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6950 SW HAMPTON STREET STE 200 J Q) CTI 2 3 �rt 0 cn 1 K N Q 6950 SW Hamptc.on Street #200 CITY OF TIGARCD 24-Hour BUILDING Inspection Line: (503) 639-4175 -'-` MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received -. Date Requested._. 3 - L----. AM -_--PM BUP Location __ 015-0.-- - __ __— Suite 12-00 MEC -._-- Contact Person - - -- Ph( -----► �-�=Q � PLM --- -- Contractor.— SWR BUILDING Tanant/Owner __ _-_ ELC --_- Footing - E:C _ Foundation Access: Ftg Drain ELR -3 -,66670 - Crawl Drain SIT Slab Inspection Notes: Post& Beam -- - _ Shear Anchors Ext Sheath/Shear - — Int Sheath/Shear Framing - ------------- ---- ----- Insulation Drywall Nailing Firewall Pire 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 I 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 _. --- - - ---- - ---- -ire Alarm 41AS�RT FAIL ❑ Reinspection',,)a of$_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Ll Please call for reinspection RE: ---._ -- Unable io inspect-no access Fire Supply line ADAEp! AppioaclUSidewalk 9-5 - - Inspector Other: Final -� DO, NOT REMOVE this 111spectine record from th®'job site. PA88 PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION �� n7 Business Line: (503)639-4171 BUP _— Received ___ —_ Date Requested 3 _�.__ AM PILI _ BUP _ Location Suite a __ MEC Contact Person _ —__— Ph( _) PLM —_ Contractor_— Ph v_ SWR --- --- — --- BUILdSNG Tenant/Owner _ _ ELC 3 -060 Footing ELC — Foundation Access, Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT -- --- Post&Beam ------ ------ _ Shear Anchors -�-- Ext Sheath/Shear Int Sheath/Shear Framing Y --_ `� - — ---- ------- - Insulation Drywall Nailing Firewall Fire Sprinkler -- — - -- ------___.------ -- - - Fire Alarm Susp'd Ceiling --_ - -- - - --- - Root Other: ---- Final PASS PART FAIL PLUMBING __--- -Post&Beam v UnJer Slab ---- -- ----� - -- - - Rough-In Water Service - --- -----------.__ Sanitary Sewer Rain Drains ----- C;atch Basin/Manhole Storm Drain — --_ _ ------ ---- ---- - Shower Pan Other: -------- ------- ------- —--- --- �_ Final _ PASS PART FAIL ------ ----- --____—..-- �—_ - --- -_..— _----_ -- -_ L ----- Post& Beam — nough In --- Gas Line Smoke Dampers ----_ -- - ---- ---- - - - ---- _ - Final PASS PART FAIL __------- _____ - ---__--- - ELECTRICAL Service Rough-In - UG/Slab L ow Voltage _— —_—_-_ -- ---- Fire Alarm [-] WAS PART FAIL u Reinspection fee of$-_—__ required before next inspect on. Pay at City Hall, 13125 SW Hall Blvd. g� Please call for reinspection RE: —.-__ _— u Unable tc inspect-no access Fire Supply Line ,y, ADA Approach/Sidewalk Dets O Ext Other: -_-- Final DO NOT REMOVE this Inspection record from this job site. PASS PART FAIL \ CITY � A � �� '�� ELECTRICAL PERMIT PERMIT#: ELC2003-00098 DEVELOPMENT SERVICES DATE ISSUED: 2/27/03 13125 SW Hail Blvd.,Tipard, OR 97223 (503) 6311-4171 PARCEL: 2S101AD-03100 SITE ADDRESS: 06950 SW HAMPTON ST 200 ZONING: MUE SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: Install 5 branch cir uits for Ti. — RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: — 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMfTED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HMI SVC/ FUR: 601:amps -1000 volts. MINOR LABEL (10): SERViCEiFEEDER BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 1N PLANT: PLAN REVIEW SECTION 601 - 1000 amp: - 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: _ Reconnect onl SVCIFDR>=225 AMPS_ CLASS AREA/SPEC OCC:_ ____f Owner: Contractor: WESTON INVESTMENT CO GEORGE+SONS ELECTRIC CORP 2154 NE BROADWAY PO BOX 339 PORTLAND,OR 9723.1 CLACKAMAS,OR 97015 Phone: Phone: 503-654-8634 Reg#: LIC 35600 ELE 3-1170 _ _FEES SUP 31855 Description Date Amount Required Inspections _ I I:LPRM"rj ELC Pcrnut 2/27!01 $73.45 — — 0 2127in1 $5 RP Rough in I AXE 8/0 ShrlC'I't1x Elect'I Final Total $79.33 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Spedalty 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 160 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) 246.6699 or 1.800-382-23 ' 1 ,) Issued By: � r� x L Permit Signature: / _OWNER INSTALLATION ONLY The installation is being made on property I own W-iich is rot intended for sale, lease, or rent. OWNER'S SIGNATURE: __ __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: -- ----._ ----- ---- ------- Call 639-4175 by 7:001)m for an inspection the next business day 02/19/2003 16:32 503-653-6886 GEORGE & SONS ELECTR PAGE 02 Electrical Permit Application Date reoMv' - I_p pw wt City of L gs" Project/appl.no.: zq*c ate: City uJ Ilgard Addnw: 13125 SW Hall Rlvd,Tiprd,OR 97273 Date Issued: By!�; R,rcaipt no.. I%oue: (301) 619.4171 Fat' ,.'+01) 59A-I9�) Can file no.: paywo Ulype. LwW USC ap pmval: _ _ �----___--- U 1 dr 2 family dwelling or acceastrry Ai Ccxnmervisthn(fusiriel U Multi-family r imptaivement U New cautrwtim U Addillvn/Alleratvmir'plxcrmrtit U Mrr Job addtras Q �MPTLir Bldg. wi. Suite no.:,Zgd ITax maPJtax 109 ount no.: i.tw Rlodt: Subdivision: l t Warne �I Detcn Son Wad location of work on ptar Msec: tt Estimated date of arm IedonAn 1R Job�mBuaiueaa ttatrie: F e A/^D New raMeaNN• «sm-Whorw.11y..tt leirh.aroadKd Na City: State:0 ZJP D/ !lk..toerclaMnt Pllooe: A 1t10U sq.t or Iasi 4 CCB no.: j0jp I Elec.but.lic.no: --- - - .{ Bach rddittosral 300 a�A o�poNoo Ma eM umlteo ,reddsrtlal - ? C IIneA of .IN I.: .Z t.imiteeaxnr,non+e�idonUrtt _ --_ - z Bach mnmtrxurcd IMrnr or modular dwdlfnfIf Seh•Ice snti/ot feeder 2 Sup.elect sante Ro tket e►foad.n-laAellatloe. aketarton or rebeae{sm: 200 amps or Ids 2 201 ampix4400ampe ? nlafrte�d—m): ?' Ot/yi1/G S — --- 401 amps to 600 amps 2 Mallf addmu; r� TAI.A 13. _ _- 601 am to 1000 imps 2 — Cit�r: _._ Stak:Q� 7.IP: /Z Over 1000 Unp or vollm - 2 T lalfow: / F 1�utall_^ tt000tuteu onl I_ owner irwoliation:The inatallrtion is being,made on property I own 1lrmponryerrvicass►4eab�a• which is no( intended for tale,title,rtat.cw es,cha#ac a(mr(ling to orrtstoreaY�: 11FtS 447,455,471),670, 101 100 Anil"m Is" 2 . 201 mp w 40U arnp _ 2 CPwna's si nature hate: 4olto600= 2 araech clmom-mew,ehertrttem, «rsleedoe Mr P—L. Nam: A Froe for brash eimWtA with psn>•r of Ad&m! _ _ Aervicr or fivan fee,arh brwxb droit _ 1 City; !~~ - $tart: - f fP. ::::Ja pea for branch carnia without Pe C6W C_--. et service or feedtr tee.not hnr+ch eirtvit / ,' z Plfuttle: - Par: E mail: Bach add doss!March drealt. (Smtr*or feedrr eel lowhAv i): use via over n3 ampreommwdal 13 Fiesw4we hdOry Hach pump or irritautm circle - 2 It Swvkt over 320 ampA-rating of 14 1 O Itarmntwau kx W,n Hach sl or outline II ti 2 fis nilvdwelllltfla U ltulldlna over 10.000 squat feat four or Sianai c1mvit(e)or a Iltnlsed ensvp PWA U System over bats VNrs erxtanrr newt"kimieW units in one structure Alteratlott.tx ealeNJOA* 2 U Ba{Idirtt nvrw Mrrm rurrim U Pesders,AIM am"nr ursv •I. iptlou: _-- __ _ — !.1(X-A ti"load mor V9 Iaettity U Mmufsk-rum earaclitsd or RV Park /y,i d/Illr�l lerpetlsr twm IM aasrwr!►+la y d tAr eirorr.. U I10rn.s+t'v4Plsn U Otter. _ NOrIM tarn -j -. l.-_-_�- 911Au11___--sett of!law wit►my of t o As". nvadtadan fa _� T no 264 s o site WA !LM_!Ua to"Up try a Wreedar W"ke, t>�r Na r}i.atiwR,mmvr tvtwr...a.p1 m'+til totcpctlrm On mass Mane.+ Notioe:This permit application Perm"foe........... ........ kvla f;3 M■es expires if a permit is not obtained P"t"review(at accepted as withip 110 days eller it Iw been Sietr surrlur�e(d ) ....$ o bl uxnplete. TOTAI. ............. .. ......s ,. ssDJf l:l ttil001Ci01a1 n TTY OF TIGARD ENERGY ELECTRICAL - / \ (�+'_ RESTRICTED ENEkGY DEVELOPMENT SERVICES PERMIT #: ELR2003-00070 13125 SW Hall Blvd., 1 igard, OR 97223 (503) 639-4171 DATE ISSUED: 3/3/03 SITE ADDRESS: 06950 SW HAMPTON ST 200 PARCEL: 2S101AD-03100 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Proiect Description: Install low voltage for Data/Telecom. A RESIDENTIAL _ B.COMMERCIAL =AUDIO & STEirU. AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE* OTHER: HVAC: PROTECTIVE. SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL# JF SYSTEMS: 1 Owner: Contractor: WESTON INVESTMENT CO EXPANETS OF NORTH AMERICA 2154 NE BROADWAY 18032 NE AIRPORT WAY PORTLAND,OR 97232 PORTLAND, OR 97230 Phone: Phone: 503-674-4500 Rey#: I 1 1 26-1099(11 I I( 148653 FEES Required Inspections Description Date Amount Low Voltage Inspection I I PKN1 1 ; I;I,R Permit 3/3/03 $75.00 Elect'i Final IA 8 slatc T,i" 3/3/03 $6.00 Total $81.00 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 throuc Issued by 1-5a,,4'2AA_ Permittee Signature - OWNER INSTALLATION ONLY The Installation Is being made on property I own which is nct intended for sale, lease, or rant. OWNER'S SIGNATURE: _ _ DATE:- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ _ DATE: LICENSE NO: Call 6394175 by 7:00 P.M. for an Inspect!on needed the next business day Electrical Permit Application ' --- .i'_- Receivedpp�� Llccu,cal : Dale/B -3.:Q 3 w., Permit No_e_La00 3 XV-10 Citof Ti gall-d PlanningAnpruval Sign Y Date/By- Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: ` Phone: 503-639-4171 Fax: 503-598-1960Post-Review Land Use ` ate/By: Case No.: Lrternet: www.ci.tigard.or.us Contact loris.: see Page 2 for -- 24-hour Inspection Request: 503-639-4175 Name/Method: Su lemental Information. TYPE OF WORK ��PLAN REVIEW(Pie se check all that apply). New construction ❑ Demolition Service over 225 amps- El Health-care facility commercial ❑Hazardous location dditio»/alteration/re -Iteration/replacement ❑Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feel, CATEGORY OF CONSTRUCTION1 &2 family dwellings four or more residential units in 1 k 2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure El Building over three stories ❑Feeders,400 amps or more Accessory Building Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan ❑Other: _ JOiI SiTE INFORMATION and LOCATION Submit—sets of plans with any of the above. The above are nut applicable to temporary construction service. Job site address: ,?15'L) S.) Tc f� k G"1 Z.'L; FEE*SCHEDULE Suite#: Z 0 O 131d r./Apt.#: Number of Ins ectionser�rermit allowed Project Name: 6A O(� Drscri tion Qty Fe((ea.) Total 11 —- New residential-single or multi-fantlly per Cross street/Directions to Job site: dwelling unit.Includes attached garage. fli w,p l„r„ Au, Service Included: 1000 sq.il.or less 145.15 _ 4 Each additional 500 sq.it,or portion thereof 33.40 1 Subdivision: _ _ Lot#: -_ Limited energy,residential 75.00 2 Limited energy,non residential _ 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK I service and/or feeder 90.90 2 r �Q I wuu� Services or feeders-installation, aherrtlnn or relocation: 2W amps or less 80.30 2 --- - - -- - - - --------- 201 amLto 400 amps 106.85 _ 2 401 amps to 600 ams — 160.60 2 _ZIPROPERTY OWNER ^ �_ TENANT 601 ams to I ams 240.60 2 -- '— --� Over 1000 amps or volts 454.65 2 Name: _ Reconnect only 66.85 2 Address: _ Temporary services or feeders-Instnllallan, Clt /State/Zl alteration,or relocation: _� �---- --- ---_ 2(x)amps or leis 66.85 1 Phone: _ Fax: 201 amps to 4(N)amps -- - 100.30 2 APPLICANT _ _ ONTACT PERSON 401 to 600 s 133.75 2 - � Branch cirrcc uits-new,aitentlon,or Name: _ _ _ extension per panel: Address: —` —� A Ice for branch circuits with purchase of service or feeder fee,each branch circuit 6.65 2 City/State/Zip: B Fee iot branch circuits without purchase of - -- ---- - service or feede.fee,First branch circuit _ 46.85 2 Phone: �'ax: Each additional branch circuit 6.65 2 E-mail; ------ — MISC.(Serviee m feeder not included) CONTRACTOR Each pump or irrigation circle 53.40 _- 2 -- — - ----- — Each sign or outline lighting 5340 2 Job No: /5" 3� signal circuit(s)or a limited energy panel.- — alteration,or extension 1_ Page 2 ��5� 2 Business Name: E K T ---- ----- - _�["��—_ D Grip Ian: Address: Mir A iroarh- A d �oMM, Cit /State/Zl Qe-y-/' F.ich additional inspection over the allowable In an•of the above: � 0 _116 Per inspeIlion per hour(min. I hour) 62 SO Phone:SD fax: Invest�atiun fee_ _-- .+�.-- -. -.--�. Other, CCB Lic. #: Lic. #: L&-10 CZp Supervising electrician -- _Electrical Permit Fees* p g _ T - Subtotal S signature re wired: G�� _ Plan Review(25%of Permit Fee) S Print Name: • _ Lic. k 0 rm State Surcharge(8%of Peit Fee S - -- R �- TOTAL PERMIT FEE S_ _ Authorized Notice: This permit appllertion expires If a permit Is not obtained within Signature: 71- ----- Date:--- d3 180 days after it has been accepted as complete. T-� 'Fee melhodology set by Tri-County Building Industry Service Board. (Please print name) OflislsTermit 1'orms\lilcPemiitApp doc 01/03 Electrical Permit Anhlication - Cits of 1•igar•d Page 2 - Supplemental Infor•matiore LIMITED ENERGY PERMIT FEES: RESIDENTIAL.WORK ONLY: Fee for all systems............................................................ $75.00 Check Type of Work Involved: Audio and Stereo Systems* Burglar Alarm DGarage Door Opener* LJ Beating,Ventilation and Air conditioning System* ElVacuum Systems* -- COMMERCIAL WORK ONLY: Fee for glib system..................................�.................. $75.00 (SEC OAR 919-200-200) Check Type of Work Involved: U Audio and Stereo Systems Iloilcr contmis El Clock Systems Data Telecommunication Installation fire Alarm Installation n IIVAU Instrumentation Intercom and Paging Systems !andscape Irrigation Control* Medical nNurse Cells Outdoor landscape I ighung* El Protective Signaling LJ Other_ 1 Number of Systems * No licenses ore required. Licenses are required for all other installations i:\Dst5\Perrni1 Forms\FIcPermIIAppPg2.doc 01103