10260 SW GREENBURG ROAD STE 1165-1 10260 SW r":eenburg Rd #1165
CITY C.,rF' TIGARD 24-Hour
BUILDING Inspection Lire: (503) 639-4175
MIST -
INSPECTION DIVISION Business Line: (503)639-4171
� BUP - -
Received&AlZi "'' Date Requested_�__ JAI_ AM- - PMS—�— BUP ----
Location —. U Z (0,u' ISuite MEC
Contact Pswvt Ph PLM
Contractor_ — Ph( ) _ SWR
BUILDING Tenant/Owner _ ELC
Footing ELC
Foundation Access: ELR CD
Ftg Drain
Crawl Drain - SIT
Slab Inspection Notes:
Post&Beam -
Shear Anchors
Ext Sheath/Fhear --
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -}
Firewall
Fire Sprinkler l Fire Alarm
Alarm
Susp'd Ceiling ---- - -
Roof --
Ctht,r: _
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 - ----- -
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [� Please call for reinspection RE:._ _ Unable to inspect-no access
Fire Supply ,_Line /
ADA Qate ,Z�/ �y-?, -._- Ins>�pecto. CA,-' {� � Ext _
Approach/Sidewalk
-�
Other:
Final DO NOT REMOVE this Inspection record from the J site-
PASS PART FAIL
CITY O r T I G A R D ELECTRICAL PERMIT-
r RESTRICTED ENERG'(
DEVELOPMENT SERVICES _ PERMIT#: ELRW _-00184
13115 SW Hail Blvd., Tiqard. OR 972.23 (503) 639-4171 [LATE ISSUED: 9/11/02
SITE ADDRESS: 10260 SW GREENBURG RD 1165 PARCEL: 1S135AB-03400
SUBDIVISION: LINCOLN 1OWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT: 014 JURISDICTION: TIG
Proiect Description: Low Voltage for telecommunication.
A. RESIDENTIAL _ B.COMMERCIAL
AUDIC & STEREO: AUDIO & STEREO: INTERCOM & PAGING
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VAC"JUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_- TOTAL # OF SYSTEMS: 1 _
Owner: Contractor:
FOP LINCOLN, LLC PAVELCOMM INC;
10260 SW GREENBURG RD 1640 NW 14TH AVE
SUITE# 100 PORTLAND, OR 97209
PORTLAND, OR 97223
Phone: 892-2500 Phone:
Reg#: ELE 26-559CLE
LIC 00063963
SUP 699JLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 9/11/02 $7500 2720020000 Elect'I Final
5PCT CTR 9/11/02 $600 2720020000
Total v $61.00
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, oi 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987.
Isspied by 1_�l,� .L• J,(a- 1_ /_ ;'_ _ Permittee Signature
OWNER 114STALI ATION ONLY
The Installation Is being made on property I own vvhich Is not Intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTR)',�C;TOR INS TALLATION ONLY
SIGNATURE OF SUPR. ELEC'N; �:" ) 1_ DATE:_ -
LICENSE NO -- -- -- .� R�-� — --- - -------- -- -
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
Date received: �_.� Permit no.:.e
t
City of Tigard Projcci/appl.no.: Expire date:
City ofligard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: 'J1 Receipt no.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
TYPE OF PPI(MIT ,
U I &2 family dwelling or accessory Commercial/industrial U Multi-family U Tenant improvement
I.J New construction U Addition/alleration/replacement U Other: U Partial
1 '
Job address: L) C f I Bldg. no.: Suite no.//b5 ITax mapitax lot/account no.:
Lou: Block: _ Subdivision:
Project name: 113escription and location of work on premises:
Estimated tlatc of conil,letiort/ittspectiot):
i-OXTIRACTOR
Job no: fie nt:rx
Business name: V r D"criptlon 01%. (ea.) 7olal no.Lisp
New n0dential-sinRk or mull famiiv iwr
Address: V.1— dwelllnkunit.Includes nnachedgarage.
Pity d Slot• ZIP: Seniceinctudert:
V000e. U I - E-mail: 10(NI sq.ft.or less 4 -
Each additional 500 sq.f1.or moon Uicrcof _
CCB n(1.: Glee.bus.tic.Ito: Limited energy,residential 2
/metro lic.no.: U r ` I.imiiedenergy,nan-residential - 2
J / — t' Each manufactured home or modular dwelling
ti' azure of supervising electrician(re red) _ ate _ Service and/or feeder _ 2
IVP elect.name(print). tr L leen Servleesorfeeden-Installation,
alteratIon or relocation:
2(x1 amps or less _ 2
Name(print): 201 amps to 400 amps _ 2
-- 401 amps to 600 amps _ 2
Mailing address: _ GUI amps to IWOamps 2
City: Stale: ZIP_ ((ver IIxlOumpsorvolts 2
Phone: -T, E mail: Reconnect onlyI
Metier installation:The installation is being made on property I own Temporary wrvicesorfeeden-
which is not intended for sale,lease,rent,or exchange according to luslallatlon,alteration,orrelocation.
2(x1 amps or less
OPS 447,455,479,670,701. _ _ 2
201 amps to 400 amps 2
Ownel's signature: Dale: _. 401 to Mx)amts 2
Branch circuits-nen,alleratlon,
or extension per panel:
Name: _ A. Fee t r branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2_
City: State: 7IP: H. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: Z
Phone: I'.ax: I: mall' F.achadd Itiotmlbranch circuir
Misc.(Service or feeder not Included):
U Service over 225 mops-cunnueteial U Health-ca. facility Each pump or irrigation circle =
U Service over 720 amps rating of 1&2 U I larardous location Each sign or outline lighting 2
famiiydwellings U Building over 10.000 square feel four or Signal circuit(s)or a limited ereigy panel,
U System ovr:r 600 volts nominal more residential units in one structure alteration,or extension*
2
U Building over three stories U Feeders.4(x1 amps or more •Ikscrition.
U(kcupant toad over 99 persons U Manufactured structures or RV park Loch addiliot,.4 Inspection oter the allowable In any of the above:
U Egress/lightingplan U Other: _ �. _-_--- per inspection —�—r—
Submit_sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. other
Not all lodsdkdons accept credit cants,please can iurisdicuon for more Infattnrtton. Notice:this permit application Permit fee.....................$
Visa U Mnstetc:trd expires if a permit is not obtained Plan review(at _ %) $ _
Credit cord number _-. within 190 days atter it has been Stale surcharge(8%) ....$
`"'""' accepted as complete. TOTAL .......................$
- Nome of rnrdho r of shown on ere i�1 Lad
Cardholde-t sijnalure Amount 440.015 OMWOMI
Electrical Permit Fees: Limited Energy Permit Fees:
Number of Inspectlons r permit allowed TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Service Included: Items Cost Total 4 _ �_ _
Restricted Energy Fee........................................ $75.011
4s. Residential'-per unit 4 (FOR ALL SYSTEMS)
1000 sq.8.or less _ $147.16 .._.
Each additional 500 sq 8 or $33 40 t Check Type of Work Involved,
portion(hereof _
Limited Energy $76,00 ❑
Lodi Manufd Home or Modular Audio end Stereo Syelrms
Dwelling Service or I ceder $90.90 2 C) Burglar Alarm
4b.Services or Feeders
Installation,alteration,or relocation CI Garage Door Opener'
200 amps or less — $80.30 2
201 amps to 400 amps _ $100.86 2 Ej Nesting,Ventilation and Air Conditioning Sys(em'
401 amps 10600 amps — $16060 2
Sot amps to 1000 amps $24060 2 Vacuum Systems'
Over 1000 snips or volts $454.05
Reconnect only $6686 2 ❑
Other
4e.Temporary Services or Feeders
Installation,alleraflon,or relocation $88 85 2 TYPE OF WORK INVOLVED-COMMERCIAL ONLY
200 amps or less _ -------- 2
201 amps to 400 amps $100 30 .,,,, $76.00 --
401 amps to 000 amps - $133 76 2 Fee for each h.ystem................. ......................
Over 000 amps to 1000 volts. (SEE OAR 918.260-260)
see"b"above.
Check Type of Work Involved.
4d.Branch Circuits
New,91WAlon or extension per panel Audio and Stereo Systems
a)The fee for b(andh circuit,.
with purchase of service or sailer Controls
feeder foe. 2
Each branch drcult _ $6.65
h)the fee for branch Circuits Clock Systems
chase orservice
or feeder
Data Telecommunication Installation
I Irsl brandh circus $46.85 .--
Fadi additional hrandh circuit $0 65�______ ❑ Fire Alarm Installation
4e.Miscellaneous ❑
(Servina or feeder nul Included) HVAC
Each pump or krigallon circle $5340
Each sign or oulllne fighting $5340 ❑ instrumentation
Signal drcu8(s)or a limited energy r�
panel,alteration or extenebu
n _^ $75.00 Intercom and Paging Systems
Minor Labels(10) - _-- $12600^-
4f.tacit additional Inspection over ❑ landscape Irrigation Control'
the allowable In any of tiro above
Per Inspection $82.50—_ Medical
Per hour - $62.50 _
In Plant $73.75 _ ❑ Nurse Calls
5. Fees: ❑ Outdoor Landscape Lighting'
Sm.Enter total of above lees $_-
0%Surcharge(08 x total ftses) $__...__ ❑ Prolective Signaling
Subtotal $--
8h.ruler 75%of lino fix lur $ n Other __ _ ---
[lion Review 8 r iq piled(Soc 3) $--.----
Suttotal ----- Number of Systems
I
❑ 1 rust Account N_„ _.„—�_ No 1,dh,ses are required Licenses are required for all other x._'.Ilalirxhs
Total balance Due —
__ ENTER FEES $----
8%SURCHARGE(.08 X TOTAL ABOVE) 1
TOTAL I