Permit 4
___ q CITY F TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00223
._ OMM Y O
TIGARDl 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/18/2008
PARCEL: 2S110AA -01200
SITE ADDRESS: 14300 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: CANTERBURY PLACE LOT: 008 JURISDICTION: TIG
PROJECT: DR. DAVID WILSON
Project Description: Installing (1) data system.
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:
STEPHEN & JODETTE BATES FIRE PROTECTION SERVICES
10430 SW VIEW TERRACE 5573 SW ARTIC DR
TIGARD, OR 97224 BEAVERTON, OR 97005
Phone: Contact #: PRI 503 -590 -3732
FAX 503- 628 -6214
Reg #: ELE 34- 488CLE
FEES LIC 154333
Description Date Amount SUP 4120LEA
[ELPRMT] ELR Permit 7/18/2008 $75.00
[TAX] 12% State Surch 7/18/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 , A_, ,-,`lZP • - rmittee Signature:e c /l
/%
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.
A Ju1 17 2008 5:20PM Fire Protection Services 503 628 -6214 p.1
E Permit Application t i / �► � l I ° 47 i ` ffl
b- � ' ., , � t' i [u. .^ ra zr „. t, 1 t, M .,, a ..
, 1 ,,t,L, ¢L s,._ .Yarw ,#S .e,„.G.,,,, .„,, „f „...,, 4 ,vti:•,4 tr t ,r , ,., A,��,f ,�,.ls
a City of Tigard t%� ; ' \ Received 7JQ `fl '' •:.:.:1•z.
Ili t ' 1312 5W H a11131vd., Tigard, OR 47 ?' QQ
k , O P1anReview
'i ;, Q Other Permit:
Phone: 50 Fax: 503.598.1 %0 ` 1 Z 2 Date/Br.
iri i lnspcction Line: 503.639.4175 ,01 ] ', Date Ready/By: Iris' SI See Page 2 for
1: E�,s F.?„ €,iii Internet: www.tigand or.gov G
1 p cis �. . ed/Method - 77-G Supplemental information ■
?t.i 3 fl- �- �.' ,€' � jF£li tvr` "3,;grt t om` ,� r x1µ'• 1L , 0 t r gYr ,, ..r F ; ... .t tn w . ?> t .. ...
..a... 4 s i ,,,,,. ` ...1-,,. „.,.. ,i „ '+ . q„ . F ..:.. ..,.„L, kli.Octh ii r,17.0 1 1..:.1F £y r . k a.. .A. , : is - r tz ;a Rf ' . - irs s
o ' 1 ; n : 'G ' r e
❑ New construction ® Addition/alte , t, I ' - tm Please chock au Uiat apply (submit 2 sets of plans w /items checked below >:
0 service or feeder 400 s or more
❑ Demolition ❑ Other: �P ['Building rig over three stones.
" wher the available fault current ❑ Mari and boatyards. .
rlt' 16' " k t` Fn a 3' ,y;,,a k r 9 . r „ `; .=: . a,i1,t W . exceeds 10,0 at 150 volts or
z r3 t s c u , 5 i n � .` amps ❑ Floating bui_ a .
sr.. ,..err.- .....::,.��" , ?. s,�x _� i
s�... ,.:.. , rn� Fn�trsst� '#1_,.is, lesstogmund,orexceeds14,o60 ❑Commercial- useagicultural
❑ 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
€,l . ,, t . � . k 4 y l i x E j a:.,a t Yt 1 tiT o r rc # ,, r , t 1 ftiI c i ' ' a, i sC ❑Emergency system. larger separately derived system.
'6.S' ;,,a. 1 1 . ; 1 41 i K u<_ k .,i,avhL4,rd ? r = 4y.ti .::.ace i,^re x':- 4':;:. a;l,41 .'s t ❑ Addinon of new motor load of ❑ A" E" "1.2" "l•3^
Job no.: 2541 Job site address: 14300 SW Pacific Hwy 10013P or more. occupancy
❑ Six ox more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: Tigard: OR ID Health-cam facilities. ❑ Supply voltage far more than
❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: Dr. David Wilson ❑ Service or feeder 600 amps or more
Cross street/directions to job site: n � riPt
Qty. Fee. Total ,
• New residential single- ur multi - family dwelling unit.
• Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. R or less 145.15 4
Ea. add'/ 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
, K Limited energy, residential
"1 x s '. i- e
a r r
flit 4rt' l+iex s; it - r _ a ' ; H 4 t ,t1 (with above s ft.) 75.00 2
St ��.,r,..,�ii„ _- rs,z: � �:F. Rite <. , , ... �.�. -,,.�t Limited energy,
g y, multi- family
Add - Data Cable Runs residential (with above sq. ft.) 75.00 2
Services or feeders installation alteration, and /or relocation
• 200 amps or Tess 80.30 2
j'M# S(! r } try ��,mtytr e^, : .cy+3,.a t .t4i , t F�* rk n
ti i:s,...` . ?',„ :, .,.,,t,.1t M 'a,#':z"'t .,yii 'tt t i:s. . i t 201 amps to 400 amps 106.85 2
Name: rle v --'-1, ' , , .L_ 401 amps to 600 amps 160.60 2
/ 601 amps to 1,000 amps 240.60 2
Address: ,0 3r.) S.A.). j 4 GC- Over 1 ,000 amps or volts 454.65 2
City/ State/ZIP: f 1 GI Temporary services or feeders installation, alteration, and /or
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 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
lgt , � , z ` �aase qZr z�'a r _ t A. Fee for branch circuits with
tns , d 4 " t ' f '� f ` f ' ry ," is ' i i above service feeder fee,
L,: pi5t x y_ :_ ., , ;,,,a.alawa,tP t e t each branch service." cuit 6.65 2
Business name: Fire Protection Services Inc B. Fee for branch circuits
Contact name: David M Phipps
without service or feeder fee, 46.85 2
first branch circuit
Address: 5573 SW Arctic Dr Each add'. branch circuit 6.65 1 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Beaverton Or 97005 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 590 -3737 I Fax:: (503) 628 -6214 Reconnect only 66.85 2
E -mail phipps@fpsnw.com Pump or irrigation circle 53.40 2
i g i ��, a iiw. t'ta , �ysa 4 F
wt. _ > 1 1;I`..n.61R ..i 1nl;r,�� _t..::, r-MM._ . iigI:iE .P.r Sign "Milne lighting 53.40 2
Business name: Fire Piotedtioo Services Inc Signal circuits) or limited-
energy panel, alteration, or
Address: 5573 SW Arctic Dr extension. Describe: 1 Page 2 75.00 2
City/ State/ZIP: Beave Or 97005 each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503)590 . I Fax: (503) 6286214
investigation l
g per hour (1 br min 62.50
CCB Lic.: 154333 I Electrical Lic.: c1e3488 I Suprv. Lic.: 4120LEA Industrial plant per hour 73.75
Suprv. Electrician sig required: +' _:
/ 6°...":
/ Subtotal: 75.00
Print name: David M Phipps - �` : e; Q7_17 - 08 Plan review (25% of permit fee):
State surcharge (12% of permit fee): 9.00
Authorized signature: TOTAL PERMIT FEE: 84.
Print name: David M Phi S --^"../ This permit application expires if a permit is not obtained within 180
PP , _ Date: 07 -17-08 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I: laudding \PcnaitslEI.C- PermnApp.doc 05/23/06 440-4615T(11/o5/CObffWE6
i
•
INSPECTOR'S SIGNATURES ARE NOT ,
Inspections Required for: ^4er.�� REQUIRED ON GREEN INSPECTION CARD.
✓ Code ( Inspection Description PASS Date 1 B ✓ Code Inspection Description PASS Date B
•
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill
•
110 Temporary electrical service
• 415 rurading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover •
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain • 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt- up•panel 195 Misc. inspection:
. 265 Masonry X 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
•
280 Insulation 605 Post /beam mechanical
285 , Drywall nailing - 610 Gas line
•
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic.piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
•
699 Mechanical final
BUP - Fire Protection System Permit
•
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 . Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415. Grading 395 Misc. inspection:
205 . Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
• I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07