Permit 7/26/06, REPRINTED TO CORREC1'
SUI "1'E ADDRESS FROM 200 TO 202 t ' ELECTRICAL RESTRICTED ENERGY PERMIT
- 13125 AO' DEVELOPMENT H BMENg Tigard, 639 -4171 DATE ISSUED: 7/11/2006 R 0600167
PARCEL: 1S126DC-04400
SITE ADDRESS: 09430 SW CORAL ST 202 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
Project Description: LV to access control system.
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: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
MARTIN BUILDING LLC ACTION TECHNOLOGY SYSTEMS
16771 SW BOONES FERRY RD 835 SE 17TH AVE
LAKE OSWEGO, OR 97035 PORTLAND, OR 97214
Phone: 503- 496 -0610 Contact #: PRI 503- 231 -1992
FAX 503- 231 -1402
FEES Reg #: ELE 26- 775CLE
LIC 157630
Description Date Amount
[ELPRMT] ELR Permit 7/11/2006 $75.00
[TAX] 8% State Surchar€ 7/11/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through O -001 -' OS. You may obtain copies of these rules or direct q ions to OUNC at 503 - 246 -6699.
Issued B • `, 1G 4 , - Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Si. -08 -1900 05:40 P.01
"I, �r : rfactii i cal Permit A Lion
"7; tivUISt111u JNIOII(1 , Y ,': : l Srd O�Jt/`711 �Q AlIO ,. �r -;l'sa.'' Permit No _� , Ii �lx$"g125� S 14:
/ Hall Blvd., Tigard, OR 97223 � 1]ate�BY: Other Permi
l elan R e
tryry -tko°: 3 ;6
4039.4171 pax: 503_598.1' Z 0 1 l n r 4^ 1',04, 1 t 1 ..{, t;
' , 1 : •' . ; hzspocti ?.a Line: 503.639.4175 a t •L 1„ `Date Ready/By: ;uric i El See Page 2 for
7 ' 1 `Notified/Method: Su pp
„i ; , pt e[ www , pp _ • =1 -d•_ Y Y o . �}. rd. 1, C � , . v , ` � , - d , 1 � e S r' C.'...,4';-:SE. " ad r o :. S ;`,#,V t
! s e t
; %`: 1 i, w cotistruction gl Addition/alteration/replacement Please chock all that apply:
i ['Service over 22S amps, comm'l ❑Hazardous location
3 Q pbmolrtton ❑ Other ❑Service over 320 amps -• rating ❑ Buildng over 10,000 sq. ft.,
r, ,V,�J1?'` ' \V i1.' +f ^1+ ci yr4, riC r + T^ rp,wf r{ . NY 7 '..1.•.'., ' rK ti d r tit \ „ rM ''' ' , , f q
r ' :.
. )) „ 1l I t i frfil' d_ Z/E ' r il11,11 1trAtY h l ' ` a ,f ` .. :` ,� .7 7W } i ,1,o {.� t rd ', : � , . : ,; �? 9 S tr.._ 4 T.teiFy, 1'..: of I- and 2•famfly dwellings 4 or more new residential
"• ,. S stem over 600 volts nominal Units in one stricture
-'t' 111 1 and 2- family dwelling Di Commercial/Industrial ❑ Accessory b u i ld _ ing ❑ y
i. Q Multi-fatally ❑ Master budder ❑ O � ['Building over three stories ❑Feeders, 400 amps or more
„ u a s , rx rr f s ) s! . a s ,� r� Y ; M +.r s 1 ,4 ❑ Occupant load over 99 persons ❑ Manufactured structures or
. , ;:. .
a,� T,) s ; �ati'Fi i''i 9 txm llr I, , 'ta 1 "� r'f�i9t Wmw � t , .. 1 't �\r�r , r r , , .i ❑Egress/i plan RV park
rt P-• . zcc _. - ,-„ 71414., ,r^ r^ F' )r.4;,,,,f . ,;d..,.µ. d. ... :...:3L,_ :.
,._.2..' 1 ; :0,;;;,w... r ,'•'' S .n
:: ?;` :.4ob tio.: 9036 Job site addressn r .r
[Wealth-care facility ❑Other:
9 4 ' ? Coral Submit 1, sets of plans with any of the above.
City /State/ZIP: Tigard, OR 97LG3 - The above arc not applicable to temporary construction service
S11itelbld fa t no.: Projcct f -� i "r t ; 'A ,ft.1 : . z S $,_d • ^ rt Q , t 5 , i d 7 . . 4 y " . " ,: S `
"�i,i z
S p 200 • Martin Ofc'rb1d7. Westr 4 • p•ofl Q ,,,.. Fe. :oral ..
I Moss street/dtrcctions to job site: S Gresnbur • • Rd TI 1Vcw residential single- or multi- family dwelling unit.
c - Includes attached garage.
+ _ ` , `� �/ ' 1,000 sq. ft.
or less 141.15 4
Silbdivisfon: Lot no.: Ea. add'/ 500 sq. ft or portion 33.40 I
aver residential 2
Limited energy, 75 -00
'i # 7,{nt map /parcel no
, r 1, ire r,!'� nu ' rr="': 4�'f ' "!"c =did v d r'r nor! r e „ Limited energy, non-residential 75.00 2
1 {d il ` i E 7 rV - V 1.. F �� ' . + ' r 1 ,.� J. , r ;-, d i }yi r � r f� . fi Eli
, Each manufactured or modular
, � � 1 ,, y� tl 4' ,�YB � , 9 , C v1 l �
�k dt,�, r rt� �LC.Ld.,...:.., �a...,... u: 1 .. e ,.,. v. __. . .,. , .. . :.1,'/..,{.._....,i..,
dwelling, service and/or feeder 90.90 2
• .....: i 3 nsta 1 Additions • A - e . • s • -n • Services or feeders installation, alteration, and/or relocation
'Y: i::.y 8 2
Tenant Improvement
:S. Y
�. tk. \ n. a r .L7 • l � S}•L � i1 l . 73 o \ r ' cwt' 1 1f. d f F ; d M1 , %. A \ .~hj 201 amps to 400 amps l 6. 5 _ 2
' '''', ...F4 : 4 : 3 ;' , 1�d..Yui.,. / R�, : z , 0
1 5 , 1- .Al 1 _w..��. ,,..., * ...1;:- -:-L / �,- ,'%',n .. A. Y '� r ....:..0 : "a
. ".;1%.% 401 amps to 600 amps 160.60 _ 2
1 't. I tami:: 601 amps to 1,000 amps 240,60 2
"' Over 1,000 amps or volts 454.65 2
:,; ; ;, *ddtiess:
Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
' Phone: ( ) f Fax ( ) 200 amps or less 66,85 I 1
;fi installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
,;' *tended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70I. 401 amps to 600 amps 133.75 2
ci::' : ;: O wner signature: 2 Date: Branch circuits- new, alteration, or extension, per panel
`:n • , ,
, `rt n ,t 3 11 -• +Ce i� +'V I7 # 4
r i 1 � + : a r�` r I :; e �,, Ji ig 1 ' � 1. ., :-�� A. Fee for br811C11circuits with
n \ . _ , ..c .,n..x.G.v,_ „3, 3.r.,1 v � 3..:: 2. U. + .....r : _. �. , ,,r . _ .. y _.._r. , .. _ service or feeder fe each
s;, ` ]i [tsiness name: branch circuit 6.65 2
13. Fee for branch circuits
;,.1 i ,: '.:' Contact n ame: w ithout s ervice or feeder fcc, 46.85 2
..
".r. ': each branch circuit
Addt:ess: _ _ Each add'! branch circuit - 6.65 2
:: '. '. ' Miscellaneous (service or feeder not included) _
4:1 City/State/ZIP:
t;r pump or irrigation circle 53.40 2
•pliope: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
? $7tttatl Signal cireuit(s) or limited - • 3. � r :'. :. ,� ti4rA .n t>3 l tf'i u3`f � r + iw w1.∎rrriST i.:f C: it V r 'C r. r i ' . \ ',.`'"IT','.`.."..'.. , ' � ' , Wpb P r ' S v , .1 ' energy panel, alteration, or
�LY:�I;ti n, x., ,.d.:.el sm..,. �.r.a7+k� extension Describe: 1 Page 75.00 2
d
Bu tie: Action Techriolo 3 S stems LLC
` Each additional inspection over allowable in any of the above
: ; .. Address: . 835 SE 17th Avenue Per inspection (12.50
City /State/ZIP; Portland, OR 97214 Investigation per hour p hr r 62,50
— 1402 Industrial plant per hour 73 75
If :` ., Phone: ( 503) 231 -199 Fax (503) 1231 t,ru22 r � 9Yt`'�et,l'Y�s r� j yT �` 'r '^ ” ' F ;t
� � s,at.....i.e � f' .P�dL:.., ,d:, u: . _ .>l`..;L,tt,.a,r �dt %sk ...�•W
j CCB Lic.:1 57630 0 ' Electrical Lie.: 26--775 supra. Lit.: 3624LEA Subtotal 75. 40 _
'4, +r I, , • �� Plan review (25% of permit fee)
e,' ;; - . ,. $upcv. Electrician si • lure, require. _ f
Yj ..; State surcharge (8% ofpcmtit fcc) 6 •
i -!. :04 : Paul Ha _ter Date: 7/10 /2006 TOTAL PERMIT FEE 81.00
`:I7r r i . ; •,.
V ,..., pp permit is not obtained within 180
} o s / ,/ . ` n ' � � / �/ � This permit a days attar lleation i expires if w
t has been aasPted as complete
Date: Fee methodology act by Tri aunty Building industry Service Boend
,1',, : .name. Rena Kirkland
10 2006 •s Number oriusputions per permit atlnwe l-
,'f ' { ;:' d ; ., itiidmg&crmla\II.C PermilApp.doe 12 i 4<o- d6tsT(tolm/COM/WEe
s .
CITY OF TIGARD .
BUILDING DIVISION Atr PERMIT #: ELR200 &.00167
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7i11/2006
Phone: (503) 639 -4171 amvNivill i II
Inspection Requests (24 Hrs.): (503) 639 -4175 - 'f._,.
i
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 96
SITE ADDRESS: 09430 SW CORAL ST 202 CLASS OF WORK:
. SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: WESTRIDGE
DESCRIPTION: LV to access control system.
OWNER: MARTIN BUILDING LLC, PHONE #: 503496 -0610
CONTRACTOR: ACTION TECHNOLOGY SYSTEMS PHONE #: 503231 - 1992
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
ow Volta, 033824-01 503 - 231 -1992 N
1'A p F;c
Corre .. ns /Comments / Instructi ins:
e x PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V " • W V 0 Le Date: i7 04 Phone #: (503) 718