Permit 6.111.114-7
Ir CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00107
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/24/2007
PARCEL: 25101 BB -01400
SITE ADDRESS: 12006 SW GARDEN PL BLD6 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: CUSTOM DECORATORS
Project Description: Data cable
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:
RREEF TELECOMM MANAGEMENT INC
101 SW MAIN 15611 PARTRIDGE DR
PORTLAND, OR 97205 LAKE OSWEGO, OR 97035-3121
Phone: 503- 295 -555 Contact #: PRI 503- 639 -8209
FEES Reg #: ELE 3- 463CLE
LIC 135355
Description Date Amount
[ELPRMT] ELR Permit 4/24/2007 $75.00
[TAX] 8% State Surchar€ 4/24/2007 $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 OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.6699 or 1.811 332.2344.
Issued :y: L'I / i / Permittee Signatu _ ,/
OWNER INSTALLATION ONLY G'
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.
TO m r Electrical Permit Applicatio a FOR +OFFICE,USE ONLY
a ' Re "ceived / �{
City of Tigard DateB : ' II. r 5,9 - D, 110
• 13125 SW Hall Blvd., Tigard, OR 97223 APR 2 <�' ( gO O 7 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 APR DateB : Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date ReadyBy: Juri ® See Page 2 for
Internet: www.tigard- or.gov CITY Y Or liu otified/Method: Supplemental Information
TYPE OF a ' ThI jr , nil TT Virr4 PLAN REVIEW
❑ New construction ® Addition/alteration/replacement 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 ❑ 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "1 -3 ",
Job no.: Job site address: 12006 Sw Garden PL, Portland, IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Custom Decorators ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: . Description I Qty. I Fee. I Total
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'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
- DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
Run Data Cable for cubicles and new offices residential (with above sq. ft.)
. Services or feeders installation, alteration, and /or relocation
• 200 amps or less 80.30 2
❑ PROP_ERTY, OWNER' - 0' 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 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 599 amps 133.75 . 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee 6.65 . 2
each branch circuit
Business name: Custom Decorators B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: 12006 SW Garden PL Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Portland, OR 97223 Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s)
Business name: Telecomm Management, Inc. limited -
energy panel, alteration, or
Address: P.O. Box 1293 extension. Describe: I Page 2 75.00 2
City/State /ZIP: Lake Oswego, OR 97035 7// /a Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503 - 639 - 8209 Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: 135355 Electrical Lic.: 3- 463CLE / Suprv. Lic.: 2055LEB Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 75.00
Print name: David Ellis Date: 04/22/07 Plan review (25% Of permit fee):
State surcharge (8% of permit fee): 6.00
Authorized signature: TOTAL PERMIT FEE: 81.00
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.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440.4615T(11/05/COM/WEB
CITY OF TIGARD , t:
BUILDING DIVISION PERMIT #: ELR2007 -00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2007
Phone: (503) 639- 4171e14
Inspection Requests (24 Hrs.): (503) 639 -4175 a.:' I ° _L
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7 :04AM PAGE: 26
SITE ADDRESS: 12006 SW GARDEN PL BLDG CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: CUSTOM DECORATORS
DESCRIPTION: Data cable
OWNER: RREEF, PHONE #: 503-295-555
CONTRACTOR: TELECOMM MANAGEMENT INC PHONE #: 503 - 639.8209
`V \ \. 'C 'U, 5
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 050571 -01 503 - 789-1456 V
Corrections /Comments /Instructions: Q`� �� gt
X PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �' � Date: k) ' 10 ‘ Phone #: (503) 718- IAb
,:. • . • ,
i • (
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00107
1 .
AI 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2007
Phone: (503) 639-4171 04010,014
Inspection Requests (24 Hrs.): (503) 639-4175 Alri■ Al.
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 12006 SW GARDEN PL BLD6 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: CUSTOM DECORATORS
DESCRIPTION: Data cable
OWNER: RREEF, PHONE #: 503-295-(Z5
CONTRACTOR: TELECOMM MANAGEMENT INC Ki\i NI] PHONE #: 503-639-8209
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description Z5Fifif Contact # Message
135 Low voltage 05 , 96-01 ) 503-789-1456 .-,
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Corrections/Comments/Instructions: /
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I I PASS r PARTIAL APPROVAL r7 CANCEL I I NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: C-1 (N)U5 1 -6 Date: 1. *I - 01 Phone #: (503) 718-
"
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 OtJ1177
4/24/200 r
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 p�nu-�, pUI - -
Inspection Requests (24 Hrs.): (503) 639 -4175 !•
8/30/2007 7 :00AM 15
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
12006 SW GARDEN PL ELD6
SITE ADDRESS: PARK 217 002 CLASS OF WORK:
SUBDIVISION: CUSTOM DECORATORS LOT #: TYPE OF USE:
PROJECT NAME: Data Cable
DESCRIPTION:
RREEF, 503-295-555
OWNER: TELECOMM MANAGEMENT INC PHONE #: 503 - 639~8209
CONTRACTOR: PHONE #:
8/30/2007
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm f m • Contact # Message
135 Low voltage 054906 -04 503 - 7113 -2426 N
g q FIN >AL
Corrections /Comments /Instructions:
•
•
\ � f
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: ' ' Q Date: p •3I • 8 () Phone #: (503) 718 - 2•0"