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Permit
r ' CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ., DEVELOPMENT SERVICES PERMIT #: ELR2005 -00238 DATE ISSUED: 8/22/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25101 BB -01300 SITE ADDRESS: 11950 SW GARDEN PL BLD.7 ZONING: C -G SUBDIVISION: CROW PARK 217 LOT: 001 JURISDICTION: TIG Project Description: Voice /data, security, CCTV. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: 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: X INSTRUMENTATION: OTHER: CCTV. X TOTAL # OF SYSTEMS: 3 Owner: Contractor: SPIEKER PROPERTIES LP BROADWAY ELECTRIC - COCHRAN INC 4380 SW MACADAM AVE STE 100 626 SE MAIN PORTLAND, OR 97201 PORTLAND, OR 97214 Phone: 503- 675 -8700 Phone: 503- 234 -6564 Reg #: LIC 72942 SUP 3447S FEES ELE 37 -546C Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 8/22/2005 $225.00 [TAX] 8% State Surcharl 8/22/2005 $18.00 Total $243.00 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 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct que ,ions to OUNC at 503 - 246 -6699. Issued By: -)7, _1j, Permittee Signature: a lt , 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 SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ~ _ , t ip:7 y° "°' r emu.x -f z ' a ' - ? s . c „ €electrical Permit Ap � 8 E y; � X , �; FO OFFICE SE ONLY � 5 : - ' 'Vo , City of Tigard DateB O 1 1 .- Permit No. .. ,, _ /' 13125 SW Hall Blvd., Tigard, OR 97223 AUG Plan Review j Phone. 503.639 4171 Fax. 503 598.1960� t' ' 200 /iy%nu'm rid '� Date/B • Other Permit. Inspection Line: 503 639.4175 Date Ready/By a See Page 2 for Internet www.ci.tigard or us CITY OF TIGARD Notified/Method Supplemental Information f * � `: �- � t * i.� � �* v �' � . ' •� '�`' :z1� €r�";;`' w �a;*�n -�" ,P t � ,=s. . m �, ar ^ ,., w . r �. ;1< ;e .`. - .. = -; ,,;.; . € ;,P t I, :t�I, , , , .- iE,- -- , `� �,...,..' " }. .w': .r r 's t a:�€�`�"�?rorf� y �T�- �w`'. s_� . r�.s.,::.a: 5"�= �:': ;'- t�rFR:' „asze °... ",«.:.ve? ?r ". ... .-� F.k�'�'.�.�.; :^* . I- New construction ❑ Addition/alteration/replacement Please check all that apply EService over 225 amps, comm'l ❑Hazardous location Demolition ❑ Other ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq ft , . .. �:�sea �;�- ?a ��.� 0' s vr,,., _,.,�,._._.., „: �.. a of 1 -and 2 farruly dwellings 4 or more new residential a„ ,t is€M s_ �x�,a�r.�.9c1�, ,e- .n€..�sruauers :mss.,- %.':•..u.�:, s. r ,a . .rY.. x i-, _ ❑ 1 and 2 family dwelling Ag Commercial/industrial ❑ Accessory building ❑S over 600 volts nominal units in one structure ❑Building over three stones OFeeders, 400 amps or more El Multi family ❑ Master builder ❑Other: „ d , y ❑Occupant load over 99 persons EManufactured structures or ' �` `'r x 4 .:F7 1 7 - V'S' a - d 0 ® e' a .fir ° RV park . _ ... . .4 t•;,,,: (tj : � . <�. ,s .- ;�. -,, �” �. ;�- �. -�rE ❑Egress/Iighrin DOther Job no.: 60 S E Job site address ? SD SLR) 6 .y r r e.ti Pi l tC .e EHealth facility �� Submit 2 sets of plans w any of the above City /State /ZIP. 7 a r .,Q 2 ' `? (2 Y The above are not applicable to temporary construction service t • Suit s • : s 1 .0.47 §, e'',.e ift t+I;E` :: ” _ . .. • .. apt. no.: © l Pro ject name: (,) E - 7 - A. °" Description Qty. 1 Fee Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. /� Includes attached garage. C f p L..) N 4c.- 2 ( 2 1,000 sq. ft or less 145.15 4 Subdivision: I Lot no.: Ea add'l 500 sq ft or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75 00 2 r v � ;_. e W. L ,§ ,:. -. la, A eQ , y `Q rF4-- ,' .n. .r 1 Each manufactured or modular D-7. ( dwelling, service and /or feeder 90 90 2 V C.) t C - e / 2 - e ( e c 6 "A- 1 J e C [-t r i 't y Services or feeders installation, alteration, and/or relocation CC.- 'T v 200 amps or less 80.30 2 �. �r> ( �_, - x .. -r—•, r•- 201 amps to 400 amps 106 85 2 m ' :'Gx 6 . c -.. •',tea �:t:' ::' _ .. 401 amps to 600 amps 160 60 2 Name. U 6 S T 601 amps to 1,000 amps 240 60 2 Address: 3 U 5 S Li 6 '11-- A e / 1`l / / "11'^ {'`/ nor Over 1,000 amps or volts 454 65 2 I n Reconnect only 66 85 2 City/State /ZIP: `� r 1( - J� ) R / 7 2_0 l{ Temporary services or feeders installation, alteration, and/or 3 ) Fax relocation 00 am Phone: (5 s 7` /U - ��De'� 1 ( ° r�1 > yUy - 263 I 200 amps or less 66.85 1 j Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133 75 2 Owner signature. Date. Branch circuits — new, alteration, or extension, per panel 1 » k,} :�x 6 r Y 9 M: " ^� ''� ",;� ` A Fee for branch circuits with c -- 'S�: �> ,31 �1- �- } 'rr , J`# � c �. 8 t7 i l ""k ,se•. , 51'ii : d*' service or feeder fee, each Business name: ALA.. , L . 0 t` c_ — � ( ; branch circuit 6 65 2 B Fee for branch circuits Contact name: 6e „ t-p P1 - Z without service or feeder fee, � I � �� t each branch circuit 46 85 2 Address: LJ . I�l�l.l,b' ''`'`�� Each add'l branch circuit 6.65 2 City /State /ZIP: � _ //G CI 0e— C 1 ( 1 4 Miscellaneous (service or feeder not included) � Pump or irrigation circle 53 40 2 Phone: ( 23 y Fax: • ( L �(1 � Sign or outline lighting 53 40 2 E ..� 0 b. C i . to '{ C C (SYYN Signal circuit(s) or limited - w � °" ,7 ` + �. `,.t ' ' � i,�' ,:h energy Panel, alteration, or ©c, + ='�"' f `"`- s: wee•? a . -- ka..:u^::,.� > r i..r�,t'i- atv'., r 't.�4...�I;E- raid.. 7 �, �. extension Describe. 3 Page 2 oc .� 2 Business name: (SCE �+' )P. CA C f I !CQ fir' . Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Investigation per hour (1 hr mm) 62.50 Phone: ( ) Fax ( ) Industrial plant per hour 73.75 CCB Lic.. -'7 29i (4-2._ Electrical Lic.: 37' L, Suprv. Lic. ` �4 S Subtotal 92 2 5 „ 00 Suprv. Electrician signature, required: �� "%,.... Plan review (25% of permit fee) State surcharge (8% of permit fee) ( g , 0 O Print name: e.N .A� Date. TOTAL PERMIT FEE 2 L( 3 r O O Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date • Fee methodology set by Tri- County Building Industry Service Board " Number of inspections per permit allowed i \ Building \Permis\ELC- PernutAppdoc 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: TWISIMOM Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: ��!yy .,, p �y} F ,�{ a �.y 6 ,YXk! (� +{yj�, b ` ��� '"��: 0 EQ� 9 4Yi;' 13 Y2 `Y.� . t.E'i4:} �i°d A Fee for each commercial system (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems Data Telecommunication Installation ❑❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* Protective Signaling C U . T Other . - . Total number of commercial systems: *No licenses.are required. Licenses are required for all other installations \BuildtnePernurs\ELC- PemutApp doc 04/03 CITY �������w�������� ��u n n ��o� u mn�wm~u�m�� BUILDING DUNG DUVUSUON ' ^' PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22y2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 m�0A~ INSPECTION WOR SHEET FOR DATE: 11/16/2805 TIME: 7:03AM PAGE: 90 SITE ADDRESS: 1i.9a« GARDEN PL CLASS OF WORK: SUBDIVISION: RK 217 LOT #: 001 TYPE OF USE: PROJECT NAME: • DESCRIPTION: Vnix«ld*te. ecurity, CCTV. OWNER: Sp|ENERPQ[>^ERTlESLP, PHONE #: 503-675'8700 CONTRACTOR: BROADWAY EL TRIC-COCHRAN INC PHONE #: 503-234'6564 — -- - Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Ins. •* Description Confirm # Contact # Message J� Electrical final 021565-01 971-219-2644 N Coneotiono/C*«^""-" 8" 't._: • . I PASS H PARTIAL APPROVAL ri CANCEL ' NO ACCESS FAIL El CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: N Date: IA 6 Phone #: (503) 718- 244L CITY OF TIGARD BUILDING DIVISION -A PERMIT #: ELR2005-00238 8/2212005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 40441 t Inspection Requests (24 Hrs.): (503) 639-4175 Alal- t- . INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 9/2812005 7:08AM 21 SITE ADDRESS: CLASS OF WORK: 11950 SW GARDEN PL BLD.7 SUBDIVISION: LOT #: TYPE OF USE: CROW PARK 217 001 PROJECT NAME: VESTA DESCRIPTION: Voice/ data, security, CCTV. OWNER: PHONE #: SPIEKER PROPERTIES LP, 503 CONTRACTOR: PHONE #: BROADWAY ELECTRIC-COCHRAN INC 503-2346564 Inspection Request Scheduled For: Date: Pour Time: 9/28/2005 Code # Inspection Description Confirm # Contact # Message 135 Low voltage 016872-01 971-219-2644 "(---) Corrections/Comments/Instructions: N PASS I I PARTIAL APPROVAL fl CANCEL 7 NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C, 1\)1P)L,.. Date: 9 ('Lli 06 Phone #: (503) 718- IA L it • CITY OF TIGARD , BUILDING DIVISION PERMIT #: ELR200�i 00238 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 812212005 Phone: (503) 639 -4171 u;ri i t Inspection Requests (24 Hrs.): (503) 639 -4175 ' ^:_.. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: .l SITE ADDRESS: '11950 SW GARDEN PL BLD..7 CLASS OF WORK: SUBDIVISION: CROW PARK 217 LOT #: 001 TYPE OF USE: PROJECT NAME: VESTA DESCRIPTION: Voice/data, security, CCTV. OWNER: SPIEKER PROPERTIES LP, PHONE #: 503- 675 -8700 CONTRACTOR: BROADWAY ELECTRIC.- COCFIRAN INC PHONE #: J03. 2346564 Inspection Request Scheduled For: Date: 9/1612005 Pour Time: Co e # Inspection Description Confirm # Contact # Message 135 Low voltage 015938 -01 971 -219- 2644 Y Corrections /Comments/ Instructions: 1 . )1∎ Ukl IN 1, 0 c \ \ik g\ OL:c .101 S *N*P's4/.'" , l irh S n PASS X PARTIAL APPROVAL I I CANCEL _ NO ACCESS FAIL 1 I CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED \ \spector: 1 ev.�% ti' Date: 7 -A J Phone #: (503) 718 -