Permit ti iii
,-,Y . CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
II
°j `` COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00289
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/29/2006
PARCEL: 2S112AC -03000
SITE ADDRESS: 14775 SW 74TH AVE • ZONING: I -
`- SUBDIVISION: METRO PART /MLP2002 - 00008 LOT: 001 JURISDICTION: TIG
Project Description: Low voltage for fire sprinkler system.
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: X
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
HORNEL LLC FIRE SYSTEMS WEST INC
PO BOX 159 219 FRONTAGE RD N
AURORA, OR 97002 SUITE B
PACIFIC, WA 98047
Phone: 503 -651 -1878 Contact #: PRI 360 - 693 -9906
FEES Reg #: ELE 37- 655CLE
LIC 49732
Description Date Amount
[ELPRMT] ELR Permit 11/29/200E $75.00
[TAX] 8% State Surcha 11/29/200E $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
1
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 or 1 4 W1 ----
__
Issued By: � ��� � Permittee Signature: �1�
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.
11/20/2.006 08:57 FAX 5035981960 CITY OF TIGARD 1?1] 0 01
..
Electrical Permit Ap Plicati ea ' ' • . . .
1.(Az 0,i 1.... t
City of Tigard
Daten3 Rescived . II d...,ff o 6 ,jkir, Pennit No / •) 0 & _ 00A 7 ?
hECE 1VED ' ' ''' ' ' ' . ' - ' ' - - . •.. ,. 1
1, •
13125 $W Hall Blvd.. Tigard, OR 9743A‘ 1 i
g 2 9 2 C106 Other Penult: Plw, Review
111 ' Phone: 503.639.4171 Fax 503,598ff iy Date/B .
f I 6 A R 1) Inspection Line: 503.639.4175
CITY OF TIGARD Dare Ready/By: Fa See Page 2 for
Interact: wvvw.tigard-or.gov Notified/Methodi 11FAMII Supplemental Inform ation
_„•,t,i '';' ,VOW,KOilc, ::
• rUri New construction El Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
CI Dcmoliticm 0 Other: whoro tho available fault current D 'madam and homyds.
• 'Y ,. .. roOrt'pP. .,-,i, exceeds 10,000 amps at 150 volts or 0 Floating buildings. • less to ground, or exceeds 14.000 0 Commercial-use agricultural
0 1- and 2-family dwelling Eireommercial/industrial 0 Accessory building amps for all other installations. buildings.
L3 Multi-family 0 Master builder 0 Other. ['Fire pump. 0 Insrallarion of 75 KVA or
larger separately derived system.
• cc
Job no.: Job site address: iii775- s il 100HP or more oupancy.
fr..L..4
o Six or more residential units. 0 Recreational vehide mks.
City/State/ZIP: -1-1 4 ID oik cf72.z.3 oHe1tlkeam facilitie s.
0 Hazardous locations. 0 Supply voltage for more than
600 volts nominal.
Suiteibldg./apt. no.: Project name: IA °RN C 1.... B t.),■14 A.11 13 Service or feeder 600 amps or more.
s, ••,.:... • ; *:•', l' -•,.• •‘,..,: '''."`"! • :' ,
Cross strect/directions to job site: 5()) 721- . 1 1 :$ - L gjj t A, . Description 1 Qty. 1
New residential single- or multi-family dwelling unit.
I ncludes Attached garage.
Subdivision: Lot no.: 1.000 sq. ft. or less 145.15 4
Ea. addl 500 sq. It or portion 33.40 1 '
Tax map/parcel no.: Limited energy, residential
.f' .: --, di • i c: 1510tilt ::;,: '.' ''''' .;.:.!;‘'''.: . (with above sq. ft) 75.00 2
. Limited energy, multi-family
• multi 51)1QI A3 Cc....l e. Itz_ 16 40 P1/4-3 s i■C/ it. irk JOG C.. residential (with above 75.00 2 sq. ft) ,
Services or feeders installation alteration, lad/or relocation
200 amps or less 80.30 2
--. : ' !'r• :: ... ,'1 . 4 .
1 7 713 .. 44#.';' . fg..'..., :....: .,,qTEiti*F.!:., •. .: : 7:: .:%:: 201 amps to 400 amps 106.85 2
Name: i-t orklue ( Lt 401 amps to 600 amps 160.60 2
. c
601 amps to 1,000 amps ., 240.60 2
. Address: - P.C4 . 1 IC 54 Over 1,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: -r ,_ et 1 :L6 $ 0 1... et 7 z 7_ "3
relocation
Phone: (50a) T31 . i 5 5 Fax: ( ) 200 arnps OT less 66.85 1
•
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 599 amps 133.75 2
Branch circuits - new, alteratiou, or extensioo, per pauel • .
- Owner signaturc: Date: A. Pee for branch circuits with
s'::.6 'Li.. ‘:, . 7, .:, : I N,..:,.:: : ...,, ,7 ...441•46:404Y . '.. :di 4t.;:i;i:: :',....:...: above service or feeder fee,
6.65 2
each bnuich circuit
Business name: F1 R$. , 4 s .t. e p A s Li,365k. B. Fee for branch circuits
without service or feeder fee,
Contact nan2c: Lc* R.. ct.... C 12...w, .4 r-.- fit branCh Circuit 46.85 2
Address: ‘06 SE f`i\ck.tzf lc-% t•-. e. b R.. it 3co Each add'l branch circuit 6.65 2 '
Miscellaneous (service or feeder not included)
City/State/ZIP: Vet I.J C.0 Le tf C 12 - to A • Is G. (0 ( Each manufactured or modular
9090 2
dwelling, service ancl/or feeder
Phono: ( 360 ) 4 4 1 3 • c i'et c 4, Fax; ; ( gal) 2 j17 • 2. 2...5 8 Reconnect only 66.85 2
E I ck sta. 4 C I CL.cS4 54-Cv". 5 4..) e, 3 4- . Co WI Pump or irrigation circle 53.40 2
'..-..:..:••.'':.....:'.:.:•,-,-;:,..,;•:::.,:'. 4 .. . 1 ''.! . !; , ::•• • .'40Wii *WipieW: ..c,'e.,', Sign or outline lighting 53A0 2
• Signal circuit(s) or limited-
• Business name: .
energy panel, alteration, or
• Address: tension. Describe: Page 2 2
City/State/Z1P: Each additional Inspection over anowabte to any of the above
Per inspection 62.50
Phone: ( ) Fax ( ) Investigation per hour (I hr min) 62.50 --
CCB Lic.: W732. Electrical Lie.: 3 7-4 ssad Suprv. Lic.: Industrial plant per hour 73,75
• '':: fittEttidittA.4•031:11t::kti "...:::•;;/: ••,'-':. •
Suprv. Electrician signature , required: Subtotal: 7 --- ,
.
Plan review (25% of permit fee):
v Print name: . p.„,s 6 ke_ 0.._ -040.--- Date: II-27- OC
State surcharge (8% of permit fee): ,__
Autho signature: .
o ----
Auth
• ___„,.. ......____
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Date: TOTAL PERMIT FEE: yi
Th .
is permit appIlead M
on expires if a permit Is not °aned witain 180
, t name:
days emelt has been accepted es complete.
• Number of inspections allowed ser pennit.
IABuilding‘Pensits\ELC-PomitApp.doc 05/23/06 446.46 t571(11/05/COMAM3
CITY OF TIGARD
BUILDINdDIVISION
PERMIT #: ELR 2006-00289
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639-4171 —41'1fillitr
Inspection Requests (24 Hrs.): (503) 639-4175 .4. t ' 7
.....,..., amwmal
INSPECTION WORKSHEET FOR DATE: 17119/2006 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: METRO PART/MLP2002 LOT #: 001 TYPE OF USE:
PROJECT NAME: FANNO CREEK BUS. PARK
DESCRIPTION: Low voltage for fire sprinkler system. C.
6 74P
OWNER: HORNEL LLC, / PHONE #: 503-651-1878
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-693-9906
Inspection Request Scheduled For: Date: 12/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041252-01 360-771-7215 N
Corrections/Comments/Instructions:
/ 7---
71 )
4 1rASS I l PARTIAL APPROVAL D CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ( Date: / 2 - /7 -06' Phone #: (503) 718-