Permit ` V
� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
n
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00112
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2007
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 300 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: EAGLE MORTGAGE
Project Description: Installation of low voltage for data. Job No. 18531
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:
ROBINSON DEVELOPMENT COMTEL COMMUNICATIONS INC
PO BOX 91305 14973 TUALATIN SHERWOOD SUITE
PORTLAND, OR 97291 SHERWOOD, OR 97140
Phone: Contact #: PRI 503- 625 -4484
FAX 503- 625 -1106
FEES Reg #: ELE 36- 118CLE
LIC 158001
Description Date Amount
[ELPRMT] ELR Permit 5/1/2007 $75.00
[TAX] 8% State Surcha 5/1/2007 $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 . - spended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
UtiliNo it fication Center. ose - are set forth in OAR 952 - 001 -0010 through OA� 01 -0100. You may obtain copies of these
ru es or direct questions to O . 1 C at 503. 4..6699 or 1.800.332.2344.
I sued By: . i , A4L , v ' Permittee Sign. ure:
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.
Electri alPermit Application FOR OFFICE USE ONLY
�C • Received
- City of Z 1ga1CC� Date /By: Permit No.: F j'A yy7_06/1�
III
'" 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review o v a
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: luris. El See Page 2 for
Internet: www.tigard- or.gov Notified /Method: ll / 1 Supplemental Information
R IEVY -;
EEO QRK..,d- ,.,•n::,,... - -.,. '`� LAN � E`�'
Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction ®Addition /alteration /replacement
❑ Service or feeder 400 amps or more El Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
>,•
t ; :.:• ,p ❑
e xceeds 10,000 amps at 150 volts or Floating buildings.
CA TEG QR'. ,: =, - - s ; , ,,, „,
'' less to ground, or exceeds 14,000 ID Commercial-use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ y ❑ Master builder ❑ Other: Fir pump.
Multi -family Ma ❑ Installation of 75 KVA or
- ''I'' - ,,, . „,- ,r ;, CI Emergency system. larger separately derived system
,s- ;,';'140.t 40 B SITE > T N
- ;' -,.,; : , a� =;. ,, - -. , . ...�r <..- .. .,._�.,..,- ,.,,,, ., - ,,,. W--'-''
s,. .,.,,.. ,,, _ .. ❑ Addition of new motor load of
OCA .I 3 - °”
100HP or more. occupancy.
Job no.: 18531 Job site address: 7320 SW Hunziker Rd. Suite 300 ❑Six or more residential units ID 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.: 300 Project name: Eagle Home Mortgage ❑ Service or feeder 600 amps or more.
#!" . ' ".,,,,...R`°, FEE. SCHEDULE:; : ^;,., %"i'''t
Cross street/directions to job site: 72 " Ave. 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 I
Tax map /parcel no.:
Limited resid ential
° ; M'''' 5 '-' 1
.. ,-3, ,> ;,'
:; : ESCR OF ORK ; r " '-'4;;:P m with above 75.00 2
1 energy res
.� .. a*,.,.:... •,, ; ,.; s
Limited energy, multi- family
Voice/Data cable plant addition. residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
f`' PROPERT. Vii"
",� ❑ Y, OV4'NER `TW ❑ TENANT ':- 201 amps to 400 amps 106.85 2
Name: Robinson Construction 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
:WIT i . APPLICANT ' iw' . ' ❑,-: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,
Contact name: 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 90.90 2
Phone: dwelling, service and /or feeder
( ) Fax: ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
`''-<;`M CONTRA- OR', :` Sign outline ° ,;, �._. •:: ���,�, , .. .... ".�,. ... .... ........ , „ _ -...._ ,; .,1 .. ..... _. ., ,,,. g lighting 53.40 2
Business name: ComTel Communications Inc.
Signal circuit(s) or limited -
energy panel, alteration, or
Address: 14937 SW Tualatin- Sherwood rd. Suite 306 extension. Des ribe 1 Page 2 $75.00 2
City /State /ZIP: Sherwood, Or. 97140 Each additiona inspection over allowable in any of the above
Per inspection . 62.50
Phone: (503) 625 -4484 Fax: (503) 625 -1106 Investigation per hour (I hr min) 62.50
CCB Lie.: 158001 Electrical Lie.: 36118CLE Suprv. Lie.: 3272LEA Industrial plant per hour 73.75
> „::' •',,;: °,: =~ EI PERMIT FEES'°%' , , ” : -
Suprv. Electrician signature, required: L° i� a.. �� Subtotal
J Plan review (25% of permit fee):
Print name: Wayne Richey Date: 5 -1 -0
State surcharge (8% of permit fee): $6.00
Authorized signature: .......
o —`J� _ TOTAL PERMIT FEE: $81.00
This permit application expires if a permit is not obtained within 180
Print name: Wayne Richey Date: 5 -1 -07 days after it has been accepted as complete.
' Number of inspections allowed per permit.
I'\ Building \Permits\ELC- PermitApp.doe 05/23/06 440- 4615T(1 I /05 /COM/WEB
•
CITY OF TIGARD , _,..
BUILDING DIVISION PERMIT #: ELR2007-00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51112007
Phone: (503) 639-4171 ,../ _...
llil
Inspection Requests (24 Hrs.): (503) 639-4175 i lt
INSPECTION WORKSHEET FOR DATE: 519/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 07320 SW HUNZIKER RD 300 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: EAGLE .MORTGAGE
DESCRIPTION: Installation of low voltage for data. Job No. 18531
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: COMTEL COMMUNICATIONS INC wp \INyt: PHONE #: 503-625-4484
Inspection Request Scheduled For: Date: 5/9/2007 Pour Time:
Code # Inspection Description Confir-rxh.# Contact # Message
136 Low voltage 047933-01 503-806-4481 ¥
I eV\ 14$L
Corrections/Comments/Instructions: ___-----
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IKPASS I I PARTIAL APPROVAL I CANCEL 0 NO ACCESS
FAIL pi CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G 4 OB Li Date: / 61 Phone #: (503) 718-144
CITY OF TIGARD
BUILDING DIVISION A .L.' PERMIT #: ELR2007-00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639 -4171 4���i
Inspection Requests (24 Hrs.): (503) 639 -4175 -'! 1 ..
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 07320 SW HUNZIK.ER RD 300 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: EAGLE MORTGAGE
DESCRIPTION: Installation of low voltage for data. Job No. 18631
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: COMTEL COMMUNICATIONS INC 1.- N� PHONE #: 5Q3 62
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time:
Code # Inspection Description C Contact # Message
136 Low voltage 047582 -0 �+ 503. 806-4481 --- -- Y
Corrections /Comments /Instructions: _ ,/
?Viss-e - g, olio
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G - 651
5 Date: 5 3' ! Phone #: (503) 718- 1-i4L•