Permit .i
C ITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00157
• " -.0 PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/21/2005
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 500 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: Cabling for work stations.
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:
TIGARD TRIANGLE I LLC NEW TECH ELECTRIC
4650 SW MACADAM AVE STE 220 13970 SW 72ND AVE
PORTLAND, OR 97201 PORTLAND, OR 97224
Phone: Phone: 503- 648 -1900
Reg #: LIC 41868
SUP 3849S
FEES ELE 26 -418c
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 6/21/2005 $75.00
[TAX] 8% State Surchar€ 6/21/2005 $6.00
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 95 001 / 4,7(4„ 0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 - 6699.
Issued By: /� 4,C� ,lJ� :./.�ic_„ Permittee Signature: r ) )' 2 �` C. -1 G r
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.
■
06/20/05 NON 08:06 FAX 503 640 0571 NEW TECH ELEC a 001
ttrical Permit App GEIVED
� h OPFICI? USE ONLY
City of Tigard JUN yea
13125 SW Hall Blvd.. Tigard, OR 97223 2 0 2005 � � � G{'� .,i5 Permit No. ZI Cad f5 1 503.639.4171 Fax: 503.598.1960 ':" r laoRevitxv
q' I 'i Datt /B • Otber Pcrrsrir.
Inspection line: 503.639A175 CITY OF TIGAR l� `'L ., DateReadyBy: z for
Internet: www.ci.tigard.or.us Nod od: see page
BU ILDING DI • . supplemental Information
- v oti;r. ,rn d .; .
� .
- -- Il � � jl 1 L �.. r t1 J..:' °_.,4 �, w.... 1 -,t .u
❑ New construction Addition/alteration/replacement ` _._._ _ Please check all that apply: y.
❑ Demolition ❑ Other over 225 amps, comm'I Hazardous location
t - ,r.'; it lc i : • i, «'in , t. y!' 'F, C• ; i I and over 320 2-family amps rating ❑Bnildngover 10.000 sq. ft..
ervice
❑Service
Of dwe ings 4 or more new residential
❑ 1- and 2- family dwelling I Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Mu1 i faanly ❑ Master bu lder ❑ Other ❑Building over three stories ['Feeders, 400 amps or more
F' ' 'r �
ant load over 99 persons ❑Manufactured structures or
t't' d i i, ,\,[ to t`, u,9 itj r �Ilt i . .. ❑Egress/lighting plan RV park
Jobno.: t mac-, I Job site address: 1-7,7,-2_1 , 2 ,,4 L ,8,114 1A AN A,..1 ❑Health•care_facility ❑Other.
Submit./ sets of plans with any of the above.
City/State/ZIP: -r -p 1 G Slip The above are not applicable to temporary construction service.
Suite/bldgJapt. no.: Project name: A? i- - Uu t V e11.5 11•.1 oIF .... -. .. ' L..' . .. " M . n t 1" . `'
��„�:� � .J.•;.:i_°r,:•n•�. 'i? c am.
D escription Qty. Fm Total I ' -
Cross street/directions to job site: floatJlI New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 1 145.15 1 4
Subdivision: I Lot no.: Ea- add'I 500 sq. ft. or portion 1 33.40 !
•
Tax map/parcel no.: Limited energy, residential j 75.00
� i f � t 4J ^°. t o /Q G _.. " i Each manufactured or modul rl I ! I 75.00 ; 'iS i 2
I !`IS1'R1�1. 1 dwelling. service and/or feeder I 90.90 I 1 2
� F -i t.IL Fog- WGI e5ro rfl*J S U F-P S , Z Services or feeders installation, alteration, and/or relocatio
t I
Q_ II.ITEk. F'41( 1. otJS ON FIRS - - F-1--.012-. 200 amps or less
�, -" 'I r :k , ! 80.30 1
f ;. I � ti^� 411. i :,:_k ., __ 401 am to 600 amps I ";; 201 amps to 400 amps I 160.60
j 60.60 j I
Name: 1 A%. LOM
N 1 c.A.rlt+nl ` to (t.(iu P 601 amps to 1.000 amps 240.60 1 ,
Address: 2.z H r ItJbro�l Over 1.000 amps or volts ; I 454.65 I 1 2 1
Reconnect only ! ! 66.115
City /State/ZIP: T1= r+Pe , 2
AZ- 52-b2 Temporary services or feeders installation. alteration. and/or
Phone: ( v) 11 2 i .C I Fax: (Lifp 7
) relocation
�� G 200 amps or less ! 60.15 I 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps
intended for sale, lease, rent. or exchange, according to ORS 447, 449. 670, and 701. p p i 1 410.30 I I 2
401 amps to 600 amps I I 133.75 2
Owner signature Date: Branch circuits - new. alteration, or extension. per panel
r; . r i .- ..,. J i . , - - , • 1 .p -- u, y K j , A. Fee for branch circuits with
service or feeder fee, each
6.65
Business name: branch circuit I j 2
B. Fee for branch circuits
Contact mine: without service or feeder fee.
Address: each branch circuit
46.55 ,-
Each add'1 branch circuit i ! 0.05 I 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 1 53.41) j 1 2
Sign or outline lighting 1 I' 53.40 1 1
E _.i� . :t,, 'anu'.0 2
2
w Signal circuinsi or limited-
.:.`: ' j ' T' ,iixi "k''! ( . a ' ''. ... 0+� :iA0,1 �.; %F :i fi. 7 T i!° t ;.•,1'9 en t ens i on. ergy. panel. De scri b e: alteration. or
ex I Pace 2 ,
Business name: NEW TECH ELECTRIC r INC
Address: 20811 NW CORNELL RD STE 400 I Each additional inspection over allowable in one of the above
Per inspection i 1 62.50 1 i
City /State/ZIP: HILLSBORO, OR 97124 Investik5ti'on per hour rl lunun) 1 62.50 j
Phone: ( ) 503.648.1900 I Fax: ( 1 5 0 3. 6 4 8.31 31 industrial plant per hour 1 1 73 j ;
CCB Lic.: 41868 I Electrical Lic.: 26-41 C Suprv. Lic.: 384 9 S
Subtotal i i 5
Suprv. Electrician signature. required: ' -.-- j.k-t) L1 Plan review (25% of permit ( -el I J
1
Print name: pHIL HANSfBN Date: State surcharge (8% of permit feel j I.,
I. (1� l05 TOTAL PERMIT FEE
Authorized signature: I 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•Count;: Building Industry Service Bxurd
` r y ,, " Number or inspections per permit allowed.
:[ lviWbtg�Pt :rmut\nt,C•t'ermitA(rt..tloe 1:103 1i .4 4 ) oMJwEI3 ! 1
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: Et_R2005 00157
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/21/2006
Phone: (503) 639 -4171 i i i d / ir ,, giijw` �I�`
Inspection Requests (24 Hrs.): (503) 639 -4175 . -__ `-_..
INSPECTION WORKSHEET FOR DATE: 6/24/2005 TIME: 7:09AM PAGE: 28
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: Cabling for work stations.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503.648 -1900
Inspection Request Scheduled For: Date: 6/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 010110 -01 503-969 -9477 N
/'
Corrections /Comments /Instructions:
N
(-_ F. :,
\1 l
fril3
V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G _ Date: g -- Phone #: (503) 718-
_ _