Permit tti
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
T,r I DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00121
�I
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/20/2005
PARCEL: 2S115AA-OTOOA
SITE ADDRESS: 16005 SW 108TH AVE BLDG A ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Fire alarm & 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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
OT2 LLC FIRE & SECURITY GROUP LLC
5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST.
LAKE OSWEGO, OR 97035 CAMAS, WA 98607
Phone: 503- 620 -4373 Phone: 360 - 833 -9938
Reg #: LIC 153226
ELE 37- 338CLE
FEES SUP 3862LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 5/20/2005 $150.00
[TAX] 8% State Surcha 5/20/2005 $12.00
Total $162.00
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: L Permittee Signature: p j\ (I `C, ,K
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.
May 20 05 11:49a Rick Stevenson 360- 833 -1727 p.1
h
Electrical Permit A t t li FOR OFF1(•E USE ONLY '
City of Tigard D ate/B y 5 ' ;;zes 0 j . 6 .- Permit No.:l /`- 0/a 1
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.190g 2 0 2005 , a-.4pV l n i � i j " Date/13y: other Pemut �U Ad } —0'd e /
Inspection Line: 503.639.4175 ' _ Date Ready/By: ruts: ' Pi See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 1 Sup Information
. . -o.:
DM New construction ❑ Addition/alteration/replacement Please check all that apply:
['Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑Other:
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. fl.,
. . ' .. CAT _ _ Ry, .OF•.CONSTIWCfIOPT :. of 1- and 2- family dwellings 4 or more new residential
El 1- and 2 famil dwellingommerciat/industrial El Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ❑ Feeders, 400 amps or more
❑ Multi - family ❑ Master builder 0 Other: El Occupant load over 99 persons ❑ Manufactured structures or
:.'J0 S1?FE' IiFORMATION AM) :LACA,Tr014.1 . ❑Egress/lighting plan RV park
Job no. :� /3 . 1 8 E I Job site address: J of 5 SW fob A A ['Health-care facility ❑ Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: 7 L �r 0 t2- . q/ /1 Lf The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: &Projectname: • tDf g"1"t�� rJ` / s : Deraip ':',:;tl .`; k y . I : ' ``'. t;" Fee. I Total ••
..' *.'
tl oa � Q
� � Cr• � l
Cross street/directions to job site: — b1tiEjAm 1 7 JO ,Yr�` New residential single or multi fanrr7y dwelling unit.
Includes attached garage.
1,000 sq. fl. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
c '.::1':':.. ::'
'..:.:,- AE Ql _:OF;,!RVfI K; :`;` o-:, i:S ;: <::,. =::- : , —,. , Each manufactured or modular
6 . ,? /fir , , dwelling, service and/or feeder 90.90 2
�t > L*l lur A hi Y4 t J r EAL 17{ IL Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
.. .. C] °PROPE.OY,OWii.R `:.• : :. ..I.•: :....: l]::TENAPTT .. '
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
Phone: ( ) I Fax: ( ) relocation 00 ams
200 amps or 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
,,r.:: '
, . ❑ _ i, .. A Fee for branch circuits with
1'I tt 1i :..... .. ❑; Cr`P • . service or feeder fee, each 6.65 2
Business name: fl Q r f 5' � e_ (LoU. 0, J , G branch circuit
� B. Fee for branch circuits
Contact name: `J
t C t-1 (. F N.Co N without service or feeder fee, 46.85 2
- • Address: a r 3 g (l1 l✓ e-11 LSE T '5'1- each branch circuit
Each add'1 branch circuit 6.65 2
City /State/ZIP: , Ni w A cl gip 0 7 Miscellaneous (service or feeder not included)
( Wpb ) g 3 � S 38 I (3�)) g 33 -, 7 Ptunp or irrigation circle 53.40 2
Phone: Fax::
Signor outline lighting 53 "40 2
E - mail: Signal circuit(s) or limited- .
/ "
. extension. Describe: al/ Page 2 _____7 2
Business name: ' Y� _
Nrl r
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Investigation per hour (1 hr min) 62.50
' 1 Industrial plant per hour 73.75
Phone: ( ) Fax: ( )
ELte.rRTG'e+,t; EERMIT `FEES- '''...
4 CCB Lie.: (6?J 2( Electrical Lic.: - 9 9,2 E'Su.rv. Lic.:35j�'l. t-`[A✓ Subtotal t 7 "V7 / �
Suprv. Electrician signature, required: /7 -----"' Plan review (25% of permit fee)
State surcharge (S% of permit fee) I
Print name: cR C -� -� S - t'6)�- -NStr, . ? Da te: 5 I . 6 I V 5 0 Authorized signature: .< TOTAL PERMIT FEE 7 6 h ,
gIIa ture:"! This permit application expires if a permit is not obtained within 150
, i � '. ' : L . - .,. � � •- " " "��
L . ., , f - \ r
days after It has been accepted as complete
Print name: lt•_4t9rt ib ( _ Sti �v E -io so Date: 5 i ,,� / 6 5 » Fee methodology set by Tri County Building industry Service Board
•+ Number of inspections per permit allowed.
CITY OF TIGARD -,
BUILDING DIVISION PERMIT #: ELR2005 -001 21
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 200
Phone: (503) 639 -4171 /u��gm�iipill)�� ��
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ''IL.
INSPECTION WORKSHEET FOR DATE: 9/26/2005 TIME: 7 :12AM PAGE: 72
SITE ADDRESS: 16005 SW 108TH AVE BLDG A CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Fire alarm & data.
OWNER: OT2 LLC, PHONE # : 503 - 620 -4373
CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE # : 360 - 833 -9938
Inspection Request Scheduled For: Date: W26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
199 Electrical final 016596-01 360.833 -9938 Y
Corrections /Comments/ Instructions:
PASS • I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
f l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G"i`t 0 Le' Date: ( 111.4 t 45 Phone #: (503) 718- AC)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR200 0121
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/20/2005
Phone: (503) 639 -4171 / �n��M�igl @�fi
Ins Requests (24 Hrs.): (503) 639 -4175 �� $ :_..
INSPECTION WORKSHEET FOR DATE: 9/26/2005 TIME: 7:.i2AM PAGE: 61
SITE ADDRESS: ,6005 SW 108TH AVE BLDG A CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A. TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Fire alarm & data.
OWNER: Ol'2 LLC, PHONE #:
CONTRACTOR: PHONE #: 503
FIRE & SECURITY GROUP LLC 360 - 833 -9938
Inspection Request Scheduled For: Date: 9126f2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 oav toltage 016606 -01 503.88fl -2082 N
Corrections /Comments /Instructions:
PASS [ I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cr--k Npe, L. Date: 1 I 'LAW 2 Phone #: (503) 718-