Permit , •S y
n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 -00288
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/29/2006
PARCEL: 1 S 136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: Low voltage wiring for audio /stereo wiring.
A. RESIDENTIAL B. COMMERCIAL •
AUDIO & STEREO: AUDIO & STEREO: X 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:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC NW PROPERTIES HANSEN TECHNOLOGY GROUP
PO BOX 2206 PO BOX 83783
BEAVERTON, OR 97075 PORTLAND, OR 97283
Phone: 503- 626 -3500 Contact #: PRI 503- 351 -1290
FEES Reg #: ELE 3090LEA
LIC 154012
Description Date Amount
[ELPRMT] ELR Permit 11/29/200E $75.00
[TAX] 8% State Surcharl 111291200E $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 ar et. forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain c 'es of these rules or direct questions to OUNC at
503.246. or 1.800332.2
Issued By: , `Abcd,`7 Permittee Signature A-;_
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.
Electrical Permit A licati EGA`
Delay: // , e #6 0 y Permit No.: f L OG-ek f� . —
City of Tigard nC Re
Delay:
13125 SW Hall Blvd., Tigard, OR 97223 k %(t 2b6 Plan Review Other Permit g980I 2 try:
Phone: 503.639.417 Fax: 503.598.1 0� T �GABD Date / � I ® see Page 2 far
upptc ocaml forormo
Inspection terne Line: 503.6:iy.4173 1 '1 ea&rBy: , i Sdon
l I (, A R l) Internet Ww►Y.tlb'ar -0Lg CAT 1 r vI�10 � .. S Fr u cu S r ii i qY , I �t!t�lg � ir�! { i`i!} i $'19
• ,. �[t � n i n. i , ° 1 �") l °'CkF ,1r f, 1i!{vil r B S ` 1, 4 of :, .5 ; .v r� 1} i i ' � L r Ia ii ; •r , n I t
f „ t a., J ;. fr it jnl;r tj th1 Jt ' g ;;t ,1Iti igi r ZI, =�,F ra .h- {}, 'i I f .,.
' r ,I �); Sire'yy�� fr'fl „/ . r ,�, , , , Z . ? 4”] r1- rt'....r. „'„16�, .'i'F`q ,i,,i -n. t:.,11P 1,m, .rt + m' lY . p
j i: . 1,= :{i.,;LiHi(, ayrd - + ,r 1P Pleaaec apply 2 seta nfpint ,awlitems checked liClOW):
❑ Addition/alteration/replacement 0 or feeder 400 amps or more 0 Building ova three stories.
El ® New Construction whet 9 the available !Serb current ❑ °� and boatyyar
Demolition 0 -t Other• �i s v* t. tis 10 S eeps at 150 volts or 0 Floating buildings.
- .s�{ 1 „:,t' ,tU , .1 ' 1 "'llat r,r " is sglcuhural
a v' opt r" 1 ''r ,, /4 y 4'isT `, g ,:" Cowmen-tat-use +
3S'i ji�tl i,� +f . ,r y:� H ! a' I , F ✓ f t < , i1` y i r:i it r to r e t less m ground, or exceeds 14,000 ❑
,;d-.� "61twr +7: -f - - building for all other installations. buildings.
CI I- and 2-family dwelling Commercial/industrial ❑ Acces amps ❑ Fire , Installation of 75 KVA or
❑ Multi - family 1:1 Master ❑ Other. F r er lame separately of derived system.
Master u ,' , ,y }1; r ,. , O "E". rate eriv
_. ' ' k w • };Y!1. - ! y.'' ' '': . `'t •1:21 .,...,W yr l if a ° ,r'4r ' . -p rr_..i anti' '; '' 7 ,,' ; 4. •', ` f -i1, .� � . }r, ❑ Addition of now snow/ load of ❑ • 'a
:040:1;0..:, s •� � ' i > ifs {1 I , r, • ,! Yv:.ir :2 8th n n1 1O01'1P or mare. .
❑ Recreational vehicle parks.
Job no.: lob Site
address: SW 68 Parkway Q 100 1 mr++r,esidrmial emits. C1 gspply voltage nu uteri °tams
❑ Health-care facilities. 600 volts nominal.
Ci y /StateiZIP: Portland, OR 97223 ❑hazardous locab 6 or
" ❑ Savior or feeder �
Suite/bldg. /apt no /60 I Project name: Oregon Mraliu l Asaociatio0 it ' r f * 1/ At 1 , rq :fl more. , �, j fy� t , 1 ' ' '`,• (fir ■ r i : t F ' ". :r�
a a
yep ow- � �
Cross street/directions to job site: — New •
residential single or mold - family dwelling unit•
tnctudes attaebed gs rages 4
1,000 sq. ft. or less I45.15
Subdivision: Lot no.: 15 R. or portion 33.40 1
Ea. add' 500 sq. ,
Limited energy, residential 75.00 2
Tax snap /parcel no.: v 'n t' "` ° ' J'����* "P � f � ' with above sq, ft.�
r .J a,1. ue ,r +: ', F W"f t•; r fe,;, N; I FC C- r.
" " 1 J W f1r:;hl r, , n 1Krt ; . n { .: �t r, r r ` Limited energy, multi- family 75.00 2
^ , ;'• rut/. .read :,, . .. ; , :. •. ,._ .. ...
. . ' - tion bangWire residential (with above sq. 11.) '
- .57/27-me • Services or feeders installation alteration. and/or relocation 2 •
i �� • y.: h "� - 200 amps or less 80 -30
,saismis �stl►p_. G OGc� , s , . a t�3 It +.'3 �a;' If .'Ift 201 amps to 400 amps 106.86 2
j+'y°r� 'jk ifh,; -X i s., 1n 1H?.'4'41! '�`i'Mg.1i. -1 :7' ,J J:a, ' f. „ t ,, ' . 1.7A 2 ■
n A U -! F flit s+ i r + �e�: i. I • ti 7 r lntw t�G ; 401 tubes to 600 amps 160.60
Name: Oregon Medical Association _ 601 amps to 1.000 amps 240.60 2
----- Over 1,000 amps or volts 434.65 2
Address: Temporary berviees or feeders installation, alteration, and/or
Ciry /Slune/ZIP: _ _ _ relocation '. 111 66.a5 1
I snips or less
Phone: ( ) . 1 Fes ( 200 a
) 201 amps to 400 amps 100.30 2
133.75 2
Owner itt:,taitation: This installation is be made on property that 1 own which is not 401 Amps m 599 amps -
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits new. alter*tio , or extension. • er • net
for branch circuits
Owner signature: � ,._ Date: _ — • �— r}� ��� A. eve is or feeder &x, 2
0 Sn
, �w say 6.65 with
- a r r i r ' i �+" Nr'•+!tfl . j /li es:� +. ,e; = g 11
't' "r+ Si t Vii` ,a rt,, '1� +nab 1 �°jct l' } , , , s
,,(( � �;�� = ?�' ¢. • rf i each bran ch circuit
B. Fcc for scenes circuits Business name: Hansen Technology Group - without service or feeder fee, 46.85 2
----- first stases Circuit 2
Contact name: Flora Novarra Each will branch circuit 6.65
Address' 1P(f Box 83'183 Miscellaneous (service or feeder not Included)
O R 9 7283 - ' Each manufacnued or modular 91)90 2
City/State/ZIP: Portland, dwellin. service and/or feeder Fax:: (503) 692 -1739 Reconnect only 66 -85 2
313 -2010 2
Phone: (503) — Pump or irrigation wrr.le 53.40 E -mail: thovarra@gtnail.eom u• f' " i "' �a r' 61�9 "' Sign or outline lighting 53.40 2
���� ¢� :: /,.. , r e: n l ✓"7, `S • G" u. ` "''q%n�(�l nli • 1 n` is +r{ 1(9 i luSi�rt :, r 'h.1 AS':
: �rY` •
> ,. , fIi u =mrt Ii��� i ���' S i�.� tflrr }i n.!'y: : ,,,ur..i u., f .,.nihri•' , •, `' Si circuit(s) or limited -
,.i 1 t
energy panel, alteration. of '1 Page 2 2
— Business name: Hansen Technology Group extension. Describe:
Address' PA Box 83783 A 0D i e 5 r f 20 r) _
City/State/ZIP: Portland, OR 97283
Each oddditiooet iao' et+no over allowable in an of the above
P er inspe ction Ell 62.50 NMI
62.50
Investigation per hour (t br min) r —
3514290 Fax: ( ) , .
!bent:: (503) Industrial plant per her 7375
, ru .; .lUi�' °'
-.,., ♦ w r r 1 �, Y; 'i: ii i/} i 3+: ' 1 ' .r: ff a�'r7 .'
154012 Electrical Liar. 3090 Suprv. Lic.: Ei - 4 "'i - 1'ar' . ,,W.'... ' . rP•,L' ,, 'N. .
CCE Lic.: � - Subtotal:
Suprv. Electrician signature, required:. • — — Plan review (25 %ofpermit .
Date: 11 -27 -06 State surcharge (8% of permit fee):
Print name: Pete HanseII TOTAL. vFRMIT FEE:
Authorized signature: This permit a pp l icauo a xpir
ees d a permit is not obtained within 180
Date: 11 -27-06 days after e Has e if accepted permi s9 t obi i e
flint - name: Pete Hansen _ • N r,f insbectioes allowed per permit.
44o.4e1 Fro tgercOWeia
iltnikint Permiu-iELC- pamnAPpnoe o dzIMO
Z0 /T0 39tid ti2121ti110Nd 6ELIZ69E0S 0E :PT 9002/8Z/TT
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006.00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639 -4171 Aro ,„�;ii�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7 : 00AM PAGE: 70
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: t108 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Low voltage wiring for audio/stereo wiring.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626-3500
CONTRACTOR: HANSEN TECHNOLOGY GROUP PHONE #: 503-351 -1290
Inspection Request Scheduled For: Date: 10/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 058210-01 503730.5192 N
1Ct °\ f iN0.l.--
Corrections/Comments/Instructions:
I t •
°1 \1\ 1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G--,1 6 pz Le Date: %Of Z't, 0i Phone #: (503) 718- 1,4147
CITY OF TIGARD , . aki.
BUILDING DIVISION PERMIT #: ELR200S -00286
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '11129/2006
Phone: (503) 639 -4171 uyI1if
Inspection Requests (24 Hrs.): (503) 639 -4175 s' �:_..
INSPECTION WORKSHEET FOR DATE: 2178/2007 TIME: 7.O2AM PAGE: Q6
SITE ADDRESS: 11740 SW 66TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: Q06 TYPE OF USE:
PROJECT NAME: OIViA
DESCRIPTION: Low voltage wiring for audio/stereo wring.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626 -3500
CONTRACTOR: HANSEN TECHNOLOGY GROUP PHONE #: 503 -351 -1290
Inspection Request Scheduled For: Date: 2/28/2007 Pour Time:
Code # Inspection Description _:_Confirm -it_ Contact # Message
135 Low voltage 044074 -01 503-351-1290 N
Corrections /Comments / Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C7- N 0 6 (..c' Date: 2,11 • V Phone #: (503) 718- VALK)
CITY OF TIGARD .. •
BUILDING DIVISION PERMIT #: ELR200S -00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2122/2007 TIME: 7 :02AM PAGE: 5
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Low voltage wiring for audio/stereo wiring.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626 -3500
CONTRACTOR: HANSEN TECHNOLOGY GROUP PHONE #: 503 -351-1290
Inspection Request Scheduled For: Date: 2/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 043753 -01 503-313 -2010 N
Corrections /Comments/ Instructions:
1kv6 . t 3 3 � sv11 -- 00 ON
❑ PASS in PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr ctsLoe Date: 222• 61 Phone #: (503) 718- IA
CITY OF TIGARD
BUILDING DIVISION `' PERMIT #: ELR2006- 002138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639 -4171 cl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7J21/2007 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 11740 SW 66TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Low voltage wiring for audioi&tereo wiring.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -526 -3500
CONTRACTOR: HANSEN TECHNOLOGY GROUP PHONE #: 503 - 351 -1290
Inspection Request Scheduled For: Date: 2/21/2007 Pour Time:
Code # Inspection Description riff Contact # Message
135 Low voltage 043681 -01 03- 702 -8033 N
Corrections /Comments/ Instructions:
< v CAB ?"22 -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `N VI Date: �j 12 -1169 Phone #: (503) 718- 241_
CITY OF TIGARD . . ,
BUILDING DIVISION iiii: ' PERMIT #: ELR200G -00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639 -4171 it
Inspection Requests (24 Hrs.): (503) 639 -4175 ' p._..
INSPECTION WORKSHEET FOR DATE: /2122/2006 TIME: 7 :00AM PAGE: 16
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Low voltage wiring for audio /stereo wiring.
OWNER: PACIFIC NW PROPERTIES, PHONE #: J03_626.3500
CONTRACTOR: HANSEN TECHNOLOGY GROUP A LA', PHONE #: 603-351-1290
Inspection Request Scheduled For: Date: •12/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 041474 -01 503-504 -3098 Y
13s" k1/4g1--. tt
Corrections /Comments/ Instructions:
J G zt \ p
02 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6- ` woe Dat e: 2-,--V2.----4‘ Phone #: (503) 718 - u"