Permit a� •
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT .
I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00232
VIII 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/16/2005
PARCEL: 25101 BB -01300
SITE ADDRESS: 11950 SW GARDEN PL BLD.7 ZONING: C -G
SUBDIVISION: CROW PARK 217 LOT: 001 JURISDICTION: TIG
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Project Description: Loy voltage.
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: __X_ __ P_RO_T_ECTIVE_SIGNAL:__
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SPIEKER PROPERTIES LP PROTEMP ASSOCIATES INC
4380 SW MACADAM AVE STE 100 9788 SE 17TH AVE.
PORTLAND, OR 97201 PORTLAND, OR 97222
Phone: 503- 675 -8700 Phone: 503- 233 -6911
Reg #: ELE 26- 1063CRE
LIC 38868
FEES SUP 2613LEP
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/16/2005 $75.00
[TAX] 8% State Surcharl 8/16/2005 $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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 95 01-0100. You may o tain copies of these rules or direct questions to OUNC at 503-246-6699.
Issued By: Permittee Signature -\ 124 , �r�µ -
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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.
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Electrical Permit AoplicationuED .1......„,::::,..,..i,„4.1„:,,,,,,,::,-,,-; ,..:. TOR OFFICE USE ONLY:3: :•:, ,:''..,...:'..' 7 . :1.1. 1... '' '''''k ' .
u U e= \-2,/ t. g V
City of Tigard . Received
Date/By. / / Glo5 8_5 Pennit NZI4e ....e 3.2..... ‘
13125 SW Hall Blvd., Tigard, OR 97223 ; :',..; 1 ,Q 1)(6 Plan Revie
Phone. 503 639.4171 Fax 503 598.1680"-- .L U L *IP Op ir*. Date/By. Other Permit:
Inspection Line 503 639.4175 i:.:L1111.-:e Date Ready/By: .i l21 See Page 2 for
Internet: www ci.tigard or us CITY OF TIGARD Notified/Method Ifk Supplemental Information
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q'TrAN ItEVIE*
0 New construction 0 Addition/alteration/replacement Please check all that apply
EService over 225 amps, comm'l pHazardous location
Ej Demolition 1=1 Other:
OService over 320 amps - rating DBuilcIng over 10,000 sq. ft.,
C'Aiiediifiii 7 I: -- If ,- of I and 2-family dwellings 4 or more new residential
0 1- and 2-family dwelling sl 0 Accessory building 0System over 600 volts nominal units in one structure
EBuilding over three stones OFeeders, 400 amps or more
0 Multi-family 0 Master builder 0 Other:
DOccupant load over 99 persons ['Manufactured structures or
46..:$Itk r
._;:,: EE plan RV park
Job no.: Job site address: N 73 St,,/ c,...4,0 e..4.) 1 (.._, PHealth-care facility DOther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: - 11 / 4 - c A.4..... _ - z _ z _ k__ The above are not applicable to temporary construction service
,,C1:?,,, :,:-tiEt;ji
Suite/bldg /apt. no.: Project name: V
-- --
Description Qty. Fee. 1 Total **
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
Limited energy, residential 75.00 2
Tax map/parcel no.:
, _________,„, Limited energy, non-residential ) 75.00 2
PES,.0 Each manufactured or modular
dwelling, service and/or feeder 90 90 2
, 0e) i - J t Av.. Services or feeders installation, alteration, and/or relocation ,
200 amps or less 80.30 2 201 amps 10400 amps 106.85 2
3 4:9 1 fX 1 3 , T1'.c;01)5, 1 W .‘;,..,:;,,,:,.., I i 3 1,Nv, ,,,,,,,,:,,,,,, :,,,, ,'ITNAN,T, ,, ,„ , ,,
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 10 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps 10 600 amps 133 75 2
Owner signature Date: Branch circuits - new, alteration, or extension, per panel
4 t.: - ,StiVAW '.p.,,A: 17 af.*Wile ;:i'fej(jfif:44,,lit,4 A. Fee for branch circuits with ..
service or feeder fee, each
Business name:4 6 r /44 J-.) c ... 4. / branch circuit 6.65 2
- B Fee for branch circuits
Contact name: g R , 1 ( / '
(.., ,.....'e-..-- 11 i 1 without service or feeder fee,
. 46 85 2
each branch circuit
Address: 9. 2 rg s v , / ) 74 4-(A.0____ Each add'l branch circuit 6.65 2
City/State/ZIP jeaura,,,,q A._ 0 „, e , Miscellaneous (service or feeder not included) _
Pump or irrigation circle
Phone: Vik3 ) 6") 9-6 / 5. .) Fax: :4sra )2,3 2 ‘ 2 53.40 2
Sign or outline lighting 53 40 2
E-mail: Signal circuit(s) or limited-
C:ON't :13.A.OititilKAtn4:.P':Z.,4i energy panel, alteration, or
extension Describe: Page 2 2
Business name ( .
k....),44...-r .
Each additional inspection over allowable in any of the above
Address:
Per inspection ' 62.50
City,'State/ZIP- Investigation pet hour (1 hr min) 62 50
Phone: ( ) Fax ( ) Industrial plant per hour 73 75
;EVF;CTP:Kat:.:
CCB Lie jts Electrical Lie 2 i 0 6 Lie •3 g y 1 cers Subtotal
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Suprv. Electrician signature, required: c-re, " Plan review (25% of permit fee)
(...- , . .
Print name.
„...._42,.., Date „ ._4(-- State surcharge (8% of permit fee)
Authorized
TOTAL, PERMIT FEE p. oe.)
This permit application expires if a permit is not obtained within 180
. . j
signature: ;et
days after it has been accepted as complete
Print name: i?u c e .... 8 ,, j i Nevr, Date:5 - * Fee methodology set by Tn-County Building Industry Service Board • .
** Number of inspections per permit allowed.
1 1 BuIldIngTermils \ ELC doe 12/03 440 15T(10/02/COM/WEB
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BKKKU DNG DIVISION PERMIT #: ELR2006-00232
18125SVV Hall Blvd.. Tigard, OR97223 DATE ISSUED: 8/16J2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 =�4- "1.1.
INSPECTION WORKSHEET FOR DATE: 10V13/2005 TIME: 7:04Ah4 PAGE: 12
SITE ADDRESS: 11960 SW GARDEN PL BLD.7 CLASS OF WORK:
!i SUBDIVISION: CROW PARK 217 LOT #: 001 TYPE OF USE:
PROJECT NAME: VESTA
DESCRIPTION: Lovvmhagm.
OWNER: SPIEKER PROPERTIES LP, PHONE #: 503-675-8700
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-235-6911
Inspection Request Scheduled For: Date: 10/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 018272-01 503-519-5199 Y
Corrections/Comments/Instructions:
SG PARTIAL APPROVAL r l CANCEL Li NO ACCESS
| | FAIL I I CALL \-8�
FOR INSPECTION | | ADDITIONAL FEES ASSESSED
&\ n�~
|nopeo�oInspector: ,a y\J �\&1 Date: Atlfric Phone #: (503) 718-