Permit ', � .. , p " CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: ELR2007-00328
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 8/29/2007
PARCEL: 2 S 112AB - 012 00
SITE ADDRESS: 07325 SW BONITA RD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WOLCOTT PLUMBING
Project Description: Limited energy for fire alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TENNANT INVESTORS WESTERN STATES FIRE PROTECTION CO
PO BOX 1658 13896 FIR ST STE B
PORTLAND, OR 97207 OREGON CITY, OR 97045
Phone: Contact #: PRI 503- 657 -5155
FAX 503- 657 -5182
FEES Reg #: ELE CLE 108
LIC 104570
Description Date Amount
[ELPRMT] ELR Permit 8/29/2007 $75.00
[TAX] 8% State Surcha 8/29/2007 $6.00 REQUIRED ITEMS AND REPORTS
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 Notificati Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copi- , of these
rules or rct questidgs • : NC at 503.246.6699 or 1.800.332.2344.
Issued � `( / /.'` a i_ i P ermittee Signature: >��e
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.
S ,,l °rz , ?: '� 'l' -tn w %T,.�' f ( . z. z..; �.k ii i �yritrs I�..A.`I {p
Electrical Permit Application tT ' 4 °, , FoRIOFFI�CE SE - �4 c + ° t,. '!' � c
c ` ' City of Tigard Date/By: D P'/ a/ , 1 Permit No.:E��j? 494
V 13 125 SW Hall Blvd., Tigard, OR 97223 Plan Review o w
T k 11 . (° Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
r "` Inspection Line: 503 Date Ready /By: Jun ® See Page 2 for
TIGAIiD n
, -:+:h..} .I Internet: www.tigard or.gov Notified/Method: / Supplemental Information
TYPE OF WORK - PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "1 - ",
Job no.: Job site address: �] ' , 1 IOOHP or more. occupancy.
73 �'� / � � ❑Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
�j ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: L �� �/ /!cr N/6i��► ❑ Service or feeder 600 amps or more.
^'`" FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
'DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi- family 75.00 2
/' i ,9�L residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: d��� / /�(Jt 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
%o intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
i \ Owner signature: Date: A. Fee for branch circuits with
C ❑ APPLICANT • ❑ CONTACT PERSON ' above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
I Address: Each add'! branch circuit 6.65 2
INLN Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name
ear '>(���J energy panel, alteration, or
Address: ,L
1J1 / n a q ?6 Fit a L A L ,. extension. Describe: / Page 2 7 2
``► ^) �-�
City /State /ZIP: Oitarokj ( e_ y 9 7 zle- Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) (e 1°1 Fax: ( ) ^' 4 \bi Investigation per hour (1 hr min) • 62.50
N. CCB Lic,: /d 4 /5 - 70 Electrical Lic.: � j to Suprv. Lic.: Industrial plant per hour 73.75
V ! - ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
M Print name: Date: Plan review (25% of permit fee):
lD State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1 \ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I 1 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - _.Supplemental Information •
LIMITED ENERGY PERMIT FEES:
i. ONLY:.
Fee for all residential systems combined $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
❑ Burglar Alarm
n Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
•
❑ Vacuum Systems*
❑ Other:
; ,COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
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
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls `
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permits /ELC- PermitApp.doc 03/23/06
r
CITY OF TIGARD
BUILDING DIVISION J PERMIT #: r-_ LR2007 -00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8!2912 €I07
Phone: (503) 639 -4171 '"',,'712 � ��
p�
Inspection Requests (24 Hrs.): (503) 639-4175
r
INSPECTION WORKSHEET FOR DATE: /019/2007 TIME: 7:00mi PAGE: 18
1
SITE ADDRESS: 0/325 SW BONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOLCO'FT PLliMl•3ING
DESCRIPTION: limited energy for fito alarm.
OWNER: TENNANT INVESTORS, PHONE #:
CONTRACTOR: WESTERt4 STATES FIRE PROTECTION CO MI I/ E PHONE #: 50_657-6155
Inspection Request Scheduled For: Date: 101912007 Pour Time:
Code # Inspection Description Con Contact # Message
199 EIectiical final 057221 -02 971-221-9130 N
/
Corrections /Comments /Instructions: //
_- ( / /'
F ■ hi NU PatoYil v tt i (J i(4 er0/,
P "
AlpfttV AL.
,,,_
\\--- V\ ,. \
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Vv bg L Date: iGI 1 Phone #: (503) 718- 1)141
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 0_R2007- 00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0./2 tt2007
Phone: (503) 639- 4171�(:�Ie
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 :OOAM PAGE: 19
SITE ADDRESS: 07325 SW i3ONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOLCOTT PLUMt3INO
DESCRIPTION: Limited energy for fire alarnn.
OWNER: TENNANT INVESTORS, PHONE #:
CONTRACTOR: yvESTERN STATES FIRE PROTECTION CO PHONE #: 503 - 557 -5115
Inspection Request Scheduled For: Date: 10/912Q07 Pour Time:
Code # Inspection Description Confirm #\ Contact # Message
135 Low voltage 057221 -01 971.221 -9130 Y
Corrections /Comments /Instructions:
i f c PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Cr W v (� Date: 011,11 0 Phone #: (503) 1/4 �
Inspector: a ( ) 718 -
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
T-. I 6 n R D „ TRANSMITTAL LETTER
TO \ ' )-t 1 • TE RECEIVED:
DEPT: BUILDING IVE ,, ,.. ° #. y y t L,,' ,F
GCT ° 9 2007 vc
FROM: C C u r r
11UA
COMPANY: L c:OIA BU DIVISION
(� 1 I — /) By ?
PHONE: G C�-'� —� � � [/
RE: ( d s --0,0 13 S ec1A3 — j
Site d res ermit/Case Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies:, Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
$
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
l: \Building \Forms \Transmittal Letter- Revisions.doc 4/4/07
WESTERN STATES FIRE PROTECTION Report Run Date: 10/09/07
13896 FIR STREET SUITE B Report Run Time: 10:46:04
OREGON CITY OR 97045 51 -01 -4076 Cl:
* * * * * * * * * * ** Report Message * * * * * * * * * * ** * * * ** Report Legend * * * **
ATTN: MIKE Date : Month /Day mm /dd
Day : Day of the Week
9 r - a,a1 - q 1 30 Recvd : Received Time
Cmplt : Completed Time
Code : Event Code
Msg : Event Type
HORIZON RESTORATION (H /C IN DATA) Desc : Description
User : User Info
7325 TIGARDW BONITA ROAD OR 97224 R'EC E V L., D
CCT 0 9 2007
Fold Here
CI i r ur i l i.ARD
All Events Detail
10/09/07 - 10/09/07
HORIZON RESTORATION (H /C IN DATA)
7325 SW BONITA ROAD
-err c To t°.
DATE. DAY RECVD CMPLT CODE MSG DESCRIPTION (USER INFORMATION)
10/09 Tue 02:00 02:00 RPO TST TEST SIGNAL
10/09 Tue 09:07:50
Event Operator: 96A at: Acct Opn /Clo: Closed ws22
* Out -Of- Service: 10/09/07 Until 10/09/07 Strt: 09:07 Until: 12:00
Zone(s):
Comment:
09:07 09:07 OUS OUT OF SERVICE
Comment: OUT OF SERVICE PER MIKE MYHRVOLD W /PC TIL 1200. OP96
Passcard Name: MIKE MYHRVOLD
Completed on: 10/09/07 at: 09:09:02 Operator: 96A
Disposition: System Out of Service
09:39 09:39 FA7 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:41 09:41 FR7 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:41 09:41 OR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:42 09:42 FA7 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:42 09:42 FR7 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:42 09:42 OR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:43 09:43 FA6 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:43 09:43 OR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:43 09:43 FR6 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:48 09:48 FA5 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:49 09:49 FR5 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:49 09:49 OR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:50 09:50 ST4 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:50 09:50 SR4 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:51 09:51 SA3 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09 :52 09:52 SR3 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:52 09:52 OR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:53 09:53 FA1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:53 09:53 FA2 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:53 09:53 FR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
Pg 1
09:53 09:53 FR2 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
09:53 09:53 OR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
10:18 10:18 FA5 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
10:19 10:19 FR5 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
10:19 10:19 FA5 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
10:20 10:20 FR5 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
10:20 10:20 OR1 >HCD HARD COPY IN DATA - PLEASE GET UP AND CHECK I
10/09 Tue 10:42:46
Event Operator: 72A at: Acct Opn /Clo: Closed WS29
* Out -Of- Service: 10/09/07 Until 10/09/07 Strt: 09:07 Until: 10:42
Zone (s) :
Comment: MIKE TIL 1200
10:42 10:42 OUS OUT OF SERVICE
10:43 10:43 RTS RETURNED TO SERVICE
Comment: RETURNED TO SERVICE PER MIKE MYHRVOLD W /PC CALLED
TEST SIGNALS FOR FIRE MARSHAL WILL BE STOPING BYE ACS TO
PICK IT UP OP72
Passcard Name: MIKE MYHRVOLD
Completed on: 10/09/07 at: 10:45:00 Operator: 72A
Disposition: Comments /Schedule Entered
End of Report . . .
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