Loading...
Permit CITY OF TIGARD ELECTRICALPERMIT - RESTRICTED ENERGY ����Ii� DEVELOPMENT H BMENT Tigard, ) 639 -4171 DATE PERMIT #: ISSUED: 00038 ED: 3/18/02 SITE ADDRESS: 09591 SW WASHINGTON SQUARE RD B -10 PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of low voltage for audio /stereo wiring. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PPR WASHINGTON SQUARE LLC COMWERX P.O.BOX 21545 12121 NE 99TH SEATTLE, WA 98111 SUITE 2100 VANCOUVER, WA 98682 Phone: Phone: 1- 888 - 266 -9379 Reg #: SUP 1800JLE LIC 117471 ELE 37- 780CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 3/18/02 $75.00 2720020000 Elect'l Final 5PCT CTR 3/18/02 $6.00 2720020000 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 fort in OAR 952- -0010 through OAR 952 d 0 !081. You may obtain copies of these rules or dir- ct , es; • n: e • UNC at (503) 24 1987. �� — ►� , Iss ed by !` Permittee Signature �j ` 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 1 %s. Electrical Permit Application Date received: 3 /f,' 0P- Permit no.: e na,. ? . ,,,,ey.,:-..'ilti City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.: • Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: !' TYPE OF PERMIT ❑ I & 2 family dwelling or accessory c- Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement 0 Other: ❑ Partial 3OB SITE INFORMATION • Job address: 9/, a Al il A P 1 , 1 I r� Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: i tr, • , . ,,i Description and location of work on premises: Al. U Ill - , . Estimated date of completion/inspection: :.: CONTRACTOR APPLICATION . FEE SCHEDULE . Job no: Fee Max Description Qty. (ea.) Total no. insp t ` New residential - single or multi - family per Address: / / , - 9 iIC dwelling unit. Includes attached garage. • ICEINATIMMEMINE State: A ZIP: * , - 8 Z_ Service included Phone: ' 1 , d /( . S3 Fax: E -mail: 1000 sq. ft. or less 11 4 e == =— CCB no.: y 7 Elec. bus. lic. no: 37`� OGLE Each additional 500 sq. ft. or portion thereof ,� , Limited energy, residential 2 Egriz b . • i , 0 00 I .. 0 Limited energy, non- residential ___ 2 _ �� (4111P /✓f,... p Z Each manufactured home or modular dwelling i_nature of supervising electrician (required) Date Service and/or feeder ■■. 2 Sup. elect. name (print): 19Q77 A) AfktS ' 41 License no: ' . Services or feeders — installation, alteration or relocation: • . -- PROPERTY OWNER 200 amps or less 1 1 .2 Name (print): 201 amps to 400 amps =NM _ 2 401 amps to 600 amps ___ 2 Mailing address: 601 amps to 1000 amps ___ 2 City: State: ZIP: Over 1000 amps or volts ___ 2 Phone: Fax: E -mail: Reconnect only ___ I Owner installation: The installation is being made on property I own Temporary servicesorfeeders - which is not intended for sale, lease, rent, or exchange according to hu7auation , alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps ___ 2 Owner's signature: Date: 401 to 600 amps =MI _ 2 :', ENGINEER` . , . - Branch circuits - new, alteration, Name: • or extension per panel: 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 of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: __ ... PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): ❑• Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle ■■ 2 ❑ Service over 320 amps - rating of 1&2 ❑ Hazardous location Each sign or outline lighting ___ 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* �■ 2 O Building over three stories O Feeders, 400 amps or more •Descri ition: : ./�/ Il// /Ie l MEIMINIMMIll O Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspectio , over the allowable in any of the above: O Egress/lighting plan 0 Other. Per inspection __ 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 $ ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount 440-4615 (6/00 /COM) Electrical Permit Fees: Limited Energy Fees: 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 n Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 Limited Energy $75.00 t 1 Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 n Garage Door Opener* Services or Feeders ❑ Heating, Ventilation and Air Conditioning System" Installation, alteration, or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 - 2 ❑ Vacuum Systems • 401 amps to 600 amps $160.60 2 ' 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts • $454 65 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. PI Audio and Stereo Systems Branch Circuits New, alteration or extension per panel n , Boiler Controls 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 ❑ Each additional branch circuit . $6.65 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control* Minor Labels (10) $125.00 Each additional inspection over El Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting* Fees: ❑ Protective Signaling Enter total of above fees $ n Other / 8% State Surcharge $ / Number of Systems 25% Plan Review Fee /// See "Plan Review" section on $ * No licenses are required Licenses are required for all other installations front of application. Fees: Total Balance Due $ S i Enter total of above fees $ • ❑ Trust Account # 8% State Surcharge $ (' I Total Balance Due $ i:\dsts\forms \elc- fees.doc 10/09/00 CITY OF TIGA,F F 24 -Hour BUILDING • A Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 3 ' AM PM BUP Location q s , r j i)i4 ; Suite MEC Contact Person Ph ( ) I - 7 �' / PLM Contractor 1 / Ph ( ) SWR BUILDING Tenant/Owner ScLe ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear • Int Sheath/Shear P P r s Framing f'� Insulation (P, J N Drywall Nailing Firewall 6 hQ, Fire Sprinkler Fire Alarm yi4.1E- Susp'd Ceiling Roof Other: -- - -- Final PASS PART FAIL PLUMBING Post & Beam b ( F Under Slab '� 1-�`�. ,49\ Rough -In ' m,_1 1/b qytGL.a Water Service (�x� `N 1 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 S ervice ou -� UG /SI - •1 Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line t / ADA Date 2 / - e LIiispe o �•4 • Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from th job site. PASS PART FAIL • CITY OF TIGA' 24 -Hour BUILDING - Y= Inspection Line: (503) 639 -4175 �' r INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUR Received q Date Requested ` 7 AM PM BUP Location / 5 91 w /- SQ• ( Suite MEC Contact Person Ph () T � PLM Contractor Ph ( ) X a 07 SWR BUILDING Tenant/Owner ELC Footing Foundation ELC � g Access: ELR ,206,g ,206,g OOW 3U r Ft Drain Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation . Drywall Nailing Firewall �( I 6 ! ► S S 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 P RT FAIL ELECTRICA Service Rough -In UGUG /S L Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ' FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Date ` S — � 7� CJ Insect . / — Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL