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07312 SW DURHAM RD St,,:3 H
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CITY OF TICARD T PERiR -
RRESES TRICTECTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2002-00029
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 3/5/02
SITE ADDRESS: 07312 SW DURHAM RD BLDG H
PARCEL: 2S 113AB-01400
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Installation of voice and dafq.
A. RESIDENTIAL B.COMMERCIAL
AUDIO & STERE0: AUDIO& STEREO_ INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL.#OF S`,';iTEMS: 1
Owner: Contractor: - . _
PACIFIC REALTY ASSOCIATES CTI CORPORATE TELECOM
15350 SW SEQUOIA NKW Y 0300-W MI 16369 NE CAMERON BLVD
PORTLAND, OR 97224 PORTLAND, OR 97230
Phore: Phone: 503-254-3302
Reg #: LIC 68997
ELE 26-722CLE
FEES Required Inspections
_Type By Date Amount Receipt — Low Village Inspection
PRMT CTR 3/5!02 $75.00 2720020000 Elect'I Final
5PCT CTR 3/5/02 $6.00 2720020000
Total $F1.00 _
This Permit is issued subject to the regulations contairipcd in the Tigard K fnicipal 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 adapted 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 ttlese rules orrect questions to OUNC at (503)
246-1967. i
Issued by , ., �, !�; 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,y
SIGNATURE OF SUPR. ELEC'N _ D,,TE:
LICENSE NO: i
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
Datcreceived:ll p'.v Permit no.:
City of Tigard T Project/appl.no.: Expiredate:
City of Tigard Addre!h: 13125 SW Hall Blvd,Tigard,OR Date issued: By:o Receipt no.:
Phone: (503) 639-4171 —
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval:
U I &2 family dwelling or accessory Commer al/llidusl al 'J Mulli family U chant ilnprovrmcnt
U New construction Additit afteratioseplacemew J Otltrt _ U Partial
.1011 SITE IN 1
Joh address: 13 12 5;'L4-; D W r 4 A/VA Bldg,uu.: Suite no.: Tax map/tax iot/account no.:
Lot:_ Block: Subdivision:
Project name: Description and location of work on premises: Qot t C
Estimated date of completion/inspection:
C.ONTRU1011
Job no: -1- Fre rata'
Business name: CrCo 't)j'e+T-&J E L t=c tot -t Nt� Description ruion_ (lly. (ea.) Fula) n o.intp
�1 M1en residential-sink ler uhi-family per
Address: 2 C v _ 4 /t/' Y dwelling unit.Inclutkwatlacht4lgarage.
City: a k o-l- o I State:()k ZIP.4t 1_3 Service Included:
Phone:Z-:i-f -" v"1 Fax:j5-1 -L 2 Lt E-mail: I txx/sq.ft.or less 4
Each additional 500 sq.ft.or portion thereof
CCB no.: 6' r Elcc.bus, tic.no: y to Limited energy,residential 2
City/m tro 1jr.no.: it Limited energy,non-residential 2
etzF.ach manufactured hon or modular dwelling
Sighhfurc of suiTervising electrician(required) — Date Service and/or feeder 2
Sup.elect.name(print):1 W ft ID - C K 1? t.icense no: 4 �L Serration or Ices or a relocation:nstallallon,
alteration or rclocallon:
200 amps or Ices 2
Name(print): 201 amps to 400 amps 2
--- 201 amps tc 600 amps 2
Mailing address 661 amps to 1000 amps 2
City: _ Slate: LIP' Over 1000 amps or volts 2
Phone: Fax: E-mail: Aeconnectont !
owner installation:The installation is being made on property 1 own Temporary ser rices or feeder-
which is not intended for sale,lease,rent,or exchange according to I Alatioe.,alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps or less _' 2
201 amps to 400 situps _ _ 2
Owner's si nature: Date: 401 to 600 amps _ 2
Branch circrdtc-newt,alteration,
or extension per panel:
Name: A. Pee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City; State: ZIP: B. Fee for branch circuits without purchase
A - of service or feeder fee,first branch circuit: 2
Phone: Fax: mall: Fsch additional branch circuit:
1 013 OLIN WNUMM R"1311 KIMT Misc.(.Service or feeder not included)-
13S,
ncluded):
O Servloeover 225 amps-commercial U Health-care facility Each pump or irrigation circle 2
❑Service o:er 320 amps-rating of 1&2 U Hazardous location Each sign or outlin t lighting — 2
family awe lings U Building over 10,000 square feet font or Signal e.rcuit(s)or a limited energy panel,
U System over 600 volts nominal more residential units in ene structure alteration,or extension* 2
O Building over three stories U Feeders,4(1(1 amps or more •Ile s,.ri tion:
U Occupant load over 99 persons U Manufactured swctunw or RV park Fitch additional hnpection over the allowable In any of the above:
U Egress/lightingpinn U Other —_ Per inspection
Submit _.sets of plans with any of the above. Investigation fee
The above are not applicanle to temporary contrtruction service. other
Na sit jurieNctions arcept credit tarda,,piease call jurisdictino for moar infomution. Notice:This permit app!ication Permit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(at Y_ 96) $
Credit card number:_ _L 1___ within Igo days after it has been Stale surcharge(896)....$ _
Expires accepted as complete. TOTAL $
Name of t u rat to f cr -�
S
iet&igaBipolar ^- - Amount 14x4615(6W-OAI)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below:. TYPE OF WORK INVOLVED -RESIDENTIAL. ONLY
_ .
Restricted Energy Fee................... ................. ............. $75.90
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work involved.
Residential-per unit
1000 sq fl.or less $145.15 4 I �� Audio and Stereo Systems'
Lach additional 500 sq.ft.or
portion thereof $33AC _ 1 Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular
Dwellir g Service or Feeder $90.90 C;aiage floor Opener"
Services or Feeders Healing,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $80.30 2
201 amps to 400 amps $106.85 2 LJ Vacuum Systems'
401 amps to 600 amps $160.6C 2
601 amps to 1000 amps _ $240.60_ 2 Other_
Over 1000 amps r,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.......................................................... $75.06
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 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,
see"b"above. F—] Audio and Stereo Systems
Branch Circuits
New,alteration or extension per panel Boller Controls
a)The fee for branch circuits
with purchase of service or Clock Systems
feeder fee.
Each branch circuit $6.65 E] Data Telecommunication Installatian
b)The fee for branch circuits
without purchase of service
or feeder fee. Fire Alarm Installation
First branch circuit $46.85
Each additional branch circuit $6.65 HVAC
Miscellaneous C Instrumentation
(Service or feeder not included)
Each pump or irrigation circle _ $5340
Each sign or outline lighting — $53.40 ^m and Paging Systems
Signal circuit(s)or a limited energy
panni,alteration or extension -- $75.00 Lar, ie Irrigation Confrol'
Minor labels(10) $125.00 _
Each additional Inspection over Medical
the allowable In any of the above r-�
Per inspection $62.50 - LJ Nurse Calls
Per hour $62,50
In Plant $7375 Outdoor Landscape Lighting'
Fees: Protective Signaling
Enter total of above fees $ Other^ _
8%State Surcharge S _ ___Number of Systems
255.Pian Review Fee
Sm'Plan Reviev.e'section on g No licenses are required licerses are required for all other irstal;ations
fr)ni of application
Fees:
Total Balance Due $
-- -`" Enter total of above fees
Trust 8%State Surcharge $ G�
Total Balance Due $
All New Commercial Buildings require 2 sets of plans.
i Asl-s\fmmsklc-fees dM 0830/01
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 A MST
INSPECTION DIVISION Business Line: (503)639-4171
BI1P
c
Received __ _. Date Requested - `� AM--_ PM - - dUP
Location __- __��L _— i�LU l Suite _ MEG ---_------------
Contact Person L � �� Ph( ) 5 V- 1 -3 Q 1 pl_M
t (_ - - --- ------
Contractor _ ----_— - `A r �Ph SWR
BUILDING Tenant/Owner [-�_N �_X��1 � -so3D� ELC
Footing EL.0 -
Foundation Access:
Ftg Drain ELR �C�4
Crawl Drain - -
Slab Inspection Notes: SIT
Post a Beam - - -- - --- --.
Shear Anchors T
Ext Sheath/She;,
Int Sheath/Shear
Framing - -- ---
Insulation
Drywall Nailing (� _�� --q' - -
Firewall �-b 1 L�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---- -- _ _-- — _----
Roof '
Other:
Final
PASS PART FAIL
PLUMBING - - -
Beam
Under
UnderrSlab
Rough-In
Water Service ,� - - - - -- - _- - --- --
Sanitary Sewer
Rain Drains - -
Catch Basin/Manhole
Storm Drain f m ---- -- --
Shower Pan
Other.
Final
PASS PART __FAIL
MECHANICAL -
Post&Beam
Rough-In --
Gas Line
Smoke Dampers - --- -`- -
Final
PASS PART FAIL - -- ---- -- -- - - - -
ELECTRICAL
Service
Rough-In -_ __- ------
��
ow oIta ----- -- - --
Fire arm
Final u Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS _PART WA
_SITE _ _ [] Please call for reinspection RE: _. Unable to inspect-no access
Fire Supply Line
ADA `L
Approach/Sidewalk
Def A ---- Inspects -
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL