11545 SW DURHAM ROAD STE B-7 C7
v
11545 SW DURHAM RD B-7
r1TY OF TIGARD ELECTRICAL PERMIT
+ PERMIT 1✓: ELC2002-00560
W r, DEVELOPMENT SERVICES DATE ISSUED: 10/23/02
13125 3W Hall Blvd., Tiaard, OR 97223 (503 639-4171 PARCEL: 2S110DC-02300
SITE ADDRESS: 11545 SW DURHAM RD B-7 ZONING: C-G
SUBDIVISION:
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of(1) 100 amp service and(5)branch circuits. Job No. 320
_ RES!DENTIAL UNIT_ TEMP SRV(/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: M
EACH ADD'L 500SF: 201 • 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANE HM/ SVC/FDR: 601+arnps - 1000 volts: MINOR LABEL_ (10):
_ :,ERVICE/FEEDER BRANCH CIRCUITS _ _ ADD'L-INSPECTIONS_
1 `0 200 amp: 1 W/SFRVICF_ OR FEEDER: i PER WSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 600 amp: EA ADD'L.BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ P_L_AN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: _ > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR>-225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
DURHAM/99 ASSOCIATES LTD PTNSH WILLAMETTE ELECTRIC INC
BY CRIIMI MAE SERVICES LP PO BOX 230547
ATTN:LOAN SERVICING TIGARD,OR 97281
POCKVILL E,MD 20852
Phone. Phone: 624-2938 FAX
Reg #: 1629-3631 34-2830
FEES
Description Date Amount
Required Inspections
I I.LI'RMTJ ELC Permit 10/23/02 $1lr,,55i — --
1 I \NJ 80t,Statc Tax 10/23/02 $9.08 Elect'I Service
Rough-in
Total $122.63 Elect'I Final
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 questions to OUNC at(503)2 66699 or
1.8()8'332-2344.
Issued By: /' . f / Permit Signitore:
OWNER INSTALLATION ONLY
Tho installation is being made on property I own which is no!intended for sale, lease, or rent.
OWNER'S SIGNATURE: — _ DATE:_,
CONTRACTOR INS ALLATION ,1N_Y
SlGNE•,TURF (1F RIJPR. ELEC'N: -� / _. DATE:-------
LICENSE
ATE:___ ---LICENSE NO.
Call 62^ 4175 by 7:00pm for an inspection the next business day
n\ Llectrical Permit Application
PDatercceiveLa n c, Permit no.:li e •.00�;�
City of Tigard Project/appl.no,: date:
CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: R�ceiptno.:
Phone: (503) 639-4171 —
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval:
tiff OF PERMIT
U I Ac 2 family dwellieg o f accC:asury U Commercialhadustrial U Multi-family Tenant improvement
U New construction U Aciditiun/alteration/replacerncnt U Other: U Partial
t SITE 140RMATION
Job address: f! y S" < w �,111.1 j� Bldg.no.: Suite no.: Tax map/tax lodaccot:nt no.:
Lot: Block: Subdivision: �— _
Project name: N tt Description and location of work on premises;
Estitnated date of compit tion/hlspection: "-�
1 -911 All 'FEE 1
Joh no: ?V Fee Max
Bust' Hanle: Description Qty. (ea.) Total no.hnp
r �" New residential-single ormulti-familyper
Address: PC,
ACY ZX.Q_ dwelling unit.Includes atinchetlgat agc.
City: State.O ZIP: 9j?Vj Serviceinchtded:
Phone: j,t.t _ Fax: (,? .9cjj1 E-mail: IWOsg.ft.orless —- -_ 4
Each additional SW s4.ft.or puniou thereof
CCB no.: '�bQ '� Elec.bus. lic.tio: AZ k-7
Limited energy,residential _ 2
city/melAo lic.no.: Limtiedenergy,non-residential __ 2
(V-V-OL Each manufactured home or modular dwelling
sl nature o su rvisi electrician(required) Date Service and/or feeder 2
Sup.elect.name(print): Fr License no: /96 -( Services orfeeders-Installation,
alteration or relocation:
PROPERTY200 amps or less &' dV 2
Name(print): 201 amps to 400 amps 2
-- 401 amps to 600 amps 2
Mailing address: 601 amps to IWO amps 2
City: State: ZIP: Over 1000 amps or volts _ 2
Phone: ` Fe E-mail: Recnnnectonly I
Owner installation:The installation is being made on property I own bemporn.-y services or feeders-
which is not inh:rded for sale,lease,rent,or exchange according to irnstallauon,aheralion,orrelocation:
ORS 447,455,479,670,701. 200 amps or less 2
201 amps to 400 amps2
Owner's signature: _ Date: 401 to 600 um s -� 2
Branch circuits-new,alteration,
or extension pet panel:
Nance: -_ A. Fee for'rranch circuits with purchase of
Address: service or feeder fee,each branch circuit f ( ;Z ` 2
City: State: ZIP B. Fee for branch circuits without purchase
Phone: E-mail: of service or feeder ree,first branch circuit: 2
('ax: -Each additional branch circuit:
Misc.(service or feeder not Included):
U Service aver 225 amps-commercial Q Health-care factl� t Each pump or irrigation circle _ 2
U Service over 320 amps-rating cf 1 Ret U Hazardouslocation Each sign or outline lighting 2
family dwellings U Building over I0AX)square feet four or Signal circuu(s)or a limited energy p.nel.
U System over 600 volts nominal more residential units in one structure alteration,or extension" 2
U Building over three stories U Feeders,4W amps or more •Ueseri tion: _
U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the aIle wable in any of the above:
U EgresAightingplan U other: __._-- Per inspection ��
Submit_sets of plan4 with any of the above. Investigation fee
The above are not applicable to temporary cottttraction service. Other
S'
Not all jurisdictions rccept credit cards,please call jurisdiction for move information. Notice:This permit application
Permit fee... ........""""' /
U visa U MasterCard expires if a permit is not obtained Plan review(at — fit) $ —
Credit card numbs _ / / within 180 days atter it has been State surcharge(8%) .... _ 1 8
Fspires d accepteas complete.
_—_N—oi cardholder — TOTAL. .......................5
o shown on e it ted
_ S
Catdhddet siEnature �Amci;W 440-4615(NOWOM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT :-EES:
Corr7ple:e Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Rest,icted Energy Fee...................................................... $75.00
_ Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Ser vice included: Items Cost Total Check Type of Work Involved.
Rea.Idential-per unit r ,
1000 sq ft.or less $145.15 D
4 Audio and Stereo Systems'
Each additional 500 sq.ft.or
portion thereof —_` $33.40 1 Burglar Alarm
Limited Energy _ $75.00
Each Manufd Home or Modular Garage Door Opener"
Dwelling Service or Feeder $9090 _ 2
Services or Feeders L Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.3 2
201 amps to 400 amps $106.85 — 2 u Vacuum Systems'
401 amps to 600 amps $160.60~ 2
601 amps to 1000 amps $240.60 2 t�llicr
Over 1000 amps or volts —_� $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system.......................................................... $75.00
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400<.mps $100.30 2
401 amps to 6W amps $133.75 _ 2 Check Tyoe of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. Audio and Stereo Systems
Branch Circuits E] Boiler Controls
New,alteration or extension per panel
a)The fee for branch circuits
with purchase of service or Clock Systems
feeder fee.
Each branch circuit _ $5 es Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service fire Alarm Installation
or feeder fee.
First branch circuit _ $46.85
Each additional branch cirrilt $6.65 HVAC
Miscellaneous Instrumentation
(Service c*feeder not Included)
Each pump or irrigation circle $53.40 Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 Landscape Irrigation Control"
Minor Labels(10) $125.00
Medical
r-ach additional Inspection over ❑
vie allowable In any of the above
,'dr inspection $62.50 _ ❑ Nurse Calls
Per hour $62.50 __ r,
In Plant _ $73.75 u
_ Outdoor Landscape Lighting'
Fees: U Protective Signaling
Enter total of above fees $ Other
8%State Surcharge $ ____^___Number of Systems
25%Plan Review Fee
See"Plan Review"section on $ No licenses are required Licenses are required for all other installations
front of application —-----
Fees:
Total Balance Due $
r--� -- - - Enter total of above fees
Ll Trust Account# 811.State Surcharge
— - — _ Total Balance Due $__All New Commercial Buildings require 2 sets of plans.
i:ydsts\forms\eIc-fee.s.doc 08/30/01
CITY OF TIGARD 24-Hour
BUI!-DING Inspection Line: (503)639-4175
INSPECTION DIVI;IAN Business Line: (503)639-4171 MST
BUP ------- - - ---
Received .__ _ Date Requested/-LL-Z _____ AM__---.— PM --. BUP
Location -_,/ l :C 4 Sw 041 rAA-7- -___ . Suite _ --- MEC —'—
Contact Persons� � _ Ph(.-___) - -�3�_ .� PLM ------ __----- —
Contractor CIL ??;mv'2�Z64 Ph ( ___) SWR
BUILDING Tenant wner _ � -i ELC
Footing Y ELC
Foundation
itn Access:
Ft Drain Crawl Drain
Slab Inspection Notes: SIT
Post&Beam -_
Shear Anchors ---- --�--
I xt Sheath/Shear
Int Sheath/Shear —'
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - — — - — --
Fire Alarm
Susp'd Ceiling - --- -
Roof
Other. -
Final - - 10
PASS PART FAIL --- — - --`�
PLUMBING_
Post& Beam -- -_- ._._.--
Linder Slab --
Rough-In
Water ServiceSanitary Sewer
Sewer
Rain Drains - - -
Catch Basin/Manhole
Storm Drain - -- -
Shower Pan
Other. - -------- --
Final
PASS _PART FAIL
MECHANICAL
Post& Beam - ` -
Rough-In
Gas Link)
Smoke Dampers - --------- - ---
Final
PASS PART FAIL - ----- - - - ----
TR
Se --- ---- - --- - -, - -- -
ab
Low Voltage
Fire Alarm
Final E] Reinspection fc-e of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_'PART FAIL
SITE _ Please d for reinspection RE: _ --__ — [� unable to inspect -no access
Fire Supply Line
ADA
Approach/Sidewalk Det�� Inspector
Other:
Find DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY,OF TIGA14D 24-Hour
BUILDING Inspection Line: (503)639.4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
J / SUP _
Received Date Requested`—�_ AM PM BUP
Location f.� �� ��-�I.F���i�YC� Suite_ :Z MEC _
Contact Person Ph( ) PLM —_—
Contractor -Ph( ) .31 SWR
BUILDING _ Tenant/Owner ELC
Footing
Foundation Access: ELC _—
Ftg Drain ELR _
Crawl Drain —�—
Slab Inspection Notes: SIT
Post&Beam _
Shear Anchors
Ext Sheath/Shear
Int She ath/Shear --
Framing
Insulation
Drywall Nailing -- ---- — — —--
Firewall
Fire Sprinkler -- ----- — —
Fire Alarm
Susp'd Ceiling -- ----- -- --- —
Roof
Other. --
Final
PASS PART FAIL -` — -- --
PLUMBING
Pose& Beam---- �— �-- —� -- _—�
Under Slab
Rough-In
Water Service _Sanitary Sewer
Sewer
Rain Drains — --- -- —
Catch Basin/Manhole
Storm Drain -- ------ -----� — -- --
Shower Pan
Other:
Final
PAPS PART FAIL —`----
MECHANICAL _
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL — --- -- — —
ELEC_TRICAL
Service — - ------ — -- —
Rough-In _
UG/Stab
Low Voltage _ —• _-_ _ — —
Fire Alarm
�n Reinspection fee of$ r uire-1 before next ins
_ PART FAIL pection. Pay at City Hall, 13125 SW Hell Blvd.
SITE — F1 Please call for reinspection RE: Unable to inspect—no access
Fire Supply Line
ADA All 11,
Approach/Sidewalk Date ---- Inspector Ext
Other:
Final --- DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL