Permit NO CITY OF T I G® D ELECTRICAL RESTRICTED ENERGY PERMIT
0�
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00156
,TIGA�I 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/22/2007
PARCEL: 25101 CB -00100
SITE ADDRESS: 08100 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HUTTIG BUILDING
Project Description: Low voltage for voice and data cabling. Job No. 074100
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:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PALMER G LEWIS COMPANY TECHNOCOM INC.
PO BOX 1041 7929 SW BURNS WAY # F
CHESTERFIELD, MO 63006 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503- 682 -4195
FAX 503- 682 -2781
FEES Reg #: ELE 34- 269CLE
LIC 73872
Description Date Amount SUP 2281 LEA
[ELPRMT] ELR Permit 5/22/2007 $75.00
[TAX] 8% State Surcha 5/22/2007 $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 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 1.800.332.2344.
Issued By: V j j / j . � Permittee Signature: Y__426, /f) /42? I7l/7
OWNER INSTALLATION ONLY 1
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.
05/22/2007 9:36 503E822781 TECHNOCOM PAGE 01
.4 • ..
:Electrical Permit Application .. . . ' FOR oFFR T. FsE MIA'
,
, .
lit q City of Tigard . . Received ,...„.
—_ • 111=1Friiiffil•
13125 SW Hall lilvd., 'Tigard, OR 97223 Plan Re ■ view
: C .• phone: 503.639.4171 Fax: 503,598496V 0 6 2007 DatedEl : Other Permit:
i in. • , •
AP D Inspection Line: 503.639.4175 - Date Ready/By: EMI Sfl See Page 2 for
Internet: www.tigard-or,gov Notified/Method: Slupplemental Information
trilS,E „,.,,....;.. ' ' . • ..:' : ::*: :: i ;•:::,',i,- ':''.:!:::!,: :.■1:':•'.....'.11
sc
pl ease c h ec k n il sl b
nr (sumit l t s f p intig NO I CMS C ilCCI(Cd b CI Ow )1
0 New construction El .Addition/alteration/rcpleicement
El Service or feeder 400 amps or more 0 Building over three stories.
El Demolition El Other: where the available fault current 0 Marinas and boatyards.
... ... . .
:'' : ': ••• ..,,;:':' .e Ort* Oii.OF.ri ': : :.,::' i$;' :. : '..': ''':.'... '... :'''' exceeds 10,000 amps ra 150 vOlIS Of' 0 Floating buildin
: ,N : gs.
icss to ground, or exceeds 14.000 CI Commercial-use airriculiaral
El 1 - and 2-ramily dwelling p3] Commercial/industrial 0 Accessory building amps for n11 other installations. buildings.
0 Mu.lti-family 17 Master builder 0 Other: EJFire pump. 0 Installation or 75 KVA or
... 0 Emergency system. larger $eparucly derived system.
':.;:''':'' '....' :.• aci6...'llt:rtr4i12610410N:.:Wii16CALIION■./.::: ''' . . ' . ' ': " * '
., . . . , ) , , ., . . ! . , I , , . . .... ... . , • , ,, , . . .. . . . • , . . . . „ i : . '. . .. . . .. • :, , • . 0 Addition of new motor lond of
10014P or more. OCCUpiTny.
Job no.: 074100 Job site address: 8100 SW HUNZIKER RD
1:1SiK OT MOTO TeSidentifil fitliTR. 0 Recreationa/ vehicle parks,
City/State/ZIP: TIGARD, OR 97223 0 Health-care facilities. 0 Supply veiltl.ge for more fllUTI
01-irimtlotis locations. 600 volts nominal.
Suitc/bldg./apt. no.: Project name: HUTTIG BUILDING PROJECT 0 SCTViCC OT feeder 600 amps or Mere.
— •;;:::ii::'iiTE:.$611illi.VXC::;%$e!':
Cross street/directions to job site: Defferiptinn Tr ".."- Ki.7 — r ---. 1 7, 7 -"-" tAl
_
New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.1.5 4
Subdivision: Lot no.:
Ea. add'l 500 sq. ft, or portion 33.40 1
Tax map/parcel no.; Limited energy, residential 75.00 2
':'''!,:;•4:.:'.;.: :-..- - • : .: - • Instrg010.(Ott,NveRK::;:::;.;.:,:.:..:i!.::.:;.:.:.n.::.., (with above sq, ft.)
Limited energy, multi-family "
Voice, Data Cabling residential (with above s412.) 75.00 2
Services or feeders installation, alteration. and/or relocation
. _ . 200 amps or less 80.30 ' 2
':.• •:.:::•1" 13wISitit: .:, :.::!: . :. : ..:. :•;.;:;;c1 :::;:'1. .:::': :::.;;.,;:: 201 amps to 400 amps
106.85 2
--
Name: 401 amps to 600 amps 160.60 2 -- 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps OT VOHS _ 454,65 2
Temporary services or feeders installation, alteration, and/or
Ci 1.y/State/Z /State/71P : - relocation
Phone: ( ) I 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 40(1 amps 100.30 2 —
intended for salc, lease. rent, or exchange, according to ORS 447, 449. 670, and 701, 401 amps to 599 amps 133.75 2
Branch circuit; - new. Alteration. or extensinn. per panel
Owner signature: . Date: A. Fee for branch circuits with
. I . ..
P'01LIttAN71' :I . :. ;:::;'jj,:ljICOST7kdr : ' • :.;f above service or feeder fee,
6.65 2
each branch circuit
Business name: TECHNOCOM INC. B . Fee for branch circuits
,
w/i/toto service or feeder fee,
Contact name: ,JEFF SANDNER first branch circuit 46.85 2
.
Addrcss: 7929 SW BURNS WAY, STE F Each adci'l branch circuit 6.65 2
miscellaneous (service or feeder not included)
City/State/VP: WILSONVILLE, OR 97070 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
phone: (503) 682-4195 I Fax: : (S03) 682-2781 Reconnect only 66,85 2
E-mail: j.sandner@gotechnocom.com Pump OT irrigation circle 53.40 2
: .. , .. ' ..;,. "::' : :'. :.:::.:!.: !: •':f''' , CONTRACTOR • : .: :.:::. :•-: ..::•;: • • • . -"'": '-' •• . - -•'' sign or outline lighting 53,40 2
Signal circuit(s) m limited-
Business name: Technocom Inc. energy panel, alteration. or 75.00
1
:
Address: 7929 SW Burns W extension. Describe Page 2 2
ay (Suite F)
—
City/State/ZIP: WILSONVILLE, OR 97070 _Each additional inspection over allowable in any (lithe above
, Per inspection 1 62.50
Phone: (503) 682-4195 Fax: (503) 682-2781 Investigation per hour (I hr min) 62.0
_ .
CCB Lic.: 73872 Electrical 'Lie.: 34269CL • Suprv. Lic.: 228 ILEA Industrial plant per hour 73.75 ..
.. . . .
- .,....-; ..:i.ELECTRICA11. PEES ' . . '':•:.:,..;; ':
Suprv. Electrician signature. required: Subtotal: 75
.
Print name: SCOTT BERKEY . i .
Date. 05/22/07 plan review (25% of permit fee):
_ / State surcharge (R% of permit fee): 6
Authorized signature: .. TOTAL PERMIT FEE: 81
This permit spplicntinn expires if ii permit is not obtain within Iiiii
Print name; SCOTT BERKEY Date: 05/22/07 days after it has been accepted as complete.
- 1 Number of inspections allowed per perrnit.
1; 05/23/06 Mn- 46i .vro 1 )0/(:OM/Watt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2212007
Phone: (503) 639 -4171 ° ~�'�� i�; i� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,.. r .IF__:.
INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7 :17AM PAGE: 75
SITE ADDRESS: 013100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HUTTIG BUILDING
DESCRIPTION: Low voltage for voice and data cabling. Job No. 074100
OWNER: PALMER G LEWS COMPANY, PHONE #:
CONTRACTOR: TECHNOCOM INC. PHONE #: 503 -602 -4195
Inspection Request Scheduled For: Date: 5/25/2007 Pour Time:
Code # Inspection Description Confirm - #_ \ Contact # Message
135 Low voltage < 049030.01 503- 20 N
Corrections /Comments /Instructions: `� ���
i
PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
n AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ' q`‘ 68 L-t Date: 01 Phone #: (503) 718140