Permit I CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
l DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00102
AA FBI � � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/8/2006
PARCEL: 1 S 135CA -00700
SITE ADDRESS: 11225 SW GREENBURG RD ZONING: I - P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Phone and data.
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:
W. SCOTT ZWINGLIE A -REBS COMMUNICATIONS INC
11225 SW GREENBURG RD 5855 SW TARALYNN AVE
TIGARD, OR 97223 BEAVERTON, OR 97005
Phone: Contact #: PRI 520 -0625
FEES Reg #: ELE 34- 558CLE
LIC 86096
Description Date Amount SUP 2340RET
[ELPRMT] ELR Permit 5/8/2006 $75.00
[TAX] 8% State Surcha 5/8/2006 $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 questi ns to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature: y' �,„
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 Applic i ( V' r. I OR QFI ICI± use, ONLY •
4 y 6 7 c b � d .. •
Receiv
11_ City of Tigard Date/By. Permit No.: �,, iD !O
" 13125 SW HaII Blvd., Tigard, OR 1 97223 n 8 Plan Review
C ' Phone: 503.639.4171 Fax: 503.5989960' `-' 2006 Date/By: Other Permit:
T : L G;•A RD Inspection Line: 503.639 Date Ready/By: lypr El See Page 2 for
Internet: www.tigard- or.gov( 1T\ OF I f( fit Notified/Method: / r Supplemental Information
Tik OF O�R " TNMIV` PLAN REVIEW
❑ New construction ❑ Addition/alteration /replacement Please check all that apply:
1:1 Demolition ❑Other: 0 Service over 225 amps, comm'l ['Hazardous location
0 Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION . of 1 -and 2- family dwellings 4 or more new residential
❑ 1- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑Building over three stories El Feeders, 400 amps or more
❑ O ther: ❑Occupant load over 99 persons 0 Manufactured structures or
' - JOB SITE INFORMATION AND LOCATION ; ' . ❑Egress/lighting plan RV park
0 Health-care facility ['Other:
Job no.: Job site address:
11 a 6-4 Sw 6110E4 Ao Submit 2 sets of plans with any of the above.
City /State /ZIP: 7-16 " Q ,/1 9 7 ,/ .7_3 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project name: �('� FEE' SCHEDULE
�h�tL`p �hf'%JY! Description I Qty. I Fee. I Total I ""
Cross street/directions to job site: SW cc- ce `' e ` , ,,X(I ,. New residential single - or multi - family dwelling unit. .
J Includes attached garage.
1 e tifk.1 11 ( yvJi ,r L-1.. ( t 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 l
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION" OF WORK Each manufactured or modular
j _ I _ - dwelling, service and/or feeder 90.90 2
e ^fi Wet, e' 1.1&. ►&. (" _ t T'tt-t/ Services or feeders installation, alteration, and /or relocation
. 200 amps or less 80.30 2
' Lr .1 • OWNER . - - - '❑ TENANT 201 amps to 400 amps 106.85 2
- 401 amps to 600 amps 160.60 2
Name: V^4 , Soo Zw I v1/4) (L-i 601 amps to 1,000 amps 240.60 2
Address: 1 ( A Su_ ro aR� A Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: • r1&Aex t C Temporary services or feeders installation, alteration, and/or
relocation
Phone: (=j) 420`O&00 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 cxchangc, 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
° ❑ APPLICANT - [CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: /� A / i A L ' 1/, j) branch circuit
�` t B. Fee for branch circuits
Contact name: S eg zotiv . j without service or feeder fee, 46.85 2
/ / first branch circuit
Address:
0 2 2514 .SL) C 4/ /<G{ , Each add'l branch circuit 6.65 2
City / State/ZIP: r76, � � i Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( 305 ) (pd cr _gall Fax :: (5b3 2 -
`1 — � eX 2, Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited
CONTRACTOR . . energy panel, alteration, or
extension. Describe: / Page 2 75 - - 2
Business name: A /
Address: 1y77) r� a�206, Each additional inspection over allowable in any of the above
su
Per inspection 62.50
City/State /ZIP: A ex/ :C't -kJ/1, t) q' 7 ov8 Investigation per hour (I hr min) 62.50
Phone: ( ) 61..0 -06 z3 Fax: ( ) 6Yt /d' � Industrial plant per hour 7 ELECTR_ 1CAL PERMIT FEE 73.75 S* 5
S*
CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal: "75
Suprv. Electrician signature, required: Plan review (25% of permit fee):
Print name: Date: State surcharge (8% of permit fee): G
TOTAL PERMIT FEE g
Authorized signature: ;. �/ � This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: I,A4 Ssvrr ZG /i /Lk; - , ° Date: 40 " Fee methodology set by Tri- County Building Industry Service Board
Number of inspections per permit allowed.
l:\ Building \Permits\ELC- PermitApp.doc 03/23/06 440-4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard t;
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
re. °RESIDENTIAL WORK ONLY: -
Fee for Al 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:
j COMMERCIAL WORK ONLY: V w
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*
LI Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\ Building \Pennits\ELC- PennitApp.doc 03/23/06
. ..
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00102
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2006
Phone: (503) 639-4171 hattili 1
Inspection Requests (24 Hrs.): (503) 639-4175 J
INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 87
SITE ADDRESS: 11225 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: THE LIGHT-UP CO
DESCRIPTION: Phone and data.
•
OWNER: ZWINGLIE, W. SCOTT PHONE #:
CONTRACTOR: A-REBS COMMUNICATIONS INC PHONE #: 520-0625
Inspection Request Scheduled For: Date: 5/8/2007 Pour Time:
Code # Inspection Description Confirmz4f Contact # Message
,
199 Electrical final (- 047806-03 \ 503-624-9221 N
Corrections/Comments/Instructions:
,_ ..
..-
■.. 4 t ' I 7 i i 0 \ a Ili T ST
i-Ae c L.L.) 0-07, A -
•
Zi PASS I I PARTIAL APPROVAL 7 CANCEL NO ACCESS
1.—
•741..t.
11:111111Zau- X CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: G-1 1\1 C4e) LE Date: 6 0 1 Phone #: (503) 718- 2
, . . . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00102
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 90
SITE ADDRESS: 11225 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: THE LIGHT-UP CO
DESCRIPTION: Phone and data.
OWNER: ZWINGLIE, W. SCOTT PHONE #:
CONTRACTOR: A COMMUNICATIONS INC PHONE #: 520-0625
Inspection Request Scheduled For: Date: 5/8/2007 Pour Time:
Code # Inspection Description CC Contact # Message
135 Low voltage 047805-01 503-6249221
Corrections/Comments/Instructions:
( Pikt\\D L■.6
I PASS PARTIAL APPROVAL CANCEL fl NO ACCESS
FAIL 7 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: I tS (6 LIC Date: 61 ( al Phone #: (503) 718- 14)
I
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELR2006.00102
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5//812006
Phone: (503) 639 -4171 7
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/8/2006 TIME: 1:03AM PAGE: 100
SITE ADDRESS: 11225 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: THE LIGHT - CO
DESCRIPTION: Phone and data.
OWNER: ZVVINGLIE, W. SCOTT PHONE #:
CONTRACTOR: A -REBS COMMUNICATIONS INC PHONE #: 520-0625
Inspection Request Scheduled For: Date: 6/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 031307 -01 503 - 620 -0600 N
P „ Cr „
Corrections /Comments /Instructions:
•
, ZI•ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 "� Date: �--A P e #: (503) 718-