Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00094
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/10/2007
PARCEL: 1 S135BB -00501
SITE ADDRESS: 10575 SW CASCADE AVE 150 ZONING: I -P
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: XO COMMUNICATIONS
Project Description: Low voltage wiring for addition of (1) horn strobe.
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: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
AMB PROPERTY L P SIMPLEXGRINNELL
BY TRAMELL CROW NW INC 6305 SW ROSEWOOD
8930 SW GEMINI DR LAKE OSWEGO, OR 97035
BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 693 -9000
FEES Reg #: ELE 26- 946CLE
LIC 149921
Description Date Amount
[ELPRMT] ELR Permit 4/10/2007 $75.00
[TAX] 8% State Surcha 4/10/2007 $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
Utili , •• • I Ica • enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies o these
r es or direct questio t. VNC ..t 503.246.6699 or 1.800.332.2344.
/
I ued By: • i/ � � I 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.
E+ lectrical Permit A P lication . IOR O FFICE USE ONLY • ` "
p
IN City of Tigard Received t j O Permit No.: /44. 7- t��F
'1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' ®,' Phone: 503.639.4171 Fax: 503.598.1960 Date/13 . Other Permit
T iG A R Ij Inspection Line: 503.639.4175 Date Ready/By: Wall El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW ' .
❑ New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
. CATEGORY OF. CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
• ❑ Emergency system. larger separately derived system.
. JOB SITE INFORMATION AND LOCATION • ❑Addition of new motor load of ❑ "A ", "E ", "l - ", "1 - ",
Job no.: Job site address: (� IOOHP or more. occupancy.
� �1 J Cr �Ce��C._ ❑ Six or more residential units. ❑ Recreational vehicle parks.
• City / State/ZIP: -'T + l �„ ❑ Health -care facilities. ❑ Supply voltage for more than
� + T��� ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 16 Project name:./ — 0 Cox tN Q.. S ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee- I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
• Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK . r) 1t !'CL �. K. (with above sq. ft.)
nn ((�� 1- Limited energy, multi - family 75.00 2
_ c v4 c . CO r v‘ /yp --k-0 e,° xc l S l _ residential (with above sq. ft.)
w 1 n �, ra.. 1 ' Services or feeders installation, alteration, and/or relocation
V.t -- C..lG..e ' 200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ ,TENANT • 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
. 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
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
•
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
❑APPLICANT , ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax:: ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR , Sign or outline lighting 53.40 2
Business name: t I1.. I f C l� { energy p a ne l, a) or alteration, limited-
o r __,--
` �►ti�`' nergy panel, t, co Address: G,-5 u p n extension. Describe: Page 2 2
QS e�3 c� tv
City /State/ZIP: \_______e__ Os e C` - -'�� Each additional inspection over allowable in any of the above
_ 1 Per inspection 62.50
Phone: (. 4 3 ) C _o toes Fax: (ST)3 ) L, (,S2_ ( Investigation per hour (1 hr min) 62.50
• CCB Lie.: Electrical L ic.: c( a ,,- uprv. Lie.' I p l an t p er h 73.75
l I � y .
ELECTRICAL. PERMIT FEES -
Suprv. Electrician signature, required — 4 , Subtotal: 'q 5' ,°°
` Date: Plan review (25% of permit fee):
Print name:
--� l CYl l^IZ .A. 2_109_ State surcharge (8% of permit fee): 4 1 . 6 . •7O
Authorized signature: TOTAL PERMIT FEE: Ag 1 . `N
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
' Number of inspections allowed per permit.
1:\ Building \Permits\ELC- PernitApp doc 05/23/06 4404615TO 1/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
r°RESIDENTIAL,WORK ONLYi 7-7-
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
rCOMMERCIAL WORK ,ONLY,
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
14 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 \Pemlits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00094
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1212007
Phone: (503) 639 -4171 ir 111 O l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00A1v1 PAGE: 48
SITE ADDRESS: 10575 SW CASCADE AVE 150 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: XO COMMUNICATIONS
DESCRIPTION: Low voltage wiring for addition of (1) horn strobe.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: SIIvMPLEXGRINNELL PHONE #: 503. 693.9000
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Confirm #\ Contact # Message
199 Electrical final 046507 -01 \503 -683 -9000 N
Corrections /Comme s /Instructions: /
FA PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
f FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,`. `° ve) 1-e Date: q 69 Phone #: (503) 718-10-K