Permit lw �m
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00066
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/12/2007
PARCEL: 25101 BB -01400
SITE ADDRESS: 12020 SW GARDEN PL BLDG ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: BMW MOTORCYCLES
Project Description: Security and video systems
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: VIDEO X
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
SPIEKER PROPERTIES LP GRS LOW VOLTAGE SYSTEMS, INC.
4380 SW MACADAM AVE STE 100 7300 RICE
PORTLAND, OR 97201 BEAVERTON, OR 97223
Phone: Contact #: PRI 503- 246 -3316
FAX same as above
FEES Reg #: ELE CLE54
LIC 169688
Description Date Amount
[ELPRMT] ELR Permit 3/12/2007 $150.00
[TAX] 8% State Surcha 3/12/2007 $12.00 REQUIRED ITEMS AND REPORTS
Total $162.00
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 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: 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.
' , tlec`trical Permit A I I lica _ .,= FOR OFFICE USE ONLY - .
City Tigard : 6.,. _ '' te
�' g "-^�' - 1 5ate /B¢!J 47 0 qtai5 _ I - O00614
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
III
F Phone: 503.639.4171 Fax: 503.598.19 60 A Date/B . Other Permit:
T LC AR I7 Inspection Line: 503.639.4175 11A 1 2 2007 Date Ready/By: IiiM ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE O It yy ui i i o PLAN REVIEW .
❑ New construction f �" 1! 1 I ft,. i f
�.Additior t� aic�n/ e jcement (11 Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition El Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB, SITE INFORMATION AND LOCATION - . ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I - ",
e S co 4'v 100HP or more. occupancy.
Job no.: Job site address: ' � j �� . ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: t 3 ei yJ G K, ❑ Health -care facilities. ❑ Supply voltage for more than
C l ' ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
- FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
,. DESCRIPTION OF WORK (with above sq. ft.)
-{-, I Limited energy, multi- family 75.00 2
15 LI l e r (41 w^'t t C) PC" S r-1 n f p s,'1 residential (with above sq. ft.)
,J ) J Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 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 599 amps 133.75 2
.t Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT J ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: R p (/ / S 4, O cr V c, (1 �� c �' yStei+4S -rHC B. Fee for branch circuits
without service or feeder fee,
Contact name: J
G O t 1 r * C first branch circuit 46.85 2
Address: " p U s 4i —? O t- t_ e Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City / State/ZIP: &,., v tv 'k " OR ` 4 2 a 23 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( 503) Y . 3 3 / (d Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
. CONTRACTOR Sign or outline lighting 53.40 2
Business name: Signal circuit(s) or limited -
°e-t°
f\ energy panel, alteration, or
Address:
W�, ,1/1 ° extension. Describe: Page 2 2
City / State/ZIP: 1 ` inspection any 'I \` Each additional ins ection over allowable in an of the above
Phone: ( )
/ Fax: ( )/ Per inspection 62.50
Investigation per hour (I hr min) 62.50
CCB Lic.: 1 6 56, S s) Electrical Lic.: C L- r 59 Suprv. Lic.: -7 SS 2l _ industrial plant per hour 73.75
4 62,7 j uvt ELECTRICAL PERMIT FEES
Suprv. Electrician signature, re Subtotal: / �—
Print name:
7'
0 f, � • , 1 ' t ° e Date: ` � -- 1,3s.— Plan review (25% of permit fee)
State surcharge (8% of permit fee): ,/,'
Authorized signature: TOTAL PERMIT FEE: / 4,9, •
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\ Building \Pennits\ELC- PermitApp.doc 05/23/06 440- 4615T(I I /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
•
LIMITED ENERGY PERMIT FEES:
°° R TIAL'WORK #ONLY:
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*
❑ Vacuum Systems*
❑ Other:
;COMMERCIAL WORK'ONLY: •
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
•
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑
•
Outdoor Landscape Lighting*
❑ Protective Signaling
0 V-4n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\ Building \Permita\ELC- PennitApp.doc 03/23/06
CITY OF TIGARD ( , . —s6==linztvzsi
BUILDING DIVISION PERMIT #: ELR2007-00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3112/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/2112007 TIME: 7:02AM PAGE: 11
SITE ADDRESS: 12020 SW GARDEN PL BLD6 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: BMW MOTORCYCLES
DESCRIPTION: Security and video SWIMS
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: GRS LOW VOLTAGE SYSTEMS, INC. PHONE #: 503-246-3316
Inspection Request Scheduled For: Date: 3/2112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 045190-01 503-907701
Corrections/Comments/Instructions:
VAO OS■rt ON1-1 4)
1 .111111■—___
0 PASS pi PARTIAL APPROVAL n CANCEL El NO ACCESS
I I FAIL n CALL FOR INSPECTION l I ADDITIONAL FEES ASSESSED
Inspector: \\I 0 e Date: ZI 2 -1( Phone #: (503) 718-
) '