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Permit
CITY F TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT i DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00170 , 1 �I DATE ISSUED: 8/16/2006 ---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Fire alarm 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: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 1 Owner: Contractor: TIGARD - TUALATIN SCHOOL DISTRICT 23J COUGAR ENTERPRISES 6960 SW SANDBURG ST 1301 COOLEY RD. TIGARD, OR 97223 WOODBURN, OR 97071 Phone: 503 -431 -4000 Contact #: FAX 503- 256 -7679 PRI 503- 256 -7718 Reg #: ELE C184 FEES LIC 132060 Description Date Amount SUP 5028S [ELPRMT] ELR Permit 7/13/2006 $75.00 [TAX] 8% State Surcha 7/13/2006 $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 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. I Issued By: ��,4 1 A/f Permittee Signature: - ./ 0 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 Permit App licatio n "F'roli owICL:uSuoNus ^ I, City of Tigard Received ,. ; ' P N. " 13125 SW Hall Blvd., Ti ar• No Date/By: Pf � /��/ it,-.:, ....,,e)/ �O g { IVED Plan Reviev/ ®` Phone: 503.639.4171 Fax: 503.598 9 Date/By Other Permit. T I G A I? "D In Line: 503.639.4175 JUL 1 3 2006 Date Read /B tu� ® See Page 2 for Internet: www.tigard- or.gov U NoUfie d/Method. t J L Supplemental Information TYPII�IGARD PLAN REVIEW , El New construction C Additlo ra 1 � ?l tit Please check all that apply (submit 2 sets of plans whtems 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 ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling Jill Commercial /industrial ❑ Accessory building amps for all other installations. buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION ANI) LOCATION , t load of ❑ Emergency on of system. new mo larger separately derived system Additi ❑ ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: ' IOOI-IP or more occupancy �. S W 4 v- C (, ❑ Six or more residential units. ❑ Recreational vehicle parks. City / State/ZIP: C '> `� 3 ❑ Health -care ratio es. ❑ Supply voltage for more than I� �✓ ! oC a ❑Hazardous locations. 600 volts nominal Suite/bldg, /apt. no.: Project name: / i jc,_ cl `� � ,15 51 p L ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: , h 4 Si Description I Qty. I Fee. I Total I * New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: f Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 IPTION OF WORK ' . (with above sq. ft.) Remod t° 1 e. C v r, s .5 4 '''e. , I h a f r I S Limited esi energy, multi-family ilq. 75.00 2 1 r residential (with above sq. ft.) /� Services or feeders installation, alteration, and /or relocation IOC_ Ct- V kh �hti CE _I) Li; 1 h 200 amps or less 80.30 2 x PROPERTY OWNER, __ ' ' I ,❑ . ENANT 201 amps to 400 amps 106.85 2 1 11 f� t r� 401 amps to 600 amps 160.60 2 Name: �� ✓d ^T� 1 r'+� h SC ht:Y�) v' l,s-1 t c3 601 amps to 1,000 amps 240 60 2 Address: 5 6 .SS) S bG S Over 1,000 amps or volts 454.65 2 City /State /ZIP: T i s ‹. -- g 9? as 3 Temporary services or feeders installation, alteration, and /or 1+ relocation Phone: 6 y31 - z oco Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that 1 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 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT_ .' ,l' '❑ CONTACT. PERSON' above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits . without service or feeder fee, 46.85 2 Contact name: first branch circuit Address: Each add'l 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: ( ) I 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: C Qk. � e ri e n e r g y p a n el, al er or t o n, or �� SL° S energy panel, alteration, or Address: `30 1 C. ©(7 I e� kJ. i t i 00 extension. Describe: I Page 2 2 City /State/ZIP: \I of bb >._ 'N 0 S )o) I IS 14 Each additional inspection over allowable in any of the above Phone: (5 ) 9 3, - . ) y ( 1F,. • `7 1 -. , / k G Per inspection 62.50 i � a� t7 Investigation per hour (t hr min) 62 50 CCB Lic.: )3Q01,0 I Electrical Lic.' '. uprv. Lic.: szap- s Industrial plant per hour 73 75 ' ELECTRICAL PERMIT FEES . ' ` ' ' - • `.' . Suprv. Electrician signature, required: �� _— Subtotal: -7L Print name: ji �, ' � k � � Date: _ 3 _0 (o Plan review (25% of permit fee) ' J State surcharge (8% of permit fee): Authorized signature /`.2-13 : p ' � TOTAL PERMIT FEE: � � r This permit application expires if a permit is not obtained within 180 Print name: i [e _0, f e; -- , Date: days after it has been accepted as complete. '` `� * Number of inspections allowed per permit I \Building'Pemiits\ELC- PermitApp doe 05/23/06 440- 46t5T(11/05 /COM/WEB Electrical Permit Application - City of Tigard - • Page 2.- Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WO RK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* t:: . Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COM MERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ B oiler Controls ❑ C lock Systems ❑ D ata Telecommunication Installation r� Fire Alarm Installation ❑ H VAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* El 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 \Buiiding\Perrmts\ELC- PermitApp doc 03/23/06 CITY OF TIGARD ' BUILDING DIVISION PERMIT #: ELR2006-00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/200G Phone: (503) 639 -4171 : G' Inspection Requests (24 Hrs.): (503) 639 -4175 _� "_... INSPECTION WORKSHEET FOR DATE: 8/25/2006 TIME: 7:16AM PAGE: 34 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Fire alarm low voltage. OWNER: TIGARD- TUALATIN SCHOOL DISTRICT 23J, PHONE #: 603.491 -4000 CONTRACTOR: COUGAR ENTERPRISES PHONE #: 503.256.7718 Inspection Request Scheduled For: Date: 8/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 035539-02 503 -932 -2741 V Corrections /Comments/ Instructions: F ;cc� At.ik (11\ s 441* o £ — £ ; • i.l_ Lt I I PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006.00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Fill 6/2006 Phone: (503) 639-4171 /Milk Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/25/2006 TIME: 7: 16AM PAGE: 35 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Fire alarm low voltage. OWNER: 'TIGARD-TUALATIN SCHOOL DISTRICT 23J PHONE #: 503-431-4000 CONTRACTOR: COUGAR ENTERPRISES PHONE #: 503-256-7718 Inspection Request Scheduled For: Date: 8/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 035539-01 503-932-2741 Corrections/Comments/Instructions: E PASS I I PARTIAL APPROVAL I I CANCEL I I NO ACCESS I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: N Date: # %'2.6 -11 :: , Phone #: (503) 718- Ili% CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006-00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2006 Phone: (503) 639-4171 4444111100' Inspection Requests (24 Hrs.): (503) 639-4175 67 1 INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Fire alarm low voltage OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: 503-431-4000 CONTRACTOR: COUGAR ENTERPRISES PHONE #: 503-256-7718 Inspection Request Scheduled For: Date: 8/17/2006 Pour Time: Code # . Inspection Description Confirm # Contact # Message 136 Low voltage 036171-01 503-932-2741 Corrections/Comments/Instructions: G Gz _ o Foe... a . _ ■ c &\ 6 8PaA. RICSI&V\ a 4 01—L (1/4A.,0 C j, (wk. SINN 441 K/ 40 4- 11.11t0 , cd()AZ AtR6 1 • . 1.!:4,, • :TI 1' • e 4 EI CANCEL n NO ACCESS I FAIL I I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED Inspector: . Date: g g( 1 1( t1 Phone #: (503) 718-20