Permit CI TY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00162
DATE ISSUED: 6/22/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD 200 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG
Project Description: Low voltage.
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:
ZIMMLER DEVELOPMENT LLC NEXUS IS INC
7165 SW FIR LOOP 9130 SW PIONEER CT
SUITE 100 /PO BOX 230698 WILSONVILLE, OR 97070
TIGARD, OR 97223
Phone: 503 -598 -3440 Phone: 503 -218 -4022
Reg #: LIC 159455
ELE 261- 206CLE
FEES SUP 3151LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 6/22/2005 $75.00
[TAX] 8% State Surcha 6/22/2005 $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- 100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
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.
06/21/2005 15:49 FAX 5035981960 CITY OF TIGARD Z 0O2
ci
. . .,
Electrical Permit Anolication . , roi; 01.TICET,SL.,ONL _ V .,
City of Tigard"
• Received ..., • 0 5 -
13125 SW Hall Blvd., Tigard, OR. 97223 PLIn Review
Phone: 503.6394171 FaX 503_598.1960 . i , ' I Da, : . Other Permit
Inspection Line: 503.639.4175 4..u1 '2 1 ..,, Date Ready/Ely. UM El See Page 2 ler .
Internet www.citigard.orus • Notified/Method: Supplanting Information
....._____'1 4 ::'^;.:.:*4:46fti otr.A.*.4,W.IgtKPIN~OattifrAW44,
IIU'New construction 0 Addition/alteradon/replacement Please check all that apply:
U.. Other: ['Service over 225 amps, comml ['Hazardous location •
0
0i ,... OService over 320 amps-rating 0Buildng over 10,000 sq. it.,
...' ( •;::: . .•": :, ,.!.' r .: • ::;'. '‘ : .• '' .. ..i;t ;. "4:; . • • : .,:- .'i . *0./0,- , 0*-.00N 4 44*** • _ii* : ..... : .:"."; •••: . ..: : : • : : :? . .4'..: - ::::;: .:....]::,... of I- and 2-family dwellings d or more new residential
0 I- and 2 dwelling aCcemnercial/indUstrial 0 Accessory building ['System over 600 volts nominal units in one strucuue
°Building over three stories armlets, 400 amps or more
0 Multi-family 0 Master builder 0 Other:
pOccupant load over 99 persons 0Manufacnired structures or
..,'. :... '' • ."' • '-.::::::.., ' ,.••••- DEgiessilighting plan RV park
Job no.: t i Job site address: 71) s ,06.va..4"nd 4 il 0Health-care facility 00ther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: T 0 k . The above are not applicable to temporary construction service.
/
' r r i
. Suite/bldg./apt no.: p k Project name: r r - ,a, 1 ,4 0- / /1...
-0 7 ascription I QM I FM. I TOMJ . I ''.
••■ 14 o t-
Cross street/directions to job site: csksc- 4-6 /2 /We New residential single- or muld-family dwelling oak.
', Includes attached garage.
79' W rO ?.,2 bvpo FR ro sr (L rc, A 4411Es ir ,, Loon. ft. or less 145.15 4
Subdivision: Lot no.: Ea. acki'l 50059. ft. or portion _ 33.40
— Limited energy, residential 75.00 ' 2
Tax ma)/parcel no.: .
Limited energy, non-residential 75.00 2
r::j''',.'Z:P:f*tig4iilOtk.i#;r!+**kzOlkc-:.z. :...' .' . .?. ` Each manufitcmred Or modular
dwelling, service and/or feeder _ 90.90 _ _ 2
G7Le C o Al p tA 4 6-1' ,-ds w,"/6,:ic . Services or feeders limitation, alteration, and/or relocation
_200 amps or less 80.30 2
0 ',,:, L ; ,0 4`71.; . !.yj , ■.:13;iiiiiW :: /.:.:', :',:.. 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
'Nam& -- 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
200 arnps or less 66.85 1
Owner instaliadon: 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
l'.4:A104100
--. - ; V.: ,. . - '.: i***::• A Fee for branch circuits with
.— -
' service or feeder fee, each
5
Business name: i v6 7 -xusS branch circuit 6.6 2
B. Fee for branch circuits
Contact name: Ro ry 41„45- without service or feeder fee.
46.85 2
each branch circuit
Address: 'i () W /)( G>j4 cr
Each add'l branch circuit - . .
6.65 • 2
City/Stare/VP: 1,v/ U / t.ti, 0* 9'7o )O M3=030E008 (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (SO..k ) 9C- 16 dd Fax: : (s 0 e )ad F._ (Joe /
_ Sign or outline lighting 53.40 2
E RG r E. i/ 0 PIS 0 A C(),../1/ Signal circuit(s) or limited
.'.':•'.... '...: `';`...7-: '• '.:.;41,V,7,.'::'I.......,•... ....,'::" ener8Y Panel alteration. or
extension. Describe: Page 2 I • 2
Business name: i v / 5 „ 4ru c ss - ,:c
' h i „ ,, Each additional inspection over allowabk in any of the above
Address: 7 c s - pt/ r,0,14t/C r 1 u
Per inspection 62_50
t .
City/State/ZIP: Villsoil j t.L/5 / 0 970)0 Investigation per hour (I br min) , , 62.50
Phone: (.,co ) I/ - y 0 .). I Fax: ( CC d-/ E‘ VO 0 1 Industrial plant per hour 73.75
' . .7.:• • _'7"'!-: • ,'...',.'.:; 1 1 • PLIft:31PICA1104880M3P1 . . " . : . L.' . .,....
CCB Lie.: I SI li ST I Electrical Lie.: ) ao u Suprv. Lie.: ,..?/ ••./ C/5,01 Subtotal
Suprv. Electrician signature, required e
Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: 'N.4 j / I lil r,r4 ,,,..tti /,,, /5 Date,r_
. TOTAL PERMIT FEE C h (SG
Authorized signature: :,:ii`,/ ,. , I A/ ibis permit applleadon expires if a permit is nor obtained within 180 .
days after it San beet accepted no complete
• Print name: da n/ /51//tft I Date: C - . 2 . 1 - • Fee methodology set by Di-County Building Industry Service Board
• °' Number of inspections per permit allowed.
I AuildinglPermisoNELC-PainitApp.dac 12/03 440.46152(10112/COMAVE13
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005"00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2005
Phone: (503) 639 -4171 A 41��ypu�hl���'�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/24/2005 TIME: 7 :08AM PAGE: 21
SITE ADDRESS: 07117 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: EWING -FOLEY
DESCRIPTION:
Low voltage.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 -598 -3440
CONTRACTOR: NEXUS IS INC PHONE #: 503-218-4022
Inspection Request Scheduled For: Date: 6/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 010113 -01 503 - 8633167 N
Corrections /Comments /Instructions:
•
•
,SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4-2-Y-- O S Phone #: (503) 718-
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
E,��1.It, DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00162
DATE ISSUED: 6/22/2005
r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AB - 02201
SITE ADDRESS: 07117 SW BEVELAND RD 200 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG
Project Description: Low voltage.
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:
ZIMMLER DEVELOPMENT LLC NEXUS IS INC
7165 SW FIR LOOP 9130 SW PIONEER CT
SUITE 100 /PO BOX 230698 WILSONVILLE, OR 97070
TIGARD, OR 97223
Phone: 503 -598 -3440 Phone: 503- 218 -4022
Reg #: LIC 159455
ELE 261- 206CLE
FEES SUP 3151LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 6/22/2005 $75.00
[TAX] 8% State Surcha 6/22/2005 $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- 100. You may obtain copies of these
rules or direct questions to OUNC at 503- 246 -6699.
//
•
Issued By: ;/� g } Permittee Signature: A )
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 Q
0
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.
Inspections Required for: ELR2005 -00162
✓ Code Inspection Description PASS Date By I ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service _
415 Grading 115 Electrical service /reconnect
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls X 135 _ Low voltage
260 Tilt -up panel 195 Misc. inspection: _
265 Masonry X 199 , Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 325 RP/backflow preventer
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
_ 420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection _ 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 02/02/2005