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Permit
` o A ✓ .v�- I..�C./ �` 'f',Q —fie —• x`�nL �` �� (( ELECTRICAL R STRICTED ENERGY PERMIT I Y OF TIGARD DEVELOPMENT SERVICES PERMIT #: ELR2005 -00308 d. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/17/2005 PARCEL: 2S101 BB -01300 SITE ADDRESS: 11950 SW GARDEN PL BLD.7 ZONING: C -G SUBDIVISION: CROW PARK 217 LOT: 001 JURISDICTION: TIG Project Description: Fire alarm. (Preaction system in computer room) 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: SPIEKER PROPERTIES LP FIRE PROTECTION SERVICES 4380 SW MACADAM AVE STE 100 5573 SW ARTIC DR PORTLAND, OR 97201 BEAVERTON, OR 97005 Phone: 503- 675 -8700 Phone: 503 -590 -3732 Reg #: ELE 34- 488CLE LIC 154333 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 es adopted by the Oregon Utility Notification Center. Those rules - set forth in O. 952 - 001 -0010 through oAR 952 801 - i0. You may obtain copies of these rules or direct que: ions to OUNC 03- 246 -6699. Issued B � I / Permittee Signature: r 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. • ,EleOrical Permit Ap �� icatiOIl " FOR OFFICE USE ONLY a l � ;: °' • Received ity �f Tigard Q — , —© - � Permit No.: , 0h5- ® y 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone. 503.639.4171 Fax 503.598.1 rq ^ 00 � ;Mhp + Date/By- Other Permit. Inspection Line. 503.639.4175 2 7 2005 -gJ,i m'� I� Da te Read B cur �_� W y y: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: 3( ) E' Supplemental Information u' ,-f l , ; , % ns ; r " +� ", < ^.:;,a„y1 s ,:• < ; .;r , L�' � W RKs, . ��, - <;: -.' %<;`r;PLAN- REViEW'� � �, - ❑ New construction a ° �i • itelrabton /replacement Please check all that apply: ver 225 amp El Demolition ❑ Other: Service over 320 amps a ,:- ,.. 4 ,, Y,,,• c mm' rating ❑ Buildng over 10,000 sq. ft., l Hazard us location 'V ' >CATEGORY'.grec,ONSTRKTI:ON" "' `- ❑ and 2-family dwellings `'`;? °� ,,, ,,;,�;: , ,�, ,,.. ., �k y of 1 - an 2- y s 4 or more new residential El 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑S over 600 volts nominal units in one structure ❑ Multi - family El Master builder 111 Other: r :._. -, -.. � persons red structures or Building over three stories Feeders, 400 amps or more �_. � .,,�, - ❑Occupant load over 99 pe ['Manufactured v' ''`` :et'JOB S "INFORMA4 ` AND IA CATIO N 7 % `* E / RV park ,..., - ',� >.. , , .. �,. - ,, -, „F ,, , ,,,.,.- �: > ,<. , . � - ,,A,,,, < , -. , „r:. -. ; ❑ gress lighting plan P Job no.: Job site address: 11950 SW GARDEN PLACE ❑Health - care facility ['Other: Submit 2 sets of plans with any of the above. City /State /ZIP: Tigard, Or The above are not applicable to temporary construction service. ,:�;��_: r te; F .. ..; "E'E S,CH1r ,10 ^' ”" �: Suite /bldg. /apt. no.: #5 Project name: VESTA _ :• ` = -' . - : ,,. __ ;. ��'' -WV. Description I Qty. I Fee. I Total I ** 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: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 44 ''' "'4 ' -DES N ,, F. ,,, ' 1 - Limited energy, non - residential 75.00 2 yw . ' s -'° ° "' ° . , ;�•w ' , :.'" ..%ate Each manufactured or modular ADD SMOKE AND HEAT COVERAGE TO NEW PREACTION SYSTEM dwelling service and/or feeder 90 90 2 Services or feeders installation, alteration, and/or relocation d. '' 200 amps or less 80 30 2 ro ❑PRP " " "' "'°" " y. 201 amps to 400 amps 106.85 2 '','- - , ,,, . - OE ; RT QWNER' % I '4'' ' . ' ''', "% ❑ ' ''' "":- . 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 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 APPLE ANi '' ' ' %' A " ' H A. Fee for branch circuits with C Tw- °', !''. , CON TACT" PERSON; Business name: service or feeder fee, each branch circuit 6.65 2 • B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: Pump or imgation circle 53.40 2 ( ) Fax:: ( ) Sign or outline lighting 53.40 2 _ E - mail: Signal circuit(s) or limited- ,,_ ;. :, „ , 1, CONTRA(*Ron Ali f, iiio''" :: F,. 01 1 ,; ,, energy panel, alteration, or extension. Describe: Page 2 2 Business name: Fire Protection Services Inc Address: 5573 SW ARCTIC DR Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: BEAVERTON OR 97005 Investigation per hour (1 hr min) 62.50 Phone: (503) 590 -3732 Fax: (503) 628 -6214 Industrial plant per hour 73.75 ,, '`%' "7 " ,ELECTRICAL . ERMIT °F`EES* l° ' ° ' : ,' CCB Lie.: 154333 Electrical Lie.: 34- 488CEP Supry Lie.: 4120LEA Subtotal '7 j W Suprv. Electrician signature, required: Plan review (25% of permit fee) o� (/ State surcharge (8% of permit fee) 6 GO Print name: Date: �`� , �� TOTAL PERMIT FEE Q) W Authorized signature: I .1,'":(7 J / / ,iJ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name ,..', ,..', Date: * Fee methodology set by Tri- County Building Industry Service Board j.-Aw0 ** Number of inspections per permit allowed. 1 \Budding \Permas \ELC- PermitApp doc 12/03 440- 4615T(10/02/COM /WEB Elecical Permit Application - City of Tigard Wage 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: �RESIDEN'TIA " �»•x -- ,.,, a . . � , ..: ;;,. Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ V acuum Systems* ❑ O ther: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems „ 1 Data Telecommunication Installation • ire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ 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 \Bu ldmg\Permlts\ELC- PermItApp doc 04/03 CITY OF TIGARD > , ��ou n �~rn mw��m�mmu�� BUILDING ��U��U��K��0� ~~"°"~~.~=.~ PERMIT #: ELR2005-00308 13125 SVVHaU Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 agl0sk INSPECTION WORKSHEET FOR DATE: 1027Y2005 TIME: 4:11PM PAGE: 26 SITE ADDRESS: 1196DSW GARDE 7 CLASS OF WORK: SUBDIVISION: CROW LOT #: 001 TYPE OF USE: PROJECT NAME: VI:STA DESCRIPTION: Fire alarm. OWNER: SPIEKER PROPERTIE P, PHONE #: 503-675-8700 CONTRACTOR: FIRE PROTECTION SER ICES PHONE #: 503-690-3732 . - - Inspection Request Scheduled For: '\ Date: 10/28/2005 Pour Time: Code # • e '' • e Deoodption ')Confirm Contact # Message 199 Electrical final 1;19670-02 971 216'3167 N Corrections/Conn-' ' . PASS Li PARTIAL APPROVAL I CANCEL EI NO ACCESS El FAIL I 1 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: /���� Me ' '�- Date: -°~~~ Phone #: (503) 718- 2.4, • • CITY,OF TIGARD a BUILDING DIVISION PERMIT #: ELR2005- 00308 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2005 Phone: (503) 639 -4171 /�uihm llij�l+� Inspection Requests (24 Hrs.): (503) 639 -4175 °'__L INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 108 SITE ADDRESS: 11950 SW GARDEN PL BLD.7 CLASS OF WORK: SUBDIVISION: CROW PARK 217 LOT #: 001 TYPE OF USE: PROJECT NAME: VESTA DESCRIPTION: Fire alarm. OWNER: SSPIEKER PROPERTIES LP, PHONE #: 503 -675 -8700 CONTRACTOR: FIRE PROTECTION SERVICES PHONE #: 503 -5590 -3732 Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 019466.01 603-590-3732 N Corrections/Comments/Instructions: scl pc��u�A� `' Pep 4 2..t ii3$2 AT4 4.6/U Ya cam , ' Qt! ' 10 AL p er. • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS X FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N 68 Le Date: 1 li (15 , Phone #: (503) 718- in 44 • CITY OF TIGARD • „ _ - BUILDING DIVISION PERMIT #: ELR2005-00308 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2005 A, Phone: (503) 639-4171 Jah lt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 66 SITE ADDRESS: 11950 SW GARDEN PL BLD.7 CLASS OF WORK: SUBDIVISION: CROW PARK 217 LOT #: 001 TYPE OF USE: PROJECT NAME: VESTA DESCRIPTION: Fire alarm. OWNER: SPIEKER PROPERTIES LP, PHONE #: 503-676-8700 CONTRACTOR: FIRE PROTECTION SERVICES PHONE #: 503-590-3732 . Inspection Request Scheduled For: Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 018827-01 503 Corrections/Comments/Instructions: t pi PARTIAL APPROVAL • 0 CANCEL LII NO ACCESS pi FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: N GEs Date: 10 / 2/ Or Phone #: (503) 718- 1 • CITY OF TIGARD .i BOLDING DIVISION PERMIT #: ELR2005 -00308 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2005 Phone: (503) 639-4171 lo� iA Inspection Requests (24 Hrs.): (503) 639 -4175 „_, INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7 :10AM PAGE: 21 SITE ADDRESS: 11950 SW GARDEN PL BLD.7 CLASS OF WORK: SUBDIVISION: CROW PARK 217 LOT #: 001 TYPE OF USE: PROJECT NAME: VESTA DESCRIPTION: Fire alarm. OWNER: SPIEKER PROPERTIES LP, PHONE #: 503 -675 -8700 CONTRACTOR: FIRE PROTECTION SERVICES PHONE #: 503-590-3732 Inspection Request Scheduled For: Date: 10/18/20055 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 018625 -01 503.591 -3732 N C, Corrections /Comments /Instructions: -11' 2-14b 0 I _2_ , V N\ \--,....,_ ..„--" - ovvpE kGt€6S F--(1.. 1 6 sC L I p iA i& s‘ t-- N k 0 S 4 1? k(2.(310 OZ -- e3Qii-dOln. I n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ,,FAIL IACALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6--N (1\1(4 LE Date: ) °I1 f t (Cc Phone #: (503) 718- 2.4) •