Permit CITY T I CAA R D ELECTRICAL RESTRICTED ENERGY PERMIT
� rl
. i DEVELOPMENT SERVICES PERMIT #: ELR2006 -00074
� DATE ISSUED: 4/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 113 BA -00400
SITE ADDRESS: 07632 SW DURHAM RD 125 ZONING: I -P
SUBDIVISION: SW CENTER SDR1999 - 00020 LOT: JURISDICTION: TIG
Project Description: LOW VOLTAGE FOR DRIVE UP
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:
OPUS REAL ESTATE OREGON IV LLC COOK SECURITY GROUP
1000 SW BROADWAY 4252 SE INTERNATIONAL WAY SE
1130 MILWAUKIER, OR 97222
PORTLAND, OR 97205
Phone: Contact #: PRI 503- 786 -5173
FEES Reg #: ELE 3- 541CCLE
LIC 151552
Description Date Amount
[ELPRMT] ELR Permit 4/7/2006 $75.00
[TAX] 8% State Surcha 4/7/2006 $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
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature:
_ide!±4e_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.
Electrical Permic Ap iieat"o FOR OFFICE USE ONLY
City of Tigard t1 Datee/B : 1 t, - ,B Permit No.: , i 6.—
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 ��d�n + ;to, '' �' + Date/B : Other Permit:
Inspection Line: 503.639.4175 APR 0 7 2006 I Date Ready/By: Juris: 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY ii.�lz4Au -- .. PLAN REVIEW
❑ New construction B q a Nement Please check all that apply:
lJ l I- '' �' " " ❑Service over 225 amps, comm'l ['Hazardous location
❑ Demolition ❑ Other:
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF `CONSTRUCTION,' of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling NJ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
El Multi - family ❑ Master builder ❑ Other: ID Building over three stories ❑Feeders, 400 amps or more
['Occupant load over 99 persons ['Manufactured structures or
. ' JOB SITE INFORMATION AND LOCATION, ' , DEgress/lighting plan RV park
\ ❑Health-care facility [(Other:
Job no.: Job site address:
Ls 7- Sy A ,! f Yi c. gr {Z{,l Submit 2 sets of plans with any of the above.
City/State /ZIP: The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: / Project name:G Co EE* SCHEDULE ..
17 �`J t:,i t'7'1 1'[An� Description I Qty. I Fee I Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential / 75.00 7 1;06 , 2
DESCRIPTION OF VVORI {. Each manufactured or modular
dwelling, service and/or feeder 90.90 2
LQVt+ VD 1t'1.GLt l'N ' v e vp Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ' , ❑ TENANT ' .
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
relocation
Phone: ( ) Fax: ( ) 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
APPLICANT • ' ' ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
Business name: oO Se 4.0z,-,k 6„,,,..0 ,k O V branch circuit 6.65 2
G �
B. Fee for branch circuits
Contact name: 3 \\„.7, n without service or feeder fee, 46.85 2
first branch circuit
Address:5.t.k c '5.,.,k r .,,,, x. o r.,b1.` W 4'' Each add'l branch circuit 6.65 2
City/State /ZIP: `m:-\\ W G,Vk- �< I O ii._ D1 ) 2, '2- 2 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( b'S' t -13 Fax: : (So3 )—og t 3-1 C 7- Sign or outline lighting 53.40 2
E- mail :3' �.7 L 001c- So e.a t 1k -c\`0 J c. GO r'• Signal circuit(s) or limited -
, CONTRACTOR ° m . energy panel, alteration, or
" extension. Describe: Page 2 2
Business name: LV �A" NI
obi
Address: Each additional inspection over allowable in any of the above
5 gy I Se Z ^ 4 ,...r.44. , o^ Av W 4,....1 Per inspection 62.50
City/State /ZIP: vrs l,c; z ' >Q ")').12— Investigation per hour (1 hr min) 62.50
Phone: (S-.03) -2ed,- 1'Z -1 Fax: (S01) -2 - do -3-143 r ; Industrial plant per hour 7
- ELECTRICAL PERMIT FEES* ` :
CCB Lic.: S 1 S' a! //. I Electrical Lic. 3 S a 1 G l Suprv. Lic.: 1 A Subtotal -75-- Suprv. Electrician sig�ature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee) (p
Print name: c.6 A ` b l ^ Date: Ai ) -' 1v /
` t o TOTAL PERMIT FEE St . 0 0
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: I Date: • Fee methndnlnev set by Tri- Cn Rnildine lndustry Service Rnard
CITY OF TIGARD ` •
BUILDING DIVISION PERMIT #: ELR200& -00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639-4171 v„
Inspection Requests (24 Hrs.): (503) 639 -4175 i ,
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7 :00AM PAGE: 31
SITE ADDRESS: 07632 SW DURHAM RD 125 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1989•00020 LOT #: TYPE OF USE:
PROJECT NAME: COLUMBIA COMMUNITY BANK
DESCRIPTION: LOW VOLTAGE FOR DRIVE UP
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: COOK SECURITY GROUP PHONE #: 503- 786 -5173
Inspection Request Scheduled For: Date: 4/1312006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.: Low voltag 027952-01 603-997-6921 Y
tg F; N@oL—
rections /Comments /Instructio s:
i ..7, - -.._,„.„,
,
' 4-- A b ''...,
CA LL
J 1,
tiz Pte,.,:.
iC 4
0 PASS 47 ❑ PARTIAL APPROVAL ` CANCEL n NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, ` ' 1
Inspector: al l b pi L i Date: A 131 O� Phone #: (503) 718- 2'Aq‘.
CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200 &00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7i2006
Phone: (503) 639- 4171 r
Inspection Requests (24 Hrs.): (503) 639 -4175 ''f I
INSPECTION WORKSHEET FOR DATE: 4112/2008 TIME: 7 :04AM PAGE: 106
SITE ADDRESS: 07632 SW DURHAM RD 125 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999 LOT #: TYPE OF USE:
PROJECT NAME: COLUMBIA COMMUNITY BANK
DESCRIPTION: LOW VOLTAGE FOR DRIVE UP
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: COOK SECURITY GROUP PHONE #: 503 -786 -5173
Inspection Request Scheduled For: Date: 411212008 Pour Time:
Code # Inspection Description Confirm # Contact # . Message
135 Low voltage: 02.71306 -01 50'2 N
Corrections /Comments /Instructions:
CO ti C /1 S /. O Gc
e C9'r€ev.
Cwet e.4 ,`,)
•
PASS ❑ PARTIAL APPROVAL n CANCEL U NO ACCESS
1L ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
_ ..
CITY OF TIGARD - 4
BUILDING DIVISION .
,...111(111', PERMIT #: ELR2006.000m
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
q — C I )5?
INSPECTION WORKSHEET FOR DATE: 4/11/2006 TIME: 7:07AM PAGE: 57
SITE ADDRESS: 07632 SW DURHAM RD 125 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999 LOT #: •-• TYPE OF USE:
PROJECT NAME: COLUMBIA COMMUNITY BANK
. DESCRIPTION: LOW VOLTAGE FOR DRIVE UP
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: COOK SECURITY GROUP PHONE #: 503-786-5173
Inspection Request Scheduled For: Date: 4/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 027720 503-997-6921
Corrections/Comments/Instructions:
•
0 vt ot h te, 4-to im. ee,--
p044-p0-14-e.d
PASS PARTIAL APPROVAL -CANCEL -NO ACCESS
:-INIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
iog
Inspector: Date: 6 06 Phone #: (503) 718-