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9600 SW OAK STREET STE 450 —OSP 21S '132SIS MVO Ms 0096 a' w H H G7 G7 cr H L d V; o �o cr W J 9600 SW OAK SY STE 49 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 639-4.176 Business Line: 639-4171 BUP Dattnel//Reauested �� AM PM _— BLP Location_ vl�L J(l► l Suit4k." 500 71 MEC ... .__ Contact Person _ Y) _�.-.QPh _��AIi �I !3' t �� f PLM Contractor _— Ph SWR BUILDING Tenant/Owner _ ELC _ Retaining Will �E�LRA9-0007,,S Footing Foundation FPS Fig Drain Crawl'Drain I"XIII rc<I'KcscmCII/Request "`" SGN - Slab 31T Pos.'&Beam -� ------- - Ext Sheeth/Shear Int Sheath/Shear `- - Framing Insulation - Drywall Nailing p _ Firewall - Fire Sprinkler Fire Alarm ®- Susp'd Ceiling Roof _ Mise - Final PASS PART FAIL PLUMBING Post&Beam -^ - Under Slab Top Out Water Service Sanitary Sewer --'- -` - — Rain Drains Final "-`�— PA3S PART FAIL MECHANICAL --- -_ Post& Beam Rough In Gas Line - --- Smoke Dampers Final -- -PASS PART PART FAIL IL Service _s - re Rough In Il UG/Slab Low Voltage Fire Alarm Nm ASS ART FAIL two _ J Backfill/Grading -- --__-----_,_-------------.-_-._-- —_ _ Sanitary S6wer Storm Drain ( )Reinspection fee of _ _ _ required before next Inspection. Pay P•.City Hall, 13125 SW Hall Blvd Catch Bas!n Please call for reinspection RE: Fire Supply Line I ) p -.--_-_ __ ( )Uneble to inspect-no access ADA _ Approach/Sidewalk (late Z,-20 -� Other __ Inspector Ext _ Flt tal PASS PART FAIL DO NOT REMOVE this Inspection record from the job site CITY OF TICARD BUILDING INSPECTION DIVISiiON MST 24-Hour inspection Line: 635-4175 Business Line: 639-4171 ------ -- I BUP Date Requested -3-17-2 —AM�` �PM _-� BLD Location 9112D6 .., 1 4Suite � el MEC Contact Person _ Ph _ PLr,1 Contractor__ "t L/� �INL� Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall �� ->� O(�, � ELR Footing "�'��••'�` v Foundation Access: FPS Ftg Drain --- --- SGN — Crawl Drain Inspection Notes: r -- -- - Slah Post&Beam — p'- O.� 6.�, , SIT ©�P t I-xt Sheath/Shear ' Int Sheath/Shear 4� Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler m: Fire Alarm Susp'd Ceiling Roof Mises Final PASS PART FAIL Post&Beam - Under Slab Top Out - Water Service Sanitary Sewer Rain Drains Final — -- PASS PART FAIL MECHANICAL Post&Beim Rough In Gas Line --.-- Smoke Dampers Final P T FAIL L CTRICAL _ Service �. Rough In 01: UG/Slab Low VohageEiIN Alarm ------ __ T -� ASS/' PART FAIL W Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hal!Rhrd Catch Basin Please call for reinspection RE: Fire Supply tinei ) P� [ )Unable to inspect no access ADA Approach/Sidewalk - Other Date ' Ilt#J�ctor / .�' < Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY0,of TIGARD DEVELOPMENT SERVICES FLECTRICA;_ PERMIT 13125 SW Hoff Md., Tl9ard,OR97223(503)6394171 RESTRTCTED ENERGY Fr`_RMIT #: ELR99-0085 DRTE ISSI)E D: 08/11 /9" /9" PARCELS 19135SD •00? C+0 TI' ADDRESS. 009600 SW OAV ST #1050 •lllnlViSICIM. . . . :nSHBROOK FARM 70NANS:C—P OCR. . . . . . . . . : t_OT. . . . . . . . . . . . . :01�5 JURIODICTN% TIC o,jec,t Desrri pt i on: Installation of liNited enrrlY panel. RE5TI1ENTIA1_-_._._ AI_IP I 0 R STE RFn. . , a AUn I D 8- STI:REGI. . t INTERCOM K PAG I NO. . DURGt_AR ALARIr•'. . , . a SOIL_ER. . . . . . . . . . s LANDSCAPI±/TRRIGAT. . : GARAGE OPENrR. . . . , CI._OCK. . . . . „ . . , . , a MFt)TCAt.. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . a DATA/TELE COMM. . : NURSE CALLS. , • . . VAl';l_1UM SYrTEM. . . . a FIRE ni .ARM. . . . . . a 0�_ITDOGIR 1.ANT°*C 1I.-ITE: TE: r1THE=R a a HVAC. . . . . . . . . . . . : PROTECTIVE S I CNnL . . s TN9TfiHMrNTATTnN. : 13THER. . aLTMITED EN: :X TOTAL # OF SYSTEMS- 1 Owners .__._._....__...._...._._. ..__. .. ALLEN/FAL.K, INC type amount by date reept 9020 SW GEMINI PRMT 4 40. 00 LIRA 02/it/99 99•-312277 Br-AVERTON OR 970OR SPCT $ P- 00 PRA OP/t ! /99 79y 3 t PA7 Y' A rONEP ELECTRIC 3 42. 00 TOTAI '01 SE 14TH RFrc.IIRF"D INI:.'PErTION"1 �FITLAND OR 972KLnw volt,-Age InSp gone it: P33--3531 Flert• 1 Final g #. . . 0004413 s perait is issued s4jert to the regulations contained in the Tigard Mvic:pal. Code, State of Ore. Specialty Codes and ell other ;lirable laws. All work will be done in accordance with approved plans. This pereit will expirf if ;cork is not started within IAP of iss or if work is suspended for snore than 180 days, ATT€ ON: Rregon law requires yal to fallow rule adapted by the rgon lity Nati ion Center. Those rules are set forth in RAR W 9R1-PIP through RAR S'Sc2 8@1-0080. You may obtain copies of =se ules or direr! que io a at t'931?46.1987, ci by p'prmittee Signal +-ir" _ _..__ ._.._._._ . ... .__.�........ ..w_....._ OWNER INSTAt_1_PTI(IN ONi_Y ' iF in,tallAtion Is being made on pr,oper-ty I awn which is not intond(-d ier.,r, - le", lease, or 1 ent. SI-1NOTURF: DATE'i W ...._... ... CONTRAcToR TN')TA1_,1.PTIl1N ONI Y '"ONOTURE OF SUPP. E"1_EC' N: DATE: r r r-_N F Nn: 4-++4-+•+•++++++++-1 4­11 4 f-+++- . { f+++ -++4-++1-++4+++.++i ++++ Lall G3"' 4175 by 7:00 r, M- fns- an inspection neecird Hie next h+tsi.ness+ day : -i 1-4.4-444,44-4-1 ++-14 h't•+•+•� +•{4 f+-F-}++++4-+++4-++.++++-t4 f++++4 + ,j CITY OF TIGARD Electrical Permit Application Pian 13125 SW HALL BLVD. gec';ec'd - 711f­ TIGARD 0aH OR 97223 Date to P.E. _ Phone (503)639-4171, x304 Date to DST _ Inspection(503)639-4175 Print or Type Permit 0 Fax(503)684-7297 Incomplete or Illegible will not be accepted called 1. Job Address- 4. Complete Fee 3chedula Below: Name of Development __ Numbu of Inspectionli par pwmit allowed Name(or name of businesaf��*✓t«res /ys'vRANCF Service Included: Items Cont .�Sum Address y� C)L- S") 0AK 40. Residential-per unit 1000 sq,n,or less 6,110.00 _._. _..._ 4 City/6tatem Each addilionAl 300 sq.It.or 25.00 1 Commercial Residential limned Eonlon nf ergy hereof $23. 00 Each Msned Homo or Modular X Dwelling Service or Feeder $0.00 __..�._,_ 2 2a. Contractor Installation only: (Attach copy of s!l current lit-anow) 4b.Services or Feeders Electrical Contractor ib a-+rev r_�c I c 1�c ___� installatIon,aiterelmn,or relocation --3 - 200 amps or has* 1350.00 2 Address 4'tl' 201 empe to 400 amps _ _ 580.00 2 Ciry_ 6'm Anr+� State o R Zip_97Zo� not amps to 000 amps __ $120.00 2 Phone No. 3 3�3► Sol amps to 10001mps $190.00 __ 2 _ War nuc000 amps or voVolta ;340-00 '-� 2 job No.--41-0-7r- Reconnect only f6o.150.00 2 Elec Cort. Lice.No. zc,•-r z2 Exp-Da te - On State CCB Reg. No. `I y 6 a-?s Exp.Date ? ax' 4c.Tsmpomry Services or Feelers COT Business Tax or Metro NO •� p. installation,alteration,or relocation 200 amps or Maas _ $60.on �- - 2 201 amps to 400 amps 1111M.00 2 5ignctture of Supr. Elec'n,� 7 - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No.j;:?49 L-:-z -_Exp.Date%-' �� _ see"b"above. PhoneNo. 2-3 3--%o3r _ 4d.Branch Circuits New,.Iteration or extension per panel 2b. For owner Installations: a)The fee for brand circutia with purchase of srrwoo or Print Owner's Name fdorf". Each branch circuit fS•00 2 Address - b)The toe for branch dicults City _ state! Zip- without purcheae of Phone No. nerWes or:boder ries• First branch circuit 2 The installation it Jeing made on property I own which Is not Each addilinnal branch circuit $5 00 __ 2 intended for sale,leave or rent 4e.IYIiaoNlaneous (Service nr feeder not lnciLxk4 Ownst's Signature _ Each pump or irrigation circa $40.00 - z Each sign or outilne lighting W-00 2 3. Plan Review section (if required):* Banal clrcul!(s)or a limned en9W .� a. panel,alteralion or axlenslon _(_ $40.00 2 Minor Label*(10) ,_ $100.00 Please cheek appropriate item and anter fes In sWion 89. 4 or mora residential units in one structure 4f.Each addttfonal Inspection over Service and feeder 226 amps or more the allowable In tiny of the above ^� System over SW volts nominal Per Inspaclion $36.00 Clsssiflsd area or structure ooremining special 000UPO CY Par hour m as described in N.E.C.Chapter 5 In Platt 's W "Submit 2 soft of plans with sppllastlon where any of the above apply" S. Feel• -j Not required for temporary construction serAcsetr. 5a.Enter total of above faea f 5%Surcharge(.05 x total fees) f Z NOTICE Subtotal A Sb,Enter 25%of line 6a for � PERMITS 8RCOME VOID it WORK OR CONSTRUCTION AUTHORIZED IS Plan Review Nsequ)M0(Sec.3) $ __;z NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK 3ublotaf IS SUSPENDED On ABANDONED FOR A PERIOD OF 160 DAYS AT ANY Q Trust Account ws v TIME AFTER WORK IS COMMENCED. S - Total balance Due 11baTx1EL00!•A�P Rw•df1C CITY OF TIGARD ELECTRICAL_ PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0313 h4 a 13125 SW Nall Blvd., Tlgsrd,OR 9n23 (503)639-4171 DATE ISSUED: 06/08/98 PARCEL: 1S135BD-00100 SITE ADDRESS. . . :09600 SW OAK ST #450 SUBDIVISION. . . . :ASHBROOK FARM ZONING:C•--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :005 JURISDICTION: TIG Pro.j ect Description: Alteration of electrical for commercial tenant. Job No. 9641 --------------------------------------------------------------------------------------- ---RESIDENTIAL UNIT----- ---TEMP SRVs/FEEDERS----- -----MISCEL.LANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGPTION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . t 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . : 1 MAMF. HM/ SVC/FDR. . : 0 601 +amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 -----SERVICE/FEEDER---- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS--- 0 NSPECT1ONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 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----------------- 1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . a Reconnect only. . . . . : 0 SVS:/FDR > - 225 AMPS. . : CLASS AREA/SPEC OCC. s Owner: FEES ALLEN/FALK, INC type amount by date recpt 90220 SW GEMINI PRMT $ 40. 00 DLH 06/04;/98 98•-306337 BF_AVERTON OR 97008 5PCT $ 2. 00 DLH 06/08/98 98-306337 Phone #: Contractor: ----------------------------- ALLEN/FALK INC $ 42. 00 TOTAL. 9020 SW GEMINI ---- REOUIRED INSPECTIONS ----- BEAVERTON OR 97008 Ceiling Cover Eler-t' l Service Phone #: 646-0533 Wall Cover Elect' 1 Final Reg #. . : 47238 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 approved plans. This permit Nill expire if work is not started within In days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9S2-81-9810 through OAR 952-M1-1997. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. IL Permittee 5 i g n a t u r e: _0N s s u e N ' ._.--__------------_--_nWNER INSTALLATION The installation is being made on property I awn which is not intended for sale, lease, or rent. All LU OWNER' S S I GNA'rURE: -�f� DATE: _ _-.------_---CONTRACTOR INSTALLATION ONLY----------------------•---------- SIGNATURE OF SUPR. ELEC' N: _ G1ft/� [��-1 C 4-770/V DATE s LICENSE NO: ++++++++++++++++++++++++++++++++++++++++..I++++++++++.....+++++++a.+++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++tt+++++++++++++++f•+.....++++++++++++++++++.....++++t+++++++++++++++. CITY OF TIGARD Electrical Per r it Application Plan Check 0 13125 SSW HALL BLVD. r�! Recd ay Date Recd TIGARD OR 97223 JUN 1, ;- r. � Date to P.E. Phone (503)639-4171, x304 ���f` ��� Date to DST Inspection (503)639-4175 Print or Type « GLC Fax (5031 684-7297 Incomplete or ill��1{�I�iriIt�ibit >accepted Called led 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections par permit allowed ( Name(or name of business) \ ��l Service included: Items CO%t Sum Address �` � _ 4a. Residential-per unit 4 1000 sq.It.or less $11000 4 City/State/Zip Each addlNonal 500 sq.It.or sideronion thereof $25.00 _ 1 Commercial ntial Umitnd Energy $25.0\) Each Manuf'd Home or Modular Dwelling Service or Feeder $R8 00 _ 2 2a. Contractor Installation only: (Attach copy of all surrent licenses 4b.Services or Feeders Electrical ntraetor Installation,alteration,or relocation 200 amps or less $80.00 2. Address 201 amps to 400 amps �_.. $80.00 2 City State , Zip 401 amps to 800 amps $120.00 2 Phone N0. 801 amps to 1000 amps �_- $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec.Cont.Lice. o. xp.Date� OR State CCB Reg.No. Exp.Date .Temporary Services or Feeders 29--££-E;i Exp.DatA Installation,alteration,or relocation COT Business Tax or MP 200 amps or less $50.00 _ 2 Signature Of SU r. EIeC'n v 201 amps to 400 amps $75.00 _ 2 9 P 401 amps to 600 amps $100.00 2 --cy 10 1 Over 800 amps to 1000 volls, License No. �6 7- Ni Exp.Da% see"b^above. Phone No. - `'� _1 --- ` 4d.Branch Circuits New,afleration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase of service or Print Owner's Name.__ feeder ft. Address__ Each branch circuit $5.00 2 City_ State-----` Zi b)The fee for branch circuits P without purchase of Phone No. servos or Ibeder Me. First branch circuit $35.00 2 The installation Is being made on propQrty I own which is not Each additional branch circuit_ $5.00 _ 2 intended for sale,lease or rent. 4s.Miscellaneous (Servic,or feeder not Included) Owner's Signature _�__-_ Each pump or Irrigation circle v $40.00 - 2 Each sign or outline lighting $40.00 2 3. Plan Review section(it required): SI al clrcuft(s)or a limited ensrry / Lf�j Signal alteration or extension y $40.00 i -1=-- 2 Mirror labels 1,10) $100.00 1. Please check appropriate Item and enter fee in section 5B. rn 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 Systemover 800 volts nominal Per inspection $55.00 J _ Classified area or structure containing special occupancy Per hour $55.00 --- m as described In N.E.C.Chapter 5 In Plant $55.00 JSubmit 2 sets of plans with application where any of the above apply. Jr. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 4 5%Surcharge(.05 X total fees) $ NQTICE Subtotnl $ - 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review ff-rQ9UIrgi(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 U r Trust Accounts TIME AFTER WORK IS COMMENCED. _ Total balance Due I+DSTSFLC%APP Rey 919F1 / /1 / /�� CITY OF TIGARD DEVELOPMENT SERV'IC'ES ELECTRICAL PERMIT - 13125 SW Hall Blvd.,ngard,OR 97223 (503)6394171 RESTRICTED ENERGY PERMIT #: ELR97-0143 DATE ISSUED: 05/23/97 PARCEL: 1S135BD--00100 SITE ADDRESS. . . :09600 SW OAK ST #450 SUBDIVISION. . . . :ASHBROOK FARM ZONING:C--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :5 JURISDICTN: TIG Project Description: instal access control intercom ._---------------- . A. RESIDENTIAL-------- — B. COMMERCIAL----------------------------------------- AUDIO & STEREO. . . • AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGEOPENER. . . . : CLOCK. . . . . . . . . . . .. MEDICAL. . . . . . . . . . . . : HVAC. . . . . . . . . . . . : DATA./TELE COMM- - RX NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: . . HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL_. . : INSTRUMENTATION. : OTHER. . : � - TOTAL # OF SYSTEMS: ! Owner: --------------------- ----.------------------•----__------ FEES --____--__-_----__ TRAMMEL CROW type amoLint by date recpt 9600 SW OP.ii PRMT $ 40. 00 TAT 05/20/97 97-294777 STE 450 SPCT $ 2. 00 TAT 05/20/97 97•-.294777 PORTLAND OR 97223 Phone #: Contractor: ------------"-----"--- HAA ALARM CO OF OREGON _ t 42. 00 TOTAL 7865 SW CIRRUS DR ------- REQUIIIED INSPECTIONS - BEAVERTON OR 97008 Ceiling Cover Elect' ]. Service Phone #: 646-•2700 Wall Cover Elect' l Final Reg #. . : 000938 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codrs and all other Permit Si gnat ur applicable laws, All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more _ than 189 days. I s s d By ,a ___-._------ ---�-.----OWNER INSTALLATION ONLY-_-_ �-- _--_________.._------ K The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: m --__--_------.------_____CONTRACTOR INSTALLATION ONLY------------------------------ F3 /V DATE: `z3-y W SIGNATURE OF SUPR. EL.EC' N: r �' LICENSE NO: _ - Call for inspection - 639--4175 6U-7-1— r 4 Community Development RESTRICTED ENERGY ELECTRICAL APPLICAT ION 13125 .5W Hall Blvd. M • Tigard,OR 97223 PERMIT — Phone(503)639-4171 (� FAX(503)684-7297 DATE ISSUED _ _/ TDD No. (503)684-2772 CITY OF TIGARD Inspection (50:V 639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 9 � a o ff,, 4 So A ss RESIDENTIAL—Restricted Enet��yy Fee. 4Q,pQ I 0 VR C1 -7 0'1 3 (FOR ALL SYS S) City State Zip C hct'JLTyReAWork Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDAFILL AND EXPIRE IF WORK [] Audio and Stereo Systems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener" r D(2V r 100Vv­* ElHeating,Ventilation and Air Conditioning System,, Contractor Am 42/deft( 0 lypern► a �enQ.KY-q ❑ Vacuum Systems* ❑ Other Address �g b S S L,t) Cl If'lr(AS�C --- Date q 2— _ COMMERCIAL—Fee for each system . . . . . . . Q,pQ Property Owner-TM nj m pl t Crow bE�J Q I p , Chffik Type (SEE OAR 918-260-260) A of11'Sttkluks�LvssL' Contractor's Board Reg. No. 01b C1 Q ❑ Audio and Stereo Systems* ❑ Boiler Controls Phone# _ (p' ^] (' ❑ 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 tip ❑ Medical This permit Is Issued under OAR 918-320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following: 1. Only use electrical licensed persons to do installations where required.(Certain ry❑ Protective Signaling residential and other transactions are exempt from licensing.These have I[y Other �Qs � _� asterliks(*).All others need licensing). d. 2. Call for an inspection when all of the installations under this permit are ready LJC for inspection at 503-639.4175. t— ❑ Number of Systems U) 3. Purchase separate permits for all installations that are not ready for inspection when the inspector Is out to Inspect under this permit. •No licenses are required. Licenses are required for all other inoallations 4. Assume responsibility for assuring that all corrections required by the inspector J_ are done,and to 5. Assume responsibility for calling for a Mal inspection when all of the corrections 5. FEES 0 are completed. W —t The person signing for this permit must be the applicant or a person a. Enter Fees $ TV• �� authorized to bind the applicant. - b. 5% Surcharge(.05 x total above) $ cl, Signature TOTAL $_ r C) Authority if other than applicant — ENERGARCHP CITY OF TIGARD BUILDING: INSPECTION DIVISION 24-Hour Inspection Line. 6394175 Business}°kite: 639-4171 Date Requested: I 1 7 __ A.M. RM MST: �— Location: �u ( _ _ _ BUP:_- - Tenant:_ TPLAULt✓I75 WiKi Suite: �BWg: _ MEC: �:ontractot: AA _ �(��:'JV1 _Phone: _ — -- PLM: � _— Owner: Or~ G�=- Phone: ELC:_ I_'l_ ELR: `q-7- 01 L Srr: BUIIAING _ BLDG(con'() -- PLUMBING MECHANICAL ELECTRICAL sm �— site Post/Beam Post/Beem PosUHeam Cover/Service Sewer/Storm Footing hoof UndFl/Slah Rough-In Ceiling Water Line Slab Framing flop out Dat Line Rough-In U13 Sprinkler Foundation Insulation Sewer HoodlDuct Reconnect Vault Bsmt Damp 1"11 Storm Furnace Temp Service Misc. Masonry Ceiling Rain Drain A/C It3 Slab �YY1 Shear/SEcnth Fire Spktr/Alm Crawl/Found Dr Heat Pump „�'.owolt _ Approved Approved Approved �r ved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved ]FINAL FINAL FINAL 1►INAL FINAL r _J 0 Call for reinspection 11 Reinspectionr of Zrequired before next inspection D Unable t4 inspect Inspector: / Date:_ L -- 4-2 Par--Lof CITY OF TIGARD DEVELOPMENT SERVICES r,!-RMTT #: FL-C97-018? Ai 13125 SW Haff Blvd.,77gard,OR 97223 (503)6394171 DOTE TSI-';LJFD! 01q ",PI)PrC'S -179CMA SP 00H rT #450 0 T S I ON. ASHS RMV F A PM LOT. . . . . . . . T1JP',,c;T)TrTION; -1 TJ ,-t De set-i pt i.an: instl I signal eircuit/livited energy panel ,"71 ----TEMP SRVC/FFEDERS---- )MENTIPL. UNIT-- -----MTSCFL1._ANF-.0US-­ Om S17 OP LFSS. - , . ! 171 0 POO amp. , . , . . . r 0 P1JMP/TPPTGJ1TInN. . . . .'H r) )1N L 5009F. . 0 PO 1 400 amp, . . . . . . : I? 5TGN/01JT L.INE !._Tr;. 1017'Fn 5NERGY. . . . . ., to 401 600 a mp. 0 91 RNA1. !PANEL, 's!F, HM/ r)Vr,/F'nR. 0 6014-amps-1000 vol.ts. 0 MTN(2R LAPEL ( 10) . _ 7 ----c -­-­EkRW4(7H r,1Pr1JTTF3­------- ,;FRI,'TCE/FrFFnEP­___.. INSPFCTIP" ;,-"rArA Arp. i. . . . - 0 W/SFRYTCr OR rEEDER: 0 PER TNSPECTION. .. . ,. 400 'mmr. . . . . . .. 0 Ist W/o SRVC OR rDp. ! 0 !-TE" HOUR. . . . . . ("00 amp. . . . . . 1 0 FA ADD' L_ FkRNCH rIRC- 0 IN P1_.ANT. . . . . . . . 0 1000 amp. , . . , : 0 RF kJ 1*E k,) 9r,-f7TTn 0 )-4 RFS UNITS. . . . . . . . 1 > 600 V111-7 NOMINAL, Reconnect only. . 0 (,;Vr/FDR 22', AMPS. . - ci-osq PREO /smc-(7 nrC.. V'FEq ---------------- TWOPSON r;ACIFTr. t y Pf- Amcunf by rigto rpcpt r1W riAv PRMT 40. 00 TAT 04/0;~:/Q7 9*7—Pq25r: f9'nPD OR 972P2 4 ^. 00 mT 04/0P/97 97-219,-_r`' rALV. TNr 4P. 00 TOTP!. SW rrMT.NT DR RMITRED TNr,3PFCTTONS AYCIRTON nR 97008 Ceiling Cover UnHerprounri rmkym pj,unp #f7 kj,-All cove)- F 1.e rt 00047P '`+-45 pp,-Ti4: ;c j.wite vibject to thp rejuletien! container in the ':pard Momicipal Code, 9tatr of No, *cialtv Cede, and ail other P*rm if t e 1 11 r 1'.1 t t.1 law!. Al? wort! Nil) be dent in accordance with iom,rr­,­e 7!3ns. Nq pornit will expire if work is no! started CL 'N dates of issuance, or if work is iuserlided for sort cc ThJ9TALt.0T1nN ONLY is beirm mAde an property T own whircl, is nn1.t,4­rHmr1 finr le"se, (I-- r",14. 1WN170 - -1r3WATURE: DOTF ul ,(-_iN-rRPrTOR I NST01-I.PT I ON ONLY - - - _j - , ..!PTUPr n;' SUPP. FLF.F,1N- T)PTF 7,r, 7 Call for inspect ion W 9-41,75 Community Development ELECTRICAL PERMIT APPLICA71ON 13125 SW Hall Blvd. Tigard, OR 97223 Planck'Rec. # Permit # — Phone (503) 6.39-4171 Dat9 Issued L FAX (503) 684-72.97 Issued by _ CITY CF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 _ 1. Job Address: -- 4. Complete Fee Schedule Below: Name of Development I -Arlt ei—A1 I�/`L�� -- Number of:nepections per permit 0310Wd — Addre3s _ � � Service inclitd6:: Items Cost(ea) Sura City/$tate2ip 4s. ResMential-per unit 4 1000 eq It or low $11000 _ Name (or name at sines$) I rd UP� � �- �'°`tJ�"�' h 'r Ilion thereof $2600t 1 wrided EnerW $2600 Commercial Residential❑ Fach Mamd'd Hems or Modular 2 Ck"lling Serine or Feedor _ ee on 2a. Contractor Installation only: 4b.services or Feeders Installation,sheralion,or relocation 2 Electrical Contractor 200 amps or Wito woo -- 2 201 amps to 400 amps $e0 00 2 Address 401 amps to 900 amps $12000 2 CitySt t Zip 901 amps to 1000 amps $190.00 2 Phone o. I I n-6-5 , Over 1000 amps or Vohs $34000 _ 2 Contractor's License No. Contractor's Board Reg. No. 4c.Temporary Services or Fesdars ;nstalat+on,shers ion,or re)ocatlon 2 2 Signature of Supr. Eler,'n r 220,oma to 4400 rnpe --� $5000 oo 2 License No. q��f Phone No. 40,amp.to90o.nP. Over am amp to 1000 Vohs 2b. For owner Installations: see W abase 4d.Branch Circuits Print Owner's Name —_ New,alteration or emension per panel Address Y _ a)The be for Manch circuits rMth City_ State Z.i paeNaae er.wwe.a tUedsr Are. Zip__ Each Manch circuit $500 Phone No. __ b)The toe for hrwwh circu"e alThour The installation is being made on property I own which is Fimtunt bran n or eertilee of wades w.. 2 rror>rh drrvil $3600 2 not intended for sale, lease or rent. Each wWiorad branch arch $600 Owner's Signature ��_ 4e.Miscellaneous 2 (,Qarviry or feeder not included) Each pump or irrigraion circle $40 00 2 3. Plan Review section (If required): Each sign or mAna lighting woo Signa circuit(s)or a limited energy 2 Planes check appropriate Item end anter fes In oft %B. panel,alteration or extension _� $4000 `1 11 4 or more residential units in one structure Minor Labels(/0) $IOC Service and feeder 225 amps or more _ System over 600 volts nominal 4t.Each ableaddiIn a of th ab over Classified area or structure containing special occupancy the allowable in any of the above � Per Inspection $36 00 _ as described in N.E.0 Chapter 5 Par h,,,,r $6600 In Plant $6500 j Submit 2 sets of plane with application where any of the above apply. Not required for temporary construction services. 5. Fees: AL So.Enter total of above fees $ NOTICE 5%Surcharge(.05 X total legs) $ subtotal PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sb.Enter line A Rx AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONS THUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS subrorsl —" COMMENCED. ❑ Trust Account 0 ; Balance Due $ �_