Permit 7/26/06, REPRINTED TO CORRECT' '1
SUITE ADDRESS FROM 200 TO 202. ► r ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 -00171
'` A� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/14/2006
PARCEL: 1S126DC-04400
SITE ADDRESS: 09430 SW CORAL ST 202 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
Project Description: LV for data /telecommunications.
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 TELEDIGIT INC
16771 SW BOONES FERRY RD PO BOX 22287
LAKE OSWEGO, OR 97035 PORTLAND, OR 97269
Phone: 503- 496 -0610 Contact #: PRI 503- 722 -8084
FAX 503- 722 -9914
FEES Reg #: ELE 3- 414CLE
LIC 116188
Description Date Amount
[ELPRMT] ELR Permit 7/14/2006 $75.00
[TAX] 8% State Surchart 7/14/2006 $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 le adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through O R 952 -001 �� O You may obtain copies of these rules or direct uestions to OUNC at 503 - 246 -6699.
Issued By. K. ,.� c.., -mot . —� 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 Application 4'`�' �, " • II ) f l E L :li
City of Tigard C EN �®
Received j) ed 6 -D "[ Permit No.: 0-2 J 4
13125 S W Hall Blvd., Tigard, OR 97 f e Plan Review ~
Phone: 503.639.4171 Fax: 503.598.1960 y A 1nOC 4 ^ >_�> II' Date/13 : Other Permit:
I 1 `t U �a. .. Date Ready
/By: MI ® See Page 2 for
Inspectioq Line: 503.639.4175 JUL _ _ _
Internet: www c1 tigard or us D Notified/Method Supplemental Information
w t p ". iY • 1 irl.r �1 yt Y . . i tr
r ' •�.1 - �,� , _,a 1 -,ROI . .� .. ,. , ! ,,,„ �r� I. r r „A r: •' .>
G ew construction ❑'A • . Mon/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'I Hazardous location
❑ Demolition 0 Other: over ❑
aS; „i: 1,1 ;. ii ltf u101n of 1-t rating ❑
and 2 family dwellings 10,000 sq.
or more new residential
structure
❑ 1 - and 2- family dwelling G Commercial/industrial ❑ Accessory building
['System over 600 volts nominal ' units in one
['Building over three stories [Weeders, 400 amps or murc ,
❑ Multi family 0 Master builder ❑ Other: ['Occupant load over 99 persons DManufactured structures or
f+' • ' r i • ]> ?r P. i' .;• �l'i4 l ca irl t1 tttr(n) y 1 '''r E ess/li htin lam p
-:LP ,. ....... ..,. • .<,'� rr,. A] r b.� 7e,;w l ❑ gr g gp RV park
30 c ares ❑Health -care facility ['Other:
Q et!
Job no,: Job site address: J C_ Submit 2 sets of plans with any of the above.
City/State/ZIP: ek C) 47 S The above are not applicable to temporary construction service.
l
�� e .:. w.. Y ,. j l 1 . r 7a
� ! � 1f r , li } �
Suite/bldg. /apt no.: �tJ2 f Projec ame: ( _) �� r t t e Description Qty. Pee. Tool ••
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: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.:
�_ . 1 L i m i te d energy, n on - residential 75.00 2
0: i) ♦` 3} atIO),: i ,i) l0■ Each manufactured or modular '
dwelling, service and/or feeder 90.90 _ 2
Services or feeders Installation, alteration, sod/or relocation
200 amps or less 80.30 2
j ' :a� 1� ., . ; . ' , t 3 ,a r >. or 201 amps to 400 amps 106.85 1 2 i
lit C " i 401 amps to 600 amps
160.60
Name: (A) I 2 '
t /-tr i,ote 6 01 amps to 1,000 amps 240.60 I
Address: Qq.., S a4.5 coral Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: 1- - ii _I 7 ?? ,.L • Temporary services or feeders Installation, alteration, and/or
t C 1` r r relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
ire :.1.,',' i' i ' ' i t t, ,( i a ' i d :4) ` _ . . A. Fee for branch circuits with
service or feeder fee, each
Business name:' f ( 4 • • /
u .i branch circuit 6.65 2
B. Fee for branch circuits
Contact name: � w ith out servi or (ceder ice, ! •
l�f7 ItaVAN- S r eI 46.85 2
each branch circuit i
Address: 11 0 Bea.b'er -fl eet ('GI Each add'I branch circuit 6.65 2 1.
City/State/ZIP: Ot/`r " F' �70�1� Miscellaneous (service or feeder not included)
c+nvl ,
U 1 .1 / Pump or irrigation circle 53.40 2
Phone: (.j -) ? 2 2. -8 Fax:: (503) 7t2 - P 71 y Sign or outline lighting 53.40 2
E -mail: , Kt:w - eteiI. . • i 1 i . o Signal circuit(s) or limited -
1 - at ii .v`r , (u) energy panel, alteration, or 2
:. t ' ' extension. Describe: f Page
Business name: $' 0 a-.S c.6sw4..,
Address: Each additional Inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Investigation per hour (1 hr min) 62.50
Phone: ( ) I F ax: ( ) Industrial plant per hour 73.75
`.a..e l p c, e'/6t.ID C 13`it t � r ,' i ' , . : :': .
\° CCB Lic.: / ( ( 1 / err l Electrical Lic.: 3- ( Suprv. Lic • , J C. e Subtotal 76 ...0-P-
Suprv. Electrician signature, required: � . 0 4 O Plan review (25% of permit fee)
-.• "unnoa State surcharge (8 of permit fee) ( ,
P rint name: D ate: 7/ TOTAL PERMIT FEE r��
.,� a viv�,l ✓silt! . • 1 - . - �_
Authorized signature: � 0 111 Th1t permit application expires f!a permit Is not obtained within 180
days after It has been accepted as complete
Print name: fit( n & Vi ( VA a� /o S D M /a4 • Fee methodology set by TO Building Industry Service Board
l a Number of inspections per per it allowed.
i . lsuilding\PemiatFIC.PamisApp.doe 12/03 440- 46IST(10/02/COMIW88
£0 - d vZt =Ot 90 - VI - LnC
•
CITY OF TIGARD
BUILDING DIVISION - PERMIT #:
ELR2006.00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2006
Phone: (503) 639- 41714'�i�l�
Inspection Requests (24 Hrs.): (503) 639-4175 'I �..
INSPECTION WORKSHEET FOR _ DATE: 7/26/2006 TIME: 7 :07AM PAGE: 64
SITE ADDRESS: 09430 SW CORAL ST 2,02, CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: WESTRIDGE
DESCRIPTION: LV for data/telecommunications.
OWNER: MARTIN BUILDING LLC, PHONE #: 503- 496.0610
CONTRACTOR: TELEDIGIT INC PHONE #: 503 - 72113084
Inspection Request Scheduled For: Date: 712612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
r Low voltage 033759-01 503- 784 -4100 Y
tiA,Ck It N
Corrections /Comments / Instructions:
P yy\ .
\
N O►L_ O ■ 0 N ij
clA AN ,. •
•
N PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: €.--° dV' 8L Date: if Viol" Phone #: (503) 718 - 1 - 4 4 ( 0
•
/_ ' . ' �� ' ,
'
CITY ������U��������
��oo n ��w no�m�mom��
BUILDING DIVISION ' ELR2UOF�DD171
~�~~~~.~~..�~� ~�" . .~°.~°.° ' PERMIT #: .
18125SVV Hall B|vd, Tigard, [>RQ7228 DATE ISSUED: 7
Phone: (503) 639'4171
Inspection Requests (24Hm.):(503)63A'4175 _ «���
INSPECTION WORKSHEET FOR DATE: 7/18KM00 TIME: 7:00AM PAGE: 62
09430 A n/27 ��
� � ���� '
SITE ADDRESS: D CORAL p/ '�^^ CLASS OFVVORK:
SUBDIVISION: LEHMANN AC��Y�TF�A[�� LOT #: 007 TYPE OF USE:
PROJECT NAME: WE8TR|DGE
DESCRIPTION: LV for dets/t*|ecmmmunicaUono.
OWNER: MARTIN BUILDING LLC, PHONE #: 503-496'0610
CONTRACTOR: TEUED}G|T INC 503-722-8084 #:
503-722-8084
Inspection Request Scheduled For: Date: �919/20OG Pour Time:
Code # Inspection Description on ' • Contact # Message .
135 Low voltage 033285-01 503-7844100 Y
___
Corrections/Comments/Instructions:
.
•
.
F 'ASS PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
ri FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
~«��-, u&����v �~ ~nx&�&U
Inspector: -~� 14 lob »~q� Date: « Phone #: (503) 718- .2I-�4w