Permit ITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
Ai- "u a D'VELOPMENT SERVICES PERMIT #: ELR2005 -00309
X1 13125 Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/27/2005
5
PARCEL: 25101 DA -01200
SITE ADDRESS: 07165 SW FIR LP 205 ZONING: C -P
SUBDIVISION: 72ND BUSINESS CTR -VARNS PARK LOT: 014 JURISDICTION: TIG
Project Description: Limited energy 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:
WESTON HOLDING CO LLC BURNS INTEGRATED TECHNOLOGIES INC
2154 NE BROADWAY PO BOX 56357
PORTLAND, OR 97232 PORTLAND, OR 97238
Phone: Phone: 503 618 - 7933
Reg #: LIC 87367
ELE 26- 815CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 9/27/2005 $75.00
[TAX] 8% State Surchar€ 9/27/2005 $6.00
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 folio A -s adopted by the Oregon Utility Notification Center. Those ru - . e set forth in OAR 952 - 001 -0010
throu• - • AR 952-i• -0 I : You may obtain copies of these rules or d. - - =dons to OUNC a 03- 246 -6699.
Iss ed By: , �, �� ..11„ i Permittee Si - • i `� ��
OWNER INSTALLATION ONL
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 am required on the job site at the time of each inspection.
Sep 27 05 09:11a, p.1
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El ctrical Pe : . t ;,,1, ® rOR orFICL use ON (Y I
Receved 9;7 ei� !i iaPos ao ' •
C11► Of Tigard � ' Dntc i
33125 SW Hall Blvd., 'r igarel, OR 47223 , 5 -.- Plan Review
PhoneOther Patric : 503.639.417I FM 03.5 1 DetdB� 1 I !b see ' r On LF 2'' LUUJ .,,., - DareReoeyril
Inspection Line: 5 igard. . 4175 Trotiftcd/Method: / /e). Sappleaseatal Iafar�nsriea
Internet: www,ci.iignrd.or:us
'
i -CiET d i :.' r -,: ... .. •'... • I ' .. i :R irV[EY Y .: •'r'•.•:- :=
D New construction Please check all that apply:
❑ Service over 225 amps, comm i ❑ Hazardous location
❑ Demolition ❑ Other': _ ❑5etviee ova 320 amps - rating Ell Building over 10,000 sq. ft,
. ; - '::CAl!C;ot f - OF. t'oroutec8'COR. ,., : •! • : _ ; ,%.• . ' •• .; ; • : - • , . oft I. and 2 - family dwellings 4 or more new residential
I •
❑ 1 - and 2 - family g ❑ ❑ System over 600 volts nominal units in one structure
duvellin Commercial/industrial ❑ Accessory building [Budding over three stories ❑Feeders, 400 amps or more
❑ Multi-family ❑ M r ' ❑ O the
aster b u i l d e r : Doecapatt load over 99 persons ❑Mara actured structures or
- .'...i x'I LO&. SITE INFORMATIUN •. , ,.Zt'iC ClE RV park
° '�' ❑ocnet
['Health-ant facility
Yob no : I lob site address -.7i 6. 5' 5 t' i/Z �: Submit 2 se o plans with any of du above. •
City /Stute/ZIP: pc,-r--C" U 2 - 7 - 2,Z. .3 The above ore not applicable to temporary construction service.
SuitrJbldgJapt no.: Project name: rj G i t LG �' 'rrrt 1 QV. I Flu. I 'rain '- •
Cescrfollas Cross street/directions to job Site: New ratdortial.siagle- or multi-family dwelling unit
Includes attached garage.
1,000 sq. tt or leas 145.15 4
+
Subdivision: :
LLot no Ea• addt1500 sq. tl OT portico 3140 1 •
Litrtited energy, residential 75.00 2
Tax trap /parcel no.: Limited energy, non-residential i ._ 75.00 2
• , _
: .;:•''::_.,.: ,' iON'OF =vybiri .' ••'•' _ -' i- _ • .. ' r• : _ Each manufactured or modular
dwellint service and/Grfeeder 40.90 2
Services or Feeders tosttllatton, alteration. and /or reieecatioA
200 amps or less 80.30 i 2 '
201 amps to d00 amps 106.85 ` 2 • ❑'E1tOPERTY' -'; . 1. • • . TBN.Artx • 401 amps m 60D rumps , 160.60 2
Name: • 601 amps to 1,000 amps 240.60 2
- Over 000 amps or volts 454.65 2
Address:
Reconnect only 1 - 66.85 2
City/State/ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
- _
Phone ( ) Fax: ( ) t 200 amps or less 66.85 ' I
Owner Installation: This installation is being made on property that I owo which is not 202 arms to 400 amps 100.30 2
intended for sale, lease, rat, or exchange, according to ORS 447,449, 670. and 701. 401 amps to 400 amps 133.75 • 2
Owner signature: Date: _ Branch circuits - MEw, alteration, or extension, per panel
* A. Fee for branch circuits with
1=1 ApPL1Cu►N C =: 11 t:' ; ❑ ;CONTACT 'PERSON • • • - service or fader fee, each
Business name:
branch circuit 6 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit
Address £ acll add b►arrr]r c ircuit 6.65 2 •
City /State/ZIP: ]Miscellaneous (service or feeder nor Included)
i Pump or irrigation circle 53.40 2
c
Phone: ( ) Fa : ( Sign or outline lighting .. 53.40 1 2
E-mail: Signal eircuit(s) or limited-
• • : .' COPT3'gA(.'TOR : 3; ,. ' : ' '' .. ;- .. ' ' energy panel, alteation.
extension. Describe; I Page 2 2
Business name: 1 0 2.I.i S 1kiri �,ar � -
_Earh additional inspection over ellawabk in any of the above
Address: .1.)a 6 G x 3 5_7 Per inspection 62.50
City /State/ZIP; p r T k../hunt 09. q 7 Z3 .73 Investigation per hour (1tamin) 6150
7 / n - / l 7 •'-� p �• Indllsirial Plant per hour 73.75 7
. ,
1 ?]Io (.(.5'4 i p - `] �� 3 3 ! 's 6 3) C7 L t ' . •F.Lr(• AL. . fE *. , . ,:.:..
d.r CCB Lie p 7 3( Electrical Lie.. {I fl; ] V. Lie.: / 66,4 . • • Subtotal i -- ; .° ,
bar
0 7 0� Plan review (25x. of permit fee)
5trpcv. Eiecrricl St ■ required: / lam_
/y� � �� ? r G / State survhorse (BY. of permit rot) , U .0
Print nnme: �1 0 44A .5 ■l / t-r� f'^ S ° /� TOTAL; PEAhr1T FEE , GL'
Authorized signature: 1rnis permit ;ppuati to erpiro if • permit L act obtained ...akin 0 fi
•
days after h has beam accepted as sun,pkte • 5 , O L
Print name: Date: • rye methodology act by7• +- CountyBatldinn Industry Service Boom
w Number ad inspections per pennttattowe &
n
iNes,u,snete.raiastELT' .0 - .tt7 Asinds. 13/03 415.461 5 itelven a
CITY OF TIGARD 1
BUILDING DIVISION PERMIT #: ELR2005 -00308
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005
Phone: (503) 639 -4171 "till }I
Inspection Requests (24 Hrs.): (503) 639 -4175 '. ..
INSPECTION WORKSHEET FOR DATE: _ 10/5/2005 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 07165 SW FIR LP 205 CLASS OF WORK:
SUBDIVISION: 72ND BUSINESS GTR -VARNS PARK LOT #: 014 TYPE OF USE:
PROJECT NAME: PACIFIC COAST RESTAURANT
DESCRIPTION: Limited energy for data.
OWNER: WESTON HOLDING CO LLC, PHONE #:
CONTRACTOR: BURNS INTEGRATED TECHNOLOGIES INC PHONE #: 503 -61@ -7933
Inspection Request Scheduled For: Date: 10/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low vo�tage i Iql 017486 -01 503 - 611 -7933 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��,�,,� r r -l' Date/C0-/- Phone #: (503) 718-
CITY OF TIGARD 1
BUILDING DIVISION '. .�; PERMIT #:L.g °3Q 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE lSS
Phone: (503) 639 -4171 I�:"°ll'Im'8PillT\
Inspection Requests (24 Hrs.): (503) 639 -4175 ; .Asir
INSPECTION WORKSHEET FOR DATE: 1 ()IL- 65 TIME: PAGE:
I
SITE ADDRESS: n` 5 6 r- 2., L.P 2_06 CLASS OF WORK:
,' • SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: -8 t.,ZtJ5 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
\q Lo -J -vio L.- anR1`) .. oI
Corrections /Comments / Instructions:
\Ai kUL,5 4 NctszisiICE1 C (L., ct. \) - ,
1L:, N Ni kLi___, V't 'LS 6% L i I wk (LU 1kca' ii
a� 6 a._ Ltse u Vl rQ
I Ca-fq VS\ tf. 61VPO' \_ 1 61\) et-fuc 66\-
❑ PASS 1% PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
. ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT 81-E
lam- Date: \ 1 4. , Phone #: (503) 718 - 1- Lk