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i 1 00 V V 4 N C X Z Z D 3 m m i 8777 SW BURNHAM STREET CI1Y OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELC96-0574 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-4171 DATE ISSUED: 09/05/96 PARCEL: 2S102AD-02000 '71 1..L ADDRESS. . . : ibis/// SW BURN1-P1+1 5T SUBDIVISION. . . . : ZONING:CPD OL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . . !,roject Description : Installation, alteration, or relocation of 1 service or feeder. Installation, alteration, or extension of 1 branch circuit. --RES T DENT I AL UNIT---- ---TEMP SRVC;/1=EEDER5---•-- -----MISCELLANEOUS-.------- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 LACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 11ANF. HM/ SVC/FDR. . : 0 601•+amps-1000 volts. : 0 MINOR LAPEL. ( 10) . . . : 0 .----SERVICE/FEEDER---- ----BRANCH CIRCUITS------- ---ADD' L INSPECTIONS--- i - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 1 PER INSPECTION. . . . . : 0 -'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 ,401 - 600 amp. . . . . . : 0 EA ADDrL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : ID t'ol - 1000 amp. . . . . : it, ------------------FLAN REVIEW 5EC'CION------- --_____..__. 1.000+ amp/volt. . . . . : 0 ) =4 RES UNIT'S. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC UCC. : Owner: -_____.____________.____..__.____. _____.._-_.__...____. ____._ FEES TIGARD WATER DISTRICT type amount by date recpt 6777 SW BURNHAM STREET PRMI 65. 00 D*A 09/04/96 96-283541.E 5Pf7'T s 3. 25 D*A 09/04/96 96-28'5411 TIGARD OR 97223 Phone #: (. ontractor: -----------------_---.-.-----------------------------------------.-._--_-_-- ALLISON ELECTRIC $ 68. 25 TOTAL 4824 NE 42ND ------- REQUIRED INSPECTIONS ------ 1JOR'TL_AND OR 9721.8 Ceiling Cover Elect' 1 Service Phone #: 288-90.3.3 Wall Cover Elect' 1 Final Reg #. . : 020:3 n.a.� This permit is issued ajbject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Flerm i tt ee S i gnat ore applicable laws. All Mork will be done in accordance with approved plans, i)is permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. I s sued By INSTALLATION The installation is being made on property I own which is not intended for- sale, lease, or rent. OWNER' S SIGNATURE: _____.�._��_..._�_._..._....___._....___......._..._._._...._...___ -----------• DATEs ,�__-----•--- INSTALLATION SIGNATURE OF 3UPR. ELEC' N: !. !a%Y�-' DATE: LICENSE NO: _ Call for, inspection - 6:39-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # � �1 C)�f" US 7 Issued 5- Phone (503) 639-4171 Data FAX (503) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Jc.b Address: 4. Complete Fee Schedule Below: Name of Development���t w'T /Sr'F_�%k�f �''1 Number of Inspections per permit allowed Address T777 %W Service Included Items Cost(ea) Sum n City/State/Zip__ r 1� � (�'( T X12- Z 3 4a. Residential -per unit 1000 sq ft or less $11000 't I Name (or name of business) Each additional 500 so ft or portion thereof $2500 commercial 1 Residential o I Imlted Energy $2500 Each Manurd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocation C Electrical ntractor �so&) L-�F( 2(/' C. � _ 200 amps or less � $6000 2 Address. F 42 201 amps to 400 amps $8000 2 City_ o/L State ( .ti Zip 401 amps to 600 amps $12000 2 601 amps to 1000 amps $18000 2 Phone No. over toxo amps or vone $34000 2 Job NO 2 1'J( Reconnect only $5000 2 contractor's license NO. 5"5y iC ---- 4c. Temporary Services or Feeders Contractor's Board Reg. No. e9 Installation,alteration,or relocation Signature of Supr. Elec'n C �c V".�4.t- 200 amps or less _ License No.v�`!�' _ Phone No./�b �l3 201 amps to 400 amps $50 00 1 401 amps to 800 amps S'.5 nit Over eoo amps to 1000 volts $10000 --- 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name _ _ _ r,ew alteration or extension per pane Address al The fee for branch circuits with City__, _ State Zip purchase of service or Feeder tee _ Each branch circuit _ / 55.00 j Phone No b1 The lee lot branch ctrr u8s without r— The installation is being made on property I own which is purchase of service or feeder fee. not intended for sale, lease or rent First branch circuli $3500 Each additional branch circuit is 00 Owner's Signature_ 4e. Miscellaneous f'f (Service or feeder not included) 2 3. FIt'Plan Review stiction � required): Earn pump or irrigation circle $4000 2 Each sign or outline lighting $4000 Signal clrcult(s)or a limited energy Please check appropriate item and enter fee in Section 58 panel,alteration o,extension $40.00 _ _4 of more residentiat units In one structure Mucor Labels(10) $10000 _ _Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 -- $3500 �'Pr holo $55 00 Submit 2 sets of plans with application where any of the above — apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ �} NOT'CE 5% Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b, Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED �.a�� «� 1 Trust Account aK $ r'•�m Balance Due $ t CITY OF TIGARD ELECTRICAL PERMIT % PERMIT #: EL-C96-0307 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/14/96 13125 SYS Hall Blvd,Tigard,Oragun 47223.8199 (503)630-4171 PARCEL: 2S 102AD-02000 �1UR L;::i5. W 1.{k_l!?IJI•l(altl 2. 1 SUBDIVISION. . . . : ZONING:CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . Project Descriptions One branch circuit ----------------------------------- ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 I:.ACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . 1 0 401 - 600 amp. . . . . : 0 SIGNAL_/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts . : 0 MINOR LABEL (10) . . . : 0 __-_-_SERV I CE/FEEDER----- _-_-BRANCI 1 CIRCUITS----- ---ADD' L. INSPECTIONS.--.-- 0 NSPECTIONS.---- 0 - 200 amp. . . . . . : 0 W/SE!<VICE: OR FEEDERS 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . 0 401 - 600 amp. . . . . . : 0 EA ADD' 1. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . S 0 601. 1000 amp. . . . . : 0 ---------------------PLAN REVIEW SECTION-------------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . ii ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ------------------------------------------------------- FEES -•-----------.- FLESHMAN ELECTRIC type amount by date recpt 309 SE. 141ST AVE PRMT $ 35. 00 JSD 05/14/96 96-279379 PORTLAND OR 972335PCT E 1. 75 JSD 05/14/96 96-279379 Phone #s 799-3439 Contractors -----__-____._____.-_.____._.__-___.-________________•__________________.-__. F'LErSHMAN ELECTRIC f 36. 75 TOTAL. 309 SE 141ST AVE -- REQUIRED INSPECTIONS --- PORTLAND OR 97233 Ceiling Cover Elect' 1 Final Phone #S 799-3439 Wall Cover Req #. . : 081211 - This per@it is issued subject to the regulations contained in the Tigard Munir.ipal Code, State of Ore. Specialty Codes and all other er',m i t t e e S i u r e applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started within 188 days of issuance, or _f work is suspended for @ore thr-i IN days• I s u ed B -� ------------------------------OWNER INSTALLATION ONLY--------------------- - ------- - The --------------------- - ------- - The installation is being made on property I own which is not intended for- sale, lease, or rent. OWNER' S SIGNATURE: DATE: __..-__-..--------------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELEC' No DATE: L.I LLNSE;. NO: Call for inspection - 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Phone (503) 639-4171 Date Issued -�� CITY OF TIGAI2D FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: `1 j ;t ,. 4. Complete Fee Schedule Below: Name of Development_Ti%rl nl�___ � Number of Inspections per permit allowed AddreSS13 s_�` -j L 1/ Service included Items Cost(ea) Sum 0 City/State/Zip s '� ►- �__���=+'�3 4a. Reridentiai -per unit A 1000 sq It or less $11000 4 Name (or name of business)" O Each additional 500 sq ft or _ portion thereof $2500 m Comercial Residential C � limited Energy -- $2500 Each Manufrr Home or Modular Dwelling service or Feeder $68.00 2a. Contractor installation only: 4b. Services or Feeders Electrical Contractor rr Installation alteration,or relocation L C 200 amps or less $50.00 Address.3 c4 -, �_� 201 amps to 400 amps --- E80 00 __ z City _ StateO�, Zip 401 ernes to 600 amps 5120 00 601 amps to 1000 amps $180.00 z Phone No.2_%I_- _ _ Over 1000 amps or volts __ $:40 00 _ 7 Job NO. Reconnect only _- ...30.00 contractor's license NO. 4c. Temporary Services or Feeders Contractor's Board Reg No �_ Installation,alteration,or relocation Signature of Supr Elec'n 200 amps or lase License No I� �9� _ Phone No.Z �. 201 amps 19 400 amps $50 00 401 amps to 600 straps $7500 Over 000 amps to 1000 volts $10000 -- — 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name New,alteration or extension per pone Address _ a)The fee for branch clrcu,ts with City State.____ Zlp_, purchase of service or feeder fee. - Each branch circuit $500 Phone No _ _ b)The fee for brenrh circuits without The installation is being made on property I own which is purchase of service or feeder fee OG not intended for sale, lease Or rent First branch circus 315 00G- Each additional branch circuit $5 on Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 3. Flan Review section (if required): Each pump or Irrigation circle $4000 Each sign or outline lighting S4000 Signal clrcult(s)or a limited energy Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000 _4 or more residential units in one structure Minor labels t 10 $100 00 _ Service and feeder 225 amps or more System over 800 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per inspection _ $35 00 Per hour __ 355.00 Submit 2 sots of pians with application where any of the above In Plant $5500 apply. Not required for temporary construction services 5. Fees: NOTICE 5a. Enter total of above fees $ �r 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ >� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5b. Enter 25% r i line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEn FOR Plan Rrvlew if required (Sec 3) $ A PERIOD OF 180 DAYS.AT ANY TIME AFTER WORK IS Subtotal $ _ COMMENCED. F-1 Trust Account N Balance Due S fj% ELECTRICHL PERMIT ✓� CITY OF TIGARD DATEI ISSUED:C96—08/20/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Bred.Tigard,Oregon 07223.8190 (503)839.4171 PARCEL: 2S 102AD-0E000 SITE i 7 '�:,W 1.3LJP1\I11(110 SUBDIVISION. . . . : ZONING':CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : Project Descr^iption: Installing one service or feeder to 200 amps and two brancP cir^suits. ---RESIDENTIAL UNIT------- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS--- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : It) 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL (10) . . . : 0 -----SERVI.E/FEEDER----- -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS-..- 0 200 amp. . . . . . : i W/SERVICE OR FEEDER: 2 PER INSPECTION. . . . . : Ill :='01 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : Ill 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION----------_- 1000+ amp/volt. . . . . : V1 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -_----_--_______-..___.____._______._.___..-----.------._.._.________ FEES SPRINT SPECTRUM type amount by date recpt A777 SW BURNHAM PRMT f 70. 00 CJS 08/20/96 96-283103 SPCT $ 3. 50 CJS 08/20/96 96-283103 TIGARD OR 97223 Phonci #: Cant Tact or a LEAR ELECTRIC $ 73. 51D TOT()L PC] BOX 573 ------- REQUIRED INSPECTIONS GRESHAM OR 97030 Wall Cover-, Elect' 1 Final Phone #s 503-665-9040 E:.lect' 1 Ser-vice Reg #. . o 52278 This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signatut-e applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not tartA L- within 18/ days of issuance, or if work is suspended for sore �bY f SES than 181 days. Issued By INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease, or- rent. OWNER' S SIGNATURE: DATE: INSTALLATION SIGNATURE OF SUPR. ELEC' N s .m sc� _ _ _. — DATE : LICENSE NO: Call for inspection — 639--4175 Community Development' ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. -Igard, OR 97223 Permit # LL QS 7 _ Date Issued 9-771e- q' Phone (503) 639-4171 -- CITY OF TIGARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Developments C E«Siff,-/",)q-1 e.. Number of Inspections per permit allowed Address Xjj 1 y u) [)/AR/1.) 6Q'M Service included Items Cost(ea) Sum City/State/Zip -,A e D F rj t2 4a. Residential -per unit .._ll__ 1000 sq. ft. or less $11000 Name (or name of bu �P�S Idsiness)_ n)F !-t-ELE-Copia I," Each additional 500 sq h.or gonion thereof $2500 Commercial _a Residential ❑ portion Energy $2500 i Each Manufd Horne or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: �— � ---I— 4b. Services or Feeders Electrical ontractorZ_rge_ ELf i,eic (�J ,.L�'� Installation,alteration,or relocation 200 amps or less i 180.00 2 Address 0 201 amps to 400 amps — $80.00 2 City -7 e F. StateOP Zip's e) o 401 amps to 600 amps $12000 2 y 601 amps to 10amps $180.00 2 Phone No�n —(e(o�,_ I$r-�[7 00 Over 1000 amps or volts $ 40.00 2 Job NO. Reconnect only $50.00 2 contractor's license NO. - 4c. Temporary Services or Feeders Contractor's Board Reg. No. - Installation,alteration,or relocation Signature -Bc1�r. a"-ET c 200 amps or less _, 2 201 amps to 400 amps ___ $SU 00 Licenset'No �S Phone No 401 amps to 600 amps _ _ $7500 -- 2 Over 600 amps to 1000 volts $10000 ---- 2b. For owner installations: add"b"above 4d. Branch Circuits Print OW^vi S Nance New,alteration or extension pe pane Address_ _ _ al The lee for branch circuits with City State ^ Zip purchase of service or feeder fee ' Each branch circus $500 Phone No. tit The fee for branch circuits without The installation is being made on property I own which is )urchsse or service nr feec,er fee. not intended for sale, lease or rFirst branch circuit $3500,?lit. Each additional branch circuit $500 Owner's Signature_ _ �a 4e. Miscellaneous Plan (Service or feeder not included) 2 ?. Plan Review section (if required): Each pump or Irrigation circle $4000 �— Each sign or outline lighting $4000 Signal cIrcun(s)or a limned energy Please check appropriate Item and enter fee in section 5B panel,alteration or extension __ $40 00 _4 or more residential units in one structure Minor Labels 1101 � 3100 00 ----_ Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the al;owable In any of the above as described In N.E C. Chapter 5 ''Pr°neper l nn �___ $35 00 Per hnur $5500 Submit 2 sets of plans with application where any of the above in Plant $55 00"-- -- apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ -70•p0 5%Surcharge (05 X total fees) $ SU PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ -�'3 •SU AUTHORIZED IS MOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Pian Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 50 COMMENCED. Trust Account 0 Mm xvn $ - Bala.-ire Due PERMIT CI1Y OF TIGARD PERMIT #.DING• . : BJR96-035`, COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/26/96 13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)639-4171 PARCEL: 2S 102AD--02:000 l T F_' A17DFRh�:.�t . . . I�It_i i I i ;.:,W I.tiIJF�IVhll-iitl a T ,UHDI VI I SIGN. . . . : ZONING:CBD LOCK. . . . . . . . . . . LOT. . . . . . .. . . . . . . . ------------------------------------------ EIS3UE: FLOOR AREAS-._.._. ....___._...__ EXTERIOR WIiLL-CONSTRUCTION--_ LASS OF' WORK. :NEW F-I RST. . . . 0 s f N- S: E: W: YPL OF USE. . . :COI►1 SECOND. . . - o sf PROTECT YPF OF' CONST. :5N . . . 0 sf N: S: E: I;i-Ul=ONCY GRP. :Uc"' TO1 AL---- - -: 0 s f ROOF' CONST: FIRE REI ., II_CLIF'ANCY LOAD: 0 BASEMENT. : 0 sf AREA SER. RATED: ; l OR. : 0 HT: 100 ft GARAGE. . . : 0 sf OCCU SER. RATED: bSMT?: ME:Z2?: REQD SETBACKS---------- FLUOR LUOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL: 5MOK DET. . : OWELLING UNI'f5: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICR ACC: BEDRMS: 0 BATHS1 0 IMF' SURFACE: 0 PRO CORR: PARKING: 0 VALUE:. f : 100000 tremarks : BUil.d a 100 foot tall monopole for celll.11ar^ communications. The =_ ic :, Iocaited on a portion of Water- Department site (city property) . I IWT'1er: _____.____.___.__._.._. FEES ;A'R1NT SPECTRUM type amol.lnt by date r^ecpt / 110 FEW MOHAWK PRMT 433. 00 JInH 07/01/96 96 2E30'agl.'. RLCK 111 281. 45 JMH 07/01/96 96-280966 FUPL.ATIN OFR FIRE $ 173. 2'0 JMH 07/01/96 96--F'801GC. IIhone #: 50,: 612-1017 5RCT $ 21. 65 JMH 07/01/96 96 .:'809HEs W. UOKSTONE TELECOM INC 'Cl LAUX 939 LAKE_ EL SI NORE: CA 9 '5.31 Phone #: 234-4569 $ 909. 30 TOTAL Req #. . : 110:80 - --_- REQUIRED INSPEC'TIONS - --_._.._... This persit is Issued subject to the regulations contained in the Reinforced concr Tigard Municipal Code, State of Ore. Specialty Codes and all other St r.lct Lira 1 we 1 d i applicable laws. All work will be done in accordance with High strength bo approved plans. This persit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for sore than 180 days. C,�, /► I'er-mitl I. tIwp Call for inspection - 639--4171, Commercial Building Permit Application City of Tigard 93125 SW Hall Blvd. Tigard, OR 97223 �'�70(y�, (503) 639-4171 f? , I I Jobsite Address: 8777 SW Burnham Tenant: Sprint Spectrum Suite # Office Use Only Valuation: 1 C'� ' �►c��, Planck/Rec # i �1 1 tg Permit# Owner: City of Tigard Map & TL # Address: 1312 5 SW Hall. Blvd . Approvals Required Tigard, OR 97223 (�(,�- %- Planning _ Phone: w (50 3) 639-4171 Engineering Other Contractor: TBD Address: Type of const: �l Phone: Occupancy class: Sprinklered? Yes No Contractor's License -- (attach copy of current Oregon license) \ Sq. ft. of project: 1600 Sq Ft Contact name & phone: _ — Story (1st, 2nd, etc.) N/A Proposed use: Wireless Communications Architect/Engineer: �aaley Plowmen Atkinson Address: 2701 NW VaughPrevious use: Sta in Yardn Suite 764 � � ..z*---- Note. Plumbing mechanical plans Portland , OR 97210 must be submitted at time of Phone: (503)274-7800 building permit application. t�«At -QT) f3�, AKAOK-D 5Y JRE 26 ne cP/AVAT- PGAOS PIEQVo JOB DESCRIPTION. Wireless Communications facility consisting of 150 ft monopole , —12 antennas , and six electronic equipment cabinets near the base of the tower . _/01 -7 Re ese: es by : VCI Hea Ke (50 8-18ten 82 A i.ant Signature & Phone number Sprint Sppectrum on de lane) + ' y Received by: /' f< Date Received: 0V � .) Permit # Account Description Amount Amt. Pd. Bal. Uue Bldg. Permit (BUILD) Plumb. Permit (PLUMB) _ Mech. Permit (MECN) State Tax (TAX) d(�pj'� Bldg: Plumb: Mech: Plan Check (PLANCK) 201 Bldg: Plumb: Mach: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (7F-C) Industrial TIF (TIF-1) Institutional TIF ;TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life, Safety (FLS) ?�;'� j (_ 3� _ 1� Erosion Cntrl Permit (ERPRMT) Erosion Pla-ick;USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: n x CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing _Mec , Plbg.Uod/Flr/Slab Plbg. Top Out Insulation Elect. Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg, 9 San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: Entrar: Address: _ el Tenant's- _— — Ste: MST: Con/Own: BLIP: — — ------ MEC: PLM: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: — '�// - ..__ - --- --- Date- ,3-'/p` k-APPROVED DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD ,.�rC�,_,,�7�,nL DEVELOPMENT SERVICES r''EMy,IT 4. , MEC-97 007P 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 D P I 15 C LC T t_7,1 Z/97 L: `'r ' 0 rlA---0121401 .:I I r ',1 Pr-'r !Wrri..'T,11CAL INC •. n r r, - r r r, tG the ,ejilot;^n CCnkdiC:e i�Pc7 l.tlg `_1Tit. i.fi',�: atn Of E OSP, Special k, Codes and a.: L �':, '�ll7r,, flriF7E"�_ti0i1 wit: be dere in areordanve with f ; nczl T, � d. �pPctic�r: 'evid ;1a-4 *` , -F'•it 1*;11 expi"r if wer4 i5 not 5:37)- 41.73 Plan CITY OF TIGARD Mechanical Permit Application Recd yet 13125 £W HALL BLVD. Commercial and Residential Date Rec - TIGARD, OR 97223 Date to P E _ (503) 639-4171, x304 Date to DST —� Print or 1 ype Permit 0 i&_Zq_7-005-T Incomplete or illegible applications will not be acceptedCalled_ - --� Nam of Developmenuprolect Descrlp'.lon t. 7 Table 1A Mechanical Code QTY PRICE AMT Job StreellAddress Swte+s A) Permit Fee •0- -0- —1000 Address _ Bldgir cityfslate Zip B) Supplemental Permit 3.00 Name for name or businesst 1 ) Furnace to 100.000 BTU 6.00 Owner incl ducts&vents Mailing Address 2) Furnace 100,000 BTU+ 7 50 incl.duras&vents 7•')J CdyiState -- Zip pnone 3) Floor Furnace 6 00 incl.vent Name(or name of busnessi 4.) Suspended heater,wall heater 600 _ or floor mounted heater Occupant Mailing Address 5) Vent not incl, in 3.00 _ appliance permit cavisute zip Phone 6) Boiler or camp,heat pump,air Gond. 600 to 3 HP,absorp unit to 100K BTU _ •r"• i 7) Boiler or comp,heat pump,air Gond. 11.00 Cl ✓N 3-15 HPabsorp unit to 50CIK BTU Contractor liflading Address 6.) Boller or comp,heat pump,all%ond 1500 LL t _ 15-30 FIR absorp unit .5-1 and BTU (Pfior to Cityistate -Zip Phone 9) Boiler or comp,heat pump,air crmd. 22.50 issuance a copy / L 3 L),15 30-50 HP absorp unit 1-1.75 mil BTU of all licenses are Oregon Const ont Board Lic a Exp.Date 10.) Boder or comp,heat pump,air cond. 3750 required if >t / Z y >50 I IP:absorp unit 1.75 mil BTU expired In C O T COT Business Tax or Metro a Exp Date 11 ) Air handling unit to 450 data base) _ __ 10 000 CFM Architect Name — 12) Air handling unit 7 50 10,000 CTM+ or Mailing Address 13) Non portable 450 evaporate cooler CdyiSute Zip Phone Engineer — 14) Vent fan connected 3.00 to a single duct _ Descnbe work New O Addition O Alteration.O Repair O '5) Ventilation system not 450 to be done Residential O _Non-residential O included in appliance permit Additional Description of work 16) Hood served by mechanical exhaust 450 i 1l"Ll L,1 } f�/C'�1Z�,1 �� _ 17) DornesUc incinerators Existing use of 1B 1 Commercial or industna:type 30.00 building or propertyI1P/AJfe do,4-VL_C RE't _ incinerator 19 1 Repair units 4 50 _ Proposed t•:e of 2 0) Woodstove- --�-----�— 450 building or property_ t , 4 A.11-WL C 21) Clothes dryrr,etc 450 _ Type of fuel-oil O natural gas _ LPG O electnc__ _ O 22) Other units � 4 50 I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 200 information given is rorrect. that I am the owner or authonzed agent of the own .dhat pia Submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50 laws I // Signature o Owner/Agent _ ate QTY.SUBTOTAL , SUBTOTAL /)'- oc Contact Person Name Phone 5%SURCHARGE la PLAN REVIEW 25%OF SUBTOTAL TOTAL !J� i tdst mechpmt doc (rev 7,'96) 'Minimum permit fee is S25+5%surcharge (/� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation We.ter Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg.Top Out insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: A.MP.M.. ntry. Address: Tenant _—� _ __, Ste:__. MST: , Con/OwnBLIP:--- �, -�- MEC: PLM: THE FOLLOWICORI CTIONS ARE REQUIRED: ELR: Of Inspector: �!�4-51 _ Date: G APPROVEb —DISAPPROVED/CALL FOR REINSP. 'CF )CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mecl•. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slag Plbg. Top Out Insulation Post/Beam Struc-. Mech. Rough-in Gyp. Bd. -Bldg. o San. Sewer Gas Line Appr/Sdwlk Reins. , Other: 0.U 0 U C Date: A. G _ Entry: Address: _ �.77 2�__ Tenant: ' _ L _ Ste:__._— MST: _ Con/Own:_ BUP: p N MEC, a O3 -065-2 - PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: G PPROVED DISAPPROVED/CALL FOR REINSP, CF CO ' CITY OF TIG A DING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone:639-4171 Footing Rain Drain Cover/Service Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. PIbg.Und/Fir/Slab Plbg.Top Out Insulation •Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. pld San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: �3 ' A.M. __P.M. Entry: Address: -8-7972 ���••� S� 'tenant: _ Ste:__ _ Con/Own: t0fEC �T— �" PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR. Inspector. 3 _.PROVED ___DISAPPROVED/CALL FOR REINSP, CF CO CITY OF TIGARD -� ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC9-7--0288 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/ 15/97 PARCEL: 2SI02AD-02000 SITE ADDRESS. . . :08777 SW BURNHAM ST SUBDIVISION. . . . : LONIN(3:CBD BI....00K. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Project Descr-ipt ion : Installing US West communication antennaes and equipment ___.RE:SIDEhITIAL LJNIT-----_ __TEMP FiRVC/FEEDERS-----_ __--.--MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . 0 PUMP/IRRIGATION. . . . ; 0 EACH ADD' L 5OOcF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. .. : 0 LIMITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL/PANF_'l_. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 E,O1+amps-1OOO volts. : 0 MINOR LABEL ( 10) . . . : 0 I—— --SFRVICE/FF_EDER----- ----.---BRANCH CIRCUITS----- ---ADD' L INSP'EC'TIONS - - Vi - 200 amp. . . . . . : 2 W/SERVICE OR FEEDER: 0 F'ER INSPECTION. . . , . : 0 201 4OVI amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 F'ER HOUR Vi 401 - 600 amp. . . . . . : 0 EA ADD' l_ BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . : 0 601. - 1000 amp. . . . . : 0 ______.___.____----..___-.-FLAN REVIEW SECT IUN-- --- --- - --- -- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/."DR > = 225 AMPS. . : CLASS AREO/SPEC OCC. : C.'lwner; __.__________..____.____._.__.._._.__.____.____.__._...__...---_-_----- ------.____-- FEES SPRINT SPECTRUM TWR type amoi.rnt by date recpt PO BOX 23562WK PRMT 4, 130. 00 TA`C 05/15/97 97-2-:94625 TIGARD OR 97281 5PCT $ 6. 50 TAT 05/ 15/97 97--t-94625 Phone #: OREGON E'LFCTR'.0 CONSTRCTN INC 136. 5O TOTAL 1010 SF: 11TH - -- - -- REOU I RED I NSPEC T I O(J PORTLAND OR X7214 Ceiling Covet, Under-gro�rnd Cove Phone #: 234-.9900 Wall Cover Elect' 1 Service P F q #. . : 000000 Thi: permit is :;sued subject to the regulations contained in the 4---- — — Tigard w.,icipal Code, State of Ore. Specialty Codes and all other Perm i e S i.gn�+ar� applicable laws. All work will be done in accordance with approved plans. This permit will expire if Mork is not started ----- within 180 deys of issuance, or if cork is suspended for more _ than 188 days. I ss _led By INSTALLATION ONLY----4. irie installation is being made on property I own which is not intended for- lease, orlease, or- r-ent. OWMFR' S SIGNATURE: _—_ _ DATE: INSTALLATION ONL.Y ---------- -- - - ----- ----- SIGNATURE OF SUPR. ELEC' N: —_iLh DATE: 17 I. I Cf_NSE NO: -----._____ :fy�L.�_�_--- Call for, inspection - 6.39-4175 I`i Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Fllanck/Rec. # Permit # - - r-LNIT b,ZS Phone (503) 639-4171 Cate Issu TDD No. (503) 6844-2-2 7772 ed CITY OF TIOARD FAX (503) 684 (;;sued by Inspection (503) 639-4175 1. eiob Address: JOB NO. 71657-17 4. Complete Fee Schedule Below: Narrow of Development US West Site #75/Sprint 1'c, Number of Inspections per permit allowed Address87 1 Y SW Burnham Service included: Items Cost(ea) Sum Cif)r/State/Zip Tigard, OR 4%. Residential-per unit i 10(10 Iq It or fees $11000 Name (or name of business) Sprint Tower Eadx additional 500 sq it or �- portion thered $2500 Commercial® Residential❑ Limllod Energy --- 82600 Each Manul'd Home or Modular 2 2a. Contractor Installation only: Dealing SeNIW OI F7led•/ "8.00 4b.services or Feeders Elec•h•ical Contractor OREGON ELECTRIC GROUP Installation,200 amps or relocation 2 - 2a)amps or less Z $e0 W 120.00 2 Arldrsss 1010 SE 11TH 20t amps to 400 amps "0 cp 2 City_. Port lands _ :Mate OR Zip 2 001 ampps401 amps to 000 amps $19000 o 000 amps — $1120 00 2 Phone No. (503) 234-9906 Over lOW amps or voltrw -- $$4000 2 Contractor's 1 icense No. 26-95C Aeconnect only !_ I10 00 Contractor's Board Reg. No. 20 4c.Temporary Services or Feeder Installation,alteration,or rerocauon 2 Signature of Supr. Elec'n 2W imps or yy License No. 2 841 S Ph a No. 4- 201 wv"ps to 400 amps — i�00 2 00 401 arrxps to WO amps $10000 Over 800 amps to 1000 Vona 2b. For owner Installations: see•b•above Print Owner's Name 4d. Branch Circuits ---- New,shin ion or extension per panel Address _ a)The fee for branch orcuM with City_ State- Zip purehose of service or leader we. 2 Phone No. Eat'b'ar'd'torcua is W b)The fee for branch arauwe w WWW The in3tallatlon is being made on property I own which is phos•of eani a wiser we. 2 not intended for sale, lease or rent. First branch arcus $950o 2 Each additional branch crani fa 00 Owner's Signature _ _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation ords $4000 2 Each sign or outline fighting $40 W Signal cxrcud(s)or a ImMd energy 2 Please check appropriate Item and enter tea In section so. panel,alteration or extension $4000 4 or mors residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional Inspection over Classified suss or structure containing spacial occupancy the allowable In any of thio above as described in N.E C Chapter 5 Per rspectxon 0500 per tour $5500 Submit 2 sets of ane with In Plan' ^_ $6S W PI application when any of the above •- apply. Not required for temporary construction is"oes. 5. Fees: NOTICE So. Enter total of above tees $ 130.00 5%Surcharge(05 X total fees) $ 6.50 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal : AUT14ORIZED IS NOT COMMENCED WITI4IN 190 DAYS,OR IF sb. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED Plan Review if require'(Sec 3) _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ r COMMENCED Trust Accounts! Balance Due $ 136. 50 RECEIVE p MAY f 1991' COMMUNIII UtVtlut, ft�� CITY OF TIGARD BUILDING INSPECT N DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: A.M. _ P.M. MST: L -7ocation: - G� / n 1 L Ar,% ` BUP: Tenant: Suite:_ Bldg: NEC: 7l - " �5" PLij: _ Contractor: (IT one. 3 5 t Owner: LC: _Phone: _ _ _ ��� ' — Cad 9� -_sFrLt'. L BUILDING— `BLD on't) PLUMBING MECHANICAL ELEC CAL S E Site Sost/Bcam Post/Beam Post/13cam Cover/ e*vice Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing Top Out Lias Line Rough-In UG Sprinkler Foundation Insulation Sewer Il(xx )uct Reconnect Vault lismt Damp Drywall Stonn Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C 110 Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Ir I lent I'cunp Low Voll _ Approve Approved Approved Approved Approved Appr/Sdwlk ovcd Not Approved Not Approved Not Approved Not Approved - "FINAL i FINAL FINAL FINAL FINAL 71 r7 Call I'm rcinfir7 i n Reinspection fee of Srequired before next inspection ❑unable to inspect Inspector__— ------ _— --- Date Page of' CITY OF TIGARD — ELECTRICAL PERMIT PERMIT#: ELC2001-00208 DEVELOPMENT SERVICES DA--E ISSUED: 4/24/01 13125 SW Hall Blvd.,Ticlard,OR 97223 (5031639-4171 PARCEL: 2S102AD-02000 SITE ADDRESS: 08777 SW BURNHAM ST SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG Project Description: Installation on one branch circuit in shelter of monopole at this location. Job No. PT-89 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS, 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 6(11+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: 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: TIGARD WATER DISTRICT K T ELECTRIC INC PO BOX 23000 P.O. BOX 7365 TIGARD, OR 97223 BEND, OR 97701 Phone: Phone: 541-382-0882 Reg#: ELE 9-247C SUP 4784S LIC 145488 FEES Required Inspections Type By Date Amount Receipt Wall Cover �PRMT CTR 4/24/01 $46.85 2720010000( Elect'I Final 5PCT CTR 4/24/01 $3.75 2720010000( Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty Codes and all other applicable la Ns. 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 ordirect questions to OUNC at(503) 246.6699 or 1.800-332-2344. /J Permit Signature: ,{ �� Issued By: OWNER INSTALLATION ONLY he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: r_ DATE: CONff"CTORJNSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: -- DATE: LICENSE NO: Call 6394175 by 7:00pm for an inspection the next business day Electrical Permit Application /+ T Date received: Gl Permit no._ ,;;?I/-C�, ;r City Of .l lgsllk d Project/appl.no.: Expire date: )�arrl Address: 13125 SW Hall Blvd,'figard,OR 47223 Date issued: By:�Receipt no.: Phone: (503) 639-4171 ---.--- - �.--- Fax: (503) 598-1960 rase file no.: Paymer,type: Land use approval: U I &2 family dwelling or accessory C'onunercial/industrial U Multi-family U•tenant improvement LI New construction U Addition/aheration/replacement U Other: U Partial Job address: 7 7 ,5 44) 9utN haw,- 5 i Bldg. no.: I Suite no.: ITax map/tax lot/account no.: Lot: i;lock: Sutxlivision: Project name: 6 f f 7-. Description and location of work on premises:% ,t/e.,� Bk�r4rh C',,,,,I � � lWK/q Estimated date of completion/ins Wi ction: j ¢ -cj Job no: P r- $9 Fee max Business name: k, r, n_Tj.1(-,c , -T,-i(I. Description Qty. (ea. Total no.ins New residential-sin&or=111-family per Address: l 'O r A 7,3/c!, - dwelling unk.Includeaattachedgarage. City: r•vi� Slale:6)1 L1P: `j 77019 Servicetncluded: Phone:_fAi.gl,t H�=')t.. Fax�yi3r, ecu E-nrtil:kfw 1„�„v l(HX)sq n orless _ 4 ,4c1/w Foch additional 5(x1 sq.ft.or portion thereof CCB 110.:1,15 4 e E,, _ Elec.bus. tic.no: ?_i�7 C — Lim uedenergy,resideminl 2 City/asst ,t 11C no.: - Limited energy,nonresidential 2 ,rLr� A O,.L_ 1 �F/ Finch manufactured home or modular dwelling t _ lire n supervisin electrician(required) Mote - - Service un(V-)r feeder 2 Sup.elect.name(print) !Y/r y /!/i•�/p License no: 7�'q 5 Services or feeders-Installation, --- — alteration or relocation: 2(1(1 amps or less 2 Name(print): 201 amps to 4(x)Props - -- 2 4, - 401 amps to 6J0 amps 2 Mailing address: 601 amps to I(xx)amps 2 City —— -- SlalG LI l': Over 1000 amps or volts 2 Phone. -ax: J-E-mail: _ Reconncctonly — — -- I (Owner installation:The installation is being made on property I own Temporary services orfeeders- wit. ch is not intended for sale, lease,rent,or exchange according to Imtallntion.alteration,orrelocation: ORS 447,455,479,670,701. 2(x1 amps or less _ _ 2 211 crops to 400 amps 2 (Owner's si mature: Date: 401 to 600 amps Branch circuits-new,alteration, Name: or extension per panel: A Fee for branch circuits with purchase of Address: _ _scraice or feeder fee,each branch circuli 2 City: State: LII': If Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,first branch circuit: K 2 Each additional branch circuit: timmiLMN Misc.(Service or feeder not included): U Service over 225 amps-commercial 0 Health•care.fncility Each purnp or irrigation circle_ _ _2 U Service over 120 amps-rating of 1&2 U Hazardous hxalion Each sign or outline fighting _ 2 family dwellings U Building over Root)squats feet Four or Signal circuit(s)or n limited energy panel, U System over 60(1 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more "Descrinlion: U Occupant load over 99 persons U Manufactured structures or RV pari; Fach additional Inspection over the allowable in any or the above: U 14ressnightingplan U 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 ac•ttpt credit camL please call juriatiction for mac infamalion. Notice:�l'1115 permit application Permit fee........~.........$ U Visa U MasteWard expires if a permit is not obtained Plan review(at _— %) $ _ ra ('trait cud numlrt _��/ within 180 days aper it has been State surcharge(81k) . ..$ `��_ accepted as complete. TOTAL ....... $ �1 '7 [n n Nntne of cardhnldrr u shown nn cmdit cera ---- Ctudholder rdprature ----- _ Amount— µ14615(MXW(IM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY ple _ Restricted Energy Fee.............................................. ....... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work involved: Residential•per unit 1000 sq R.or less $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq.ft.or portion thereof $3340 1 ❑ Burg ar Alarm Limited Energy $75.00 Each Manufd Home or Modular ❑ 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 ❑ 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;ass $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 ar,eps $133.75 2 Cher;k Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeuer too. Each branch circuit _ $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of servlcn ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $665 ❑ HVAC Miscellaneous ❑ (Service or feeder not included) Instrumentation Each pump or Irrigation circle _ $53.40 _ Each sign or outline lighting ^� J $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) _ $12500 Each additional inspection over ❑ Medical the allowable in any of the above Per Inspection $62.50 E] Nurse Calls Per hour $62,50 In Plant $7375 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%St,..e Surcharge $ of Systems 2)%Plan Review Fee See"Plan Review"section on $ ' No licecses are required Ucenaes are required for all other installations front of application. _ Fees: Total Balance Due $ Enter total of above fees f ❑ Trust Account N 8%State Surcharge $� Total Balance Due $- _ i klstslformckic-fecs.dr,c 10/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST SUP Date Requestea AM PM BLD Location-97 775C'-) PN /"&'- - Suite MEC Contact Person _ Ph Sy 6r PLM Contractor _ Ph SWR BUILDING Tenant/Owner ffPGk /y�,�� koy >� Fc/� ; ELC Biu l—��o Zv Retaining Wall Footing ELR FPS Foundation Access: Ftg Drain Crawl Drain Inspection Notes: SGN Slab Post& Beam - - SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall -- Fire Sprinkler _ Fire Alarm �- Susp'd Ceiling Roof Mise: _ r 're rr Final - - - PASS PART FAIL - - -__- PLUMBING Dost& Beam --- _ Under Slab Top Out -- - _- Water Service Sanitary Sewer - -- -_ Rain Drains Final "---- - - _ PASS PART FAIL MECHANICAL - -'-- Post& Beam --- Rough In - c.as Line -- - Smoke Dampers `--- Final - -- PASS PART FAIL I service Rough In - UG/Slab _ _ I..ow Voltage Fire Alarm j _PSS PART FAIL Packfill/Grading --- -- -� Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd c'.atch Basin - F ire Supply Line [ J Please call for reinspection RE:_ _ _ [ J Unable to inspect-no access ADA Approach/Sidewalk ()ther Date V - (� Inspector�fs Ext _ I anal PASS PART FAIL DO NOT REMOVE this Inspection ►,•ecord from the job site. Id_ CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT AM 13125 SW Had Blvd.,Tigard,OR 97223 X503)6394171 PERMIT #. . . . . . . : BUF'97--0 .36 DATE ISSUED: 06/20/97 `:ii TF" ADDRESS. . . : 01.3777 SW BURN)-IAM ST PARCEL.: ES 102AD-0:,000 SUBDIVISION. . . . : ZONING:CBD BLOCK. . . . . . . . . . • LOT. . . . . . . . . . . . . . J'URISDIC'TION:TIG REI SSUE: FLOOR AREr, i- ----- - EXTERIOR WALL CONSTRUCTION-- (A..ASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W: 1 YPE= OF USF_. . . :COM SECOND. . . : 0 5f PROTECT OPEN I NGS?--_...__-.__.-_....__.. TYPE OF" CONST. :2N . . . . 0 sf N: S: E. W: OCCUPANCY GRP. :Ute' TOTAL-----------: 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: `5 TOR. : 0 H] 0 1-t GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: ME7-7_? : RECD SETBACKS--.--._.-__.-. REQUIRED--------------_------- 1-I_OOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL_: SMOK DET. . - DWELLING UNITS: 0 F RNT: 0 ft REAR: 0 ft F"I R AL RM: HND I CFS ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 'lALUE. $ : 21000 Pp mar^k s : Installing US West communiration antennaes and equipment - No C of 0 required, No occupant load factor. All inspections by Special Inspector Hwner: - - __.._.__.__._-.-------_.-----.. .__-_.._._..-...____._.._......... .----__.. _______..._.-__.._. FEES ------.___-----___ SPRINT SPECTRUM type amoi.tnt by date, r-ecpt PO BOX x:'3562 F'LCK $ 0. 00 B 05/09/97 97-294385 T I GARD OR 97;:131 FIRE $ 0. 00 B 05/09/97 97-.29,4385 PRMT $ 1.46. 50 B 06,120,197 97-296284 Phone #. n0N-877-7746 PLCK $ 95. 23 FIRE: $ 58. 60 5PCT $ 7. 33 B 06/2q,/97 97-29684 BE:=CHTEL CORPORATION C/O R D MORRIS PCI BOX 193965 SAN FRANCISCO CA 941193965 Phone #: 291--7247 $ 307. 66 TOTAL_ Reg #. . : ;106519 - --- -- REQUIRED INSPECTIONS ---This permit is issued subject to the regulations contained in the Reinforr_ed concr Tigard Municipal Code, State of Ore. Specialty Codes and all other Bolts in r_oncret apnlica.ble laws. All work will be done in accordance with SMRF" welds final - approved plans. This permit will expire if work is not started St ruct+.tr a 1 we 1 d i. _ - within 180 days of issuance, or if work is suspend,d for more High strength bo _ than 188 days. ATTENTION: Oregon law requires you to follow the 5trrtr..tr.tr-al obser - ••1Jes adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-081-8818 through OAR 952-NIO1987. You many obtain a copy of these rales or direct questions to OUNC W —by calling (583)246-1987. Pet mittee Signatr-tIss1_ted By : 4JZtjj�__ 11A /Y 2� + + + +++++++++4•++++++++i++,/4 +++++++4++++++4+++++++++++++++++++-' +++•++++ F++++++++ Cal. l 639-4175 by 6:00 p. m. for an inspection needed the next b+_tsiness day + +++++++i•+++i+++++++++++++++++++•++++++++i•F++++4-+++-+++++++++++++++++++++++++ +++ i lip Commercial Building_ Permit ARplication Clty of Tigard 13125 SW Hall Blvd. Tigard,OR 97223 (503)839-4171 Jobsite Address:_1rSgT) OFFICE USE ONLY Tenant:`- , u � `^Dt�� �� Suite # Ptanck/Rec. # Valuation: 60 �' Permit# 1 - _ Map &TL # _ 7 A ^ _ . Owner: Address: Aonrova(,g Required Planning. Engineering Telephone: Other Contractor: fr K'' Cot . Address: LY'l�)n N t_ i 1:1:,d. Type of constr: Telephone: ������3� `� 1�✓I r1 Occupancy Class. Contractor's License# (o ((1 Ll Sprinkler? Yes No V'4 (attach copy of current Oregon license) Contact name & telephone: Sq. Ft. Of Project: N _ Architect & Engineer: Story (1st. 2nd, etc.):__ _ Proposed Use: Address: _ '2 13W,,,4 0(� — — �, Previous use: A 3L Note: Plumbing & mechanical plans must Telephone: ��' (����I �IIX�f� _ be submitted at time of building permit application. ,)OB DESCRIPTION: I/1 WW1, (( 1Ll ),)t(C{(((� i 1'lut t 12 .) S l S 'l ��t<<<< { F �f ��711/ � S'� �� - :?3'S/1 64 y (Ap 1C t i a r' 1!i l phone Number) Received by: I. : Date Received: I � PERMIT* Account Description Amount Amt Pd. Balance Due Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. Plumb. Mech, Plan Check (PLANCK) '_ Bldg. Plumb. Mech. _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutionol TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntr1 Permit (ERPRMT) Erosion Planck/LISA (ERPLAN) Erosion Planck/COT (EROSN) -J' TOTALS: r r' May 9, 1997 CITY OF TIGARD OREGON Mike Unger, Senior Planner W & H Pacific 8045 SW Nimbus Avenue Beaverton, OR 97008 Re: Proposed Co-Location on the Sprint Monopole Tower Leasehold Area at 8777 SW Burnham Street in the City of Tigard. Dear Mike: This letter is in response to your request for a Minor Modification to the apprc:ed Conditional Use Permit for the Water Building site. The Director has approved the proposed co-location of additional antennas on the existing monopole based on the plans that were provided dated April 24, 1997. This co-location is to take place within the existing Sprint leasehold area. The Director has approved this request as submitted. Please provide a I copy of this letter with any building permit requests associated with this use. Please feel free to contact me if you have any questions concerning this information at (503) 639-4171. Sincerely, -11 "�R,4Y Mark Roberts Associate Planner, AICP i`curplMwaterco.doc c: CUP 96-0004 Land Use File 13125 SW Hall Blvd.. Tigard, OR 97223 (v03)639-4171 TDD(503)684-2772 -- May 14, 1997 CITY OF TIGARD OREGON U.S. West Planning Design Group 122 SE 27th Avenue Portland, OR 97214 ATTN: Larry Ritchey RE: Sprint Spectrum Building Plan Review 8777 SW Burnham PC#: 5-42C BNP#: 97-0238 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: 1. When special Inspection is rEquired by OSSC, Section 1701, the architect or engineer of record shall prepare an inspection program which shall be submitted for approval prior to a building permit being issued [OSSC, Section 106.3.51. A. Submit an inspection program designating the work requiring special Inspection, and the agency who will be responsible for conducting the inspections [OSSC, Section 106.3.51. B. Complete the enclosed Structural Special Inspection form designating an Approved Testing Laboratory [Line B1 and signed by the owner of the project [Line D1. i. The completed form must be returned to this office before a building permit can be issued. ii. Copies of all special inspection reports shall be filed with this office continually during construction. iii. A final signed report must be on file before the occupancy permit will be issued[OSSC, Section 1701.31. Please submit four copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at(503) 6394171 if you have any questions. Sincerely, t R ert Poskin, CBO PLANS EXAMINER m:VffnsysWoc-ument\bup97 02.38\pc5 42c.doc 13125 SW Hall Blvd., Tigard, OP 97223 (503)639-4171 TDD(503)684-2772 .iAY-02-9"r 11.06 FROM:RUHL PARR ASSOCIATES 2066434115 TO:BECHTEL PORT PAGE:04 Premier Engineering, Inc., P.O.Box 2168,Woodinville,WA 98072 Ph(425)489.1901 May 1, 1227 RE: POR-075A, Sprint Monopole Co.locate John Moran Ruhl-Parr&Associates 3825 132nd Ave. SE,Suite 100 Bellevue, WA 98008 Dear John Moran, I have reviewed the original calculations for the Sprint monopole at 8777 Burnham in Tigard, Oregon, The pole was designed for a platform with 15 antennas at 100ft, (2) -8 ft diameter microwave dishes at elevation 90 ft, and a platform with 9 antennas at elevation 80 ft. The original intent was to add future antennas at elevation 80 ft instead of at 90 ft as shows up on your drawings. Ir reviewing the future gravity loads and wind loads assumed to be added at elevation 80 fl and at elevation 90 ft, I have concluded that we can add new antennas as shown on the arcWtectural drawings at either of these two elevations. In each case our added loads are less than those assumed in the original design of the pole. Sincerely, cd NG I lq � @� 17.74 49 Z Timothy J. File _ r J/,4y tQ, `9441 \OTyY J P�`� PERMIT CITY OF TIGARD PERMITELECTRICAL#: ELC99-0163 DEVELOPMENT SERVICES DATE ISSUED: 03/22/99 13125 SW Hall Blvd., r1gard,OR 97223(503)639-4171 PARCEL: 2SI02AD-02000 51TE, ADDRESS. . . :08777 SW BURNHAM ST SUBDIVISION. . . . : ZONING:CBD m_nm.. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG Flioject Description: Electrical TI UNIT---- SRVC/FEEDERS--. -- -----MISCELLANEOUS---- - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 5009F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amc)S-1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ------SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD" L INSPECTIONS----- V1 200 amp. . . . . . : 0 W/SERVICE OR FEEDER! 0 PER INSPECTION. . . . . : 0 c'01 400 amp. . . . . . : 0 1.st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 6,01 1000 amp. . . . . : 0 ---.-___.___--_____.._PLAN REVIEW SECTION---------------- 10004- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner : --------------- ------------- FEES CITY OF TIGARD type amoi-(nt by date reept 13777 SW BURNHAM PRMT $ 35. 00 B 03/22/99 99-313882 TIGnRD OR 972123-0000 5PCT $ 1 , 75 B 03/22/99 99-313882 Phone #: Contractor: ------------- rlRFGDN ELECTRIC CONST/GROUP $ 36. 75 TOTAL 1010 SE 11TH AVE REQUIRED INSPECTIONS PnRTLAND OR 97214 Ceiling Cover Elect' l. Service Phone #- 234--9900 Wall. Cover Elect' l Final 203 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with app-oved plans. This permit will expire if work is not started within The days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon lJtility Notification Center. Those rules are set forth in DAR 9'.:2401-0010 through OAR 952-88I-1987. You may obtain a copy of these rules or direct questions to DING by calling (563)246-1987. i-m i t t r P 9 i g n a t 1..t r e � I s s,-t e d B y J� INSTALLATION ONt Thp installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: D(ITE: INSTALLATION ' TGNAT URE OF P311PR. FL.Er, N: DATE: I-ICENSE NO: 4 ........4.......4-++4 4-++++4-++++#-++++4.........!-+++++++4++-+++4......4-4-4....4-4-+++4-4+ Call 63'' -4175 by 7:00 p. m. For an inspection needed the next bi-isiness day 4 ++++++-+++-+ 4...............................................#-++-+-4-+++ �++++ RECD Community Development ELECTRICAL PERMIT APPLICATION V +�, 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # LC_ 9 -611,6Phone (503) 639-4171 Date Issued Z CITY OF TIGARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 — Inspection (503) 639-4175 1. .lob Address: JOB N 0. 80095 Q. Complete Fee Sch.adu/e Below: Name of Development_Water Dept. Tigard Number of Inspections per permit allowed Address 8777 SE Bernham Street _ Service included: Items cost(ea) Sum City/State/Zip Tigard, Oregon 97223 4s. Resioential-par unit 4 1000 aq II or lase $11000 Name (or name of business)_ City of Ti d Eachaddt reof00eq It or ganportion thereot $2500 1 Commercial ® Residential ❑ Limded Energy $2500 Each ManuTd Home or Modular 2 Dwell;ng Service or Feeder N8 00 2a. Contractor Installation only: 4b.Services or Feeders OreElectric Group Installation,alteration,or relocation 2 On Electrical Contractor g p 200 amps or time $so 00 2 Address 1 01 0 c; . 1 1 t h Ave, 201 amps to 400 amps $8000 2 City Pr)rtland State Zip401 amps toa00amps $12000 2 _IIS_ q 7 7 d _ 601 amps to 1000 amps $18000 2 Phone No. 234-9 9 0 0__ Over 1000 amps or volts $34000 2 Contractor's License No. 268--95C Reconnect only $5000 Contractor's Board Reg. No 4c. Temporary Services or Feeders Irxslallabon,alteration,or relocation 2 gignaturp. of Supr. FIP,r;'rl_ ok 200 amps or less $5000 _ 2 License No. ne o. ~_ 201 amps to 400 amps $7500 2 --- -9 9 f1A 401 amps to 000 amps $10000 Over 800 amps to 1000 volts 21+. For owner installations: see•b'abova 4d. Branch Circuits Print Owner's Name— New alteration or extension per panel Address n)The lee for branch cuouds with City State Zlp_ purchase of aervlce or feeder M. 2 --- - Ench branch circuit $500 Phone No. h)The fee for b,errh circuits wfthow The installation is being made on property I own which is purcheee of service or Nedw ire. 2 F first branch circuit 1_ $3500 35. 00 'e not intended for sale, lease or rent. Each additional blanch circuit $600 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 2 3. Flan Review section (if required): Each pump or igalion circle $4000 2 Each sign or oidbne lighting $4000 _ Signal cimud(s)or a limited energy 2 Please check appropriate Item and enter fee In section 5B. panel alteration or extension $4000 4 or more residential units in one structure %mor Labels(to) $10000 Service and feeder 225 amps or more Svstem over 600 volts nominal 41. Each additional inspecticn over -Classified area or structure containing special occupancy the allowable in any of the above as described in N E . Chapter 5 fiei inscpeclion $3500 Psi`hour $5500 _ Submit 2 sets of plans with application where ah,t Inns Piny of the above -- $55 00 apply, Not required for temporsty construction services. 5. Fees: NOTICE Sa. Enter total of above fees $ 35. 00 '-- 59r6 Surcharge(05 X total foes) $ T-. 75_ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sb. Enter Subttat of line A for $ 25 AU1 HORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required(sec 3) $ CONiTRU"TION OR WORK IS SUSPENDED OR ABANDON A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Sublotal $ ::c)MMEti..FD ❑ Trust Account tY Hal9nce Due $ i .rnrrc.wr,w.cVm rpp CITY OF TIGARD E:I__ECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99-0091 13125 SW Hail Blvd,, rgard,OR 97223(503)6394171 DATE ISSUED: 02/16/99 PARCEL: ES 1 0 2AD-02000 SITE: ADDRESS. . . :08777 SW BURNHAM ST SUBDIVISION. . . . : ZONING:CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ,JURISDIC'TION: TIG Project Description: Install a signal circuit or livited energy panel. ---RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS----- -_-.--MISCELLANEOUS----- 1000 SF OR LF_.SS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 -- 400 amp. . . . . . . : 0 SIGN/Ol..)T LINE LTG. . : 0 I__IM1TED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1 MANE. HM/ SVC:/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 .. -SERVICE/FEEDER.--__-.. BRANCH CIRCUITS----- ---ADD' L INSPECTIONS-___- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: V, PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st; W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION-_.-___-__--_--_--- OOO+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : C:l_AS9 AREA/SPEC OCC. : Owner : ------------------ -------------------------------- FEES ----------------- CITY (:)F TIGARD--WATER DEPT type amount by date rer_pt 8777 SSW BURNHAM F'RMT f 40. 00 GEO 02/ 16/99 99-312953 TIGARD OR 97223 5PCT $ 2. 00 GEO 02/16/99 99--312953 Phone #: Contractor: -.--------------------.---.-._.._.._- ENTRANCE CONTROLS INC $ 00 TOTAL_ 12E,06 NE 95TH STREET SUITE C-100 - --- RE(NJIRED INSFECTIONS ----- VANCOUVER WA 981.34 E_'lect' I Service Phone #: 283--2533 E::1ect' l Final Rey #. . .- 000655 this permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will he 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 sure than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-NI-0010 through OAR 9M-111-19U. You may obtain a copy of these rules or direct questions to OUNC by calling 150 46-1987. P e r m i t t e e Signature: /,m,� _ _ Issued }3 y • INSTALL..ATION ON!The installation is being vane on property I own which is not intended for, lease, or, rent. OWNER' S SIGNATURE: DATE: ------------------------CONTRACTOR INSTAI_I__ATION ONLY--- -_------------ ---__..--__--- SIGNATURE OF SUPK ELEC' N: -� DATE: I I CENSE NO: ++++44-+++++++++4•++++�t++++++++++++++++++++++++++++++++++4-4-++++++++++++++++++++++ Call 6.39---4175 by 7 :00 p. m. for an irspeotion needed the next business day +r-++++.4+++++++++++.+4+++++++++++++++++++++++++++++++++++++++f•+++++++++++++++f++ rITY C iF TIGARD Electrical Permit Application Plan Check If 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639 4175 Incomplete or illegible will not be accepted Permit a c - 00 Fax (503) 684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ ✓►�� /7 1)T , ' ��'j Number of Inspections per permit allowed -� Name (or name of business)r 1 (� v d' b,3,,;, 0Service included: Items Cost Sum -_�--- Address _ C_=�_77 S. 4 o- /S,'// 4a. Resident'sl•per unit Ci /State/Zi I// / n u/'• !/ 7 1000 sq fl,or less $110.00 4 City/State/Zip 7 Q Each additional 500 sq.ft.or Commercial 4 Residential ❑ portion thereof $25.00 _ 1 Limited Energy $25.00 Each Manul'd Home or Modula. Dwelling Service or Foeder $68.00 2 2a. Contractor installation only: -- (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Cwt. 1 rA-.�; l`� ,'f i�,r:• i-1- Installation,alteration,or relocation Address /V E•l t- A x ei i r t i• % .', y; c .. 200 amps or less $60.00 2 201 amps to 400 amps $80.00 City L. �,�c,'U State L,. w, Zips v; •H _ 401 amps to 600 amps _ $120.00 2 3 _ 601 am s to 1000 amps 2 Phone Nc�.�'•. '� p $1eo.cro 2 Job No. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No.31-4L, 5 << ti Ex Date c /-k Reconnect only __ $50.00 _ 2 OR State CCB Reg. No. G• TV I Exp.Date 5 �} _ 4c.Temporary Services or Feeders COT Business Tax or Metro NQ._5 ' ; xp.Date! "/_t_ Installation alteration,or relocation 200 amps ur less $50.00 2 Signature . Supr. Elec'n- (_ 201 amps l0 4U0 amps $75.00 2 401 amps to 600 amps $100.00 2 License No. U I&C tr L 6 r, Over 600 amps to 1000 volts, 3 _Exp.Date /� , 1 _ see^b^above. Phone No, 1-(-' _ Y 7 l.T 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The feu for branch circuits with purchase of service or Print Owner's Name _ feeder fee. AddressEach branch circuit $5.00 2 -- b)Tho Ion for branch circuits City_ � State ._.� Zip _ without purchase of Phone No. service or feeder fee. I first branch circuit $35.00 _ 2 The installation is being made on property I own which is not Lach additional branch circult_ $5.00 _ 2 intended for sale, lease or rent. 4e.Miscellaneous Owner's Signature_ (Service or feeder not included) g - - Each pump or Irrigation circle _ $40.00 Each sign or outline lighting - $40.00 2 3. Plan Review section (if required):' Signal circuit(s)or a limited energy-- ,��� panel,alteration or extension _ $40.00 2 Please check appropriate Item and enter few Insection 5B. Minor Labels(10) $100.00--- 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hnur $55.00 _ as described in N.E.C.Chapter 5 In Plant $55.00 - ' Submit 2 sets of plans with application where any of the above apply. .5. Fees: L Not required for temporary construction services. 5a.Enter total of above fees 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review t required(Sec 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A f ER;OD OF 180 DAYS Ar ANY -7 TIME AFTER WORK IS COMMENCED. ❑ Trust Account p� �� Total balance Due S P�1 11crx,AN' Rwws CITY OF Tld D BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: A,M, P.M. MST: Location: - 2777 ,(r��w_/ l — -- BUP: Tenant Suite: Bldg: MEC: Contractor:___ Phone: 3c2 / — 12.3 L PLM: Owner: Phone: ELC:U=O�_ r MPLUMBING ELK: SriBUILDTNG BLDG(c , MECHANICAL �LECTRRCAi, SITE Site Post/Beam PosUBeam Post/Beam Cov&7Service Sewer/Storm footing Roof Undl,'l/Slab Rough-In Ceitm;.., Wat4T Line Slab framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct -reconnect Vault lismt Damp I)rywall Storni furnace 'Temp Seriice MIS . Masonry Ceiling Rain Thain A/C I1G Slab Shear/Sheath I-ire Spklr/Alm Crawl/Found Dr I letd Pump lawS ApprovedApproved Approved <�Ar�roved� Approved Appr/Sdwlk Not Approved Not Approved Not Approved pprov 4'ed Not Approved FINAL FINAL FINAL. FINAL FINAL 1 ❑Call for rebtspeetion O ReinsRection fee of S required betore next inspectivii L7 I Inable to inspect /r Inspector: i/i a �_�_ ..—�• Uate CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0347 I 13125 SW Hall Blvd.,Tigard,OR 91223 (503)639.4171 DATE ISSUED: 06/06,197 PAPCEL: 2S102AD-0000 SITE ADDRESS. . . :08777 SW BURNHAM ST SUBDIVISION. . . . : ZONING:CBD 131_OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : JURISDICTION: 'FIG IProject De scr-i pt i on : instl 1 branch circuit - job A 2859-311 - - RESIDENTIAL UNIT----- ------TEMP SRVC/FEEDERS--- ------MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 FACHI ADD' L 50OBF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --SERVICE/FEEDER --- ----BRANCH CIRCUITS------- ---ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 2'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ----- ----_- - - ---PLAN REVIEW SECTION- ----- ---- -----_ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = L-25 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: ------------------------- -- FEES CITY OF TIGARD type amount by date recpt` _ L"1125'5 SW HALL. BLVD PRMT $ 35. 00 TAT 06/06/97 97--295607 TIGARD OR 97223 5PCT $ 1. 75 TAT 06/06/97 97--295607 :(Phone #.- ( (, itractor: -------------------------- -----------------__----------------------- PHOEN I X ELECTRIC CO $ 36. 75 TOTAL 71*2179 SW TECH CENTER DR. -------- REQUIRED INSPECTIONS -- - TIGARD OR 97223 Ceiling Cover- Undergr,oi_ind Cove 171hone #: 684--3600 Wall Covet- Elect' 1 Service Reg #. . : 000522 This pereit is issued subject to the regulations contained in the - Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t �e `S i gnat i-ire applicable laws. All Nark will be done in accordance with approved plans. This pewit will expire if work is not started _ within 188 days of issuance, or if work is suspended for sore zi than 188 days. I_SS u d P y INSTALLATION ONLY--- The installation is being made on property I own which is not intended for <,:l1 e, lease, or rent. r)WNF..R' S S I bNATURE: _ DATE- INSTALLATION ATE:INSTALLATION ONLY ------_---- -- - ----------- 1 GNATl1RE OF SL1F'R. ELEC' N: DATE: -T 7 - L I CENSE NO: -- Call for inspection - 639-4175 CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit ill Fax (503) 684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: f , Name of Development 'I '' ' Number of Inspections per permit allowed Name (orfrse of business) Service included: Items Cost Sum Address _ 4a. Residential-per unit q 1000 sq.It.nr less $110.004 City/State/Zip - 11��� _ Each additional 500 sq ft.or - portion thereof $25,00 1 Corrlmerci Residential Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy _41 current licenses) 4b.Services or Feeders Electrical Contractor + Installation,alteration,or relocation Ad SS 200 amps or less $60.00 2 V 201 amps to 400 amps $80.00 _ 2 Cit _ State Q0_ Zip 401 amps to 60U amps $120.00 2 Phone N _ 601 amps to 1000 amps $180.00 2 Job No. \\ Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No+ C Exp. Reconnect only _- $50.00 2 OR State CCB Reg. No. E xp.Date_ 13 4c.Temporary Services or Feeders COT Business Tax or Metro No. -S Fxp.Dat@ 11 Installation,alteration,or relocation _ I T- 200 amps or less $5000 2 Signature of Supr. Elec'n. 201 amps to 400 amps _ $75.00 - 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No.4& Exp.Date A � see„b"above. Phone No.-L4- 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The lee for branch circuits with purchase of service or Print Owner's Name _ feeder fee. Address Each branch rircud $5.00 2 City_ StateZip_ b)The fee for branch circuits without purchase of Phone No. service or feeder fee. /l First branch circuit �_ $35.00 �+`� yv 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder riot included) Owner's Signature_ Each pump or irrigation circle $40.00 _ 2 Each sign of outline righting $40.00 2 3. Plan Review section (it required):* Signal circuit(s)or a limited energy panel,alteration or extension $40.00 _. 2 � Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection _ $35.00 _ Classified area or structure containing special occupancy Per hour _- $55.00 as described in N.E C.Chapter 5 In Plant - $55.00 'Submit 2 seta of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. So.Enter total of above fees $ -� 5%Surcharge(.05 X total fees) $ tJOTIr'E Subtotal $ 5b.Enter 2510 of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED Wrust Account N SD,d'KZS Total balance Due i MSTS'TI.C96 APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 •'1 Date Reques (p A.M. _ P.M. MST: Locationj�` BUP: Tenant:— -Suite:_ Bldg: --- MEC: Contractor_ -- Phone: PLM: Owner: Phone: ELC: 1 7—o 3 ? -- — _ ELR: Sri,: BUILDING BLDG(coni) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Bean 1`osfAkam Post/Beam Sewer/Storm Footing Roof LJndFUSlab Rough-In Ceiling Water Line Slab Framing Top Out Oas bine Rough-In UG Sprinkler Foundation Insulation Sewer llord/)uct Reconnect Vault Ilsmt Damp I"all Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C i1G Slab Shear/Sheath Fire Spklr/Alm Crawl/l,'otmd Dr heat Pump Low-Volt Approved Approval Approved 4 Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved rved Not Approved FINAL FINAL, FINAL FINAL FINAL r O Cell fbr reinspection ❑Reinspection rer,or required before next inspection O l Inable to inspect Inapectot:_ I --y� te:�L_ I ". Page.��— of, ,---- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: '� 7 ? _ A.M. P.M. MST: Location: 72 1 LtLAt BUP. Tenant:__ r C_ t L r7�= Suite: _ MEC: Contractor:_ l�Z�:-��CG�UZ_ o1-- Ph ` C� Pl.hi: _p Owner: 4-A2 cLo-1 Phone: �� 5, C C -_. ELC: — 0 .�z3 C 77 ELR: -- _ S17F BUILDING BLDG(con't) PLUMBING ^ MECHANICAL ELEC.IBILAL SITE Site Post/Beam Post/I3eam Post/Beam Co /Seryice' ) Sewer/Storm I'ooling Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing Top Out Das bine Rough-In l JG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Iismt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Dire Spklr/Alm CrawlfFound Dr I leat Pump Low Volt- Approved Approved ApprovedApproved Approved�o Appr/Sdwlk Nol Approved Not Approved Not Approved t 1Cpp`rrved Not Approved FINAL FINAL. FINAL PIN L FINAL O Call for reinspection 0 Reinspection f of 3 required before next inspection O Unable to in.9pect Inspector/ ��, —.-gyp _ Date:_� — Page— of --- CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00280 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 11/23/1999 SITE ADDRESS: 08777 SW BURNHAM ST PARCEL: 2S102AD-02000 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG Proiect Description: Fire alarm installation. A.RESIDENTIAL !_ B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: CITY OF TIGARD METRO SAFETY AND FIRE INC 13125 SW HALL BLVD 7055 NE GLISAN TIGARD, OR 97223 PORTLAND, OR 97213 Phone: 639-4171 Phone: 231-2999 Reg#: LIC 63651 ELE 803RET FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT GEO 11/23/199 $60.00 99-319982 Elect'l Final 6PCT GEO 11/23/199E $4.80 99-319982 Total $64.80 ORIGINAL 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 though OAR 952.001;0080 You may obtain copies of these rules or direct questions to 94JPC at (503) 246-1987. Issued 7. i11!— Permittee SignatureZXI�A'e1 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 ,2- DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an inspection needed t',., next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:_ 13125 SW HALL BLVD Date Recd: I— '- TIGARD OR 97223 PRINT OR TYPE V - 503-639-4171 X304 Permit#:F&21fff-e*a8d F - 503-598-1960 INCOMF�_ETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED RESIDENTIAL ONLY Restricted Energy Fee........................................ $60.00 C U f I ►` tN'�� (FOR ALL SYSTEMS) JOB Street AdAre0677. 01, , Q� iRl�/,yam ADDRESS =i / Check Type of Work Involved CitylState Zip Phone# L_l Audio and Stereo Systems V��. 1- 722tc Name r ❑ Burglar Alarm G tr Tr c OWNER Mailing dress E] Garage Door Opener' I r Z.�! `'U, f ❑ Heating,Ventilation and Air Conditioning System' City/Slate I_ip y Phon, # ' -'t "'i,, U C - 1 7 Na a F1 vacuum Systems' Irl y.i 1?L _ y}' V- 1-r TtV� ❑ Other --- — CONTRACTOR Mailing Address TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a ity/State Zip Phone# Fee for each system........ .................................... $60.00 copy of all licenses Ic f_� ,w_� ()� . Cl 7.'�� X31 Z`z`ic� (SEE OAR 918-260-26W are required if Oregon Conte Brd Lic # Exp Date expired in C O T __[., �_— I IL, L C Check Ty. -of Work Involved. data base) Electrical Contr Lic # Exp. Date SL t 't'-LTi-r I IC , -c Z ❑ Audio and Stereo Systems C O T or Metro Lic # Exp. Date ❑ Boiler Controls Owner's Name ____ ❑ Clock Systems OWNER- Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under t'iis ❑ HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, Landscape Inigation Control' 2 Call for inspections when installation wider this permit are ready for Inspection at 503-639-4175; C� Medical 3 Purchase separate permits for all installations that are not ready for an ❑] Nurse Calls inspection when the inspector is out to inspect under this permit 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are ncn-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days — Number of Systems The f,erson signing for this permit must be the applicant or a person No licenses arr required Licenses are required for all other installations authorized to bind the applicant / FEES: / -- Signature — ANT ER FEES $ �SURCHARGE(.AS TOTAI. ABOVE) $ Authority if other than Applicant TOTAL $G �cl \dstslformsVesele doc 3198 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 • Business Line: 639-4171 BUP _ Date Requested AM PM BLD _ Location 9/2�� 3 v 7 ` Suite MEC Contact Person Ph PLM Contractor Ph _ SWR BUILDING Tenant/Owner ELC �992 — 5� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN _ Slab _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fig_Sprinkler Fire Alarm - — Susp'd Ceiling Roof Misc: Final PASS PART FAIL — PLUMBING Post R Beam - _ -- Under S!ab Top Out — —��-- -- -- — — Water Service Sanitary Sewer -- Rain Drains Final PASS PART FAIL _ v MECHANICAL — - Post& Beam ROUgh In Gas Line ---- - -- _ Smoke Dampers Final — --- -- - SS FAIL E TRICAL _.--_-._- -- N ough In ----- - --�`� _ UG/Slab Low Voltage - �- Fire Alarm Q PAS PART FAIT_ Backfill/Grading - --- - Sanitary Sewer Storm Drain I I Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line i I Please call for reinspection RE. ( j Unable to inspect-no access ADA Approach/Sidewalk Ext Dat1; y C Other !'_L_ 9�' tnspector Final PASS PART FAIL_ DO NOT REMOVE this Inspection record from tho job site. CITY OF TIGARDELECTRICAL PERMIT PERMIT#: ELC1999-00488 DEVELOPMENT SERVICES DATE ISSUED: 8/12/99 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-02000 SITE ADDRESS: 08777 SW BURNHAM ST SUBDIVISION: ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Proiect Description: Service or feeder 200 amps or less RESIDENTIAL UNIT TEMP SRVC/FEEDERS 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: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CII`CUITS ADD'L INSPECTIONS 0 - 200 amp: 1 WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIGARD WATER DISTRICT HEIL Er._ECTRIC CO PO BOX 23000 8425 SE STARK ST TIGARD, OR 97281 PORTRLAND, OR 97216 Phone: Phone: 255-4074 Reg M SUP 810S ELE 26-66C LIC 387 FEES _ Required Ir sQectir �s Type By Date Amount Receipt Elect'I Service PRMT BON 8/12/99 $64.25 99-317619 Elect'l Final 5PCT BON 8/12/99 $4.50 99-317619 Total $68.75 ORIGINAL 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 w0l be done in acro dance 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 ordirect questions to OUNC at(503) 246-1987 1 Permit Signature: Issued B / g r' , a _111 - ItilQy' -- _ 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: C"1'� �2 l� _ . �_ DATE: LICENSE NO: Call 6394175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check 1 13125 SW HALL BLVD. RECEIVED Recd By _ TIGARD OR 97223 nate Rec'd_01 - _ Phone (503) 639-4171, x304 lal�li (' �> >�•� Dale to P.E. Print or Type Date to DST inspection (503) 639-4175 Permit q r ?� Fax (503) 684-7297 �ummu(VI1Y UF18fiM�liqte or illegible will not be accepted Called F1. Job Address: 1te(`rri- X'47& 4. Complete Fee Schedule Below: Name of Development4-1- ((.A1• 'J A)i _ Number of Insp,ctlons per permit allowed Name(or name of business) 41-1 i (.-),✓c Grp_ Service included: Items Cost Sum Address cj 7 8%j'(0-'r fnh"k Oct 4a. Residential-per unit City/State/Zip 1 1Ca1x l� e / 2) 1000 sq.It.or loss $110.00 4 = / .� Each additional 500 sq.it or Commercial Residential ❑ portion thereof $25.00 1 Limited Energy v $25.00 _ Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: �- (Attach copy of all current licenses) 4b.Services or FeedersI' Electrical Contractor_fc•/ 5{tiykl- C- Installation,alteration,or relocation , � &+2.. Addres �� Nj� S/" -� 200 amps or less $60.00 Cly' - 2 r 201 amps to 400 amps $80.00 2 City. (' y • State 61--_Zip_ / /Z/C 401 amps to 600 amps _ $120.00 2 Phone No. 7, -.Z:5 5 Yu 2L- _ 601 amps to 1000 amps $180.00 2 Job No. ?J y 11- A Over 1000 amps or volts $34000 2 Eec. Cont. Lice. No. Z(u L 4 C Exp.Date_ " % Reconnect only $50.00 2 OR State CCB Reg. No. `ew" _Exp Date 4c.Temporary Services or Feeders COT Business Tax or Metro No.(�'L <WS Exp.Dateat1, Installation,alteration,or relocation _ 200 amps or Icss $50.00 _ 2 Signature of Supr. Elec'n t 201 amp%to 400 ainps $75.00 2 -- 401 amps to 600 amps s $100.00 _ 2 Over 600 amps to 1000 volts, License No. `tIU Exp.Date_1%21 c: 1 u I see"b"above. Phone No. 9t.'] 2.i. 3 4 L -+W - --` -- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee fnr branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit � $5.00 ^_ 2 -- - b)The fee for branch circuits City State Zip _._ without purchase of Phone No. !_ _ service or feeder fee. I first L-ranch circuit $35.00 __ 2 The installation is being made on property I own which is not L ach additional branch circuit $5.00 2 Intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder riot included) Owner's Signature.__ Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 _ 2 3. Plan Review section (if required) Signal circuit(s)or a limited energy panel,alteration or extension $40.00 2 Please check appropriate Item and enter feeIn section 58. Minor Labels(10) $100.00--- -- ___4 or more residential units in one structure 4f.Each additional Inspection(ver Service and feeder 225 amps or more the allowable In any of the above _ System over 600 volts nominal Per inspection $35.00 -__Classified area or structure containing special occupancy Per hour $55.00 as described in N.E C.Chapter 5 In Plant $55.00 _ Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5s.Enter total of above fees g NOTICE , Subtotal arge(.05 X total fees) $ 11 5b.Enter 251%of fine 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec 3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED ❑ Trust Account a__ Total balance Due i U�5r5ELC'N nrr nev vu,e CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-4171 BUP Date Requested_ / 9 T AM —PM BLD Location _ r] � Cc 1/1� 'lam-1v�� Suite MEC Contact Person DL Ph �7 y 1"�,�'�� PLM Contractor Ph SWR _ BUILDING Tenant/Owner C_ �� ELC 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 I Fire Sprinkler 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 Rough In -a-- -- - --^-Y UG/Slab Low Voltage -_�-- - �-- - F' rm ina PASS PART FAIL in Backfill/Grading -��-- - Sanitary Sewer Storm Drain ( )Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ _ _ [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date _��"t �_.inspector _ _Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Busk.�ss Line: 639-4171 - BUP Date Requested AM PM BLD _ Location �.�7y/L,U Li air �,� Suite MEC Contact Person Ph PLM Contractor — � s n1� t'_fu� PI SWR BUILDING Tenant/Owner M _ _ ELC Retaining Wall ELR — Footing Access Foundation FPS - Ftq Drein SGN Crawl Drain Inspection Notes: Slab _ Az� /" - SIT Post&Beam Ext Sheath/Shear N� - Int Sheath/Shear Framing - - -- Insulation Drywall Nailing —_ --- - Firewall �— Fire Sprinkler - Fire Alarm Susp'd Ceiling ------- Roof Roof Misc. -- Final - PASS PART FAIL ---- ------- --- -- PLUMBING ---- —_- - _ —_ Post& Beam Under Slat, _ 'I op Out Water Service Sanitary Sewer -- -� Rain Drains �- r-incl PASS PART FAIL -_.- MECHANICAL Post& Beam - Rnrigh In (;as Line - - - - --- - -- - Smoke Dampers P FAIL i ECTRICAL - 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: [ j Unable to inspect no access ADA Approach/Sidewalk Other Date - Inspector / Ext _ -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARDELECTRICAL PERMIT PERMIT#: ELC1999-00219 DEVELOPMENT SERVICES DATE ISSUED: 4/13/99 —125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-02000 SITE ADDRESS: 08777 SW BURNHAM ST SUBDIVISION: ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 1 branch circuit in Cyndi Turner's office. �c� ,� ��—5� RESIDENTIAL , )IT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: 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: 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: CITY OF TIGARD Noti►J+X tutC-rko-- cc), 13125 SW HALL BLVD 7379 St..) Mehr C,EA)T-v2 T2 TIGARD, OR 972.23 c2 9-79,-P-3 Phone: 639-4171 Phone: U tq-3(a p p Reg#: 5aa88 FEES Required Inspections Type By Date Amount Receipt Elect'I Service Elect'I Final PRMT DRA 4113/99 $35.00 99-314473 5PCT DRA 4/13/99 $1 75 99-314473 Total $36.75 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 s!arted within 180 days of issuance,or I work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notif'cation Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies`offhe`se rules or direct questions to OUNC at(503) 246-1987 Permit Signature: IssuAd BY: OWNER INSTALLATION ONLY T he installation is being made on property I own which is not intended for sa,e, lease, or rent. ~ OWNER'S SIGNATURE: _ _ DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: iv '-4—C e --- DATE: LICENSE NO: ?�� Calll 639-4175 by 7:00pm for an inspection the next business day APR-12-99 MON 01 :04 PM PHOENIX ELECTRIC CO FAX N0, 15036843611 P. 02/02 CITY OF TIGARD Electrical Permit Application Plan Check N- 13125 SW HALL BLVD. Rec'd eys � TIGARD OR 97223 DateRec'd _ Date to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit 8_,VGL'ITT OVA,9 Fax (503) 684-7297 Incomplete or Illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development \c Number of Inspections per permit allowed Name(or name of business) _ Service Included; Items Cost Sum Address h'�"1"Z `���_t1� Y r _��----- 4a. Residential-per unit 1000 aq.IL or less $110.00 4 City/Slate/Zip - Z- Each additional 50o sq,It,or Commercial Residential ❑ portion Energy thereof $25,00 1 (� Limited Energy $25,00 CJV.Y�L1�Vv� CI. ��l V � C' �Tl�� Each Manul'd Home or Modular Dwelling Service or Feeder $66,00 2 2a. Contractor fnstallatio only: (Attach copy of II current Ilcense�) db.Sorvicos or FendersInstallation,alteration,or relocation Electrical Cor cto -\ ° \F Y ) 200 amps or less 560.00 Addre S)_ L - R. -c 201 amps to 400 amps $80,00 y City, tape/�_zip�-1�2. 401 amps to 000 amps __ $120-00 2 Phone No,v ) —J_ 601 amps to 1000 amps $160,00 _ 2 Job No._'�) Over 1000 amps or volts $340.00 2 Reconnect only $50,00 2 Eiec. Cont. Lice. No. Exp.Date OR State CCB Rog, No. "i Exp Date- 4c.Temporary Services or Feeders COT Business Tax or Metre No. Ex gate_, Installation,alteration,or relocation 200 amps or lose $50.00 —__ 2 Signature of Su r. Elec'n 201 amps to 400 amps _— $75.00 2 9 p -- 401 amps to 600 amps $100.00 __. 2 Over 600$mpg to 1000 volts, License � 05 Exp.Date•_v_ _ see"b"above. Phone No,o,. _. 4d.Branch Circuits New,alteralian or extension per panel 2b. For owner installations: a)The loo for branch circuits with purchase of service or Print Owner's Name feeder fay. Address,_ Each branch circuit $5,00 _ 2 b)The tee for branch circuits City__ StatA Z1p_ without purchase of Phone No._,__-_ sorvlco or feeder fee. First branch circuit _� $3S.00 2 The installation,is being made on property I own which Is not Each additional branch circuit_ $5.00 p intended for sale, lease or rent. 4e.Mlsoetlaneous (Service or feeder not Included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required): Signal circuit(s)or a limited enorgy $4r)oo ._ panel,alteration or extension --- 2 Please check appropriate item and enter fee In section 5B. Minor Labels(10) $10000- 4 or more residential units in one structure 0.Eaoh additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System aver 600 volts nominal Pct Inspection $35.00 Classified area or structure containing special occupancy For hour $55.00 as do nIond in N E C.Chapter 5 In Plant $55.00 `Submit 2 sots of plans with nppllcatian where any of the above apply. S. Fees: Not required for temporary constriction services. 5a.Enter total of above fees $ 5%Surcharge(.US X total fees) $ IVQTIACE Subtotal $ Sb.Enter 28%of line 5a for G_ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Ravirw if recuirad(Sec.3) $ ^� NOT COMMFNCFD WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK ublotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Trull Account N Tota!balance Due S - y'4/73 iansrsel c1je err rn.wuc CITY O F TIGARD BUILDING PERMIT PERMIT M BUP1999-00505 DEVELOPMENT SERVICES DATE ISSUED: 02/29/2000 13125 SW Hall Blvd.,Tiaard, OR 97223 (503)639-4171 PARCEL: 2S102AD-02000 SITE ADDRESS: 08777 SW BURNHAM ST SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKI.: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,200.00 Remarks: Fire alarm permit-This is a non-required systems. Inspect in accordance with the approved plans. Owner: Contractor: TIGARD WATER DISTRICT METRO SAFETY AND FIRE INC PO BOX 23000 7055 NE GLISAN TIGARD, OR 97223 PORTLAND, OR 97213 Phone: Phone: 231-2999 Reg #: LIC 00063651 ELE 603RET _FEES REQUIRED !.JSPECTIONS Type By Date Amount Receipt Fire Alarm Insp PRMT BON 11/23/199E $68.50 99-319982 Final Inspection 5PCT BON 11/23/199E $5.48 99-319982 –FIRE BON – 11/23/199E $27.40 99-319982 _ ORIGINAL Total $101.38 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee �] Signature: (�;�y� ('�� — Issued By: Call 6394175 by 7 p.m. for an Inspection the next business day Fire Protection Permit Application Plan Check#f CITY OF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. Date Recd 1/X73 TIGARD, OR 97223 Print or Type Date to P.E. Irl. -119 (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to D T 1' Permit# J Called -Z`I'2o0G w t lk Job Na-.--orDevelopment/Project (i". c'`_ � i".) Type of System (Complete a or B as applicable) Address Address I Ytt/y A.)Sprinkler Wet ❑ Dry ❑ Name Standpipes Owner Mailing Ad rens Additional Hazard Group City/State Zip Phone Information Density NameI 1 0 t� wa - Design Area t a ��� Occupant Mailing A dress VCJ &PAJ#1" K.Factor City/State -- Zip Pnone A.1) Sprinkler Project Valuation $ Contractor Name B.) Fire Alarm (Sprinkler or fV1 I- iZlj -'^Fc, c*F,r-Z rN C Alarm Company) Mailing Address I Submittal Shall Include Battery Calculations YE Prior to permit -70'5,5' Nlz CbS,,iiA, ,T issuance,a Z',C�A&J-o /State Zip Phone Individual Component YES copy _ 11 G 7 Z S2>i Cut Sheets of all licenses 1 l; ;,:v-ZS y`,r B.1) Fire Alarm Project Valuation $ o� are required if State Const.Cont.Board Lic.# Exp. Date - expired a COT Project Valuation Subtotal(A& or B) database , $ Name Permit fee based on valuation Architect Mailing Address (see chart on back) $(pits 5�l 8%Surcharge $ �. City/State Zip I Phone FLS Plan Review 40%of Permit $ Describe work A.)New O Addition O Alteration O Repair O to be done TOTAL_ $lC J B.) Modification to sprinkler heads only: — 1 1-10 heads=No plans required Plans required Submit three sets of plans,including a vicinity map and 2. 11+=Plan review required the location of the nearest hydrant. __.._____ .— _____ I hereby acknowledge that I have read this application,that the Information given is Number of sprinkler heads: correct,that I am the owner or authorized agent of the owner,and that plans submitted Additional Description of Work: -- are In compliance with Or State 12ws 1 signature of Owner/Agent Date A.)In Existing Building E] New Building ❑ Building Contact Person ASme PhQm B. Commercial �rN-(LL �r c.-."i I Data 1 ❑ Residential Q _ FOR OFFICE I INE ONLY: No of stories — Plat# Map/TL#: Sq Ft Notes ' --- Occupancy Class Type of Construction i:Adsts\fornns\flresttpr.doc 9'30/99 r ri 11' OF T'i�:�riC Approved For A F-El"ui -la., f3�P44-.ou t OG See LEtter t�: . ...;. ........................." ..._ •A Job Addre; g?CID ON Q C � D � r-ri ._ l r ' ., ✓ .: •• . .!.;.. ; ...... ... .I ,� .. rCy ylA4 .!•fJ✓I✓ ✓ ✓.'VI ci��i�a.{�t�rr�t 1�. �� r •;�. � l !� ''- � � f �. 4�''.� ` ` ,.�.•tip ,.�,....,�-r.,; !1 .. .... ........ ..• .. ... .....,.......... .•✓✓. ..... ... •.•.•..ir•,•. ......::•.or•' oy t.y.•�s •ear ,M► •.•. .. .. . IIiI .I ai. . ..vf ♦.t. ............ ....�.. ....... Ia. �;.y.{�I }eW�(•:I•t 'd�'!f!"F' Ia+ ' 't,J.• t. ,i rt.J 'i'i .'• ........... ✓ ...........::.'4�'•:Ij � •,t. ar I a 1 - >. 3 Fadurlim • 24 volt strobe models: 15, 15/75, 75 and 110 candela • Universal mounting plate included with each unit • 12 volt strobe models: 15 and 15/75 candela • One screw mounting of strobe and horn/strobe to mounting • Horn models operate on 12 and 24 volts plate • Low current draw:reductions as high as 45% • SpectrAlert strobe and horn/strobe take up zero room in the • 1Wo field selectable/reversible horn tones back box. - 3000 Hz Interrupted • Single gang mounting without the use of a mounting plate Electromechanical (horn model only) • Field selectable/reversible high-low dBA output on horn • Self-contained screw covets (low output on 24 volt models only) • .%esthetically pleasing design 101 peak dBA @ 10 ft. high output" • Synchronize ham and strobe with Sync•Cireuit'module -96 peak dBA @ 10 ft. low output, • Silence ham on horn/strobe over a single pair of wins using • Field selectable/reversible temp 3 pattern or non-temp 3 Sync•Clrcult module continuous pattern on horn • Horn/strobe can be wired either In tandem or independently " Sound output n with tore ood output option:selected;sound levels based upon anechoic room measurements. Sp wifleMlons !input terminals: 12 to 18 AWG Mounting: 4"x 4"x Pb"or Size of strobe and 2"x 4"x 1r/e"standard boxes horn/strobe with Operating temperature: 320 to 120° F((r to 49° C) universal plate: 5"- P/e" 211/,e" Voltages: I or 24 VDC and Size of strobe and FWR unfiltered hem/strobe with Operating small footprint plate: P/s"x 55/e" x 2e/1e" voltage range": 12 V 10.5 - 17 V Size of horn with 24 V, 20 - 30 V universal mounting plate: 5" x 55/s' x 15/te" :5ese produc's should be operated within their tared voltage range Size of horn without LR.does,however,test functional integrity to-20%and +10%of monufacturer's stated ranges. mounting plate: 11e/,e"x 5'/,e"'� is/re" Weight. horn only: 7.2 oz. Weight, strobe and L� rM MA horn/strobe: 8.8 oz. • • 0 Svstem Sensor 4/97 This document is not intended to be used tot installation purposes A05-a36-Jl General Descrlptlon �vslem Sensor SpedrAlert Senes simbes,horns,and combu3abon horn/ selectable features are accomplished with the use of pins and jumpers strobes are UL listed for primary signaling in life safety systems and meet located on the back of each SpectrAlert horn and horn/strobe An accessory ADA public mode visible signaling requirements module is not needed to make these field selections.The horn on horn! SpectrAlert products can be connected to the alarm Indicating circuit of strobe models unU operate on a coded power supply The hom only model, a fire alarm control panel and are compatible with DC lint supervision.The however,wdl not operate on a coded power supply In such instances. SpectrAlert product line mounts to standard back boxes with the use of a substitute with a System Sensor model MAI 2/240 universal mounting plate included with eadi unit.An optional small od e back box The ADA mmpliant SpechAlert Strobes are electronic visible warning footprint mounting plate fits to a single gang box.An accessory ;Ylrt gives a cosmetic finish to a 4'x 4'x I'/a'or a 2'x 4*,x I'/@"surface 9i reals that flash at l Hz over their mounted back boil.All strobe and horn/strobe mounting options require g operating voltage range.The9e products only one screw attachment of product to platc are available In 24 volt models at 15; 15/75,75 and 110 candela intensities and in 12 volt models at 15 and 15/75 candela intensities 3pectrAlert These products are designed for 12 and 24 VDC and full wave d products feature dramatic reductions to current requirements. unfiltered power Pull wave rectified operation requires more currenntt than DC operation fbr detailed current draw Inlnnnalion,consult the table syaesCilreMM Rb ior below The han/strobe combination products are factory assembled with The SynceCnrcurt Module is available for the synrhroaLution of strobes and jumper wires for IG-tandem operation. Por independent wiring of horn and horns and can synchronize two Style Y(Gass B)circuits or one Style N strobe,remove jumper wires When wired for Independent operation,the (claw A)circuit,The module can also generale a synchroolzed temp 3 tone strobe will continue to run while rhe horn can he silenced Howev.r,the for System Sensor's Mulb-Alert-and PA400 horn products•'I no strobe must be running for horn to operate. synchroGlzahou module allows the SpectrAlert horns ca combination hum/ "M Strobes to be silenced on 2-wire systems.SpectrAlerl's Sync•Cucuit Module can be daisy chained for multiple zone syuchronlzahon The Module shall The Sp,rraMlert Series horns andhonohtrobea provide two different field not operate on a coded power supply. 4eledable/revereble tones,a high low fifld selectable/reversible sound utput selling(low setting on 24 volt models only)and a field selectable/ sFbr Multi-Alert and PA400 Strobes must be wired to a coobnuous source reversible temp 3 pattern or nontemporal continuous pattern These field of power(non-coded power supply' 8pectrAlert Current Draw Table AVERAGE CURIMNTIIMI P AMCUMENT(a1A) Irl'RUSH CUIW NT(111A) 5 Mladel eb4Nh Y V r _MNYE .Mm" to IEv ITV av !p 30V IGAV I!v ITV 20V tAv iev 10211 tsv 17V esv "If 3Ev Candela x x isle Ic K ram x I oc ria x I'm M rlr oc nA Pc n X r• Pc Ewa Pc � M r�1t Pc M ec nil M Ir o< Ices I.1 i, t!rts Igr tet 112 111 99 tSn /6 92 93 SB 132 190 20 190 570 IID /� 170 770 t7d 210 160 21U 76 101 tB I� 160 tI t.•0 230 210 270 270 20 S NA tM NA NA NA 112311591I 1/I NA W MAI MI NAI t4AI t I I144.1 NoA I NA I M I I bill 2ZI 1 I I 111 NA t4A / 4 1 NAI KAI 1 hi QUI 22012MI 290137U Mats 0* AVIRA02 CURRENT(MAI 1 MNala IMV _ Iw weii .w Tangy ISAV tEv ITV sEv EaV 3Ev cur» WORM* MM K rvn of rest at - Pt nee IC IPC 6 IrY7Huai T ib JIF KiNW 10 16 101 19 14125 17 29 23 34 30 4 Low Temp rM NA NA 1044, NA NA 11 12 '3 13 1? 1 Non 1W NA NA W NA I I 11 19 I IM NI NIa1 TpmpY 11 13 11 II 16 16 24 26 20 1 7 11 1 I/ 1 LOW rerrip NA 1 NA NAI MAI 14 14 17 15 21 1 Nei I4A tM NA KA PAII 1 1 ZZ Mae/:fEorO-13 ad Nww/fie-75 od AVEMOE CURREIIT(MAI AVORAOE CURRENT(MA) IEEIM.w T41a0 10/11 1tV tTV >36Y f 1MY >w IRM1q-ace TMrO 10IY 1tv 17V 10v !IV i0V 1 1 NAL Ewe Intro nq1 Tem Ila 170 121 167 36 1 7e 101 70 go IS 111 -lect7o—.9h Tam NA t1A PM IM KA tM 164 r191 IM 167 131 IV er^ Non 143 170 121 161 % 11 69 � IW 76 t eon Non 14A NA NA rM PIA t1A 153 160 146 169 132 199 III— "M 14A 1 I I Non NA NA NA NA NA NA 71 92 67 93 03 ' Man 7/A KA NA IIA NA r'A 19 162 Ill 162 119 157 -ids I,z Hqn� r ',i. 1 1 r�r•1� 1 Y10 rq Hlal I 1 I K Non tY 17, 5 11� o'S las /e 102 'O Its e1 112 IKernxll Non W W NA NA KA 7M IS4 19: 1W 175 137 17' l a Tem NA te. r1A 11 1 LO/ T NA 1 I 1 la) Nan t4A rN �M N4 NA r 1 1 N rM NA 15M I 19 1 14 t More/fhoM-15/76 Od Moe6/ftobe-1W ed AVENGE CURRENT(MAI AVERAOE CURRENT(MAI I WAOw TaeO IOJV I=v ITV � FAV 3011 Hismw taeq 10JV 1!Y 17V tOv 30V Tom Yokame Men r< rr u rVe Pt r.ra k r� Pt res Pt res Nes VelM o Men K nee K rile k res K r '71 s< r Fwtrn H11x1 Tepul I 2 1 1 1 II I 11 1 111 1 tem Heat T- IM rM %k 1 /1 1 I11 mm� rNnnem 116 193 14 let 113 164 93 110 ® 113 an I e(n Non NA 1M NA NA PIK NA 106 236 163 211 1M :p2 x T LOW Nan r44 NA W NA NA t4A 136 1M 90 1136 7S 141 Man I NA NA NA 1111 r4A 181 '12 ISI MA In Iu 30rM)H: Ilgh rem 11; 19S 152 161 115 I itD Ile 91 116 $ I NI Hlat Tem NA tM NA NA NA NA 19] 246 I 4 152 ]W rlrMtt,or Non 1.'9 1`16 152 Inn I1? 1 95 114 11 I I1Pe111aV M NA NA 1 ,1 ,o+ rem 'N t1A t4A 1M /M 1M M 106 93 1rj 9 I l� i NA 'N 7M 4A tM NA Inn 74 IS: R 135 .33 N 1 1 r4A I 1 1. PIRe 2 This document is Got intended to be used for installation purposes. A05.936-02 Englneering Specifications w.wr "We/SbOM 0,ttwftllnartl" SpectrAlert horns.strobes and bora/strobes shall be capable of Hora/strobe ihall be a System Sensor SpectrAlert model mounting to a standard 4"x 4"x 1'/a"back box or a single gang 2"x 4" listed to UL 1971 and UL 464 and shall be approved for fire proted,ve r 1'/a"back box using the universal mounting plate included with each service.Horn/strobe shall be wired as a primary signaling notification SpeclrAlerl product.Also,SpectrAlerl products,when used to appliance and comply with the Americans wilt:Disabilities Ad con unction with the accessory SyncaC,rcu,t Module,shall be powered requirements for visible signaling appliances,flashing at I Hz over its from a non-coded power supply and shall operate on 12 or 24 volts. 12 entire operating voltage range The strobe light shall consist of a xenon volt rated devices shall have an operating voltage range of IO.S- 17 flash tube and associated lens/reflector system.The horn shall:.ave volts 24 volt rated devices shall have an operating voltage range of 20- two tone options, two audibility options(at 24 volts)and the option to 30 volts.SpectrAlert products shall have an ope;aling temperature of 32 switch betwryn a temporal 3 pattern and a non-temporal continuous to 1ZOaF and operate from a regulated DC or full wave rectified, pattern.Stroixs shall be powered independently of the sounder with unfiltered power supply. the removal of factory installed jumper wires.The horn on born/strobe models shall opecNc on a coded or non-coded power supply. "M Horn shall be a System Sensor SpectrAlett model, capable of Neale operating at 12.and 24 volts. Horn shall be listed to UL 464 for fire Module shall be a System Sensor SyncoC,rcuit model_ listed prolective signaling systems.The horn shall have two lone options,two to UL 464 and shall be approved for fire protective service.The module audibility options(at 24 volts)and the option to switch between a shall synchronize SpectrAlert strobes at I Hz and Borns:I temporal 3 temporal 3 pattern and a nontemporal continuous pattern.The horn Also,the module ohall silence the horns on horn/strobe models, while only model shall nor operate on a coded power supply. operating .e sttobes,over a single pair of wires.The module shall be capable of mounting to a 41'/,a"x 40/ia"x 2'/a"back box and shall �hoM control two Style Y (class B) or one Style Z(class A) circuit.Module Strobe shall be a System Sensor SpectrAlert model_ listed to shall be capable of multiple zone synchronization by daisy chaining UL 1971 and be approved for fire protective service.The strobe shall be multiple modules together and re synchronizing each other along the wired as a primary signaling noldication appliance and comply with the chair).The Module shall not operate on a coded power supply. Americans with Disabilities Act requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range The strobe light shall consist of a xenon flash tube and associated lens/reflector system SpectrAlert Dimensions ,s 0 0 NOM/Ilbebe tit so"raohrf it"M11111 PWO w Ordy (•iiiii»dn.wdme for tlrltrob&orally) _T li 2 iF 5S/e" — — 6`/i6" o 0 1 llO1n/SitroM arfilsti UeliYMsal MowlMitl�Plot – (oalwii,dha mmWkws Tb►Aofro ode) R%dmb rage 3 This document is not intended to be used for installation purposes. W-936.02 8pectrAlert Mounting Dlagrams —2"beck box BBS 'bwk box V G ftv More Dbott:�t Mtaerdt r —SMP More fwtsee Moeet with Aeoeeeory am*sox swt r �� .. 2-bwk box i ,-saP More whh Uehsor*W Maeerrthr`Pbte(hrohrded wRb trweh peadaet) Obv6o at Mores/!Mahe wft Aoeo"My own"Footp in Momrtl ft Plata �ti } 1 � :trobo a Mae/htroM wMM UnkemM 11 Plato(behrded wNh emb v Odret> -^4"W K 4"14'w 2W buck box �l G TX— was !Mabe or HwW globe Sur*eeo Mont wMh Aoeeseory Daeh Nex Slut sym.Clre m"ModMo Dtrast me" Page 4 Itis docimmt ie oot ioteoded to be u9rd for loatallatloo putpoue. AOS-936-0¢ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ BUP Date Requested �� �� AM_ PM _ BLD Location -} �>L l/1 Suite / MEC Contact Person L�ni�t'�i"� Ph G � <<�C1 �/ PLM Contractor _ Ph SWR IUILDING Tenant/Owner ELC CCC �'.Ptaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: rr SGN Slab _ f, ^� t��V /i ' `--' — SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing — Firewall Fire Sprinkler - Fire Alarm C (lf Susp'd Ceiling -�- _.--- 4_ IRoof Misc - _--- ---- —Final PASS PART FAIL ---- - - ------ PLUMBING Post 8. Beam - ---- -------_ _.—, ---�._.. ..-- Under Slab lopOut -----------__-- ---.-. _ ..�_— Water Service Sanitary Sewer Rain Drains Final — -- PASS PART FAIL MECHANICAL Post& Beam - ----- - - -- ---- - -- -- Rough In (,as Line -- Smoke Dampers Final - ---- _----- ---- ------- ------------ PASS PART FAIL Service Rough In -- -------- --- UG/Slah Low Voltage — Fiic Alarm -- - --------- --------- - -------- - —_ S PART FAIL Backfill/Grading ------ ------------- ---- - --- ---- Sanitary Sewer Storm Drain ( }Reinspection fee of$ —_required before next inspection Pay at City}call. 13125 SW Hall Blvd Catch Basin ( ( Please call for reinspection RE — ^-_- [ (Unable to inspect-no access Fire Supply Line ------ -- - ADA Approach,Sidewalk Date -3 Inspector Ext Other - `. Final PASS PART FAIL NO REMOVE this Inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT#: ELC2000-00231 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/5/00 SITE ADDRESS: 08777 SW BURNHAM ST PARCEL: 2S102AD-02000 SUBDIVISION: BLOCK: ZONING: CBD ProjectDescription: Installation of one branch circuit for relocation of air compressor. Job No. 20030-11616 RESIDENTIAL UNIT TEMP SRVC/FEEDERS 1000 SF OR LESS: MISCELLANEOUS EACH ADD'L 500SF: 0 - 200 amp: PUMP/IRRIGATION: LIMITED ENERGY: 201 - 400 amp: SIGN/OUT LINE LTG: MANF HM/SVC/FDR: 401 - 600 amp: SIGNAL/PANEL: 601+amps - 1000 volts: SERVICE/FMINOR LABEL (10): EEDER _ BRANCH CIRCUITS 0 - 200 amp: W/SERVICE OR FEEDER: -A�D'L INSPECTIONS 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER INSPECTION: 401 - 600 amp: FA ADD'L BRNCH CIRC: PER HOUR: 601 - 1000 amp: IN PLANT: 1000+ amp/volt: FLAN REVIEW SECTION >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: TIGARD WATER DIFTRICT Contractor: PO BOX 23000 PHOENIX ELECTRIC CO TIGARD, OR 97223 7379 SW TECH CENTER DR. TIGARD, OR 97223 Phone: Phone: 684-3600 Reg#: LIC 00052288 SUP 4140S O ELE 34-247C FEES Type By Date Amount Receipt Required Inspections PRMT DEB 5/5/00 $37.50 0001937 Elect'I Service Elect'I Final 5PCT DEB 5/5/00 $3.00 0001937 Total $40.50 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-OC1-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions tc OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED B The installation is being made on property I own WNER INosTAenIdeddor a e, lease, or rent. OWNER'S SIGNATURE: DATE:__ -- _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ,..19A_C ,��V/.n-7_` DATE: LICENSE NO: 7/�p S -- Call 639-4175 by 7:00pm for an Inspection the next business day MY-04-00 '1'HIJ 03:48 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02 rlT•Y DF TIGARD Electrical Permit Application Pla Recdnc 13125 SW HALL BLVD, n )( TIGARD OR 97223 Dale ROCA Phone(503)6391171, x304 Date to P.E. Insper_tion (503)639-4175 Date to DST — Print of Type Permit Fax (503) 598-1960 Incomplete or Illegible will not be accepted Called I. Job Address: _ 4. Complete Fee Schedule Below: Name of Uevelopmant �+�_ Number of Inspections per permit allowed Name(or name of business) 1erviincluded:ncue : Items Cost �S, S------ Sum Address 7� cj;� 1 _ � y 44, Residential•per unit Ciry/state/.I!p 5,_ 1000 sq,portion thereof S 26 Y5 1 It or less _ E 117.75 4 -- - Each addgiona1500 sq.K.or -- Commercial Residential ❑ Limited Energy $ 60 00 -- .Q� 1L�tiJ �U � Each Manurd Home or Modular a. on rector Ins allat n only: Dwelling Service-or Feeder f 12.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT,_(ta bass). Installation,alteration,or relocation Electrical Contract ' �,j 200 amps or less 2 Address _ —0_;' _ 201 amps to 400 amps; S 85 50 _ 2 CiIY�� State L_ lip_ 401 amps l0 600 amps S 126 50 2 �,, — 801 amps to 1000 amps = -_ $ 192.50 _ 2 Phone Over 1000 amps or volts S 363 75 Job No. 1 -- 2 �—�]=1-� i — Reconnect only $ 53.50 2 klec. Cont, lice. No, r 7 EXp.Date— 4c.'romporary SHrvicesorFeeders OR State CCB Reg. No Exp,Date__ Installation,alteration,or relocation COT Business Tax or Metro No Exp.Date 200 amps or less S 53 5u 2 201 amps to 400 amps _ S 80.25 '� 2 Signature of Supr. Elec'n �-X' 401 amps to 1500 amps s 10700 2 -7�— Over 600 strips to I000 volts, I I c e n s e No, /C/©f Exp.Date sae"b"above. Phone No. __ �,� 4d.Cranch Circuits New,alteration or cklension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit 5 5.35 2 Address b)The fee for branch circuits — Ci without purchase of service City _----___ _ _ State Mate Zlp - or feeder foe. Phone No. _ First bre ,ch circuit �_^ S 37.50 j�'•S�� Each additional branch circuit _ $ 5 35 'rhe installation is being made on property I own which is not 4e.Miscellaneous inl.,nded for Sale, lease or rent (Service or feeder not Included) Each pump or irrigation circle 5 42.75 Owner's Signature- _ _ Each sign or outline lighting _ _ S 42 75 Signal cirruil(s)ora limited enargy 3, Plan Review section (it required):* panel,alteration or extension $ 6000 Miner Labels(10) _ � $ 1m 00 Nleaso check appropriate item and enter fee in Section SB. 41.Each additional Inspection over 4 or mo,e residential units in one structure tho allowable In any of the above Service and feeder 225 amps at more Per Inspection $ 5000 Syslem over 600 volts nominal Per hour _ S 5000 S 59 00 _ _ Class,lied area or structure eantain;ng special occupancy as In Plant � -- r described in N E C Chapter 5 5. Fees: 5s.Enloe total of above fees Suhmit 2 sets of planr,with application wham any of the above apply. A s I,6 Sur-h3rgc(.05 X total fees) �`— Not required for tomperary construction servicns. Subtotal c �n s . NOTICE 5b.Enlor 2596 of line 5a for -- Plan Review If-Tqulrod(See,3) S PPRMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtofal IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPFNDED OR A13ANDONED FOR A PERIOD OF 160 DAYS P;q"frust Account M Al ANY TIME AFTER WORK IS COMMENCED Total balance Due $ ��,`O i�d.t,�iorrnslclectric, uc 035 EXHIBIT Ic SITE SERVICES Sitc: 4�*� AUTHORIZATION Site ID: 01170 FORINT MTA: dvr77-ar,4 ENTRY AND TES'T'ING AGREEMENT THIS AGREEMENT("Agreement")is made and entered into as of the P day of i°i1 , 1996,b and between ' l '¢7 Y T�w�lvaJ'u'DisTru ("Owner')and Sprint Spectrum L.P., ("SSLP"),concerning the following described property owned by Owner("Property). A. SSLP has an interest in(leasing/purchasing)the Property for use w a tower or antenna site for the receipt and transmission of wireless communications signals;and B. In order for SSLP to determine the viability and fessi'oility of the Property as a tower or antenna site,it is necessary for employees,agents or independent cortnsctors of SSLP to enter upon and inspect the Property and/or temporarily locate communications equipment on the Property to conduct short term radio propagation tests,and to make application with local,state and federal governmental entities for approval of the Property as tower or antenna site;and C. Owner and SSLP desire to provide foi the entry upon,inspection and/or testing activities, and applications concerning the Property pursuant to the terms contained in this Agreement. NOW,THEREFORE,in a,)nsideation of the mutual promises,covenants,undertakingso and other consideration set forth in this Agreemeat,Owner and SSLP agree as follows: 1. Consent. Owner coa-,ents and agrees that SSU,its employees,agents and independent contractors("Authorized Parties")may elder upon the Property to conduct and perform some or all of the following activities("Permitted Activities"): surveys,geotechnical soil botings and analyses,phase I environmental audits,boundary surveys,radio propagation studies,and such other testa and inspections of the Property which SSLP may dear necessary or advisable. SSLP agrees to be responsible for any and all costs related to the Permitted Activities,Including installation on and operation and removal of equipment on the Property. 2. FOWgL Owner consents and agrees that the Authorized Parties may make and file appllcatiOw on Owner's beWto such total,state and federal governmental entities whose approval SSLP may consider necessary or advisable to have the PmpedyA)proved as a tower or antarna site,including but not limited to,govanmental approvals for zoning variauees<rezoning applications,building permits and wetland permits. Owner hereby agrees that an executed copy of this Agreement,Owder agrees to execute such other and further documents as may be required by the governmental entity in question to evidence Owner's consent to the action which is proposed to be taken. 3. Access. Owner agrees that the Authorized Parties may enter upon the Property to perform the PermitteA Activities upon execution of this Agreement and may have access to the Property for up to 60 months. 1 d:lfomu\tudwr.doc 151196 4. Removal of Property. SSLP ageoes that it will,upon the conclusion of the ten-i of this Agreement,remove any equipment installed on the Property as a part of the Permitted Activities,r� air any damage to the Property that might have been caused in connection with any of the Permitted A pivitics, and will return the Property to the condition it was in before SSLP's entry onto the Property. In the t;vent any equipment installed on die Property by SSLP is not timely removed,Owner will have the right to remove such equipme...and SSLP agrtes to be responsible for the reasonable costs of such removal. 5. Indemnity. SSLP agrees to indemnify,save harmless,and defend Owner,its directors, Officers,employees,and property management agent,if any,from and against any and all claims,actions, damages,liability and expense in connection withpersonal injury and/or damage to property arising from or out of any occurrence in,upon the Permitted Activities. Any defense conducted by SSLP of any such claims,actions,damages,liability and expense will conducted by attotmoya'chosen by SSLP,and SSLP will be liable for the payment of any and all court cons,expenses of litigation,reasonable attorneys'foes and any judgment that may be enter-Dd therein. 6. Insurance- At Owner's request.SSLP agre,--to provide a certificate of insurance evidencing SSLP's insurance coverage. 7. Governing Law. The parties agree that the interpretation and construction of this Agreement shad(be governed by the laws of the state of CYVad without regard to such state's conflict of laws provisions. i IN W"?ME'S WHEM F.the parties hereto have eutectrted this Agreement as of the day and year first above written. SPRIT SPECTRUM Lip. OWNER: Br. ._. Name: Title: 2 dMonnAauthor.doc 1131/96 OCT-27-06 16;21 FROWAGRA EARTH i ENVWIT 1-603620-7602 T-063 P.02/02 F-017 i' 4 10 AGRA Earth & Environmental AGM E.ra,a tHCONWING 0L01&4 sownorrs _ KnvIfOm m9Fu1,Inc. 7477 LW Teeh Cenur oft* PaWnd,OreW USA 9722941025 Tel (603)639.3400 October 28, 1997 Fax (303)020.760 7-81 M-09398-0175 Bechtel Corporation 5950 NE 122nd Portland, OR 97230 RE: Cell Site 6 8777 S.W. BURNHAM STREET POR-075A, BLD PERMIT NO. 97-4238 Dear Mr.McNalr: The following site at the above location was an existing tower. The only Inspection that was performed was on the subgrade for the equipment base (precast) pad. No other Inspections were called in to our office. All inspections and tests wets performed and reported according to the requirements of Section 170 to the best of my knowledge, the work wma In conformance with the applicablewmanship provisions of the State Building Code and Standards. // Ati� If you need additional Info,oration or have any farther questions, please call me at (503)639- 3400. Sincerely, AGR is Rh & Envlro mental, Inc. Sean Willows, EIT Engineering Associate Attachment: Field Reports C: Robert Poskin, City of Tigard SPRINT CELLULAR ANTENNA 8777 SW BURNHAM,TIGARD CITY OF TIGARD STRUCTURAL REVIEW ONLY LPZA ,lob No. 96522.050 City No. BUP-96-0355 AUGUST 1, 1996 DAVE SCOTT, P.E. TIGARD BUILDING OFFICIAL 13125 SW HALL BLVD TiG7,ARD, OR 97223-8199 FAX (503; 684-7297 RE: FIRST PLAN REVIEW SPRINT CELLULAR ANTENNA 8777 SW BURNHAM, TIGARD Linhart Petersen Powers Associates (LPZA) has structurally reviewed construction documents for Sprint Cellular Tower, to be constructed at 8777 SW Burnham, Tigard, Oregon including: • June 14, 1996, plans prepared by Gazley Plowmen Atkinson Architects and sealed by Steven M. N. Plov man OreCcti Registered Architect. Plan sheets reviewed were sheets: T-1, C-1, A-1 through A . Electrical plan sheets E-1 through E-3 were also included but not requested to he reviewed by City of Tigard; • ,lune, 26, 1996, plans for ,lob 96-192-2 by North American Pole Corporation (NAPCO), of Fort Worth, Texas, sealed by Chandler P Nangia, P.E., Oregon Engineer 9096, two sheets; • .lune, 7, 1996, Structural Design calculations for Job 96-192-2 by North .American Pole Corporation (NAPCO), of Fort Worth, Texas, sealed by Chandler P Nangia, P.E., Oregon Engineer 9096, eleven sheets; INFORMATIONALCOMMENT: 1. The design exceeds the requirements of the Oregon Structural Specialty Code by a significant margin. 2. The following plan review comments are based on the City of Tigard Building Regulations. For your convenience for building requirements refer to the 1996 LINHART PETERSEN POWERS ASSOCIATES 3855-3 Wolverine Street NE•Salem.OR 97305 (503)371-2212•FAX: (503)371-3853 Sprint Spectrum Sprint Cellular Tower 8777 SW Burnham City of Tigard Tigard Oregon First Review August I, 1996 Oregon Structural Specialty Code(OSSC) (i.e., 1994 Uniform Building Code as Page 2 amended by the State of Oregon) and is the code cited unless otherwise noted. GENERAL. COMMENTS:- Group t1, Division 2 Occupancy (100 foot steel tower with antenna and lightening rod). Type II-N Construction Base area o F structure: 6.25 square feet. Height: '05 feet. Occupancy load: None. 1. The following plan review comments are based on the City of Tigard Building Regulations. For your convenience for building requirements refer to the 1996 Oregon Structural Specialty Code (OSSC) (i.e., 1994 Uniform Building Code as amended by the State of Oregon) and is the code cited unless otherwise noted. SIRUCTU Al COMMENT: I. Special inspection forms, identifying the required special inspections for concrete, steel bolting and welding, shall be submitted. Such forms may be obtained from the City of Tigard Building Department. See Section 306 (a). THE STRUCTURAL COMPONENTS APPEAR TO SATISFY THE REQUIREMENTS OF THE OREGON STRUCTURAL SPECIALTY CODE AND WE RECOMMEND THE BUILDING OFFICIAL, THAT A BUILDING PERMIT BE ISSUED. Respectfully, LINHART PETE 'N;POWF.RS ASSOCIATES WALTZ? FRIDAY, P.E. Plans Examiner c: Steven M.N. Plowmen, Gazley Plowmen Atkinson, FAX (503) 274-7803 LINHART PETERSEN POWERS ASSOCIATES 3855-3 Wolverine Street NE•Salem,OR 97305 (503)371-2212•FAX:(503)371-3853 CITY OF TIGARD _ ELECTRICAL PERMIT PERMIT#: ELC2004-00009 DEVELOPMENT SERVICES DATE ISSUED: 1/12/04 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-02000 SITE ADDRESS: 08777 SW RUPNHAM ST SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG Project Description: 140604-01150 Install(2)branch circuits for gate access. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IZtN'GATION: EACH ADD'L 5()OSF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY- 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 voltr: MINOR LABEL (10): t SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS I 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: 1 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: TIGARD WATER DISTRICT BROADWAY ELECTRIC-COCHRAN INC PO BOX 23000 626 SE MAIN TIGARD,OR 97223 PORTLAND,OR 97214 Phone: Phone: 503-234-6564 Reg #: LIC 72942 SUP 34475 FEES _ ELF 37-54o(' Description Date _Amount Required Inspections 11 I.I'RM I I LIA 1'crnnt 1/12/04 $53.50 1IAXI8%State Surcharge Ir12/114 $4,28 Rough-in Elect'l Final Total $57.78 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 quest ns to OUNC at(503) 246&699 or 1-800-34-2344. Issued By: ,'C c. L,1�Ltc "� c�. L c Perm!.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 ATE:__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 PermitAppliication Cl of Ti �ECEI Date received:/-/a- Pernut no.:�/� 'J Project/appl.no.: Expire date: I Cityof7rRarrl Address: 13125 SW Hall aAA.TTd�Q,lj 97223 Date Issued: I Ey I Receipt n( �J Phone: (503) 639-4171 J N UIJq Fax: (503) 598-1960 Case file no.:.. I Payment type: Land use approvalgGITY OF TIGARD • t J I &2 family dwelling or accessory M Commercial/industnal J Multi-family J ;'enam improvement J New construction J Addition/alicratjon/rcplacemcnl J Other: _: Partial Job address: 1'1 �j t,_1 t�U0--� .FA Bldg.no.: ISwtc no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: A� At Description and location of work on remises: � t I _ � p _t`t''1 ��— TIC�vi-Q Esnmatcd date of completion/inspection: �C 01�b1ZA�t7_- Job no: 14 6 0 - q l l Fee Max Business name: (-'t�Rp / �L�(- Description �t1ry. (ris.) I ToW no.lns c A`� Ne"residential-*wk or multi-family per Address: LILP J l�r s dNelling unit.Includes attached znmge. City: TL State: rL ZIP: -121 Seniceincludet Phone: 1000 sq.ft.or less I q �, Each additional 500 sq.ft.or portion therec: CCB no.: Z (4'Z, Elec.bus, lie.no: Limited energy,residential Z City/meC. 0.: 11m ted energy,non-residentiJ 2 ' Each manufactured home or modular dwell in ) .5 nature of supervisit g electrician(required) Date Service and/or feeder I - I . Skip.elect. p ase nuname, nnt! 7 SerHcaotfteden-Installation, alteration or relocation: 200 amps or less ` I Name(print): ;01 amps to4Wamps - -_ _ - - -- 401 amps to 600 amps Mailing address: -T_ 601 amps to 1000 amps City: i State: ZIP: Over 1000 amps or volts Phone: Fax: E-m;ul: Reconnect onlyi 1 Owner installation:The installation is being made on property I own Temporary services orfeedem- which is not intended for sale, lease,rent,or exchange according to insulin lon.alteration,orrelocation: "447, 479,670,701 _oo amps or less.01 amps to 4W ampsure: _ Date: 1 401 to 600 amps Branch circuits-ne",alteration, 'Jame: or extension per panel: -- X. Fee for branch circuits with purchase of rlddtEss: _ service or feeder fee,each branch circuitTS �b g City: State: IP: B. Fee for branch circuits without purchase T i —�� Phone: --�1;tx.u F-mail: of service or feeder fee,first branch circuit: 1 (o 1-5 (a. 2 Each additional branch circuit: MIse.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or rmgation circle _ U Service over 320 amps-rating of 1 R_' U Hazardous location Each sign or outline li hung family dwel inga U Building o'er 100X)square feet four or Signal circuit(s)or a limited energy panel. U System over600 volts nominal more residential units in one structure alteration,or extension* U Building over three stories ❑Feeders,400 amps or more I Description: U Occupant load over uo persons U Manufactured structures or RV park FAch additional Inspection over the allowable in anv of the six»r L Egrrssilighting plan U Other - Per ms ecuon ;T� Submit_sets of plans with anv of the above. Investigation fee The above are not applicable to temporary construction service. Other Na W pmnnLcnons accept credit carts,please can juriscicuon for more information. Notice:This permit application Permit fee............... $ S S O Visa :.r MasterCard expires if a permit is not obtained Plan rrvie m(at ,_ %) $ Credit card numbs. / / within. 180 days after it has been State surcharge(8%)....S Expires accapted as complete TOTAL $ -'�"1 1 :sme of Ider ass own on credit card — _ S Cardholder signature Amount S.fO-tb l Electrical Permit Fees: - Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Ins Ions per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: R%sidentlal-per unit 1000 sq.fL 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 Manuf d Home or Modular f—I Dwelling Service or Feeder $90.90 2 L�I Garage Door opener Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ 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 $454.65 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) 11 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, ee"b"above. Audio and Stereo Systems ❑ s Branch Circuits ❑ Boiler Controls Now,alteration or extension per panel a)The for branch circuits with c;urchase of service or ❑ Clock Systems Is@&r!e(?. Each!.ranch circuit _ $6.65 2 ❑ Data Telecommunication Installation b)The'• for branch circuits without purchase of service ❑ Fire Alarm Installation or feeaer fee. First I ranch circw: $46.85 _ HVAC Each :dilional branch circuit $6.65 Miscellaneous ❑ Instrumentation (Service or'eeder not included) Each pump f irrigation circle $53.40 ❑ Intercom and Paging Systems Ea,h sign cr^ufline lighting $53.40_ Signal circ ,)or a limited energy panel,a ieration or extension $7500 ❑ Landscape Irrigation Control' Minor Labels(10) $12500 Medical Each additional Inspection over ❑ the allowable in any of the above ❑ Nurse Calls Per inspecti,!n $62.50 Per hour _ _ $62.50 _ In Plant $73.75 ❑� uCtduur Landsi-ace L;yliting- Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge S Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other Installations See'Plan Review'section on $ front of application. Fees: Total Balance Due $ Enter total of above tees f ❑ Trust Account# 8%State Surcharge $ Total Balance Due $ — i'slits\fomtskl,:-rees.doc 10/09/00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Busi s Line: (903)639-4171 MST SUP Received Date R quested�� RM _ PM BUP Location _ 7 Suite MEC Contact Person Ph(_ ) PLM Contractor_ Ph( ) SWR BUILDING Tenant/Owner —_ ELC _ Footing [1 Foundation Access: CELC -L Ftg Drain ELR Crawl Drain Slab Insp6�;tion Notes: SIT Post& Beam Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing Inst,,. 'ion Drywali Wailing --Firewall Fire Sprinkler -- -- - Fire Alarm Susp'd Ceiling -- 412 — ----- Roof Other. - Final - PASS PART_ FAIL — ------ — PLUIN M9G_ Post& Beam - - --_- �--- — - Linder Slab Rough-In Water Service -- Sanitary Sewer Rain Drains -- - Catch Basin/Manhole Storm Drain - - - Shower Pan Other: --- ---- --- Final ---•- -�----- PASS PART FAIL_ --�-- - - -- -`— — MECHANICAL Post 8 Beam +----------- -- �--- -- - Rough-In --- ------- - - Gas Line Smoke Dampers __-- Finr,i PASS PART _FAIL --- - - -- ELECTRICAL Service ---- - - Rough-In UG/Slab - Low Voltage._— farm ASS, PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 131k6 SW Hall Blvd. S Please call for reinspection RE:_ E] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date`�-� - �� ---_ Inspector_ ire`-- r� _ Ext Other: Final DO NOT REMOVE this inspection record fro the fob site. PASS PART FAIL