Permit / 7 .. CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
; : COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00225
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/25/2008
PARCEL: 1 S126DC - 04400
SITE ADDRESS: 09430 SW CORAL ST 200 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
PROJECT: DENNIS CLARK DDS
Project Description: Installation of low voltage for data.
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:
MARTIN BUILDING LLC T & L COMMUNICATIONS INC
9430 SW CORAL ST STUITE 100 PO BOX 87387
TIGARD, OR 97223 VANCOUVER, WA 98687 -7387
Phone: Contact #: PRI 360 - 737 -9725
FAX 360 - 737 -9648
Reg #: ELE 37- 428CLE
FEES LIC 67787
Description Date Amount
[ELPRMT] ELR Permit 7/25/2008 $75.00
[TAX] 12% State Surch 7/25/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 Notifi n Ue Thos- les are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or d ect questions to e - C - 51. 246.6699 or 1.800.332.2344. .
Issued
f //� 4 _, 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.
Electrical Permit Applica 1 ^i 1 GE V ED FOR OFFICE USE ONLY
City of Tigard Received
b �f � - %
1111 "
1312 SW Hall Blvd., Tigard, OR 97223 'gJ 2 5 2008 Date /B : / ,g6�� / -/9..2-_' c
Plan Review
S Phone: 503.639.4171 Fax: 503.598.19 Date /B : Other Permit:
TIGARD Inspection Line: 503.639 Date Ready /By: ® �/ See Page 2 for
Internet: www.tigard or.gov CITY ®� T�GAR[1 Notified/Method: I Supplemental Information
F
,
.: •:,gam • . ,.. �, ,.. ` • :.. � . , . ...e„, , .. �., , o..�
❑ New construction E Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
1:1 Service or feeder 400 amps or more ❑ Building over three stories.
111 Demolition ❑ Other:
where the available fault current ❑ Marinas and boatyards.
`__:- '•%'rt' " GP AE "'` G'''"" ° "' fl ° iTN`r i °-" "' `.' :'. " '' exceeds 10,000 amps at 150 volts or Floating buildin
�� � :` yCATEGO ''''' OF CONSTRUCTION . -: I P ❑ g s.
g
... :,....� ;; :z :- e.n- :.,.,•.,.�:....:. .�,,.`..°.'.., ...a�3r.,,na•:ra, f , x ..`�.��,.,. -;' "::.;; - : ..d . �'� es ground, or ex.
' " - -' °- - '- - - -' -- °" " --- -- ; less to d, exceeds 14.000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling p Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
,.•.;. l ,r,: rt -= - ' ,,,,,;:,- .,...;,,.. ❑ Emer ens system. larger separately derived system.
�?'. E " OB . S Ti`E.IlY�EURiVIAk'I?TO � , €,� >� �� _ w'�
,,, J N' " A , IVD- .LOGATION
ot"1- �' * - - - ❑Addition of new motor load of ❑ ,
r .•
100HP or more. occupancy.
❑
Job no.: Job site address: 9430 SW Coral Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 200 Project name: Giese DR. GI Ark ❑ Service or feeder 600 amps or more.
>;< h - -. SCHEDULE- `iii'it :.A 'in
Cross street/directions to job site: Description I Qty. I Fee. [ 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'1500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
'' > a DE SCRIPTION ='OF'#WORK ' ` ,fr,, i �».V ^ ; , (with above sq. ft.)
Limited energy, multi - family 75.00 2
Voice and Data residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation or less _
200 amps � 80 30 2
< " ^ ''-',z, III `PROPERTY OWNE v`='° • =r a v 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
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
s
xx' APPLICANT': -, ,egg gpNTACT' PERSON' »O; ;I, above service or feeder fee,
6.65 2
Business name: T &L Communications, Inc. B. Fee h branch for branch ch circuit
ci circuits
Contact name: Ross Bushaw without service or feeder fee,
first branch circuit 46.85 2
Address: PO Box 87387 Each add'l'branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Vancouver, WA 98687 Each manufactured or modular 90.90" 2
dwelling, service and/or feeder
Phone: ( 360 ) 737 - 9725 Fax: : ( 360) 737 - 9648 Reconnect only 66.85 2
E -mail: office @tI communications.com Pump or irrigation circle 53.40 2
�. :.... . ... . 5340 2
:°� <�,; >, ` u @:ii,; , ,,,x. , ;FYr�:'� ,,, E ,,�s;;at','.;� °ta:;;' �. Sign or outline lighting ,� N .. ... ... ���':�- � -.,.. CUNTRAGTOR< �. �-: :ci�.:,.r,,...,:c.± :........... ....:���,.:`•:;,,5; b g
Signal circuit(s) or limited -
Business name: T &L Communications, Inc. energy panel, alteration, or
Address: PO Box 87387 extension. Describe: I Page 2 2
City/State /ZIP: Vancouver, WA 98687 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 360 ) 737 - 9725 Fax: ( 360 ) 737 - 9648 Investigation per hour (1 hr min) 62.50
CCB Lic.: 67787 Electrical Lic.: 37 - 428CLE Suprv. Lie.: 684LEA Industrial plant per hour 73.75
.c� . , ,:.. xy ,SELL+ CFRIGAI. PERMIT FEES _' < "T' -,1-
Suprv. Electrician signature, required: Subtotal:
Plan review (25% of permit fee):
Print name: Larry Bushaw Date: 07/25/2008
/� State surcharge (8% of permit fee):
Authorized signature: •�( f� divIt �&L .") TOTAL PERMIT FEE:
Print name: La Bushaw J Date: 07/25/2008 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
l:\ Building \Permits\ELC- PermisApp.doc 05/23/06 440- 4615T(t t /05 /COM/WEB
•
CIF TIGARD _ _
BUILDING DIVISION � PERMIT #: EL R2008-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 oivi� ti 1725/2008
Inspection Requests (24 Hrs.): (503) 639 -4175 -'I I..
INSPECTION WORKSHEET FOR DATE: 8/12/2008 TIME: 7:00AM PAGE:
SITE ADDRESS: CLASS OF WORK:
09 SW CORAL ST 700
SUBDIVISION: LEIIMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: DR DENNIS CLARK
DESCRIPTION: installation of low voltage for data.
OWNER: MARTIN BUILDING LLC, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360_737_9725
Inspection Request Scheduled For: Date: 8/1712008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071058 -01 360 -737 -9725 N
Corrections /Comments /Instructions: /
N. .
\ ten i
\ I V # \
4 0 PASS n PARTIAL APPROVAL 0=v:4mi:I L I I NO ACCESS
n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: €----■ V ' 6 b L Date: li 11 4 Phone #: (503) 718- lift
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ' LL.R2008-00:225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/
Phone: (503) 639-4171 4 41mpOill'it
Inspection Requests (24 Hrs.): (503) 639-4175 EA441 11.
INSPECTION WORKSHEET FOR DATE: 7731/2008 TIME-
• 7:00AM PAGE: 28
SITE ADDRESS: 09430 SW CORAL ST 200 CLASS OF WORK:
SUBDIVISION: IFFIMANN ACRE TRACT LOT IV
• 007 TYPE OF USE:
PROJECT NAME: DENNIS CLARK DOS
DESCRIPTION: , r ... A
ii: allation of low voltage for data.
OWNER: MARTIN BUILDING LLC, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC . RO '''V\I , PHONE #: 360737_9725
Inspection Request Scheduled For: Date: 7/31/2008 Pour Time:
Code # Inspection Description —Confirm # Contact # Message
199 Electrical final 073529 503-888-0243 . V
IS 1/45 1-10kA) V4L-111/41 )
Corrections/Comments/Instructions:
ts 44:W.e ON sliWt --'-----/
04 11-, FAL P- ist AL w‘kl•\
n PASS 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS
7 FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 1 Noet , E - - -- Date: 1 1 I ° ( 51) Phone #: (503) 718- 1)46
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008- 047225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7o5n00L3
Phone: (503) 639 -4171 µ %NW p�pl 11'
Inspection Requests (24 Hrs.): (503) 639 -4175 :..' :_—
INSPECTION WORKSHEET FOR DATE: 7/3012008 TIME: 7:01AM PAGE:
SITE ADDRESS: 0930 SW CORAL ST 200 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: DENNIS CLARK DOS
DESCRIPTION: Installation of low voltage. for data
OWNER: MARTIN BUILDING LL.C, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC U 9Y Y PHONE #: 360.737 -9725
Inspection Request Scheduled For: • Date 7/3012008 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
199 or l-#i al 073462-01 6103. 888.02413 Y
I35 LOW VO Lii hq E
Corrections/Comments/Instructions:
-AS • _ PARTIAL APPROVAL n CANCEL E NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
• Inspector: "°' �" 1i
Date: 1/30 IN Phone #: (503) 718- 1 •