The URL can be used to link to this page

Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT *4. DEVELOPMENT SERVICES PERMIT #: ELR2005 -00446 '�I ! DATE ISSUED: 12/27/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 112AA -0 0900 SITE ADDRESS: 14160 SW 72ND AVE 110 ZONING: I -H SUBDIVISION: NELSON BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: Voice /Data. 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: SPIEKER PROPERTIES LP SERVICE COMMUNICATIONS INC 4380 SW MACADAM AVE STE 100 4120 SE INTERNATIONAL WY A -109 PORTLAND, OR 97201 MILWAUKIE, OR 97222 Phone: Contact #: PRI 503 723 - 6415 FAX 5037236416 FEES Reg #: LIC 90175 ELE 3- 365CLE Description Date Amount SUP 1127JLE [ELPRMT] ELR Permit 12/27/200E $75.00 [TAX] 8% State Surcharl 12/27/200E $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 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. J / Issued By: Permittee Signature: - 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 Permi i E® FrIIZ OFFICL: 1,sf: O,,I., City of Tigard e/B / : 27 70 7 L Permit No.: �11 V 13125 SW Hall Blvd., Tigard, OR 97223 r Plan Review Phone: 503.639.4171 Fax: 503.5910 2�0 J; ; i .. DAB • Other Permit: Inspection Line: 503.639.4175 �. =' I Date Ready/By: BM HI See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD -- Notified/Method: Supplemental Information BUI PLAN REVIEW � �I WO I ©N ❑ New construction 1`i Addition/alteration /replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling IZ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: „�� ❑Health-care facility ❑Other: /y /6 o s-,,,, 7a? ,41,, Submit 2 sets of plans with any of the above. City/ State/ZIP: - ,4, �� 27 / The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: / Project name: / FEE* SCHEDULE .• ��vT24C.T /ln/LSy /�/ Description � Qty. � Fee. J Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 _, /.s Zp// // /c "//lRT/l ,,[ E:_ Services or feeders installation, alteration, and/or relocation 200 amps or Tess 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 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 installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 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, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or Iimited- CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: J ...ev /,a- - 4;M,,a„ ^J/CA'TT4mtuS / --"-IC . / „7.5,72m. - Address: Each additional inspection over allowable in any of the above /Ta SE o _ L Ls.hgc J ig - / .=.9 Per inspection 62.50 City /State/ZIP: ,I7L z4.1,40 , /t%E P2 "7.0702:2? Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 Phone: S 3 7, 7 ) _ ‘ $//s---- Fax: (5 7.93 - 64 ELECTRICAL PERMIT FEES* CCB Lic.: si., /, Electrical L _ Suprv. Lic.: _y2a 46 Subtotal 75, o0 Suprv. Electrician signature, require , / /'/ f Plan review (25 %ofpermit fee) State surcharge (8% of permit fee) 6, Print name: Date: ! c a 'h' �� /��OS TOTAL PERMIT FEE d _ , Gtr Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: � � /L �/ Date: /��7 LeLs .--- - • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. is\ Building \Permits\ELC- PetmitApp.doc 12103 440-4615 (I0/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: r WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ • Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pennits\ELC- PennitApp.doc 04/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: E(_R2005.00i46 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17127/20()5 Phone: (503) 639 -4171 kopm , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 60 SITE ADDRESS: 14160 SW 72ND AVE 110 CLASS OF WORK: SUBDIVISION: NELSON BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONTRACT FURNISHINGS DESCRIPTION: Voice/Data. OWNER: SPIEKER PROPERTIES LP, PHONE #: CONTRACTOR: SERVICE COMMUNICATIONS INC PHONE #: 503- 123-&116 Inspection Request Scheduled For: Date: 1/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 188 Electrical final 024270 -02 503. 123-6415 N Corrections/Comments/Instructions: N o t-V€ s 1 S (.€ 1 N c.sr,LL , cenk R i N sp� A•SN ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED "1 1 Inspector: ��L� �i Date: t �-3-' 0 (p Phone #: (503) 718 - 41- (- CITY OF TIGARD BUILDING DIVISION PERMIT #: EI_R200 .0 ytl0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2112006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: (1 SITE ADDRESS: 14160 SW 72ND AVE 110 CLASS OF WORK: SUBDIVISION: NELSON BUSINESS CEN'T'ER LOT #: TYPE OF USE: PROJECT NAME: CONTRACT FURNISHINGS DESCRIPTION: Voice/Data. OWNER: SPIEKER PROPERTIES LP, PHONE #: CONTRACTOR: SERVICE COMMUNICATIONS INC PHONE #: 503- 723.6415 Inspection Request Scheduled For: Date: 1/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 024270-01 503- 723 - 6416 N Corrections /Comments /Instructions: "ptk.tiVt,Q c..s. f CI NGCIS Es4a- NspE c • N, co, 1-W) at& tiL p 11 i 40\ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Al FAIL 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / _11 Date: 1 • 3 -66 Phone #: (503) 718 - "Y) CITY OF TIGARD BUILDING DIVISION PERMIT #: FLR2006 0U4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/20( Phone: (503) 639 - 4171 �ii�i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/5/2006 TIME: 7 :OOAM PAGE: 63 SITE ADDRESS: 14160 SW 72ND AVE 110 CLASS OF WORK: SUBDIVISION: NELSON BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONTRACT FURNISHINGS DESCRIPTION: Voice/Data. OWNER: SPIEKER PROPERTIES LP, PHONE #: CONTRACTOR: SERVICE COMMUNICATIONS INC PHONE #: 503- 723 -E415 Inspection Request Scheduled For: Date: 1/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 13N Low voltage 024411 -01 503 -7 3 6415 Y Corrections/Comments/Instructions: („L IN T ) rn 11 C ( cc wN \“ S NLA,S 0(41Ce l ►:1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �� Date: ✓ — ,5 4 Phone #: (503) 718 - 9Z/' 47‘