Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00079
' DATE ISSUED: 4/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135DD -05100
SITE ADDRESS: 11970 SW GREENBURG RD ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: CODA
Project Description: Installing (1) data low voltage systems.
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:
CYNTHIA GULICK HECKTEC TECHNICAL LLC
11970 SW GREENBURG RD 3484 HILLSIDE CT
TIGARD, OR 97223 HUBBARD, OR 97032
Phone: Contact #: PRI 503 -572 -1938
FAX 503- 981 -0478
FEES Reg #: ELE CLE14
LIC 162394
Description Date Amount SUP 1496LEA
[ELPRMT] ELR Permit 4/7/2008 $75.00
[TAX] 12% State Surch 4/7/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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: �.0 / / /� /2 (-7 �
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.
Apr 07 08 12:14p Hecktec Technica C 503 - 981 -0478 p.1
' Permit Apphcatio
� 1.9R f ) ) t 1( 1. 1 11: 0\1.1' ■
City of Tigard 1 tq 2.1*( Cl
Received : 4 L��1t�' / f ��� Permit No.: y Lg aW V f - 71
Date/B
• 13125 SW Hall Blvd., Tigard, OR 97223 APR A Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ellT., ty: Other Permit:
Inspection Line: 503.6394175 1Gl •
1 0'• a , wdy/By: tm F d See Page 2 for
7 It-i;� R lJ y (� 1 Supplemental Information
Internet: www.tigard- or.gov c� v y' �a��t #,- ,:1y: ' �,�; .
TYPE OF WOIt fi, Dkk \1 G V' PLAN REVIEW
❑ New construction ® Addition /altcrat en/rreplacement 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.
0 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 0 Accessory building amps for all other installations. buildings
[] Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ lnstallatton of 75 KVA or
0 Emergency system, larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "[ ", "1 - ", "t - 3 ",
10011P or more. occupancy.
Job no.: Job site address: 11970 SW Greenburg Rd
❑ Six or more residential writs 0 Recreational vehicle parks,
City/State/ZIP: ar
Ti d, Oregon 97223 ❑ Health - care facilities. ❑ Supply voltage for more than
g ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: CODA ❑ 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'I 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.) -
Limited energy, multi - family 75.00 2
Voice and Dab wiring residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocatio
200 amps or less 80.30 2
PROPERTY OWNER ❑TENANT 201 amps to 400 amps 106.85 2
Name: C ^ It k{ 401 amps to 600 amps 160.60
240.60 2
/ " / f � � l ` (2-e 601 601 amps to 1,000 amps 2
Address: ii' 17 0 S•�, Of'"' ` q Over 1,000 amps or volts 454.65 2
/
City /State/ZIP: / ( /e '7 — Temporary services or feeders installation, alteration, and/or
1 Z G1 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, ter 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: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit .
Address: Each add'l branch circuit 6.65 , 2
Miscellaneous (service or feeder not included) ,
City /State /ZIP: 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
Business name: HECKTEC TECHNICAL Signal panel, or limited -
energy panel, alteration, or
Address: 34.8H1LLSIDE CT extension. Describe: I Page 2 75 2
City/State/ZIP: HUBBARD OR, 97032 Each additional inspection over allowable in any, of the above
Per inspection 62.50
Phone: (503) 572 -1938 Fax: (503) 981 -0478 Investigation per hour (I hr min) 62.50
CCB Lie.: 162394 Electrical Lie.: cle I4 Suprv. Lie.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: _ 75
Print name: RACHEL HECK Date: 4/2/08 Plan review (25% of permit fee): S--
v
State surcharge (12% of permit fee): .' 9 ,
Authorized signature: TOTAL PERMIT FEE: V4:-2—
/ /'(J This permit application expires if • permit is not obtained within 180
Print name: e (�� Date • �/ / (/ iS days after it has been accepted as complete.
/ • Number of inspections allowed per permit.
. 1Building0 'crmrts\ELC- PmnitApp.doc 05/23/06 40- 4615T(1 t/05 /COM/WEB
Apr 04 08 01:39p Hecktec Techni LLC 503 - 981 -0478 p.1
- Electrical Permit Application "�' "\ rile{ l )f !NI.. 1.1 � � .� � +�
City of Tigard ^Q�i�� Da E3� Permit No.:
13125 SW Hall Blvd., Tigard, O• .' l•
■ . . Phone: 503.639.4171 Fax: 503.598.1960 Other Permit.
f 1 i; .� 1: I Inspection Line: 503.639.4175 1 " '(`,.1 f J P'Ready/By: tuna 11 See Page 2 for
Internet: www.tigard ®� `�````\ Notified/Method: Supplemental Information
TYPE OF WO1U \ ` . G L ✓ !`� PLAN REVIEW
❑ New construction ® Addition/alterat Olacement 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 0 Other:
where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 1 0,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ® CommerciaUindustrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. Q Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A", "E", "1-2", "1-3",
Job no.: Job site address: 11970 SW Greenburg Rd six et 100HP
. Er . residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, Oregon 97223 ❑ Ilaaith -care facilities. ❑ Supply voltage for more than
. ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: CODA ❑ Service or feeder 600 amps or more.
— FEE SCHEDULE
Cross street/directions to job site: Description l tin. I Pee I Total l
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'1500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above s9, It.)
Limited energy, multi- family 75.00 2
Voice and Data wiring residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ 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 10030 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
0 APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: - 13. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit
.. 46.85 2
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: Each manufactured or modular 90.90 2
Phone: dwelling, service and/or feeder
( ) _ 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: IIECKTEC TECHNICAL Signal circuit(s) or limited
energy panel, alteration, or
Address: 348.3 De
HILLSIDE CT extension. scribe: t Page 2 75 2
City/State /ZIP: HUBBARD OR, 97032 Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: (503) 572 -1938 Fax: (503) 981 -0478 Investigation per hole (t he min) 62.50
CCB Lie.: 162394 Electrical Lie.: cleI4 Suprv. Lie.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 75Y
Plan review (25% of permit fee):
Print name: RACHEL HECK Date: 412108 State surcharge (12% of permit fee):
Authorized signature: TOTAL PERMIT FEE: Bi0 4"
Print name: Date: This permit application implies if a permit is not obtained within 180
days after It has been accepted as complete.
• Number of inspections allowed per permit.
t: Building \Pm,italELC-PmnitApp.doc 05,23106 440-4st5TO l/05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008-00079
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/7/2008
Phone: (503) 639 -4171 /O oIri i III"
Inspection Requests (24 Hrs.): (503) 639 -4175 44 '1. ,
INSPECTION WORKSHEET FOR DATE: 5 5/21/2008 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: Installing (1) data low voltage systems.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 503 - 572 - 1938
Inspection Request Scheduled For: Date: 5/21/2000 Pour Time:
Code # Inspection Description �Cbnfirm # Contact # Message
135 Low voltage 070193-01 503572 -1938 N
10i CA r —
Corrections /Comments/ nstructions:
, \
\ fl\
._\ \ J
c j .. \
I
\
/A ' ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6.— 1 --' Date: 6f2.tfr'% Phone #: (503) 718 - 1s'G
CITY OF,TIGARD
BUILDING DIVISION .. PERMIT #: ELR2008-00079
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/712008
Phone: (503) 639-4171 a vtviiti i It'
Inspection Requests (24 Hrs.): (503) 639-4175 A -.4.61■ 11.
INSPECTION WORKSHEET FOR DATE: 4/28/2008 TIME: 7:02AM PAGE: 16
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: Installing (1) data low voltage spterns.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 503-572-1938
Inspection Request Scheduled For: Date: 4/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 068940-01 603-358-6866 N
Corrections /Comments/ Instructions:
, •
4 R A.U- viv 06 izi• c 6, A 864 cal um,
.
iskl- `60 -3 (...
EA Ontuzi.14-- fitA csii CI , - , 7, i.
. / _
N -
CZMYNS ( k4 taLli,,oi 6 \--b IA Iliiikttp Li CYR .
PASS PARTIAL APPROVAL El CANCEL 0 NO ACCESS
I I FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: GM NM L.E Date: 1 4 Ltrt Phone #: (503) 718-
CITY OF:TIGARD
BUILDING DIVISION PERMIT #: aR2008-00079
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2008
Phone: (503) 639-4171 amogo,
Inspection Requests (24 Hrs.): (503) 639-4175 sal4;
INSPECTION WORKSHEET FOR DATE: 4/22/2008 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: In.51alling (1) data low voltage systems.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 603-672-1938
Inspection Request Scheduled For: Date: 4/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 068893-01 253-986-3888
Corrections/Comments/Instructions:
svit41_, o c t (Li D _
c-ekei 1,
c_4316 fizz
I I PASS LII PARTIAL APPROVAL I I CANCEL fl NO ACCESS
j t \ FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G Date: tv O L Phone #: (503) 718- i•Llik