Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
� DEVELOPMENT SERVICES PERMIT #: ELR2006 -00065
" '� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/23/2006
PARCEL: 2S101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY ZONING: C -P
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 003 JURISDICTION: TIG
Project Description: Limited energy for access control.
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: ACCESS X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC NW PROPERTIES POINT MONITOR CORPORATION
6600 SW 105TH 4755 SW OLESON ROAD #102
BEAVERTON, OR 97007 PORTLAND, OR 97225
Phone: 503- 626 -3500 Contact #: PRI 503- 292 -5533
FAX 503- 292 -5512
FEES Reg #: LIC 135901
ELE 34- 508CLE
Description Date Amount
[ELPRMT] ELR Permit 2/23/2006 $75.00
[TAX] 8% State Surcharl 2/23/2006 $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 fo . adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010
thro • OAR 952 -00 1 : s. You may obtain copies of these rules or dire • uestions to OUNC - 503- • - 6699.
Iss . ed By: . /it Permittee Signa - •
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:
CaII 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.
02/22/2006 10:13 5032925512 POINT MONITOR CORPOR PAGE 02
ctrica) Perrnit A 1 ED FOR OFFICE USE: ("I') City of Tigard R i ,,, , snit N�.: . . ' 4,44.. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
2 2 20 06 , ,
Phone: 503.639.4171 Fax: 503.598. it °' rr '� . - i)ace/B
Inspection Line: 503.639.417 � ' l i ,. Date Ready/13y PI See Page 2 for
Internet: www.ca.tigard,or,us NotiGed/Method: gl Supplemental int'anwtion {/
•rte yr r• rC �� ill 91G� 457;07/1///,'" . / � cr 7 7r ^• , !� r r n rrr.�•.: r/ .. rrr /urn( 7� /rrr t r
/� �nr` , ;,,, j ,.. • /; V , ' '''.; ; . / i / /� // ,, / //•// • «�r�f� -� //< 1 �i /. 0/ l,/ /f / ./,�:.,.,�..• -�/'/ 1�111ff /tffh%1�1117f
% � /�`� ��`��� / /f /���� /� , /(1 f� / :,, • ti br Airf.'ri; F - ;ii , i�ba/ <; ,.. , / „, ,.din /lrfl /�� / /�4m .t� ,. 4.////, .'.7 /���������./4I I .I / / /���� � � 4M iM ru / f l , : ' di al i / / 1 / I /
/ /rr ,r, / / / / /f /l,.f• ^ ;; . /.
1:I New construction IL Addition/alteration/replacement Please check all that apply:
°Service over 22S amps, eomm'I ['Hazardous location
❑ 1)emolition ❑ Other: ['Service over 320 amps - rating ❑13trildng ova ]0,000 sq- ft.,
r, iii6 ;i r/ rrr ^r. ;. , br a ; , ,,) , , ., ; 7,rai ✓wL/! /in/ {r7 / / / rr /` ";•r147/rr': !!! !/:
/ 0 ) / / „ 4 : , /'/. ;� , : /p / 1,, ; / ,! / / / / / // / ,7 !;r / / / / 1 /�/ oft- and2- fatnilydwellings
/ � < /� � - "� /.; ,•�;;. :..-rrr /ri /rrr/ • r;,' /,�i1i / / / / / /� rfi'���'' / / /� / /�r / % / / :.� �, � //r 4 or more new ravid�rtial
'�� �/ iii/ �% L1��� % ff :r,� / / / /iri> /� % : :. riii /r /i / /�/ /r•. it � � � � (, l,
❑ System over 600 volts nominal units in one structure
[] I and 2-family dwelling V CommerciaUindustrial El Accessory building ['Building over three stories ❑Fecde rs, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: °Occupant load over 99 persons QR anuf ctu ed structures or
% r i / 1. / .- n �o N ,;;ra 7 ,,, ? s/rr,;; / , r / rp <nr. yir <:. i :i .,, ( /,T /7 /ni i mrr t �: 'S! //i/1 r if 1// il rrr rr.•.-- FU;•
/ I � " ( i `,��� ���� / /ff���i�f / /n...i ��r;Ui /r / / / /.7 -ire /j /irudi:wr rr /rrri, /ldA� ,rt.. %r %ii /birair < /'; liih / /lfi t,;r� /////���/1,i/ � e / ' ❑E S bi de tan P'�
e , � • � ^ ❑Hcaltb -care facility ['Other:
Jab no.: Job site addrCSS :. • 1 Submit 2 sets of plans with any cif the above.
City/State/ZIP: . f 6 . A i 6 ,' • 3 The above are not applicable to temporary construction Service.
•
r ll;`7/7//. /8, / `Ifli� Ia RY )7,7 / ��11Igier�>l /i� %ZEO)
Suitelbldg. /apt. nn.: Project • : Q b - a a ' Dentis4on Qty. Fee, row " ,
Cross strcet/directioes to job site: New residential single- or multi•familly dwelling unit.
includes attached garage. •
],000 sq. ft, or less 145.15 4
Subdivision: L. n no.: Ea. add'I 500 sq. It. (n portion 33.40 I
-
Limited energy, residential 75.00 2
Tax map /parcel no.; • Limited energy, non-residential 75.00 2
Vigia i r rr, =; 7 /l/ / "JfoN717 % / /rr , /F/r%A !rt :n�rt/ /7.1f7� 'V' 7 !Fa' "1 i frrr r Ai
!/ iliAt ll / / /a. " ;. it %iF, /i/ i.. ( / /die ' . ;A)u / / / , i 'a; /J IG / /�, , , / /���%4;'..4/ � /, l=ath manufactured or modular
dwelling, service and/or feeder 901)0 2
_� ` - A _` 1X . a RI : ' Services or feeders installation, alteration, and/or relocation
200 amp or less 80.30 2
b /r r• /film • . ..0, , Z!rtor rerr.- / »m / /mnur.,.. nip r v« , //!//rorr F�,� ,(/ 7yu1,Y,11i / //!/ra /r 1 ,71,•. ff / iI( !((f j 201 Amin to 400 amps 106.85 2
/�/ /i /,li -,v�!) hand r , 7 `t•wh. .. E Ni l h I 1 / /% : /// // :1 1 � / i / r / i, l r / Mi/ i1 %ii%(F.. :er / //I I (lfkM
401 amps to 600 amps 160,60 2
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 irenallatiun, alteration, and/or
• relocation
Phone: ( ) I ax: ( ) 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 ]00.3) 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, alter or exter8hon, r panel
r�(J /r �M,W07� /i; :7r� c ' «° /7 /x.Irl r // / /I/ /' ` / // g/// !!r(277/(7 fi � �x�i., -7/?? fir /;{(! rrr /r�// (7 / A for branch circuits with
pi� K � me / / r ��!! /4G" ,,/ . wi /../ // rfr.„`,:4 ,/SA.,),F r ? 1 riAr /: ;2, �e;hfll u ,,, is s i c (u feeder f each
1v /!lrlr�r/ /rr.r.: ryrfi/s/ /r //l 6.65 2
Business name: I '- A a d , / ' rt../ branch circuit
13. Fee for branch circuits
Contact name: J . . r ( o I L S without service or feeder fee, 46.85 2
first brattch circuit
Address: jW • Q S ■ f i' • - 2- • Each add'I branch circuit 6.65 2
0 , ( • Miscellaneous (service or feeder not included)
el Si J � f 1 r pump or irrigation circle 53.40 2
]'hone: CS -. 5:573 Fax: : ( ) 2 ...._5-5-( Sip' or outline lighting _ 53.40 2
E Signal circuit(s) or limited.-
r �•� �rr,•�• /,your : ^r / r /: / // / 4 f e nel' altBratl( lff
el va % %/� �E��! >�iiif/M -�': /,�� , ,7,E w:.;,;;. /////i / iii/ / / / /�aief / / / /// I / //%art/,: g y PaDel. �. 7 S
�� extension llescribe: -
Page 2 2
Li _ .il1r• _ . C.�
• Each additional inspection over allowable in any of the above
Address: i . ���
/ . 0 , 0 Z Per ins -lion 62.50
>' 0.1 e. Lip Investigation per hour (1 br min) MI 62.50
1 ,. �� lndu trial plant .boor 73.75
F ax: (( 3) Q. • a - 5571 z n / rr i ry e .., -rrrrr ,Yr :, , :7 a
Y / gil�Lrriffl�! r = �, ,, r•r.,2 I : f ,`^%;;,: �t///lll�rt/ff gfe
IMMIEVEIMI Electrical Lie.: _j & e, Suprv. Lie,: 335 LEA Subtotal .• 67)
Suprv. Electrician signature, required: Plan review (25% of pernrit fee)
.. (( State surcharge (8% of pe rn i( fee) , d•
Print name: V 0 . r S I b TOTAL PERMIT FEE , / 00
Authorized si nature: r Tins permit application expires if a permit is not obtained within 180
4/1A `� .ILi „ / days after it has been Accepted as complete
Date: CM. ' Pee methedt�logy set by •1'ri-c:omtty Building Industry Service Board
L �. tr / *e Number of inspections 1a permit allowed.
l :viummtiotPennfotELC•Pcrn ApVdoe /mss 410 015T(101021COM/WEB
•
CITY OF TIGARD A
BUILDING DIVISION PERMIT #: ELR2006 -00065
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J23/200C
Phone: (503) 639- 4171��I
Inspection Requests (24 Hrs.): (503) 639 -4175 °
INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02AM PAGE: 77
SITE ADDRESS: 13190 SW 5TH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 00.E TYPE OF USE:
PROJECT NAME: BUSINESS OBJECTS
DESCRIPTION: Limited energy for access control.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 625 - 3500
CONTRACTOR: POINT MONITOR CORPORATION PHONE #: 503.292 - ;533
Inspection Request Scheduled For: Date: 5/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 020572 -01 503- 4752037 Y
Corrections /Comments /Instructions:
C`
Z PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: kt 1 \63 Date: 5/1 6J b Phone #: (503) 718 - 1-496•