Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
1 �,i DEVELOPMENT SERVICES PERMIT #: ELR2005 -00073
`"�''l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/25/2005
PARCEL: 2S 112AC -00700
SITE ADDRESS: 07440 SW BONITA RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: HVAC
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
BHK PROPERTIES LLC ALLIANT SYSTEMS LLC
14280 SW 72ND AVE 1600 NW 167TH PL # 330
TIGARD, OR 97224 BEAVERTON, OR 97006
Phone: Phone: 503- 230 -8991
Reg #: LIC 153420
ELE 34- 640LHR
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 3/25/2005 $75.00
._[TAX] 8% State Surcha 3/25/2005 $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 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: Z Permittee Signature: c
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.
,, FROM : ALL I ANT SYSTEMS FAX NO. :5032309238 Mar. 25 2005 11: 40AM P1
.
Ejlec r ca Permit lk,
raltiPE IV E ,_, ,,,,,o,,,, EL,, ()NIA'
City of Tigard
paie/By., 5 ,174.) Permit No.; 6 t .,--, z_,.„25 ,4 - d O 77 • •
13125 SW Hall Blvd., Tigard, OR 97221 v I A D 9 "nos , , Plan Review
Phone: 503,639A 171 Fax: 503,508. 1960 pa\ ,-. c “.../Pill'i ' r,./B .. Other Pentlit;
Inspection Line: 503.639,4175 r,„.!,,._ - ..... Date ae;sly/tsy Julia: ,,.. 0 Sec Page 2 for
Internet: www.ci.tigard.or.us Notitiod/mathod! -r)( r Supplemental Information
,
01.1PIMPAPrrilip9PRifit'artaX/W371:(:(riP;: ' lik?:147:0 i ■IMIlii ; rs : mimmptisemq ompurpornmemew volmagem-
1!;;; wmfgoolor,,iodengweito oismonza,m timmaimismo gimivliaanNv..mgiminawlog mommott 4 '
0 New ID H
construction 0 Addition/alteration/replaccment Please cheek all that apply;
IDScrvice over 225 ainps, commi. azardous location
0 DernolitiOn 0 Other:
' . OService over 320 amps - ruling 0 Bid king over 10,000 sq. 11.,
MENNERNEMENINWPRONFraNSIRVISEUT1 ' vs or I. and '2-family dwellings 4 or more new residential
, , !sr 414 i arcq'Ar v 1,M) I)) ■ thM i ,,, ' r At t$ g f `,r M , • % ., . ., ,. , ,..,
,
L,ss
0 1- and 2-family dwelling , ■ Commercial/industrial 0 Accessory building JSyrcm over 600 volt nominal units in 000 stmerure
D Bui [ding over three stories OFeeders, 400 amps or more
El Multi-family 0 Mastr builder 0 Other: , 0 Occupant load over 99 Persons OManufactured smietures or
p
i
',.Ar nrAz„,sn,ottim pla V/ park
ddress
mkill■iiti;;11AiiNNIAii. igrACAMA t51:45 igA I ' - --'-----'' r
Job no.; Job site a: Ad k e ON
1 fA tp 4
al 1.....slioalth-care facilit DOther,
Submit 2 sets of plans with Inv oft.
.-- I
City/State/ZIP: . 1 - 16A - 6 , 1D ,, I The above ate not applicable to temporary constriction service.
. 1 IRIBREINVERSEENOTHEVEt NESIME.
A , ,14A
Suiteibldglapt. no Proiecl name: V u . rv I
.1! -'' Deb.celollon Qty. Fee. Total
Cross street/directions to job Site:
t‘O M New resideni single- or multi-family dwelling unit.
Includes attached garage. ,.
1,000 sq, ft, or less I 145.15 4
Subdivision: Lot no.:
Ea, arld'I 500 sq. ft, or portion 33 1
- • - limited energy, residential 75,00 2
Tax map/pared no Limited energy, non-residential 75,00 . 2
gripppqntintporepprortirmaggrpnomp a '' If. dEgar a Bach manufnoittred „r modular
L.t. :6 AO A 44 44 tUe. ' M ' if.J ' ' ' '
al+)"1 1-6 dwelling, service and/or feeder 90.90 2
. _ Services or feeders) installation, alteration, and/or relocation
200 amps or less 80,3 2
Tirr iIIIRIV;;Ii'illsigp , Ppr,V, ) ,F1limumrzym, 41 mow : izilm ligmENFET torgrommir n 20 Iamps to 400 amps 106,85 2
i Ad mmti,?8,14114148 ri litIMIJK .‘'.:, ig14 ,INign: ParZAC ‘4 WWWW 34.5010 d ' 401 amps to 600 arrlpS l60.41) 2
Name: .formir IP ,A
601 amps to 1,000 amps 240.60 2
Address: 912" 0 . r AV /
Over 1,000 amps or volts 454.05 2
. .. - Reconneet only 66.85 2
City/State/ZIP: , 11 , i jp• 0 /' ' - 7 - k ----- Temporary services or feeders installation, alteration, and/or
relocation _
Phone: ( ) Fax ( ) 200 amps or less 66.85 I
..._
Owne;1nstallation: This installation is being made on property that I own which is not 201 amps to 400 amps 10010 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
'''
RUIRSERFAMEMIEFRIBrIFIN Rk i lin A. F" f°r branc" C"UitS With
, l i i , 4 ■ , l ,,,.w la et t t , wd 0 ' • Atit ),, . , t serviee or feeder each —
. .—
Business name: A AO; VAni A. 1./l/LY branh fcc, 6.65 2 c circuit .
B. Fee for branch einsuits
Contact name: V ' 4 ME AI -. without service or feeder fee,
. 46.85 2
Addi.ess: 1 ik i 02 IMP • 1 i i ? Bi each branch circuit
h add"( imineli eireuil 6.65
2
.,..._
City/State/ZIP; . rit . i ' 0 / ) - Miscellaneous (service or feeder not included)
.
: ....
Phone: (',) 1) - ' q I Fax 12 1, D - / • 410.
._. Pump or irrigation eftele
. Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or
IHMEMENNANISMENESSEIM 11111t g '''fill 415111,:, gi 4 4‘ energY Pamt aitcmtimi (H.
extension. Describe: Page 2 2
Business name: ill , A ' A 7 'ia _... _
_ '
Address Each additional inspection over allowable In any of the above
: ,
- - . - 5..- - Per inspection 02.50
City/State/ZIP: irTrIr Investigation per hour (i. hr min) 62.50 ....,__ ... . --
• .
_ .. . Industrial plant per hour 73,75
Phone: ( ) Fax: ( ) gnaw plummitiviyagitap!:
CCB Lie.: V I Electrical Lie.: subtotal
1 2 In 1 ) lt,.''' Irv Li e - ' 1 7 1 . _ _. . _
I i4 _
Suprv. Electrician signature, required: . Plan review (25% of permit fee) di . - - -
Sta te surcharge (8% of permit fee)
Print name: Cf., Wet a Date: '22...-2, __ , - - -
.,_ TOTAL PERMIT FEE
Authorized signature: Jr ' . This permit application expires If a permit Is not obtained wlible IRO
days after It has heck accepted as complete
P II Date: rint name: IV , V 1 7- le- - b . Fee methodology sot by 'Tri-Coun Budding udding Industry Service Board
....... • 4. Number of Inapections per permit allowcd.
i
1: \ EmilldingWerrnits 1 ELC-PcnnitApp.doc 12/03 410-45 i:il ( I 0/02/COM/W613
CITY OF TIGARD
BUILDING DIVISION �' ^ PERMIT #: ELP2005 -00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2005
Phone: (503) 639 -4171 At Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/6/2005 TIME: 7 :10AM PAGE: 68
SITE ADDRESS: 07440 SW BONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATED BUSINESS SYSTEMS.
DESCRIPTION: HVAC
OWNER: BHK PROPERTIES LLC, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LW PHONE #: 503- 230.89 91
I,
Inspection Request Scheduled For: , /l+. e: 5/£/2005 Pour Time:
Code # Inspection Description / // Confirm # Contact # Message
199 Electrical final ` r, .() n , ' 0062650/ 971- 235.3760 N g\
Corrections /Comments /Instructions: �" TA CI j--3)---\ ° IrN 6 .-i)1) -°
�r:.i *,_ *!,. -- 4 6 • i - .v = Imo'!.,/' --�' :.4 i. A1 4j 2 . (lo
r ,
`�� �` ' )W-9 'N��k1 I p - - \ )r\f-
t.
si,- it. :1.) > , t : ,
- '■1`1 1 . P-._VC‘ I til W W -
- • 4lai r riZ `u �i'�i�'`, �.r. ' ,- *110 121Alhealegjp
s ,
if ,b() ■aillinkl■
63 'P- Q - I 104 3 to Nx Q_ ' \F!4, .'t 0INIt'L
,---17
\ '.)coc\N --) 1 ', - J - 1* -- \op.,,& c_ ()__$-. \,\) , Y.( ii Gr-fc, VI...1,0T) .
TAkk V \ 'V \ _SCA (' 'i-, Y-A\St — )'I') ,
V
0—,
\PASS PARTIAL APPROVAL I CANCEL n NO ACCESS
FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i Date r? —4 _ Phone #: (503) 718