Permit CITY TI GAR® ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00223
I 1 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 9/15/2006
PARCEL: 2S112DC -01400
SITE ADDRESS: 15865 SW 74TH AVE 110 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT: 004 JURISDICTION: TIG
Project Description: BRAND INOVATORS. Voice /Data, Job # 064217.
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:
JDS, LLC & SANTA FE CORP TECHNOCOM INC.
17700 SW UPPER BOONES FERRY RD 7929 SW BURNS WAY # F
PORTLAND, OR 97224 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503- 682 -4195
FAX 503- 382 -2781
FEES Reg #: ELE 34- 269CLE
LIC 73872
Description Date Amount
[ELPRMT] ELR Permit 9/15/2006 $75.00
[TAX] 8% State Surcha 9/15/2006 $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 obt in copies of these
rules or direct questions to OUNC at 503 - 246 -6699. �"'--
Issued By: r Permittee Signature:
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.
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Electrical Permit Application FOR OFF ICE' USE, ON LY '. : ::-'. ,:,.,
City of Tigard Received i . ... ) - - _i ■ ■ Permit No ■ 3 Date/B : C
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /1 * 1 4 . 11` Date/B : Other Permit:
Inspection Line: 503.639.4175 r' q,*
. :j i 9 1-,,, 1 l'.'
: - - ''-- Date Ready/By: Jul ) i ." 0 See Page 2 for
Internet: www.ci.tigard.or.us NotifiecVMethod: 1) Supplemental Information
qt‘r'■■•:!. T Ag:';.ft,;a,fg:tWirif6r%--v;'r,a.i.'TMrrAttr,'.,' Watt, -4: teeMingt:Fyring1WOltiiiti*V'l -
wo 1 - - ,4: .•'. e ' '.,11tAfixt.42,Alfftsl.A..,,,,,t4,ti,:c.,:i.l.dtliiialMif,,r,i,ll:P.Mi=ltiriliitif,1;..P9,:11 !toKtiet5-1elt ,,Noll ..,, IP .',, . ', '
0 New construction 0 Addition/alteration/replacement Please check all that apply:
D Service over 225 amps, cornm'l I:Hazardous location
D Demolition 0 Other: D Service over 320 amps - rating DBuildng over 10,000 sq. ft.,
of 1- and 2-family dwellings 4 or more new residential
-,Itnlirr -1::., 'N ..- i%. A :a 4.:14,:cm, . -...4. , 4,., VA.13:at,ofxr:MalaMeiginigMal4V.01. :41: .!::
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building ESystem over 600 volts nominal units in one structure
Building over three stories OFeeders, 400 amps or more
0 Multi-family 0 Master builder 0 Other: _ DOccupant load over 99 persons I:Manufactured structures or
1111:411:1Ve:01. c) :.-::; . DEgress/lighnng Plan RV park
Job no.:0( '24 9- Job site address: 15B, so p
-TLf-t c-ve, DHealth-care facility DOther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: 1 (00 IA O !2_. ci --7 2,2_ q The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 1 0 Project riarrie: ejr ry)OVCC C..
Description Qty. Fee. Total .•
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 1 4
_
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: . , „ Limited energy, non-residential 75.00 2
rap,Wilfteli !",ilakftirgn g iiilf: ,;- Each manufactured or modular
dwelling, service and/or feeder 90.90 2
\-1/:): ( L 0 0 4 1 1 a - Cab 1 11(1 Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 I 2
--- ,■,,, -,,Ai, . ,',';--„ascr -- ,,,,,,,-- ',-4, - ,.2- 1 m! 201 amps to 400 amps
Name: 601 amps to 1,000 amps 240.60 2
Address: . Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 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
ITBDIAtadilINEWOVWXWMO4f:Wleq,iiikr:461,7101. Wir.EkWarAtWeg A. Fee for branch circui ts with
service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
46.85 2
each branch circuit
Address: Each add 'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited- -
MiNglaalatia-r,}7,1,1M,Stgii:11?ApAINRIRECArgirjelita&V energy panel, alteration , or
- : extension. Describe: - Page 2 --- 2
Business name: Tech no cofy t riC__ \iotLe &tato (aloha(
.
______,____ .,...._, ‘ __:_._
71 57,) •
Le r 63 .. - - 5c-4- I ) C L (--
, L Each additional inspection ovir allowable in any of the above
Address:
Per inspection 62.50
■ •
City/State/ZIP: a/ ke c OK / 7 '70 Investigation per hour (i hr min) 62.50
Phone: ($63 )'. — Li j .- Fax: 5c23 ) 64' . -Z. -- * 2 7S l Industrial plant per hour 73.75 _
rfii;',70PHRIMPIEOFRIMOSIONYMWINPrr:°• - '::
CCB Lic.: 73 .67 2_ Electrical Lic.:5;-{.. -2 • Siiprv. Lic.: 2-2J( 41
(ICt "- /-_-_
Subtotal (6 , L.N__, -
Suprv. Electrician signature, required: 0-7...37-zyt, Plan review (25% of permit fee) .:
O. C)
Authorized s
Print name: Date: 777210104
TOTAL PERMIT FEE (?) [ , 1)0,
i State surcharge (8% of permit fee) (
gnature: 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: \ BuildingTermitaLC-PermitApp doc 12/03 440-4615T(10/02/COM/WEE
4
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
G e r a v 5'`rrsc ^. p +r t ra '1 Jfx �7 d �i
71t —^ • .° :Li .. Fxk. e. ..� i t c;., Z' ' "`n! iRr i' td`vrh�:.�, h, ;.':..:
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:
T+ s+^ecrmE+*n t tn'wrvnznm'n : Y- S�'"3 r'� L `iJ.�}1 N=4
i /'� R4 r a,:�� ' a tl v3 tt Ye x ' f, ..,.x ."- N r q
Fee for each commercial system $75.00
(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*
n 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 \Pemuts\ELC- PemiltApp. doc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI_i 20ti6 0027 a
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/15/2006
Phone: (503) 639 -4171 A.
Inspection Requests (24 Hrs.): (503) 639 -4175 .c
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 6:07PM PAGE: 26
SITE ADDRESS: 15065 SW 74TH AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEV/ INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INOVATORS
DESCRIPTION: BRAND INOVATORS. Voice/Data, Job # 064217.
OWNER: JDS, LLC & SANTA FE CORP, PHONE #:
CONTRACTOR: TECHNOCOM INC. PHONE #: 503-602.4195
Inspection Request Scheduled For: Date: 11/6J2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038303.01 503-4M-7370 N
Corrections /Comments /Instructions:
-'.._._' ‘
PA U PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
n FAIL 1 I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED •
Inspector: G N Date: 1‘ ' 6 ' do Phone #: (503) 718 - 1-44
CITY OF TIGARD & .
BUILDING DIVISION >':--", PERMIT #: ELR2006-00223
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1512006
Phone: (503) 639-4171 "Vgl'it
Inspection Requests (24 Hrs.): (503) 639-4175
' INSPECTION WORKSHEET FOR DATE: 9/27/2006 ' TIME: 7:07AM PAGE: as
._,,D
SITE ADDRESS: 15865 SW 74TH AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INOVATORS
DESCRIPTION: BRAND INOVATORS. Voice/Data, Job # 064217.
OWNER: JDS, LLC & SANTA FE CORP, PHONE #:
CONTRACTOR: IFCHNOCOM INC. PHONE #: 503-6814195
Inspection Request Scheduled For: Date: 9/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 037181-01 503-464-7379 N
Corrections/Comments/ Instructions:
KO Tafi g cfiA / V C ° N S 1 C •
. ".IIIIIIII IIIIIIIP F
n PASS fl PARTIAL APPROVAL El CANCEL NO ACCESS
XkFAIL r■ CALL FOR INSPECTION
A ID ADDITIONAL FEES ASSESSED
Inspector: a4 N6E0a Date: ii 1 41. Phone #: (503) 718-20
I
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00+ 23
13125 SW Hall Blvd., Tigard, OR 97223 44 DATE ISSUED: 9/15/280 €;
Phone: (503) 639 -4171 °''' 1' ( f
Inspection Requests (24 Hrs.): (503) 639 -4175 r "'' I
INSPECTION WORKSHEET FOR DATE: 9/22/2006 TIME: 7 :02AM PAGE: 50
SITE ADDRESS: 15865 SW 74TH AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEYV INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INOVATORS
DESCRIPTION: BRAND INOVATORS. Voice /Data, Job # 064217.
OWNER: JDS, LLC & SANTA FE CORP, PHONE #:
CONTRACTOR: TECHNOCOM INC. PHONE #: 603.682"4.95
Inspection Request Scheduled For: Date: 9/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 036993 -01 503 -957 -1180 Y
Corrections /Comments /Instructions: i \/ s 0'.
A ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & ` K6(1:3 f a
`" � Date: r 9- ® Phone #: (503) 718- 1 -4 ‘