Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00252
,�I. 13125 SW Hall Blvd., Tigard, OR 97223.503- 639 -4171 DATE ISSUED: 10/16/2006
PARCEL: 2S101 BB -01400
SITE ADDRESS: 12172 SW GARDEN PL BLD3 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
Project Description: Low voltage for phone lines.
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:
SPIEKER PROPERTIES LP HUGHES ELECTRICAL CONTRACTORS
4380 SW MACADAM AVE STE 100 9640 SW SUNSHINE CT STE 600
PORTLAND, OR 97201 BEAVERTON, OR 97005 -4689
Phone: Contact #: PRI 503 626 - 3344
FAX 503- 626 -3377
FEES Reg #: ELE 34 -281C
LIC 49850
Description Date Amount SUP 4025S
[ELPRMT] ELR Permit 10/16/200E $75.00
[TAX] 8% State Surcharl 10/16/200E $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 1-80..days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to'follow rules ado, the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -00 010 . You may obtain copies of these rules or dire- ions to OUN at 503- 246 -6699.
Iss ed By: a , Permittee Signat /' J #1 je_/c i --- ,
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.
''"Electrical Permit Applicatio,! ECEiVE FOR;OFFICE USE ONLY
City of Tigard OCT ll ! ew' o /49 4 b i a,,A 2006 Pemut No
13125 SW Hall BdTigard, OR 9722 Other Permit:
' 1 ° <;. Phone 503.639 4171 Fax: 503.598.. 60 OF TIGARD Date/By.
TI;GARD Inspection Line: 503.639 BUILDING DIVISION Date Ready/By: tuns El See Page 2 for • Internet: www tigard -or gov Notified/Method: Supplemental Information
"P" =ANA REV
IEW•, .
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`� .. , ` :�' - . �v `� " -., a � F � .� � -». -fi �'�� .._ v_, ... .. ._ ,, �_� _o >,� � - �:. �< ,.• . �� = � ? :��
•
❑ New construction ® Addition/ alteration /rt Addition/alteration/replacement Please check all that apply (submit 2 sets of plans whtems checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ❑ Other: where the available fault current El Marinas and boatyards
1 77 w` 7 6 C) ` 1 °`' ;v ,, ! k, ' ', exceeds 10,000 amps at 150 volts or ❑ Floating buildings
' :!3 " "' aCATEGO& OE GQN ;`"
E' ���" M �= °��r'`'` " °; "'-° a �"�` ° =' "'° ` '�°�'' , ,,,,,,k � � j " "\ less to ground, or exceeds 14,000 ❑Commercial -use agricultural
El 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi - family El Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
_ ,,, ,.,, rc ,. ,, -- " y ❑ Emergency system larger separately derived system
4,, J4B SITE_. „ MATION >AND, I,f ,;, , `,,- ,k,,,,:,, l _g„
. �' ?;. .���i :�.. : , .; „.4.,,, ��,•,,.:« :, °aa�r�,. A ,,,,,,,,„ „ ; - ., . . h ' ❑Add ition of new motor l oa d o ❑.. .. .. Z,,, ,
Job no.: 610664 Job site address: 12172 Garden Place Building #3 100HP or more occupancy
❑ Six or more residential units. ❑ Recreational vehicle parks
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Fastenal Co. ❑ Service or feeder 600 amps or more
:` .;u,” fi " F '-n' . °i; ._ ,,
'
Cross street/directions to job site: _ Description I Qty. I F e e 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] 500 sq. ft. or portion 33 40 1
Tax map /parcel no.:
Limited energy, residential 75 00 2
;' i : 1)ES,CRIPTTON' OF -W K : ' ; :• , ,% G : ,;' ' - : (with above sq ft.)
Install telephone lines. Limited energy, multi -family 75 00 2
p residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
!!'A' v PROPERTIj46;64k', °s „fil > , H;,;,
Q ”` " "'" '� < =�s -• TENANT'S � 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
' °,' ' F :; y _ °�' -. `' E SO above service or feeder fee
' `,� �® ;APPLIC .. -- 4.Y., " • y.. ® " CONTACT °,, R . N 1c. -,, 665 2 >_
�` ���` "�' each branch circuit
Business name: B Fee for branch circuits
Contact name: without service or feeder fee, 46 85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90 90 2
Phone: ( ) Fax: • ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
3. ti .',� � ,.... ,, T;.•:; ,Y: &,,, ; :_Q/ Sign or outline lighting 53 40 2
. �', :`_ : <`COlVTRAC'CORs " : , > �.: b � � ��yt `�� � g g g
Business name: Hughes Electrical Contractors, Inc. energy pa n e l, al or alteration, or
g � energy panel, alteration, or
Address: 9640 SW Sunshine Court, Suite 600 extension Describe. 1 Page 2 75.00 2
Telephone lines
City/State /ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: (503) 626 -3344 Fax (503) 626 -3377 Investigation per hour (1 hr in,n) 62.50
CCB Lic.: 49850 Electrical Lic. 34 -281C Suprv. Lic.: 4025S Industrial plant per hour 73 75
kS- `. t'";, ; J CTRICA ERMIT'FEES°, , :.: . ,:A -
Suprv. Electrician signature, required: ���� Subtotal. 75.00
Print name: Greg L. Woolfe D e: 10/11/2006 Plan review (25% of permit fee): 0 00
State surcharge (8% of permit fee): 6.00
Authorized signature: TOTAL PERMIT FEE 81.00
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit
1 \Buddmg\Perm ts\ELC- PermttApp doe 05/23/06 440- 4615T(I 1 /05 /COM/WEB
CITY OF TIGARD .. „. ..
BUILDING DIVISION A PERMIT #: ELR2006-00252
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2006
Phone: (503) 639-4171 Aniludivot liiI
Inspection Requests (24 Hrs.): (503) 639-4175 ,..,-41.4 1 J -
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 35
SITE ADDRESS: 12172 SW GARDEN PL BLD3 CLASS OF WORK: '
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: FASTENAL
DESCRIPTION: Low voltage for phone lines
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: HUGHES ELECTRICAL PHONE #: 503
Inspection Request Scheduled For: - _.: , :3 Date: 10/18/2006 Pour Time:
•_,:.- - - • - : ', • I escription
Confirm Contact # Message
1F19 Electrical final , i 033366-01 503-816-8057 N
---- .
Corrections /Comments / Instructions:
I
IS ,
0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
(L6) PAS)
I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Q' i Mete 1J Date: 101/1 Phone #: (503) 718- 2-414