Loading...
10685 SW GREENBURG ROAD ,J P dr O 00 CT Ri m Z m C G7 X O D 0 I i I 1 10685 SW GREENBURG ROAD / \ CITY l TY O F T I G A R D -- ELECTRICAL PERMIT- (y" RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00259 13125 SW Hall Blvd.. Tigard. OR 97223 (5031639-4171 DATE ISSUED: 8/26/03 PARCEL: 1 S135BB-00700 SITE ADDRESS: 10685 SW GREENBURG RD SUBDIVISION: Z' NTNG: I-P BLOCK: LOT: JURIS ..CTION: TIG Proiect Description: Installation of limited energy for protective signalling. Job No. 117A-r-202 A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO&STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: ANDSCAPE(IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PRO1 ECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner- Contractor: FOURIER, GEORGE+ JAN AND SONITROL PACIFIC LARSON,ALAN W TRUSTEE 8220 N. INTERSTATE AVE. 349 W 71 ST ST#1 PORTLAND, OR 97217 NEW YORK, NY 10023 Phone: Phone: 223-5822 Reg#: LIC 53535 ELE 26-370CLE _ FEES _ Required Inspections Description_i Date Amount Low Voltage Inspection F1'PRM'T] ELR Permit 8/26/03 $75.00 Elect'l Final 'TAX]8%State Tax 8/26/03 $6.00 Total $81.00 This Permit is issued subject to the regulations conta`ned in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires You to rules ted by th Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Iss ed by , _ d Permittee Signature - OWNER INSTALLATION ONLY The installation is being made on property I own which Is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ V DATE:__ LICENSE NO: -- -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical PermitApplication lFatercccived:? ¢ 0 Permit no.:Cl ficr:r - City of Tigard '1 `V = Projecdappl.no.: Expire date: 44OR 97223 ; kyn�li);n,d Address: 13125 SW Date issued: ey A/ Receipt no.: Phone: (503) 639-41712�}�{ Fax: (503) 598-1960 Case file no.: Payment type: ( Land use approval: _ 1 !New 2 family dwell;ng or accessory XCommerciaL/industrial C)Multi-family ❑Tenant improvement ICU] construction ❑Addition/alteration/replaccment ❑Other ^— U Partial INFORMATION Job address: jolp$t5 ee n bt t I-r Bldg. no.: Suite no.: Tax ma tax lodaccount no.: Lot: Block: Subdivision: r y�hU.YCI1 XS ���_L�_`,>Q Project name: GSA' _ Desc ' tion and location of work on )remises: r _ Estimated date of romplerion/inspection. l Job tto! ►( I - d. i Pec star. —�--------- Description Qky•I (ut.) Total uo.htsp Business name: S YO New residential-single ormutd-famllyper Address: (, a-a() V,)- -r-v��1t�StatcZIP, dwelling unit.Includes attached game. City: x- E- t < "�r Servlcelncluded: Phone: 3 `a] Fax. 7 - 77.3 E-mail: 1000 sq.ft.or less 4 Each additional 500 sq.fr.or portion thereof CCB no.: 3 —Limited energy,residential 2 City/Metro lic.no.: Ltmitedenergy,non-residential 2 -�-_ Each manufactured home or modular dwelling Signature s pervising eler.rician(re uir d) Date Service and/or feeder - 2 License no l« - Services or feeders-Installation, Sup,elect.name(print): Sc C cK -C✓` - alteration or relocation: 1 200 amps or leas - - 2 t 201 amps to 400 ams 2 �Namc(print): o ^ 7SA,- `c P 401 amps to 600 amps _ 2 Mallin address: q l.� (5'+- I � 601 amps to 1000 amps 2 City: State: ZIP: QU Over 1000 amps or volts z Phone: Fax:_ E-mail: Reconnectonl Owner installation:The installation k being made on property I own Temporary aeMcesorfeeden- which is not intended for sale,lease,rent,or exchange according to 200huramps or lessaltelon,orreloatMn: 200 amps or leas 2 ORS 447,455,479,670,701. 201 amps to 4W amps _ 2 Owner's signature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: _ _ A, Fee for branch,•ircuits with purchase of Address: service or feeder fee,each branch circuit _ 2 Cit _----- - i State: ZIP: B Fee for branch ciroiits without purchme City: of service.or feeder fee,first branch circuit: 2 Phone: - aX: E-mail: Each additional branch circuitFM-Wil I KI MI . ' Misc.(Service or feeder not included): O Service over 225 amps-conunercial L1Health-carefacility Each pump or irrigation circle 2 _ O Service over 320 amps-rating of 1 ec2 LI Hazardous io•ation Each sign or outline lighting famllydwellings QBuilding over,0,000square feet four or Signal circuit(s)or a limited energy panel, OSystem over60ovolts nominal more residen';-,unitsinone structure alteration,orexteruion• 2 _ O Building over three stories O c w.icrs,400 amps or more *Description: _ 'I-EC lsPW_ _ O Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: ❑F4mssAigho Caplan O Other - Per ipye tion Submit_sets of plans with any of the above. Investigation fee '11he above are not applicable to temporary construction service. I Other — _ — Permit fee.....................$ ,M Lm I4M all i .*Kilo; accept credit cards,please call Jurisdiction for mora infornrarion. Notice:This permit app:,..ation Plan review(at __ 9h) $ Visa ElMssterCa d expires if a permit not obtained credit tars number within 180 days after it has been Stare surcharge(896) ....$ ' Expires accepted as complete. TOTAL ...................... $ _ Name of csrdtwlder as shown an c it card -- Cardholder sigrruure —� s Amount 4404615(6MCOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Rest - - Restricted Energy Fee...................................................... $75.00 Number of Inspections per Eirmit allowed (FOR ALL SYSTEMS) Service included: Items Cost 1 Jtal 1. Check Type of Work Involved: Residential-per unit 1000 sq.ft,or less $145.15 _ 4 E] Audio and Stc,eo Systems Each additional 500 sq.ft.or portion thereof $3340 1 F-] Burglar Aiarrn Limited Energy $7500 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder — $90.90 2 Services or Feeders u Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or loss $80.30 _ — 2 ❑ Vacuum Systems" 201 amps to 400 amps — $106.85 '- 401 amps to 600 amps _ $160,60 2lite-- 601 amps to 1000 amps _ $240.60 — 2 I I Other Over 1000 amps or volts $454.6u — LJ —--- - ---- - — - Reconnect only $66.85 — — 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation _ $66.85 - 2 Fee for each system.......................................................... $75.00 200 amps or less 201 amps to 400 amps $100.30 2 (SEE OAR 918.760-260) 401 amps to 600 amps $133.75_ 2 OCheck Type of Work Involved. Over 600 amps to 1000 volts, aPe"b"above. Audio and Stereo Systems { Branch Circuits i New,alteration or extension per panel LJ Boiler Controls a) rhe feo for branch circuits with purrhase of service or r. feeder fee. F] Clock Systems Each branch circuit $6.65 2 b)The fee for branch circuits Data Telecommunication Installation without purchase of service or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 HVAC Miscellaneous (Service or feeder not Included) Instrumentedon Each pump or irrigation circle _ $53,40 Each sign or outline lighting $5340 intercom and Paging SyslPms Signal circuil(s)or a limited energy ry (1U panel,alteration or extension $75.00 I __ Landscape Irrigation Control' Minor Labels(10) $125.00 Each additional Inspection over Medical the allowable In any of the above Per inspection _ $62.50 _ — Nurse Calls Per hour $62,50 _ In Plant _ $73 75 Outdoor Landscape Lighting` Fees: r, Protertive Signaling Enter!rta.l of above fees $ >Q Other_� 8%State Surcharge $ 1 -Number of Systems 25%Plan Review Fee See"Plan Review"section on $ fin licenses are required. Licenses are required for all other installations front of application — Total Balance Due $ •r t:> Fees: r�Ga cO ❑ __ Enter total of abovh fees $, . ' Trust Account# 8%State Surcharge $-- u Total Balance Due $. plk _ i;dsts\forrm\eIc-fees.doc 10/09/00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: ;503)639-4175 MST �---- INSPECTION DIVISION Business Line: (603)639-4171 BLIP -- Received Date Requested-1 0 79 AM.__ PM BLIP -.--- ------------- Location -----1010 S$- ta r, �� ._Suite. MEC -- -- --- Contact Person -T__ _, Ph PLM Contractor -__-___ A Pah ) / �WR -�- --- - BUILDING Terant/Owmr �iL�_��I'J �'-�V�V ELC Footing dakiaELC --_---_�__- Foundarion ACCess: f. -� 3 •. ©oab� Ftg Drain r..^g Crawl Drain Slab Inspection Notes: SIT Post& Beam _ -----.-_ - _ Shear Anchors -� Ext Sheath/Shear Int Sheath/Shear Framing --- .. - ---- --- -. --- - Insulation �- Drywall Nailing - - - - -- _ ------ -- - ----- -- Firewall Fire Sprinkler - -- Fire I' rm Suspd Ceiling - Roof Other: --- -- - -- -- - Final ------ PASS PART FAIL vi OW- BING _ Post&Beam - Under Slab ---- ------ -------- -.---_ Rough-In Water Service --- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - --- -- -- ---- --------- - ----- Shower Pan Other: -- Final PASS PART FAIL MECHANICAL _.- _ Post&Beam ------ Rough-In - --..--- - --- - -- --- ------- Gas Line Smoke Dampers -- ----- Final PASS PART FAIL -_-.---- - - -- -- - - - - -- - ELECTRICAL Service Rough-In - UG/S Low Voltage - A j I Reinspection fee of$_.- required before next Inspection. Pay at City Hall, 13125 SW Hall Elvd. ff 10AS PART FAIL - Please call for,resrspection RE: __.- Unable to Inspect no access Fire Supply L.hoe ADAExt �� Iq �- Approach Sidewalk - _ -__ -__ - Other: Final DO NOT REMOVE this Inspection record f�m the Jab its. PASS PART FAIL