Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
ARAttv i� DEVELOPMENT SERVICES PERMIT #: ELR2006 -00056
.� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/15/2006
PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 200 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: Low voltage for access control door.
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 CON X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD TRIANGLE I LLC HUSER INTEGRATED TECHNOLOGIES
4650 SW MACADAM AVE STE 220 1313 NW 17TH AVE
PORTLAND, OR 97201 PORTLAND, OR 97209
Phone: Contact #: FAX 503- 227 -5941
PRI 503- 227 -6688
FEES Reg #: LIC 67549
ELE 26- 562CLE
Description Date Amount SUP 3609LEA
[ELPRMT] ELR Permit 2/15/2006 $75.00
[TAX] 8% State Surcharl 2/15/2006 $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 f. . I = adop - , by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
throng OAR 952-01' 0101./ ou may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued - • / Permittee Signature:/( 'g
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.
16 06 14 : 26 F � •Lam® CITY OF TIGARD ig 001
. L Electrical. Permit Application_ ' OFF(( 1.'5F r)\1.l
G' '
City of Tigard i 1 006 �1', r r..; ' , -i .,CYk36o
1312.5 SW Hall Blvd., Initial, OR 97223
Phone: 503.639.4171 Fax: 503.59 &OF TIGARD �• , vuwrarniu .
Inspection Line 563.639.4175 me - bar 6a Sex Paget rer
BUILDING DIVISION N as/W,od c $uppka,entalInfm�oaUO6
Internet wwa.Ci,(1�KI.ottSs
7YY' • OF WORK , :. M.Ari REVIEW , .;, • —
❑ New cofStruetion , Additionialtetstionhopl=met a Please cheek all that apply: -
['Service over 225 amps, colnm'l ❑Hazardous 'amnion
❑ Demolition. ❑ Other. _ ['Service over 320 amps - rating DBhdldag over 10,000 sq. 1L,
. •CALORY: ,OF CONSTRUCTION :::: : . • : of 1- and 2 fatmly dwellings 4 or more thew residents]
❑ 1 - and 2- family dwelling ,� sal CI Aetxssary building 0sy over 600 volts nominal units in onn cnucbun
031hildi ng over three Verlag °Feeders, 400 amps or more
0 Multi-taruiTy ❑ Master Wilda ❑ Other IfIArr,m,nr !n:t 1 raver 99 naranns 0Matmfhanemd
,: r sera INPORMA7702f. ANA LOCATION' ' . . .. .: ❑ESretedirghting plan Rv pnrti
OFc.h1 a - .are A:34 r.
00the
Job tee.: 1 Jolrsite address: 14 s ,, a bK 7Z, Subrrat 2,, secs or puma with any of the above
CIty/Stat&ZTP: 7'; , DQ 9 v.2. 2 - The above are not Applieebta to tempoa>hay construction service.
alp .ldg./apt. no.: 2_0 Project name: eem,Puss - FBIL' 9(:f rte. J ...
.e.a 1 ,
Cross street/directions to job site
New reside:Mot single- or mold- family dwelling tusk, V.
, rte .w....— tecludes attached garage. _ _
1.000 ae. h. cm Ian 145.15 1 4
Subdivision: • L o t no_ Ea` add'1500 sq. A. or portion 33.
- - Limited energy, residential 75.00 2 • Tax map /parcel no.: _ _ _ Limited ens_ : non - residential 75.00 2
• ' -. nverusivremit raw •WATIK. ' • .. , • 0..1. - ,.,..e...... - .4 ,..o.,.,e.,h.•
dwelrnay roc and/or cedar 1 1 90.901 1 2
- " -, t)..o - Service. o, iomloia installation, alteration, and/or relocadoa
200 am or l ea, 60.30 2
1 • I 1 201 amps to 400 antes 1 I r 106.85 1 L 2 1
'm T'f20P Arne oW?tER' :.•• , . ❑'' T1lTANT• , • 401 amps to 600 names 160,60 2
Name 601 amps to 1.000 amps 240.60 2
Address over I,000 amps orvoi4 454.65 2
--- - Recoenteet muse 66,85 2
City /Sm1* /Z Y: Temporary services or feeders 1¢st ilbtion, alsoraeton, and /or
Phone: ( ) � Fax: f 1 • re
- - , 66.85 - : -
Owner instaandant This installed= is being made on property that I own which is not 1 2000 0 ... or sass
201 amps to 400 amps 10030 _ 2
intended f o r sale, lease, t o o t , or exchange, according to ORS ' i, 44 , 670, and 701. `40 i amps to 600 .. . 133.75 1 z
owner slgnanne: Pate: Branch circuits - ash*, alteration, or extenslOn, . panel
in . C01!T ;II r A' Fee fbr burn h circuits with
• service or feeder fee, each
6.65
Businds aram' I4.t.3e.r r.o P o.5 maid % ekkis L,r ' c r B. br Fee ch circuit circuits
Contact name a Mope service or feeder fee, 46.83 111 • each btteacb circuit
Address; I j;1 A ,. 4 .-- l 1 Z . brawl _ • I Each add'/ brawl circuit 6.65 a
City/State/ZIP: P . - - tun D ?,) 01 1 Miscellaneous (service or feeder not Included)
Pump or ireigadon circle 12
• Phone: (S3) X27 - C o G �‘ Fax: ; (s 22 - - S / ! 511 or outline li • Mart_ 53.40 2
Ermail! Signal aitruiv(a) or limited
_� CONTRACT O>il ['emetic be Page 2 75 2
energy
Business nor %*:
Each addatlonai leipectiou over allowable In cloy olthe above
Address: . p •. : on 62.50
City/StatialP: Investigation per hour (1 hr min) 62.50 J
Industrial giant per bout 73.75 1
Phone: ( ) I Fax ( ) :. ELECTRICAL. moor MS' •. •'r
CCB Lie.: 6,1-5 T J Electrical. Lie.:y4,-4,2 Lair .s'�
2 v. 3Cp
. D e f J 6A. Subtotal 75_
Suprv. Electrician swAatute. rTcluir .,,( Plan review ( of permit fee) c+a
- stem swcharge (8% of permit fee) G
Print name t & Date: 2 _ �, T OTAL PERMJIT FEE f ill. vJ .
G,,
Authorized signature: V . � n,i peemlr 4pplkmnon =WM if ■ vent/ Is not onus sea numbs trio
�_ dap ante is era sees steepest' as complete Print name: : it f3 , Dater Z -, _ -_ • Fee motmedetegy set by 1W County Building lneveov Service Booed
• Number ofinsetcdonapar perrni telto*ed - .
Bitaih'matreemgsV86CP PP1ee 1203 eepnn51t1aaulemvunts
CITY OF TIGARD EL 2
BUILDING DIVISION . _. PERMIT #: zo06 _ 0 D U S'/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Y �
Phone: (503) 639 -4171 /a�
Inspection Requests (24 Hrs.): (503) 639 -4175 `:__
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 ZZ 1 6 8 444 new t CLASS OF WORK:
SUBDIVISION: 6,OT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -- q -DA ' Pour Time:
\ "{off. ee # Inspection De -' iption Confirm # Contact # Message
,, -Cleo — 7r 3q
Corrections /Com - nstructions:
•
•
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: frn `` 6 V 1/4..d
Date: 1 0 Phone #: (503) 718- z0)
CITY OF TIGARD
BUILDING DIVISION ' v+ - r PERMIT #: E R200%-0Ots' , i6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/200c
•
Phone: (503) 639 -4171 INA(j .
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2116/2006 TIME: 7 :07AM PAGE: 69
SITE ADDRESS: 13221 SW 68TH PKWY 200 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: HEALTHNET
DESCRIPTION: LOW voltage for access control door.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: HUSER INTEGRATED TECHNOLOGIES PHONE #: 6o3- I2746m
Inspection Request Scheduled For: Date: 2/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 1..ow voltage 026987-01 503-227 -6688 N
Corrections /Comments /Instructions:
U\t{ ► t\ 6 3 `gyp (-`1 b —
6 pui\ IQ KvT\( .c.\L .
"P u 4, r t con/Ws Igo e eN
ft.- -----____ _____ ______________)
*Mar ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL W CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( 108 Lt Date: Phone #: (503) 718-