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.9171 3W BURNHAM STREET _
CITY OF' TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13 125 SIN Hall Blvd., Tigard,OR 97223 (503PERMIT #: ELC97-0050)639-4171 DATE ISSUED: 01/2'8/97
PARCELc 2SI02AIA--05301
SITE ADDRESS. . . : 09171 SW BURNHAM ST
SLIBDIVTSION. . . . -, ;ZONING:CBD
BL.00K. . . . . . . . . . I LOT. . . . . . . . . . . . .
Project Description: Steven' s marine
UNIT---- ---TEMP SRVC/FEEDERS-.--- ------MISCELL.ANEOUS --.----
1000 SF OR I._E3S. . . . 0 0 ;2'00 amp. . . . . . . : 0 PUMP/IRRIGPTION. . . . : 0
EACH ADD' 1_ 5008F. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
I_TMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL./PANEL.. . . . . . . . 0
MANF. HM/ SVC/FDR. . o 0 601+amps-1000 volts. : 0 MINOR LABEL ( IQA) . . . -. LA
...... -SERV I CE/FEEDER---- CTPCIJITS------.- ._.--.-.ADD' L INSPEL'T IONS- --
0 200 AMP. . . . . . a I W/SERVICE OR FEEDER: 6 PER INSPECTION. . . . . : 0
201 400 amp. . . ., . . : 0 1st; W/O SRVC OR FDP. : 0 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL. BRNCH CIRC- 0 IN PLANT. . . . . . . . . . . : 0
601. 1.000 amp. . . . . : 0 REVIEW SECT I ON--
1000+ amp/volt. . . . . I a ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL
Reconnect only. . . . . . 0 SVC/FDR ) = 225 AMPS— : CA-ASS AREA/SPEC OCC.
Owner: -------------------------------------------------------- FEES
PAGE:. STEVENS t y p v amoijnt by date recpt
22930 SW 112TH PRMT $ 90. 00 JSD 01/28/97 97-289571
5PCT $ 4. 550 JSD 01/28/97 97-289571
91--IERWOOD OR 97140
Phone #: 620-7023
Contractor:
NORMANDIN ELECTRIC $ 94. 90 TOTAL
51086 NW C1..APSHAW HILL RD
REQUIRED INSPECTIONS
FOREST C-31ROVE OR 97116 Ceiling Cover Eler-t' 1 Service
Phone #o 503-357-5380 Wall Cover Elert' ). Final
Reg #. . : 69008
This peroit is issued subject to the regulations contained in the J
Tigard Municipal Code, State of rJre. Specialty Codes and all other Permittee Si griat I.tre
applicable laos. All work will be done in accordance with
akproved plans. This pervit will expire if work is not started
withir, 180 days of ISSUAnCe,. or if wore is suspended for tore
than 180 days. is s7trId
-----OWNER TNSTAI. I-AT TON ONLY—
Th e installation i s be i v- made on property I own which is not intended for
sale, 1ease, or rent.
OWNER' S SIGNATURE: DATE:
------CONI'Rn(-TOP INSTALLATION
c;TGNATURF OF SUPIq. ELECIN: DOTE:
r[TENSE NO:
Call for inspection _. 639- 4175
CITY OF TIGARD Elecrrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 � / Date Recd
Date to P.E.
Phone (503)639-4171, x304 `�A, Date to DST
Inspection (503) 639-4175 \ Print or Tyke
p Incomplete or illegible will not be Excepted Permit# -LC -d
Fax (503) 684-7297 CElled
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of business) n?Ar,1 4 r __ Service included: Items Cost Sum
Address J7i St✓ 2,iri14-3 _ 4a. Residential-per unit
1000 s%it or less $110.00 __ I
City/State/Zip"7%r,k! __- Each additional 500 sq.It.or
Commercial Residential ❑ portion thereof $25.00
Li
mited Energy s $25.00
Each Manuf'd Home or Modular
D
2a. Contractor installation only: welling Service or Feeder $68.00
(Attach copy of all(urrent licenses) 11 4b.Services or Feeders
Electrical Contractor •ti,I,, 'ti 'lc d' c Installation,alteration,or relocation ,
7.00 amps or leer $60,00 �" 2
Addres ) /, • l� // _ 201 amps to 400 mps $80.00 2
City State_L__ZIp97//"- _ 401 amps to 600 imps $120.00 _ 2
Phone No. i5 7 S 3 _.^. 6 601 amps to 1000 amps $18000 2
Job No. Over 1000 amps or volts -- $340.00 2
-- Reconnect only _- $50.00 2
Elec.Cont. Lice. No. c Exp.DateIt,__'rj__
OR State CCB Reg. No.i(, >O V _Exr).Date_ /c'' '; i r 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date ti ` Installation-alteration,or relocation
/ 200 amps or less $50.00
Signature of Supr. Elec'n �� >rsi....s�, - 201 amps to 400 amps $75.00
401 amps to 600 amps $100.00
Over 600 amps to 1000 vclts,
License No. Exp.Date/O-9r,' see"b"above.
Phone No. -'I v S3�?c,
4d.Branch Circuits
New,alteration or extension per panel
213. For ow;ier installations: a)The fee for branch circuits with
purchase or service or
Print Owner's Nam(-,--- _ feeder fee,
Address° -- Each branch circuit $5.00
-- b)The trip for branch circuits
City - State Zipwithout purchase or
Phone No. --_ service or feeder fee.
First branch circuit $3500
The installation is being made on property I own which is not Each additional branch circuit $5.00 -----
intended for sale, lease or rent. 4e.Miscellaneous
Owner's Signature (Service or feeder not Included)
g Each pump or irrigation circle $40.06 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 -
-_-
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 e00 volts nominal Per inspection $35.00 -
Classified area or structure containing special occupancy Per hour $5500 _
as described in N.E.G.Chapter 5 In Plant $55.00
Submit 2 sets of plans with application where any of the above apply. Jr. Fees: n
Not required for temporary construction services. 5a.Enter total of above tees $ Z---
5%Sur harge(.05 X total fees) $
NOTICE Subtotal $ -
5b.Enter 25%of line ba for
PERMITS BECOME V(AD IF WORK OR CONSTRUCT ON AUTHORIZED IS Plan Review It reouired(Sec 3) $ --- ---
NOT COMMENCED WITHIN 180 DAYS.OH IF CONSTRUCTION OR WORK Subtotal $ ��-
IS SUSPENDED OR ABANDONED FOR A rrERIOD OF IRO DAYS AT ANY
TIME AFTER WORK IS COMMENCED ❑ Trust Account#_!
Total balance Due
i;osrs.E(c�err nPv 9a,e
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639.4171
Datc Requested:
___ — .y(Y A.M. P.M. MST:
Location:_ `/I ��(j() (,�/}�( (Q - BUP:
Tenant: Suite: Bldg: MEC:
Contractor: Phone:
I LM:
Owner:_ _ Phone: ELC.�_:�
ELK_ 00Y.3
------ SIT:
BUILDING BLDG(coni) PLUMBING MECHANICAL / ,E ,C I RICAI,J SITE
Site Post/Beam Post/Beam Post/Ream Cover/Service Sewer/Storm
Fooling Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Dttct Reconnect Vault
13smt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved pro Approved
Appr/Sdwlk Not Approved Not Approved Not Approved roved Not Approved
FINAL FINAL FINAL FINAL FINAL
0 Call for rein W M Reinspection fee of S _required before next inspection f7 Unable to inspect
Inspector: HCl _ --�— hate: ` (O_ - ' _ Page _of
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PER111T
13125 SW Hall Blvd., Tlqard,OR 97223 (503)639-4171 PIERMTT #: ELC96-0757
DATE ISSUED: 12/02,;��96
PARCEL: FIS IOEIIAD-05301
Ff.- ADDRESS. . . 091 /1 ]W BURNHAM 51
,)IJBD I V I S J 011. . . . : Z ON I NG:CSD
IRL OCK. . . . . . . . . . : LOT. . . . . . . . . . .
foject Deset-otion:
- _ RESIDENTIAL_ UNIT------ F3RVC/FEEDERS------
1000 SF OR LESS. . . . 1 0 0 200 amp. . . . . . . :* I PUMP/IRRIGATION. . . . 0
FAC1-I ADD' L. 500SF. . . : 0 201, - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . 0
LIMITED ENFRGY. . . . . . Vj 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0
MANE. HM/ svc/r7DR. . : o 601 +amps-1.000 Volts. : 0 MINOR I-ABEL. ( 10? . . . : 0
_--SERVICE/F=EEDER----_. - -
CIRCUITS----- ---ADD' L.
0 C.00 amp. 0 W/SERVICE. OR FLEDER- 0 PER lNSP-,EC-1 ION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC, OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401. 0 17.1 amp. . . . . . : 0 EA AUDI I.- BRNCH CI PC: III TN PLANT. . . . . . . . . . . :: 0
601 10071 A
_k
.L Mp. . . 0 PEVTEW SECTION-____.._______._____
1000+ ,amp/volt.....: 0 ) =4 RES UNITS. — . . . . . : > 600 VOLT NOMINAL. . -
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Ownev-: FEES
PAGE STEVENS type amol-Int by date ir-eept
C-2930 SW 11i..".'TH P RM"r $ 50. 00 JSD 12/02/96 962'8708'j
5PICT $ 2. '550 JSD 12/02/96 96-287085
SHERWOOD OR 97140
Phone #: 620-7023
NORMANDIN ELECTRIC $ 5k'. 50 TOTAL
51086 NW CLAPSHAW HILL. RD
REQUIRED INSPECTIONS
FOREST GROVE OR 97116 Elprt' '. Sei,vice
Phone #.- 503-357-5380 Elert' l Final
Reg it. . - 69008 C ? � 4
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore, Specialty Codes and all other F—erm 1 t_�ee Si gnat i..We
applicable laws. qI1 work will be done in accardvcp with '
i
I
approved plans. This permit will expire if work is not started IL
within IPA days of issuance, or if work is suspended for more
than 188 days. 1?`s_o.ted By
OWNFR. INSTALLATION ONI.Y.---
The installation is being made an proper-ty I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURF: DATE:
-CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELECIN: DATEa
ICENSE NO:
Call for inspection -- 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Ppnnft # �� q 6 j `
Orate Issued // 1� -��i
Phone (503) 639-4171 _ —"-
CITY OF T1C3ARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503)639-4175
1. Job Address. l 4. Complete Fee Schedule Below:
Name of DeveloJpment.1 II _-V �j. / �� Number of Inspections per permit allowed
Addrrss 1 ( t., f,u i r Jrtt,,,., l J r� Service mckAed: ttam Cosgea) Sum
CitylState,Qlp ��,to 1;I Q/ 4a. Residential -per unit
) IOW sq. R was as xttcoo 4
Name (or name of business)_ ' /{}l/m Y 17 Fsoj asswnw soo sq.R or —w
patkx tlgrvar W 0o 1
Commercial ❑ Residential ❑ LOOM Efww M�
Exh Mttnurd H ne or MoMi r
Srr,Nps or fasdr:q Lee 00 2
2a. Contractor installation only: Ctwa/r �-
4b. Services or Feeders
Electrical Contractor }^� � .4Rirtnot 4 t�toaena. 2
Address_ i 20 anm to 4W a _-- �oho —__ 2
City f; < _ State C' / zip _ 401 armn 00 amarp _ — 312000 2
Phoria No. 17 sot Wme to 1000 0, _—, $18000 — 2
ov.r loos"no or vats 2340.00 2
Job NO. l_r) R.00nnw a.ry ' :30.00 z
Contractors license NO.— remP > g or Fetedars
Contractor's Board Rag. No., �. — .rrhn.
iftrffon,or rekW:oitrory
Sigltature of Stipr. Eiz.:'n t4rddL � �l�t. � _.__.^. zoo at+m or Mia _�_
license No. 7;[ TPhone N0. —__ 4400, bOW,400 --� $75.W z
v 2
Ova 6W m"In 1000 vrAz -- 21o0.0p
2b. For owner installations: nN"-.bavc
Ad- Branch Ckvdts
Print Owners Name _ ^� N".ads oft or ma nion P«pane
Address _ 91 The No for tm ed arc„c.WM
CityStateZip `""'p °"
d sow foody ry
ee or a 2
— — E"bra%I- dare i5 00
Phone No- bl nr W for b��worm" -
The installation is being made on property I own which is or.cftm of..v.n.or^»dw fte z2
not intended !or sale, lease or rent. Fl"r°'arid""'' ---- M 00 ---�_
Esot sddelora ill atrh CRCLA 2100
OwneYs Srgnanue -__ 4e. MOscallaneous
(Servlet or b4ider not rtcdidwJ) 2
3. Plan Review section (if required): Ench Rxm or I quo.,eve won _
Escn spn cr ashu 501ftn 240.00
S"Qar(r)or•2rrvied angry 2
Please checit appropru is item and atter fee in section 513 PW"k i"N" or SKI&d=t 240 00
_4 or mom residential units in one struc t" AM KV LAbWft(1m –� 21070.00 _
Service and `eerier 225 amps or mora
System over 600 vr>'ts rxxnnal 4f. Each additional Inspection over
C1assrRed area or sttucWm contamirig spectal occupancy the allowable in any of the above
as described in N.EC. Cttap•.er 5 Paea.mm n us
Per her 2--M 00
Submit 2 se s of plans with application wherein Ph" -4~ MOO
arty rN lite above _
apply. Not required for tnm,torary construction services, 5. lees:
NOTICE ti Entr_r total of above fees
5%Sunt harge ((1S X total fees) S '
PE1tMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S —
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- ) S ---_--
A PERIOD OF 180 DAYS AT ANY TVAE AFTER 1MORK IS Subtotaf S _
COMMENCED. _«.....» ❑ rr st A,-.,,d s
Balance Due S ���
CITY OF TIGARD
DEVELOPMENT SERVICES
T"CTRICAL. PERMIT
m 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 FIPESTRICTED ENERGY
PERMIT #: FL-R97-0013
TATE ISSUED: 03/P0/97
PARCEL.
TP ADDPF9S. . . - 09171 $77,14 BURNHAM ST
IRDIVISTON. . . . : 70NTNG:CBD
LICK. . . . . . . . i-.OT. . . . . . . . . . . . .
(3ject Desc-i-intiont. TNSTL PROTECTIVE STGNALING
RFS I DENT I - ---- S.
A U D T(1 8, ri TE R F 0. . . AUDIO 8. STEREO. . : TWTFRCOM & PAGING.
SURRI-AR AL.ARM. . . . BOILER. . . . . . . . . . : I-ANDSCAPE/I RR T GAT. . .
GARAGE OPENER— . - CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . .
HVAr. . . . . . . . . . . . . : DATA/TEL.F COMM. . : N(.IRSr.-- CALLS. . . . . . . . :
VA(-,*LIIJM SYSTEM. . . . : FTRF Al...nRM. . . . . . : OUTDOOR I-ANDSC LITE!
OTHER- HVA( . . . . . . . . . . . . .. PROTECTIVE SIGNAL. . : X
I NGTRI JMFNI"(-)l"T ON, OTHFR. . : .1 :
TOTAL # OF SYSTEMS: I
FEES
T*FVFN MARTNF tvpe amos-int by date t-ecpt
...930 5W I12TH P R W1, 40. 00 'TAT 03/20/97 97-P9PIA45
SPrT 4. TAT 0314". 0197 97-29F,045
11"RWOD OR 97.140
'i one #- F,.,.,0-70P3
1,1()STFP ALARM I . 1— C $ 4. 00 'TOTAl-
(DPA PHI1J..TPS Fl ECTPn-NICS)
1110 NW F-LANDFRS RrPUIRED TNqPF('TTOt\1S
PnRTI..AND OR 97209 Ceil inrl rover- 17 1 Prt 1 1. 9(3t-v i r-p
P -ione 2-°7-0971 Wall, Covet Flec-tl I Final
Pf-,q #. 000433
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itee Signat o.t-e
applicable laws. All work will by done in accordance with
approved plans. This permit will evoire if work is not started
within 18P days of issuance. or if work is sktipp!ided for more ........
10 days. T5r,,.ied By
ie int.tAllation is bpiny irl�4(le on pl-nppt-ty I own which is not intendr-i
11P, leaSP, or' t-fsnt.
'NIF-RIS c.;TGNAT1-JRE.% DATF:
......--------cnN-1-R(-)rTOP TNRI'Al I ATTnrq ntJl v -
fGNAITIRF. OF supp. FL.FC' Nc C.I
irFW')F NO:
Call fnt, inspection - 639-41-, 9
0 -
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT#
^, Phone(503)639-4171 — },_LU,C�
FAX(503)684-7297 DATE ISSUED .J
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION(` 4. TYPE OF WORK
Addrl•s,, RESIDENTIAL.—Restricted Energy Fee. . . . . . . . . 140.00
1 ►c,ar zZ
— (FOR ALL SYSTEMS)
i
Cit e
Stat — Zip Check Type of Work Involved:
PERMITS AkE NUN-TRANSFFRABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
1B0 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener"
2. CONTRACTOR APPLICATION FJ t!
Ventilation and Air Conditioning System'
Contractor�'It S�te L�n1;-t Type 1a/ ;}ter. ❑ Vacuum Systems'
. 1:1 Other ——_---
Addr�ass .l'i�Q�t�• t � O f} < <�.��-12.o q
Date 141 $ q't__ —_� COMMERCIAL—Fee for each system . . . . . .CUM(SEC OAR 91ft-260-260)
Property Owner -tVtnS went _ __________ Check Type ofWoLkI volved;
Contractor's Board Reg. No. ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# Z e
2 7- 0�_'1 1 ❑ Clock Systems
---- -- -
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State. Zip ❑ Medical
This perm'Is issued wxler OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls
rpstricted energy installations 1100%nit amts or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following
1. Only use elpctrical licenspd persons to do installatinns where inquired.iCertain Protective Signaling
residpnlial and other transactions are exempt from licensing. (hese have ❑ Other _
asterisks('1.All others need licensing).
2. hall for an inspection when all of the installations under this permit are ready
for inspection at 503.639.4175. ❑ Number of Systems
1. Purchase separate Permits for all installations that are not ready(or inspection —
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling(or a final inspection when all of the 5. FEES
corrections are cnmple.ted.
The person signing for this permit must he the applicant or a person a. Enter Fees $ d O
authorized to hind the applicant.
h. 5% Surcharge(.05 x total above) $ 00
Signature
TOTAL $ 2.00
Authority if other than applicant
Ft IERGAP.CHP