Permit T;Yy„ t l �� ® ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00106
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2008
PARCEL: 2S101DB
SITE ADDRESS: 07300 SW HUNZIKER RD 101 ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HILLTOP BUSINESS CENTER
Project Description: Installing (1) audio / video system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
ROBINSON DEVELOPMENT LEWIS AUDIO VIDEO
PO BOX 91305 2112 PORTLAND RD.
PORTLAND, OR 97291 NEWBERG, OR 97132
Phone: Contact #: PR! 503 -538 -1190
FAX 503 -538 -5419
Reg #: ELE 36- 119CLE
FEES LIC 177627
Description Date Amount SUP 562LEA
[ELPRMT] ELR Permit 5/1/2008 $75.00
[TAX] 12% State Surch 5/1/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued BG •ermi"ee Signature: ,Z
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
iiii Apr. 29. 2008 5:07PM Lewis Audio /Video , l .,r, -.S.. -, No. 4867 Tigard P. 1
Elect
i rical Permit ADDlicatiR ` FOR OFFICE'USE O NLY
City 0)i Received
1 �- 13125 SW Hall Blvd., Tigard, OR 97223 A PR ; 0 200$ Plan Review •57/ vg fi, ` _ ` , � 1 ) � (l b
II Phone: 503,639,4171 Fax; 503.598.1960 Date/13y: Other Permit. w • O `-•- 1
, w i
TI t;1,lt f7
Inspection Line; 503,639.4175 CITY o' ' 1 l GP rt Date Ready /By: hula; 0 See Page 2 for
Internet: www.tigard- or.gov
CITY c 1 Notificdgelelhod: Supplemental Information
in1 iii + %;%1'-''
� : i 'z s-',
TYPE OF .V050
. PLAN 'REVIEW ' • .
Please check all that apply (submit 2 sets of wlitems checked below):
❑ New construction 0 Addition/alteration /replacement
❑ Service or feeder 400 amps or more ❑ Building over three notice.
❑ Demolition ❑ Other: whore 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 a Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Plre pump. [] Installation of 751 :VA or
1013 SITE INFORMATION AND LOCATION ❑ Emergency um. larger separately derived system.
. ❑ Addith t of new ays motor load of ❑ 'A" "1?" ' l a" "I -3'
Job no.: 1 Job site address: r ] 300 N JJ t 100HPormore. Recre ancy. oCcup
Hu w2-,1 got ❑Six or more residential units, ❑ Recreational vehicle parks.
City /State /ZIP: �. aJ , r e 0 ❑ Health -care facilities. 12 Supply voltage for more than
.�—�. l+ ❑ HazardOils looations, 600 volts nominal.
•
g a t, no.:
p l�( { /
Suite/bldg./apt, / Project name: a )7 &s, ltj i Bo ater or fbedor GOO amp m
or ore.
FEE SCHEDULE Cross street/directions to job sit . pceertpnon I Qty. I Per. I Total I
�f' New residential single- or multi- fanrlly dwelling unit. •
Includes attached garage.
•
Subdivision: —V Lot no.: 1,000 sq. ft. or less 145.15 4
Tax trap /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK . . . (with above sq, a.)
V
1 ` J • tat / (, L energy, multi - family
1�0 VJ I, 1 1p Q V i d u� residential (with above sq. a.) 75,00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less ' 80.30 2
171 PROPERTY OWNER I • ❑ TENANT.:: 201 amps to 400 amps 106.85 2 •
Name; ' r ings' J GC„ �/y 61 401 amps to 600 amps 160.60 2
r `�/ `�' 601 amps to 1,000 amps 240.60 2
Address: ? 6 0 A (14 ►� 6-c44 ,WW a✓ Over 1,000 amps or volts 454.65 2
City /State/ZIP: / (t j h� 0 IL O cf - DI 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ APPLICANT I CON TACT PERSON ' A .. above service or feeder fee,
each branch circuit 6.65 2
Business name: , , i a ( es _ y4 v B. F ee for branch circuits
(( l t
without service or feeder fee, 46.85 2
Contact name
e, t L A- rY 11.01 C r c,t't@.. e ` first branch circuit
Address: 2.,\ N r��n .,`air.. u� A V Tisch add'1 branch circuit G,G5 2
Miscellaneous ( saryico or feeder not included
City /State/ZIP: WI11 bvo O 9 -4_, 12 4 . 573---09 -lc, Each manufactured or modular 90.90 2
` dwelling, service and/or feeder
Phone: (56`)) 6 i4 5 0, a 2,, I Fax; ; ( ) Reconnect only ,66.85 2
E -mail; Pump or irrigation circle 53_40 2
•
.. . . CONTRACTOR ' ' Sigh or outline lighting 53.40 2
/ Signal circuit(s) or limitcd-
Business name: vJ 15_„ A i Q V 1 @_O energy panel, alteration, or
Address: Z i i 7 —ptSYTVQ extension. Describe: Page 2 2
City /State /ZIP: 1\",A i- (A2.,_ (Ai 1-$', Each additional inspection over allowable in any of the above
V \ Per inspection 62.50
Phone: (503) 5 3g j iv I P'ax: (g a3) s 3g it/ 7 q Investigation per hour (1 hr min) 62.50 .
CCB Lie.: /' 7 k Z:--/ Electrical Lie.: , -// 9 d ^, Suprv. Lic.: $G Z LEA , Industrial plant per hour 73.75
•ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: I fi Subtotal: 3Cea
7 (� Plan review (25 %of permit fee);
Print name: \ l ( Q e L v t3 LOC Da e: y' L (�Q State surcharge (12% of permit fee); 00
Authorized signature; TOTAL PERMIT FEE: 64. / o0
• 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: 113uitdirtPem ,italsLC- Permitppp.doc 05/93/06 440 4615'1(II /Os /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 -00i0G
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1 /2008
Phone: (503) 639 -4171 /:u +agp4 I �
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I �..
INSPECTION WORKSHEET FOR DATE: 5/7/2008 TIME: 7:00ANM PAGE: 23
SITE ADDRESS: 07300 SW HUNZIKER RD 101 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUSINESS CENTER
DESCRIPTION: Installing (1) audio / video system.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: LEWIS AUDIO VIDEO PHONE #: 503 -638-1190
Inspection Request Scheduled For: Date: 5/7/2008 Pour Time:
Code # Inspection Description Confirm . Contact # Message
135 Low voltage 069513-01 503-538-1190 N
Corrections /Comments /Instructions:
CO ROUE A LL Ntcv PL vnh ('RD CA 1
06€.0 i N P t,E» vv
t .v Ir if■(. 126 A, b %to
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ,fit CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 'v�' / Date: 6-41 1 0 Phone #: (503) 718- Piti‘
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008- 00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1120013
Phone: (503) 639 -4171 1°41i
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 5/9/200€3 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 07300 SW HUNZIKER RD 101 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUSINESS CENTER
DESCRIPTION: Installing (1) audio / video system.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: LEWIS AUDIO VIDEO PHONE #: 503 - 538-1190
Inspection Request Scheduled For: Date: 5/9/2008 Pour Time:
Code • Inspection Description Con* • # Contact # Message
135 Low voltage 069650-01 503 - 5313.1190 Y
Corrections /Comments / Instructions:
L t el 4 Pa.qa-T •
R-\) Um) (111:6O
pc\f4 ._
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A v fb 6 Date: 61 9 Phone #: (503) 718- 14%
CITY OF TIGARD
- -0 --
BUILDING DIVISION PERMIT #: ELR700B -00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2008
Phone: (503) 639 -4171 h . t 9pfi! A ' f l h
Inspection Requests (24 Hrs.): (503) 639 -4175 .�! _ .
INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7 :02AM PAGE: 31
SITE ADDRESS: 07300 SW HUNZIKER RD 101 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUSINESS CENTER
DESCRIPTION: Installing (1) audio • video system.
OWNER: ROBINSON DEVELOPMENT. PHONE #:
CONTRACTOR: LEIMS AUDIO VIDEO PHONE #: 603.538-1190
Inspection Request Scheduled For: Date: 5/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final " 069785-01 503 - 206.8555 N
Corrections /Comments / Instructions:
\N .
\ \V /3\ ‘, ,
Iv \ \\J
X .DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C- ,---4 N 48 Lb Date: G i / ICA Phone #: (503) 718- 2-14/A)