Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
r i DEVELOPMENT SERVICES PERMIT #: ELR2006 -00021
- 'I ! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639.4171 DATE ISSUED: 1/12/2006
PARCEL: 1S136DA-02600
SITE ADDRESS: 11140 SW 68TH PKWY ZONING: C -G
SUBDIVISION: MLP1999 -00011 LOT: 002 JURISDICTION: TIG
Project Description: Low voltage 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: ' . OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: 13 L R6-
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WEBSTAR VI, LLC WILLAMETTE VALLEY SECURITY
610 GLATT CIRCLE 142 SW 2ND AVE
WOODBURN, OR 97071 CANBY, OR 97013
Phone: 503 981 - 0155 Contact #: PRI 503 244 - 5273
�—D3 ZI3 • GA
FEES Reg #: LIC 96932
ELE 3- 370CLE
Description Date Amount
[ELPRMT] ELR Permit 1/12/2006 $75.00
[TAX] 8% State Surchar€ 1/12/2006 $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- 01 -0100. You m y obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: 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.
Jae] 120.6 09:57a p.2
Electrical Permit App .
City of Tigard . UEIVE 0> Received ��pp
13125 SW Hall Blvd., Tiprd, OR 97223 Date/8Y. / 17, -O(, pgS Permit No; 00024
Phone: 503.639.4171 Fax: 503.598.1960 JAN 12 200 /�. r t ; Plan Review
Inspection Line: 503.639.4175 Y l�' i I>atelBy Other Permit lnteznet www.ci.tigard.or.us see Page 2 for
,r �� o f i , + AnD N�exi ReNMahod: , ®
SuPplemental information
.New construction - � r7O 1A " PLAN VIEW
❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other ❑Service over 225 amps, comm j]Hazardous location
CATEGOR Other:
OF CONSTRUCTION ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. R,
Ell 1 -and 2-family dwelling of 1- and 2- family dwellings 4 or more new residential
S g J 1 CommerciaUndustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure;
❑Buildntg over three stories ❑Feeders, 400 amps or more
❑ Multi family El Master builder ❑Other.
JOB SITE INFORMATION AND LOCATION ❑Occupant load over 99 persons ❑Manufactured structures or
❑
Job no.: Egress/ligh611g plan RV park
I Job site address: 11 14 O .5 , I b P tu ❑Health -care facility ❑Other:
City/State/Z]P: Submit 2 sets of plans with any of the above.
I � � d i Er? ` p.” I p. The above are not applicable to temporary construction service.
5uite/bldg. /apt no.: I projnarae: n _ FEE* SCHEDULE I
ASC t VET: e-.h� n
Cross street/directions to job site Dnniatbe �• Pre Total "•
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: 1 ,000 sq. ft. or less f 145.15 1
I Lot no.: Ea. add'l 500 sq. R or portion 33.40 4
Tax map/parcel no.: i
Limited ene
ray, residential 75.00 2
DESCRIPTION OF WORK Limited energy, Wort - residential 1 75.00 S. 2
Each manufactured or modular
1
Ql s U f • "� Qt A dwelling, service and/or feeder 9x90 2
� Services or feeders installation, alteration, and/or rebeation
f" 200 amps or less i 80.30 2
❑ PROPERTY OWNER Q 201 amps to 400 amps 10625 2
Name: / 401 amps to 600 amps 160.60 2
Address: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 2
Phone ( Temporary services or feeders Installation, alteration, and /or
I Fax ( ) relocation
Owner installation: 's installation is being made on property that 1 own which is not 200 amps or )ass 66. l
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 to 400 amps 100.30 2
Owner signature 401 amps to 600 amps 133.75 2
Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
""s name: I i P 0 D- P ' - 1 n service or feeder fee, each
1 l PI A �� tM�l P.t ( branch b r an s 6.65 2
t ` , - { �� ( 1 B. Fee for brancb circuits name:
y D without service or feeder fee,
Address: p0,0/3„ `� [ p first branch circuit 46.85 2
City /State/ZIP• j Mj 1 9 It) 13 SaMish ee Ilan of retch viceit 6.65 2
`�" a sltaneona (service or feeder not included)
Phone: �3)� 3 — • / 00 ' L Fax: ( 9/_ _ ! O q / Pump or irrigation circle 53.40 12
mail: t� eo c� w r0 b Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: extension. Describe: Page 2 2
Address: Each additional inspection over allowable in any of the above
City/State/ZIP: Per inspection 62.50
Investigation per bour (I hr min) 62.50
Phone: ( ) I Fax: ( Industrial plant per hour 73.75
o /
CCB Lic.: I (,t 3 1 Electrical Lic.: I Suprv. Lic. r ELECTRICAL PEST S
R�la `-` subtotal r coo
Suprv. Electrician signature, requi L /
t °44 State Plan review (25%of permit fee) 7 _.. • : i•
ofperm
Print name: ��
(•� --, rl Date: I/ 2 / Q � State surcharge (8% H fee) G. QO
Authorized sign ` TOTAL PERMIT FEE
This permit application expires bra permit is not obtained within 180
Print name: I Date: days after it has been accepted as complete
• Pee methodology set by Tri- County Building industry Service Board
'B uildinalPetmiWELC PermitApp.doe 12!73 • ' NomltorofiaspactionspetPxtaital low
44 0- 4 611T(10/02lCOMMES (• 0
i _,.
t z C ITY OF TIGARD
BUILDING DIVISION PERMIT #: L= I_R2006 00021
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/121200(
Phone: (503) 639 -4171 Awr u 9' i'
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L .
INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 40
SITE ADDRESS: 11140 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: MI..P19BEI -00011 LOT #: 002 TYPE OF USE:
PROJECT NAME: CASCADE VETERINARY REFERRAL CE
DESCRIPTION: Low voltage For burglar/security alarm.
OWNER: WEI3STAR VI, LLC, PHONE #: 503981 -0155
CONTRACTOR: •tMLLAME'ETE VALLEY SECURITY PHONE #: 503-244-5273
Inspection Request Scheduled For: Date: 5/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 0307663 -01 503- 263.6001 N
IVA F oAL- Pb i C%W\ S 1S .
Corrections /Comments / Instructions:
TOdci\it 0 -ci sV> liZANs ,R - y
.131Z..� .. _ it • . • `-7 %'_
r 7N1 ( a P iN) -tpi\c. \ \W , o 1 -\
erz;17 A Aep c,(6.%) . 01.
c•%) NO 1`.9).1'60___,
�
F. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_.,;mom• IL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ '
L� I
Inspector: .. ' Date: 6•3 �, -Q•10 Phone #: (503) 718- 2-11 b
CITY OF TIGARD , -
BUILDING DIVISION PERMIT #: ELR 2006.00021
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1 )/2006
Phone: (503) 639 -4171 haill
Inspection Requests (24 Hrs.): (503) 639 -4175 '__ I
INSPECTION WORKSHEET FOR DATE: 2/9/2006 TIME: 7 PAGE: 63
SITE ADDRESS: 11140 SW 60TH PKWY CLASS OF WORK:
SUBDIVISION: MLP199U -00011 LOT #: 002 TYPE OF USE:
PROJECT NAME: CASCADE VETERINARY REFERRAL CE
DESCRIPTION: Low voltage for fire alarm.
OWNER: WE.BSTAR VI, LLC, PHONE #: 50:3- 9i31•01%
CONTRACTOR: WWLLAM :TTE VALLEY SECURITY PHONE #: £Q3. 244 - 6273
Inspection Request Scheduled For: Date: 2/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 026537.01 503 -263 -6001 N
Corrections /Comments /Instructions:
N -p
� `
•
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N v Date: 21 66 Phone #: (503) 718- 24 h1