Permit J
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
__,114.4111?‘ DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00107
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/10/2005
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 500 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: 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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD TRIANGLE I LLC GREENWAY ELECTRIC COMPANY
4650 SW MACADAM AVE STE 220 9460 SW TIGARD STE. 104
PORTLAND, OR 97201 TIGARD, OR 97223
Phone: Phone: 503- 620 -6020
Reg #: LIC 153421
ELE 34 -617C
FEES SUP 5025S
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 5/10/2005 $75.00
[TAX] 8% State Surcha 5/10/2005 $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 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: -2 0 Permittee Signature: � N‘
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 AD 3t l Eiz1' I V E D 1.0,, ()1.1.1( T: CNI t►
City of Tigard 4a ,
Dta : Q D remit Nu.' C.1 . ' $ vgja `7
13125 SW Hall Blvd., Tigard, OR 97223 MAY y n t>ute+s
Phone: 503.639.4171 Pax: 503.598.1960 MA 1 0 200 .. .' Platt Karim
"i ! ' ,1 D ataa/By Othcr Perrmir
Inspection Linn: 503.639.4175 •! ?:f� /_,,, bean Randy /By: .0 11 r� ® See Page 2 Ar
Internet; www.c.tiganior,us CITY OF TIGA .,: Notifted/Method: 1 ( Supplemental Informed=
M ,, .J.' : 19 .0 ,.vhf I ., J _ i 5 tIii i c;26 � l a4i '1ar7
a,r 4 r ' a -..--
...,,.. ,.1- .. .17 f .. a ,�_.. aL.ds j t[iq,..4 r•.. Zit, ft 6!I . 1 i` _ - ..
. .L• _ . ' r
❑ New construction ® Addition /alteration/replacement Please check all that apply:
❑ Demolition ❑ Other ['Service over 225 amps, comm'I ❑Harardw,a location
{ ; . e er a , `r . . , '
sf.Y r'.,` c ,-,....=.;.n.... 7 C. 9. , :., q ,, 4 + ' i r .1( Ai t l . t 7 , �i
['Service over 320 - rating D8ui d{1g over 10,000 64 ft.,
amps g •
. � , :.r•• ::(, C of 1- and 2 -1/umily dwellings 4 or more new residential
❑ 1- and 2- family dwelling (RI Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one stria ere
❑ Multi- ftenily ❑ Master builder ❑ Other. ['Building over three stories QFccdets, 400 amps Of more
❑Occupant load over 99 persons ❑Manufactured structures or
' ,) i i l ei t _, y..1 . \_ 1i ,, ti ' it C?';ir /14 .2 . < 1'a el:'0.1'4,e S* ' .� t , `l ;.1 R
-._ _. : .. ...,; ._.._>,� i ❑
L Eeress/lightineplan park
Job 0 0.: 1'032-32 Job site address: 13221 sw 68th pky 5th floor 0Hea ith - cork facility Other: -
Submit I. sets of plans with any of the above.
City/ State/ZIP: Tigard 'I'he above arc not applicable to temporary construction service,
gJap Project name: University of phoenix (roe t " " "' `
1lacrlpdao QV. F... Total •'
Cross street/directions to job site: - New residential single- or multi- fl,mily dwelling unit
Includes attached garage.
1,000 sq. ft. or less 145.15 0.00 4
Subdivision 1.4>t n o. : Ea. add'I 500 sq. ft. or portion 33.40 0.00 1
Tax mtlp✓pat eel no.: Limited energy, residenuial 75.00 0.00 2
- 1 7, r ^ h ' y t It 1 r Limited energy, non - residential 75.00 0.00 2
, ..._ _ -- _ +' - ts E,.9, � , r r y F3 erb manufactured or modular I
Remodel tennant space east side 5th floor dwelling, service and/or feeder 90.90 - 0.00 2 - Services or feeders Installation, attention, and/or relocation
200 amps or less 80.30 0.00 2
1. I ,, , -- rY - , a , ., ,' z y t tt . e ;v1;; ; a _ t ; -,� �, .) .., f , e , � t ' r 4 .i 201 amps to 400 amps 106.85 0.00 2
--__ -- -- - -.� .... ;_ I:'. ;.. .fu. - .; 401 amps to 600 amps 160.60 0.00 2
Name: 601 amps to 1,000 amps 240.60 0.00 .
Address: Over 1,000 amps or volts 454.65 0.00 2
Reconnect only 66.85 0.00 2
City/ State/ZIP: Temporary services or feeders Inataliadon, alteratiou, and/or
relocation
Phone: Fax: 200 amps or less 66.85 0.00 1
Owner installation: This installation iS being made on property dual I own which is not 201 amps to 400 amps 100.30 0.00 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 turps 133.75 0.00 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
i . i �, , c , t-„ • t - 1 ,� :, � :a : :. A.Fee for brands circuits with
Business Herne. brnn fee, each 6.65 0.00 2
S. Fee fur branch circuits
Contact name: wirhore service or feeder fee.
Address: each branch circuit 1 46.85 46.85 2
Each add'I branch circuit 19 6,65 126.35 2
City /State/ZIP: Miicellaaooui (service or fa:tler not included)
Pump or irrigation circle 53.40 0.00 2
Phone: ( ) rte ' ( ) Sigh or oudine lighting - 53.40 0.00 2
E -mail: Signal circuit(.) or limitod-
- ✓.9v ; it < 1 e nM 1 ..:.t.; :; j q.,:' .. energy panel. alteration, or "Sid°
Business name: Greenway Electric Company F i RR Page 2
AAU M onecr 2
extension.
Each additional inspection over allowable in any or the above
Address: 9460 SW Tigard St., Ste. 104
Per inspection 62.50 0.00
City / State/ZIP: Tigard, Oregon 97223 investigation per hour (► br near) 62,50 0.00
Phonc: (503) 620 -6020 Fax: a (503) 620 -6124 industrial plant per hour -- 73.75 0.00 V
;,.s fir; _:1'• -hr: l, 7 - - L
CCB Lie.: 153421 Electrical Lic.: 34 -617C Suprv. Lie.: 5025S subtotal $.476720 2.46,E
Suprv. Electrician signature, required: _ )� Plan review (25% of permit fee) [
Print name: James V. Rooney D: ~ b -0 5 Sbrte surcharge (8% of permit fee) $1,3.S 3• , a 1' , y , 1 7
TOTAL PERMIT FEE 418.705 '
Authorized signature: This permit applicaios expires its permit is not obtained abide 180
days after it leas been accepted as complete
Print name: Mark Short Date: • Fee methodology set by Tti- County Funding Industry Service Board
•• Number of inspections par tit atlowatt
i,Baaldm t - puamitMp.dx 17!03 440.4(i U2,C6blrwfiB 2-6
10 30Vd 00 0I610313 J.tiMN33ZIJ bZ190Z9E09 6Z :0T S00Z/01/S0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10 /2005
Phone: (503) 639 -4171 mil , yii�� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 `_ _..
INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 65
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: Fire alarm.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: GREENWAY ELECTRIC COMPANY PHONE #: 503-620-6020
Inspection Request Scheduled For: Date: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 009071 -01 603-816 -1845 Y
Corrections/Comments/Instructions: pp
EX PASS ❑ PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: deti r Q G`^ Date: /3 '1 Phone #: (503) 718-
CITY OF TIGARD ,,.
BUILDING DIVISION PERMIT #: ELR2005.00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005
7 Phone: (503) 639 - 4171 ' " " " ' p' / �'41h k�l
Inspection Requests (24 Hrs.): (503) 639 -4175 . !- s__..
INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:13AM PAGE: 72
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: Fire alarm.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: GREENWAY ELECTRIC COMPANY PHONE #: 503-620-6020
Inspection Request Scheduled For: Date: 6/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 008490-01 __ N0.- ?11 N
Corrections /Comments /Instructions: -Ki_ f-
y
- t PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: u ..A•4 Date: 4 - 4 - 5 - Phone #: (503) 718-