9160 SW HALL BLVD !
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CITY Off' TIGARD
DEVELOPMENT SERVICES El FCT R 1 CAL PE R,'Yl I i
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 RF'STRT17TET) ENERG f
r,
,-FRMIT #: C-1-R97
DATE ISSLIED: 08/06/1-7
PARCEI . I C.12 r PO -0�'14Z
'3T'Tf-
4Z'3T'Tf- i)DDRESS. . . SW 11f4-1- PL VE
311131)1 v I S nN. . . . ZONING.
. .. . . . LOT. . . . . . .
Dei:'Cr-iptioll : OTHER: Data for Cash Register
B.
At-1010 A. rTERrn,, . . (Wr)TO & STERM. . . I NTE Rcntvi R PAGINC.I.
B'(JRGLAR ALARM. . . . . SO I LE R. . . . . . . . . . .. LANDSCAPE/iRpisnT. .
GARAGE MENER. -, . - : rLOCV. . . . . . . . . . . . MEDIC(?"...
MVAC. . . I . . . . . . . . . : ")PTA/TELE COMM. . . I%IL.fRr)E CALLS. .
VAGI-RIM !7,YSTEM. . . . : r- 'LRE AL()RM. . . . '. O['J*TDnOR 'L-ANr,!)r 1.7 TF!:
OTHER: : HVAC. . . . . . . . . . . . PROTECT I VE' SIGNP
I NST'MMENTAT ION. . OT[I[.R. . .C 71 REG T, X
TOTAL # OF SYSTEMS I
(-'ARTY CITY type oil M a'.k r)t b; date r~ecpt
)1.0 7 -17
'o JJ(-'q.1 nL.Vo. PRMT 40Cl. 00 01'J'J $
'3L)ITF A ',PCT Oe GEO 08/06/97 97--c',97997
rmnn OR 97223
: 1
,[tune #: 653-3500
1;)1cl rnrni .
1'1r3r_Nl'X r1L'r_J_,L" Expmo:n
'7379 Stsl TECH CENTER LA-1. -3 RECXJTPEL) TN5PEC1-IONP,
MW)rin r"R Ce i 1, i Irk C(L)v e r- E1 P r..i- , I r, i
PtIuT)v #: 68/4-3600 Wal 1 Covet-
Reg if. . : 00052i:2'
'his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All nark will be done in accordance wit` approved plans. This permit will expire if work is not started within I'M
lays of issuance, or if work is suspended for more than 180 days, ATTENTION: Oregon law requires }'au to follow rule ad-.Pttd by the
lri%on Utility Notification r
�entptL. Those rules are set forth in OAR 952-80I-90I2 through OAR 1552401-0@80. Yr-1 1&..7 r.-Pivc
,hese rules or direct questiors tc Ot at (503)e46-1987.
P e r'm i t t e e S i t;.;i,c.,
I NSTALLOT ION ONi Y -
t.! j,list a I I at i oti i5 'be i T-i U made oii pr,or)prt y I c)wi) w[i i I i i !; 'r',t i ii t erided fa
Icy I
I ) eauej or- v,eiit .
R' S S I GNnTLIRE. DATE
"INL Y
-tlnTLJRF OF SPP. [71-r171 N 1),A T f 7
,LN13F t10
r..!^+-1_-r.+++++++++-F+44 4 4.++.1-++-t+++-}•++•i-+++-•-F f 4.4.+4 y 1 +4.4.4. -+++4 4 4 1, 1 1 4 4+4 4._I ++++4 4.4.},+4 1
I J
-,all. Cj:31. 44.'75 by 6, :00 P. M, f n i, a ii i n P ri i e t- d t c 1, . v
++ + + +_}+ +-1 1 + I }+.4.-1 -1 V 4 4 t 4 + 4.+++.4-+4 .1 ++-1.4-4-4 4 4 -4+ -}..1
I1iUG-05-97 TUE 1109 M PHOENIX ELFCTRIC FAX NO, 503 684 3611 P. 02/03
OT A30/97 18 t 18 $503 684 7 297 CITY OF —!COD I0002/002
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Reed t7f
7312` SW HALL BLVD Oats Recd
TIGARD OR 97223 PPINT OR TYPE
V-503-639-4171 x304 Permit#1 LX 977:g2a;�
F -503-664-7297 INCOMPLETE OR iLLEGIBLE APPUCATIONS CuntCalyd:_
WILL NOT 9E ACCEPTED
�� Name vt l7evelcprmmt F rrrfea WPF OF WORK INVOLVED •FtESIVFMIML
_t
J Rwrtrk2ed Energy
;FOR AIL SYSSTDAU)
SOB atr+atndd ss Ste r
ADDRESS =n" T ufwerk Inwonn�t
i cityr;t�co p Phone.s Audio ertd Sir"SYstems
NAmrr !jurglar Alarm
Garage Conr QpOncr`
OWNER -Mailing Andmrs
] Me a ng.Veft en aM Air ConditiomN Syatom'
CiryrSta� — r-'p ---- Pncrw A
Va(73rum Systems'
Name
OQter
CONTRACTOR Malllnq AddreSal-
-= ` TYPE OF WORK INVOLVED•COMMERCIAL
;Prior ie ILruanae a Qty/Slate _ I tPhone! Fee for vach
eopv of all licienses , (SEL OAR 91&750 780)
am rtequirpd if O Conn Rrs L.- Exp.Ora
expired i,t C.O T 15 LU I Check Type o`wort lnvntved-
data bnse). Fina mc;al Contr. Lic i F• Daty
ZLZ L," r J Audio and Smrea Systt�m
11
Matt Uc.a —` EM!Date
Ownwr's Nance 1
Gocic System
OWNER silos A44MU
APPLICANT flora To30car mnrnicj.nn InaGallallon
Crry/ Zip Feene/ Fin•Alum Installabon
Ths perrmit s issued under OAF:q18-370-370,TMns appltcent agnor to
rttakt only"rieded energy trnsmitations(i or)vrm amts or less)under this M+VAG
Permit and to de Me follewtnq
Inslrlrnlen�rtlor!
!. Only use eteetri"I hannsed persotrl to kto urstallatlnrns.Mere iequned
Cereal•.residemw and almer trarmacbonrs ary exempt from liven_smq Ir(rrcnm and Pvwrtg Systurns
These nm"astnnr,ksl7 MI others need licensing;
'Andicape lnlq-,rtimw Currllvt
Z Call for inspettons wfwn Installation urroer'Jsiv rw-w ale reaU7 fol
irtspecVon at S0343941'I5; a Medical
3. PurLi,ese 3cparatte petmtts for all inatallanuns thrift s►m nor rwMy for an C, Nurse Calls
tnLpuc^rrn wvii"n the imparter la out to inspecs under this;molt
s. Assume responslplilty for assurinq that all mrrrchons mAUired toy ma Outdoor Landscave UgWJng•
Insptraetor ate done,And;
Protecthre Sigrrafinq
S. Assume renponitbilfty for callrnq for a fin?I inspegxon when all rif the
eor"gc9ons are completed
L
Permits are non-ttramthrahbo and non rPfunnnbk'ane expire,if work Is net
started wrthrn Iso clays of issuance or rr work Li susrsended for 180 drys. N'JTkxf of Syslern.+
The pe•son jign-1 for"permit n.wct t>•e C,r apoliant ora person ti i acerola 1-0^Mr+v'r:k'a. Llarrsr�.sew MqU Md kw 91 COW rr+UW*b"
autherizaad to bind the applicant. - ------ ---
EFAs' -/
ENTER FEES
Signature
5%SURCMIARGE(-09 X TOTAL AROW)
Aut�i ether than Applicant�� �— TDTAL A >< y GAG
CIT
Y OF TIGARD 7LECTRICAL PERMIT
F;EFMTT #: ELC97 0`1
DEVELOPMENT SERVICES DOTE ISSUM 08/0'rj�/97
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
oo I t3o 5w HFILL ril-M ZONINGt
-3UPDTVTSION. . . . Ot T/
. . . . . . . . .
Desci,iptiull : Add first branch circuit,
M41T '.')RYC/Fl-EDERS M I
1000 Sr OR LESS. . . . 200 amp. . . . . . . PLIMP/IRRIGATIM. . . .
J 400 amp. . . . 17, STGN/r--)I..JT L.TNr 1.1-11—
'OCH ADDI I- 5007 . 0
_JMITFD ENF.-RGY. . . . . . 171 401 6,00 amP. . . . . . . . 0 SICNAL/PANE1
(LLA I +am VI,----10 VQ 11, 10 MINOR NOR LABEL. 0)
11PNF. IV/ '.'1Vr/r'VR- . 00 INSPECTIONS—
irr or� rrurrz- o PER 1�173PECTTON. . . . .
2021 amp. . , . . • W/139-RV -
2111 400 amp. . . . „ . : 1st W/o SRVC OR FDR. a t PER HOUR. . . . . . . . . . .
'C
f'.'I P ,' 0 I N PLANT. . . . . . . . . .
4 600 :+m N. . EA O)DDIL YARNFAA -
60.1 1.000 Amp. . . . . . 0 REVIEW
I Q I I - )i GOO VnLT NOMINni—
IOL7�-'- =4 RES �11' I'T�- .
Rec,onnec7t only, . . . . SVC/1-'DR > 225) M P7)- • CLASS nREA/SPFC OCC
r
Ownei,
7_E0
i k In 0 IJ I'l t a i;
'RTY C I TY y Pl?
GO f3W HN-1. 111-M r"R 10 71 .,,o/06/97
':'i7 C
'ITE' n 5 P CT 7", Cr n iL)n/06/97 97--L"J'799S.
'-JArT1
F'.L.ECTRIC CO IT5 79Tn1_
7r) 7W TF.rH Cl-NTER DR.
RFOUIRrD INSPECTIONS
ceiling Cover Uricitwgi,ol-Irid
F":1i;
perait is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othP,
11icable laws, All work willt be done ii accordance With approved plans. This pFrait Will expire if w0i'll it not started within M
I so he rules adopted by
.Is of issuance, or if work is suspended for sort than IN days. ArTENTION: Oregon law requires you to follow t
Oregon Utility Notification Center, Those rules are iet forth in OAR 752101ANIZ through 00 1187. YOU lay obtain a cop}
these rules or direct questions to DAIC by calling (93)CF46-A987,
--OWNF ' T NSTM.LPT I[IN ONLY_
t.o p C �y I i(J)
t,)nT[*
WNrR'
N
OF SUPR. ELEC
riUG-05-97 TUE 11.09 AM PHOENIX ELECTRIC FAX N0. 503 684 3611 P. 03/03
CITY OF TIGARD Electrical Permit Application Plan tom"
13125 SW HALL BLVD. Recd By
Date Recd
TIGARD OR 97223 Date to P E.
Phone(503; 639-4171, x304 Date to DST
Inspection (503)639.4175 Print Or Type
Incomplete or illegible wiil not be accepted Permit• Q31�0S3/
Fax(503)684-7297 Called-
1. Job Address: f ( 4. Complete Fee Schedule Below:
Name of Development Number of Inspeellons per parmlt allowed
Name(or name of business\ ._ Service included: Items Coat Sum
Address ��0\„ _ 4a. Residential.per unit
CltylStst@2 q 11 1000 sq.ft.or less $110.00 4
1 Each additional 500 sq.ft.or
Commerci Residential 1j Limited thereof M.00
Energy 525.00
Each Manut'd F�me or Modular
Dwelling Services or FRndwr SBB.00 � _ p
2a. Contractor installation only:
(Areach cop I curmirri.Dconsea) 4b-Services or Feeders
Electrical Contras; installation,alteration.or relocation
200 amps or less _ _ SM-00 __ 2
Addr S5� 201 amps 10 400 amps S00.i10 _ 2
City State Z 401 amps to 600 amps 1120,00 2
Phone No _�„r -1�1•QIKUb 601 amps to 1000 ampb $1W.00 2
Job No.—.";A O – Over I000 amps x voles SW-00 2
Elec.Cont. lice No. p.Date RecOnnoct only 550.00
OR State CCB Reg. No._f�ZrEsc .Date 4e Temporary Services or Feeders
COT Business Tax or Metro No. Fxp.DateAInstallation,alteration,or relocation
0 200 amps or less
Signature of Supr.Elec'n� 201 amps to 400 amps S75.00 = 2
401 amps to 600 amps 5100.00 _ 2
Over 600 amps to 1000 volts.
Ucense No. —Exp.Date-__--- am'b'above.
Phone No. -- ---- `d Bra-ich Circuit
New,aftrahnn or ertansion per panel
2b. For owner installations: -a)The fee for branch rarebits w(m
purehass of service of
Print Owners Name_ reader fee.
Address Each branch circuit $S.00 2
til The tae for branch circuits
City State ap without purchase of
Phone Noservreal or feeder cion.
_— Fimt branch circuit 2
The installation is being made on property I c wn which is not Each additional branch cimurl _ S5.00 2
intended for sale,lease or lent. 4e.Miscellaneous
iServicei or tender not incfudnd)
Owner's Signature _ _ Each pump or irrigation rjrrlo 2
Each:ign or outline lighting W-00 ---- 2
✓. Plan Review section (i(required):* Signal cimitis)or a limited energy sae
panel.alteration or extension _– $100 00 2
Please check appropriate item and artier fee in sretlon 58. Minor IAbols(10)
4 or more residential units In one structum 4f.Each additional inspection over
SQW.Ai and feeder 29"amps or mor» the allowable to any of the above
System over E00 volts nominal Per mswti-rion 535 00
Classi5ed area or structure coma cling speoal occupvicy Per hour 555 00
as aeschbr_d in N.E.C.Chapter S In Plant Sm.00
Submit 2 setas of plana with application where any of the above apply. 5. Fees:
Not required for temporary construction services. Sal.Enter total of above tees 5
5%Surcharge(.OS x tots)tees) $
TICE subtotal $
5b.Enter LA%of Imes So for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if regy,A(Sec.3) $
— —
NOT COMMENCED WITHIN 130 DAYS,OR IF CONSTRUCTION OR WORK subto®I
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANY
rIME AFTER WORK IS COMMEr4CED �rTS
rtt Account f'Total bola,ice Due
I
CITY OF TIGARD BUILDING INSPECTION DIVISION
2a-Hour Inspection Line: 639-417.5 Business Phonc: 6394171
Date Requested: _ __ T��J��_ A.M. _ P.M.__-- MST:
Location: 116111A ✓ -d i.__ _ BUP:
Tenant: Suite. Bldg MEC: _
Contractor: _ Phone: _ _-- PLM: —
Owner: — --____-- Phone: _ -- — ELC: 4 7-arc�
ELR:
SIT: _
BUILDII'G BLDG(con't) PLUMBING MECHANICAL ELECTRICA SITE
Site Post/Beam Post/Beam Post/Beam Cover,ervcce Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found!r Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved
FINAL FINAL FINAL FINAL FINAL
CI Call for reinspection D Reinspactian fce of S req&Aed betore next inspection 0 Unable to inspect
L�
Inspector: _ Date: �/V —� Page of