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11155 SW HALL BLVD BLDGS 49-56 gx:. it Fr /r W C� r �o r d 4 i 11151 SW 4ALL BLVD 49-56 CITY ®P •1 'GA R® ELECTRICAL PERMIT PERMIT#: ELC2002-00431 DEVELOPMENT SERVICES DATE ISSUED: 8/30/02 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S135DA-02402 SIfF ADDRESS: 11155 SW HALL BLVD 49-56 SUBDIVISION: ST. JAMES APARTMENTS ZONING: R-12 BLOCK: LOT : 010 JURISDICTION: TIG Proiect Description: #51 Install 4 branch circuits. _ RESIDENTIAL UNIT _ TEM_P_SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNiOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FOR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _v _ _ ADD'L Ii.SPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:: 201 - 400 amp: 1st W/O SRVC OR FOR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOL..T .,O AINAL: Reconnect.only: _ _ SVC/FDR_>= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: JOHNSON, LYNNE AND R BLAKE ROSE CITY ELECTRIC CO INC TRUSTEES 4012 NE CULLY BLVD 2445-A MAKIKI HEIGHTS DR PORTLAND, OR 97213 HONOLULU, HI 96822 Phone: Phone: Reg #: 29�61ft7S LIC 3567 ELE 2.6-113C FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 8/30/02 $66.80 2720020000( Elect'I Final 5PCT CTR 8/30/02 $5.34 2720020000( iTotal $72.14 This Parmit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all ether applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTIGV Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 24E-6699 or 1-800-332-2344 Permit Signature: , . Issued By: _ OWNER INS?ALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent, OWNER'S SIGNATURE- �_ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURF OF SUPR. ELEC'N: __ . r t DATE LICENSE NO: gall 639-4175 by 7:00prrn for an inspection the next business day ElectriicA Permit Application }� 42,54W-HAUMv a Datereceiv�,)�i ';y Permitno. Ci OfTigard and j'Y Project/appl.no.: Expire date: Addres: iget 2Z� Date issued - By �' Recei tno.: Gty ujTigardP Phone: (5 -4171 n rIFatx: (503AUG 2 1001 Case file no.: Payment type: Land use approval: U1 Y UV ii- AKU t] I &2 t;atnily dwelling or accessory minercial/indt ;trial U Mulu-family U Tenant improvement U New construction U Addition/alteration/replacement U Other._ U Partial Job address: S _ S (n-a 4*5 1 IBIdg.no.- Suite nu.: ITax.map/tax lot/account no.: Lot: Block: Subdivision: Project name: L,8 N-S _ Description and location of work onpremises: 170 `�,-- Estimated date of comps tion/ins cdon: Olt Al1I-L1CA'f1.(-)N 1.11'.11" SCHIAW111111" Job no: � 2'� �' Fee Max Business n true ( nesniption (hy. (ea.) Total no.Insp New rmidenlial-single or multi-famihv per Address: 4012 N$ Q LY BLVD dwellbtgunit.Includes attachedgarsge. City: PORTLAND State:OR ZQ'7213 Serviccincludp& P043 287 616 4 Wl 3 282 1 Bail; 1000 sq.ft or less _ 4 CCB no.: Elecbus lic.no: 96 113C Each additional 500 sq.ft.or portion thereof Limited energy,residential 2 City/metro 11C.n0.: Limited energy,non-residential _ _ 2 i Each manufactured home or modular dwelling signature of supervising electrician(required) Date Service and/or feeder 2 Sup.elect.name(print): F 1, Go t ham I License no S Service orfeeders-installation, alteration or relocation: OWNER 200 amps or less 2_ Name(print): 201 amps to 400 amps 2 --- 401 amps to 600 amps 2 Mailing address: ��5��= 601 amps to 1000 amps --- 2 City: State: ZJP: Over 1000 amps or volts 2 Phone: Fax: rE-mail: Reconnectonl I Owner installation:The installation is being made on property I own Terrtpoaryservicesorfeeders- which is not intended for sale,lease,rent,or exchange according to Instailaticn,alteration,orrelocation: 201 amps or less 2 ORS 447,455,479,670,701. 201 amps to 4011 snips 2 Owner's sl nature: Date: 401 to 600 ams 2 Bunch circuit--new,alteration, or extension per pawl: Name: - A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: StatC: ZiP: B. Fee for branch circuits without porchase �S 2 of:.ervice or feeder fee,first branch circuit: Phone: Fax: E-mail: Each additional branch circuit: Misc.(Service or feeder not Included): *Service over 225 ampa-commetri&1 13 Health-are facility Each pump or irrigation circ:e - 2 U Jrrvica over 320 amps-rating of I&2 0 Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square feet Pout or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one,,tructure alteration,or extension* 2 Building ower thtee stories ❑Feeders.400 amps or mcre ! Occupant load over 09 persons U Manufactured structures or RV park Desaition:FAch addlllonal Inspecllon over the allowable in any of the above: ❑Fgress/lightingplan U Other: J_ ---- Perinspection Submit---sets of plum with any of lbe above. investigation fee The above are not applicabie to tempotraty c omr(ruction service. Other _-- __—,_ar-- Permit fee__........"""...$ Not all}wbftd m steeps�:cads,pleas cal!►rw;;ic Oo fr.me iarmn sum. Notice:This permit application O Visa ❑MasterCard expires it's permit is not obtained VII.-in review(at _%) $ cradle card aumber �. -- __�_L___ within 180 days after it has been State surcharge(8%)....$ E p1Y1 accepted as complete. TOTAL. .......................$ Nana d urAnrldcr u atwvn on cm4hi card — r S Cadhdder sigcnrarc --- - — Amount 410dg1!WOKOO Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... ~$75.00 Number of Inspections per pennit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-)er unit 1000 sq.ft.or less $145 15 4 ❑ Audio and Stereo Systenis Each adoitionai 500 sq.ft.or portion thereof _ $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relaxation 200 amps or less $80,30 2 f-� Vacuum Systems. 701 amps to 400 amps $106.85_^ 2 L 401 amps to 600 amps $16060 2 ---- Other _ 6C I amps to 1000 amps $240.60 _ -- - - - --- --- --- ^- Over 1000 amps or volts $45465.__ 2 Reconnect only $66 85_ 2 I -temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.8r 2 (SEE OAR 918-260-260) 2C1 amps to 400 amps $100.3( 2 401 amps to 600 amps $133.7 j 2 Check Type of Work Involved. Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch CI-cults ❑ Boiler Controls New,alteration or ezteiision per panel a)The fee for branch circuits ❑ with purchase of service or Clock Systems leader fee. Each branch circuit $6.65 2 Data 1 elecommunicetion Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit I $46.85 � � HVAC' Each additional branch circuit — $6.65 Miscellaneous —C� �� Iris trurnen tation (Service or feeder not included) Each pump or irrigation circle $5340 _ 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 Each additional Inspection over the allowable in any of the above Nurse Calls Per Inspection $62.50 Per hour _ $62.50 In Plant a7:75 Outdoor landscape Lighting* Fees: Protective Signaling Enter total of above fees $ _ ❑ Other 8%State Surcharge $ _ �---_—Number of Systems 25%Plan Review Fee No lice-ises are required. Licenses are required for all other Installations ,%"'Plan Review"section on X front of application Fees: Total Balance Due $ -- Enter total of above fees S`.__._ ❑ Trust Account p _-. 8%State Surenarge $__ I_--- Total Balance Due $. i kdsts\formslelc-fees Aoc 10/09!00 CITY OF TIGA.RD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP — -- Received _._ -Date Requested AM PM BLIP Location __- ��r �� �_- -_._.Suite ��~� MEC Contact Person ��� �l-L-t Ph( } 1 PLM Contractor-_ _- -__. __ Ph( ) SWR f� BUILDING _ Tenant/Owner V ELC �2 Footing _ Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - - Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof Other: Final ---- _PASS PART FAIL - �----�----�-- �- -����----_--- PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - - - - -- Catch Basin/Manhole Storm Drain Shower Pan Other:_ - -- - --- - Final PASS PART FAIL _MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART_ FAIL - ELECTRICAL A Service Low Voltage Fire Alarm [Final Reinspectinn fee of$�� _� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PA _ PART FAIL SI [� Please call for r inspect' n RE:__ [] Unable to inspect--no access Fire Supply Line ADA �t �1 Approach/Sidewalk Date Q ` Inspect � ~` Ext_�_�.. Other. Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OP a/kRD 4-Hour BUILDING ispection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST "Up Received _Date Requested l �AM_._ PM__ BUP Location --Suite MEC Contact Person _ PPLM Contractor_ Gh t�" _) vim[_ SWR / BUILDING_ Tenant/Owner ___ ELC '' —4X 7 Footing Foundation ""r-- ELC Access: Fig Drain �Z'5L ELR l".iawl Drain Slab Inspection Notes: SIT Post&Beam V Shear Anchors _ -- Ext Sheath/Shear _ Int Sheath/Shear — Framing — Insulation j r Di ywail Nailing -- —-- Firewall lam' Fire Sprinkler -- - - — --- --- Fire Alarm Susp'd Ceiling - -- --— ; Roof / Other: Final ^ PASS PART _FAIL �` ---- _PLUMBING 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/Slab Low Voltage FAlarm I�1 gapPART FAIL u Reinspection fee of$ __. __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE — [� Please call for reinspection RE: Unable to Inspect-no access Fire Supply Line ADA Cf, ' n 1,..� Approach/Sidewalk Do" y- Inspctoet .-�=semJ Ext _ Other: Final _ DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL