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Permit CITY OF TI BARD ELECTRICAL PERMIT - RESTRICTED ENERGY PERMIT #: �I DEVELOPMENT H BMENT OR SERVICES (503) 639 -4171 DATE ISSUED: 1%R6 2004 SITE ADDRESS: 07409 SW TECH CENTER DR 135 PARCEL: 2S101 DC -04601 SUBDIVISION: TECH CENTER BUSINESS PARK ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Relocate existing T- stats. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WATUMULL PROPERTIES CORP AIR RITE CONTROL INC C/O NORRIS & STEVENS 1623 SE 6TH AVENUE 621 SW MORRISON #800 PORTLAND, OR 97214 PORTLAND, OR 972045 Phone: 503- 223 -3171 Phone: 238 -0388 Reg #: LIC 63302 ELE 26- 814CRE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 11/16/2004 $75.00 Elect'I Final [TAX] 8% State Surchar€ 11/16/2004 $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 c Permittee Signature _.SP C QSi 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 A li RITE CONTROL FAX NO. :5032346749 Nov. 12 2004 02:39PM P1 I Electrical Permit ApplicatioNE,0 I t)t: 01.1:14(j: t tit: ()11.) ' City of Tigard T ' , eel Q 14 PetmitNo.: / :-.191 j 13125 SW Hall Blvd., Tigard, OR 9 23 0I Plan Ret�ie+c Phone; 503.639.4171 Fax: 503,598,1960 ,t. ; v.& r :V ^,•_ .> i �'• n,/g : Other Perron: In Line: 503.639.4175 . 4 i Date Rattly/By; EMI El see Page 2 for Internet www.ci.tigard,or.us �.1 ( IiGAF ,0 Notified/Method; Supplemental Information • rr. � 11(34 c 1 `� • PLAN REVIEW ❑ New construction daiteraiion/replacemcaL Please check all that apply: ❑ Demolition [] Other: ❑Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., • • . . . . • CATEGORY OF. CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential ❑ 1.- and 2- family dwelling 'Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one struetury ❑ Multi - family ❑Master builder ❑ Other ['Building over throe stories []Feeders, 400 amps or mom ['Occupant load over 99 persons ❑Manufactured structures or • . . • . JOB SITE woRMATION AND LOCATION ❑E nssili b Plan RV petit y Job no.-2 7ysz Job site address: If 94(5-15-w TE eie7 p #2 • ❑Kt�}th.xire facility ❑�� _. _ Submit 2 acts of plans with any of the above. City /State/ZIP: r C i4 - ) O 41 9 i 223 The above are not applicable to temporary construction service, � FEE* SCHEDULE Suitr/bldg/apt no.:/ Project name: Description I Qty. I Pr- Tom1 __ Cross street/directions to job site: New residentW single- or multi- family dwelling unit. Includes attached garage. T e7��, I i 1,000 sq. li. or less 145,15 ' 4 Subdivision: ... � ^ I l..ot no. • Ea. add'l 500 sq ft, or portion 33.40 1 - ° - Limited energy, residential 75.00 2 Taxmap /ptucel no.: Limited energy, non - residential 75.00 2 • . • . 'DESCRIPTION OF WORK F� manufactured or modular • 19'l I fr` .�- s7-4-7- $ �+ �IJ r�ol 1 dwelling, service and/or feeder 90.90 1 2 e X �d'd ` - Acie1 Services or feeders installation, alteration, antler relocation 200 amps or leas 80.30 2 :. • • • =_.:, 'P.ROPERT1r OWNER . -I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: f 1( Y/ 5 : . Co 601 amps to 1.000 amps 240,60 2 AddreSS: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/DP: 7 /_ Temporary services or feeders matallatton, alteration,, and/or _ Phone: (511) r�/ , ? -'2 17 / -1----- F ( �... ----•---•-, ..... _ _ .... relocation • 200 amps or less 66.85 1 Owner installations This installation is being made on property that f 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 pane] . APPLICANT CONTACT; PERSON A. Fee for branch circuits with - -� -- service or feeder fee, each 6.65 2 Business name: Att 09';-1-c, CO A.4-e- - L branch circuit Contact dame //ids B. Fee for bnmch circuits C �,�m� .M - . - / d /ti js4 S w ithout s ervice or feeder fee, Address: / 4, S6 , / y .{ A v � - each branch brh branch it 46.85 2 CG-�' F,ch add'1 branch cvcuit 6.65 2 City /State/ZIP: , f 4t � yfd 4 U � GZ 1 2. t miscellaneous (service or feeder not included) w V Pump or irrigation circle 53.40 Phone; (553) Z 3k-e>32 Fax: : (O3 )2.3g - at tF c Sign or outline lighting 53.40 E -mail: Signal circuit(s) or limited- • CON`fl A.C1;OR energy panel, alteration, or n extension_ Describe: I Page 2 2 Business name: 4C 1e R t. �+c ec , ,4„,,,, L Address ! Each additional Inspection over allowable In any of the above N (� Z 3 S� 6� Per inspection 62.50 d� Ciry/Statealkp + V\ 6(r [- f�l� J a e KJ l uves ti pa t ion per h otly (1 h m 62.50 pltotte: (.53.3) e3 2-c S Fax: (St's) Z3tf -61 1- / Industrial plant per hour 73.75 CCB Lic P ELECTRICAL PERMIT FEES* y .: Y0 33 Electrical L, .:Zr / t r /,- Sup c.:22 ZZ.LOB Subtotal If COC .9-- Suprv. Electrician signature, r e Plan review 25 /o of rt f req (25% lrctttt fee) Print name: l Xe. a /ii� I Date: /7 G G/ state surcharge (8% of permit feel 1pr 00 CP 0 Authorized signature: TOTAL PERMIT PEE The permit application expires do permit is not ohm w jthin 180 • Print name: Date: Pee methodology after tr has been accepted as complete act by Tri-County Building Industry Service Baum CITY OF TIGARD 24 -Hour BUILDING Inspection Line: 4503) 639 -4175 MST INSPECTION DIVISION Business. Line: (503) 639 -4171 BUP Received Date Requested /l / 2 — �° AM PM BUP Location 7 f d 9 � � c--l�K Suite / 3 S MEC Contact Person O Ph ( ) �'3 � —63 0 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR I'QO C Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors / Ext Sheath/Shear Int Sheath/Shear , Framing Insulation ?A ED F12_-. 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 Low Voltage Fire Alarm -, PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. lIZID■ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line /61t4 LAB ° ADA (� -) Approach/Sidewalk Date / Z `� ~ ©� Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL