Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: O Egress/lighting plan ❑ Other. Per inspection I I I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ ��/ • S 0 Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $ Ca ' /0 Credit card number / / within 180 days after it has been State surcharge (8 %) $ _ Expires accepted as complete. TOTAL $ y� R� Name of cardholder as shown on credit card • $ Cardholder signature Amount 440-4615 (6100/COM) Il Electrical Permit Fees: Limited Energy Fees: y Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY p Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4, Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 • Each Manufd Home or Modular 1=1 Garage Door Opener` Dwelling Service or Feeder $90.90 2• Services or Feeders ❑ Heating, Ventilation and Air Conditioning System" Installation, alteration, or relocation 200 amps or less $80.30 2 1=1 Vacuum Systems` 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.b5 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918-260 -260) 201 amps to 400 amps $100.30 2 • • 401 amps to 600 amps $133.75 2 Check Type of Work Involved: . • Over 600 amps to 1000 volts, ❑ see "b" above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls . New, alteration or extension per panel a) The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation • b) The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 24.75 Each additional branch circuit fj2, $6.65 HVAC � n. Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s) or a limited energy arJ panel, alteration or extension $75.00 75 ❑ Landscape Irrigation Control` Minor Labels (10) $125.00 - ❑ Medical Each additional inspection over tha allowable in ally of the above El Nurse Calls Per inspection $62.50 Per hour $62.50 ❑ In Plant $73.75 Outdoor Landscape Lighting` F / �� ❑ Protective Signaling l � Enter total of above fees f 0( ' $ 1 1 ■ • er 8% State Surcharge Q a . t $ 3a.0 9 1 Number of Systems 25% Plan Review Fee ,J * No licenses are required. License e required for all other installations See "Plan Review" section on $ front of application. �- Fees: Total Balance Due 35' $ �9 i.� Enter total of above fees $ , 7,S 0 El Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts\forms\elc- fees.doc 10/09/00 • ..4.711,TY OF TIGARD BUILDING INSPECTION DIVISION MST • , I r 24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171 /,, BUP :°y - = o _ al�%j: :•"-fes Date Requested /� / " AM PM BLD Location /-535-° $ ' •- /ti- Suite /av MEC Contact Person� / / Ph 26'=77 _ / G,7 PLM / Contractor ` , �J r S �K^c.c__Ph SWR BUILDING Tenant/Owner ELC 0 / - 000 /,j Retaining Wall ELR Footing Access: Foundation d � y1 FPS 2 Ftg Drain Cr"? ri Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear (p Framing Insulation Drywall Nailing ���///✓✓✓ Firewall Fire Sprinkler L C /7 Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL (ELECTR Service Rough In /S a ge- Fire Alarm ASS RT FAIL S Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ► nable to ins Fire Supply Line [ ] Please call for reinspection RE: pect - no access ADA • Approach /Sidewalk ( Other ns p D / / I ector / Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �ayl >Tv-OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � BUP Date Requested /— a3 AM PM BLD Location J53 5 V 51e i s a/ cc 594•I( `' Suite /0 MEC � `%-i ae / - 1 Z Contact Person G Ph Z 3 f PLM Contractor w 3 -cc _, Ph SWR BUILDING Tenant/Owner ELC 2 t aUl� if Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall P Fire Sprinkler Fire Alarm Susp'd Ceiling -� �tl i lL Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL �ELECTRI� ice Rough In 6 f-/COCel, cA.. UG /Slab Low Voltage Fire Alarm Fi AS PART FAIL IE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ]Unable to inspect - no access ADA Approach /Sidewalk D ate / / / Other Z3 - (J / Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. , ; CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour llispection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested �� / ' AM PM BLD Location it /J 2 35 ) SF f i /0 (- Suite /0 MEC Contact Person 5 v 6u Ph Go 7 —6 S 3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC vf4 -O oa/s Retaining Wall Aar. Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling (2e7—e.! Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL C.,ELECTRICAP Service r i � i Rough In I / 1 "j UG /Slab Cvvw Low Voltage Fire Alarm Fi PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access ADA Approach /Sidewalk D ate z ��o 0, I nspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST . �. 24 dour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 2- 2 v AM PM BLD Location /513 Ili 5 Uv 51( w Suite MEC Contact Person S} r egg c Ph 5) Z- 3y /16 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2e v /- Retaining Wall ELR 7 0062S? ©0©Z Footing ���` Access: Foundation FPS • Ftg Drain SGN Crawl Drain • Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation �-. Drywall Nailing Lf zav / ~ 06e l S Fire wall EL Zd D / — 4002-9 ) Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL &D PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL _rl�l ► Service Rough In UG /Slab Low Voltage Fire Alarm PART FAIL • Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: _ nable to inspect - no access ADA Approach /Sidewalk Other Date Z b4_ Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.