Permit �` �� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00024
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/29/2008
PARCEL: 25101 BC -00201
SITE ADDRESS: 08255 SW HUNZIKER RD 200 ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: JOHNSON TRANSPORTATION
Project Description: data telecommunications installation
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:
WESTEC AMERICA INC BERGELECTRIC CORP
8255 SW HUNZIKER 6026 NE 112TH AVE
TIGARD, OR 97223 PORTLAND, OR 97220
Phone: 503- 639 -9050 Contact #: PRI 503- 255 -1818
FAX 503- 255 -1919
FEES Reg #: ELE 37 -682C
LIC 110521
Description Date Amount SUP 5121S
[ELPRMT] ELR Permit 1/29/2008 $75.00
[TAX] 12% State Surch 1/29/2008 $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: ,
y� i g �rP 7 d/c,, - 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.
',:-....
- . - Electrical Permit Application ._ ., FOR OFFICE USE ONLY
.
' '
• City of Tigard '1:1
e/By
,.QEIVED Rec 1 eived ,
Dat: ( 77 ar 877— Permit No.:
, 1, . 13125 SW Hall Blvd., Tigard, 0 2_ Plan Review
F: .. Phone: 503.639.4171 Fax: 503.598.1960 Date/By' Other Permit: 9/4 10d00-7 —00Co 31
TIGARD Inspection Line: 503.639.4175 JAN 2 8 2008 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard Notified/Method: Supplemental Information
-r. smine VIRtaximf
,
ri ' — - OAdd'altantfacgt O
___, New construction e I
en ' Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
EVA ,„6,1M-M '?,,L,,VMira exceeds 10,000 arnps at 150 VAS or 0 Floating buildings.
•:::;.:iPinr-14:kz' :/,,... Ag,--,--: - , ' ,,, , , Aiii-,,,,, , ,,,40.,,, ,, e;: ,, ,V , -,,-.:,, , ,i,ft,-, ...;$,;,,,i WNW
less to ground, or exceeds 14,000 0 Commercial-use agricultural
El 1- and 2-family dwelling 0 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: D Fire pump. 0 Installation of 75 KVA or
0 Emergency system, larger separately derived system
Sliitrago***,4040,10:1C•ageatcg*: D Addition of new motor load of 0 - ic "E", - I-2-, - I-3 - ,
100HP or more occupancy.
Job no. io 8611r/ 1 , Job site address: 6265 s ii rid
• 0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: - r— --I r'llse C.1 7023 0 Health-care facilities. 0 supply voltage for more than
61 - I U 0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: 400 1 Project namejhan5 T ,, 0 Service or feeder 600 amps or more.
14 , 1 Vii#** : :;?,;;AX: fl g,W,V,Mk:iii . :01t.OPAV.:44'V
Cross street/directions to job site: Description $11t I Qty. 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] 500 sq. ft. or portion 33.40 1
.
Tax map/parcel no.:
Limited energy, residential
75.00 2
irtteioratktrffiw (with above sq. ft.)
Limited energy, multi-family
Instaii_cat45 of VO 1 Ce- t CiafrA--- . residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
grat-ArkiI*1* 4 ii %,,,,,,, ,:.,2-. 201 amps to 400 amps 106.85 2
':,,,, ,
401 amps to 600 amps 160.60 2
Name: biA5 arrtel-'7 _Ai
601 amps to 1,000 amps 240.60 2
Address: - )-s• sc.s 47-‘6,- Over 1,000 amps or volts 454.65 2
A
City/State/ZIP: 4 3
Temporary services or feeders installation, alteration, and/or
- 7) - -ef OR 7- relocation
I
Phone: (5 ) .5
L z ,-- .... 61 I Fax: ( ) 200 amps or less 66.85 I
,
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
VabiZINORWIWA*1 %-i 1 litrigrA! ;i7: Off *07 0 :WW1 above service or feeder fee,
6.65 2
each branch circuit
Business name: Bergelectric Corp. B. Fee for branch circuits
without service or feeder fee,
Contact name: Pe-te-r Dectsan first branch circuit 46.85 2
Address: 6026 NE 112th Ave Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Portland OR 97220 Each manufactured or modular
90.90 2
I dwelling, service and/or feeder
Phone: (503) 255 Fax: : (503) 255 Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
It:A1,, Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
I
Business name: Bergelectric Corp.
energy panel, alteration, or
Address: 6026 NE 112th Ave extension. Describe: . _ 1 I Page 2 76 2
fej s "iSi 01
City/State/ZIP: Portland OR 97220 ' r.a additional inspection over atiowome on any of the above
Per inspection 62.50
Phone: (503) 255-1818 I Fax: (503) 255-1919
Investigation per hour (I hr min) 62.50
CCB Lie.: 110521 Electrical Lic.: 37-682C Sitprv. Lie.: 51215 Industrial plant per hour 73.75
ein'':
Suprv. Electrician signature, required: 7 / 0"" -- , 0
,-- ,
! '
Plan review
,/./../7 (25% of permit fee):
75 --
Print name: Jeremy Richmond Date:
State surcharge (12% of permit fee):
Authorized signature: / -- '65. j TOTAL PERMIT FEE: 1 SLI --
.0 • .
• a n • vb1... I Date: 1 7,,q 1 D This p ermit application expires if a permit is not obtained within 180
Print name: .
days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\BuildingTerrnits\ELC-PermitApp.doc 05/23/06 440-4615T( I I/OS/COM/WEB
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELR2008 00024
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1129/2008
Phone: (503) 639-4171 irtiti
Inspection Requests (24 Hrs.): (503) 639-4175 L.
INSPECTION WORKSHEET FOR DATE: 3/5/2008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 08255 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: JOHANSON TRANSPORTATION
DESCRIPTION: data telecommunications installation
OWNER: WESTEC AMERICA INC, PHONE #: 603-639-9050
CONTRACTOR: BERGELECTRIC CORP 'a PHONE #: 503-255-1818
Inspection Request Scheduled For: Date: 3/512008 Pour Time:
Code # Inspection Description # Contact # Message
136 Low voltage 2FO 503-209-2300
C\ i
Corrections/Comments/Instructions:
N N
61 PASS r PARTIAL APPROVAL LII CANCEL I I NO ACCESS
IL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: CT -1 Nie) LE Date: 1 3 Phone #: (503) 718- Pi%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200B -00024
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10.812003
Phone: (503) 639 -4171 �p ,
Inspection Requests (24 Hrs.): (503) 639 -4175'
INSPECTION WORKSHEET FOR DATE: 3M/2000 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 08256 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: JOHANSON TRANSPORTATION
DESCRIPTION: data telecommunications installation
OWNER: WESTEC AMERICA INC, PHONE #: 503- 539 -0050
CONTRACTOR: F3ERGELE TRIC CORP PHONE #: 503 - 255 -1818
Inspection Request Scheduled For: Date: 3M/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 0660611 -01 503 - 209 -2300 N
Corrections /Comments /Instructions:
— 8atp (Cyltovi ! 1)0. j l I 6� - IZA4
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
y l k FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (14% L Date: 3 .9- 6A. Phone #: (503) 718- " t N v'
. .
CITY OF TIGARD . ..
BUILDING DIVISION PERMIT #: ELR2008- 00024
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2008
Phone: (503) 639-4171 atto Ali?"
Inspection Requests (24 Hrs.): (503) 639-4175 ..„........W- ---.
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:03AM PAGE: 31
SITE ADDRESS: 08255 SW HutviKER RI) 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: JOHANSON TRANSPORTATION
DESCRIPTION: data telecommunications intallz-Itio»
OWNER: WESTEC AMERICA INC, PHONE #: 503-639-9050
CONTRACTOR: BERGELECTRIC CORP PHONE #: 503-255-1818
Inspection Request Scheduled For: Date: 2/29/3008 Pour Time:
Code # Inspection Description • i 'rm # Contact # Message
135 Low voltage 065891-01 503-209-2300 N Y
Corrections/Comments/Instructions:
n PASS El PARTIAL APPROVAL n CANCEL NO ACCESS
y \ FAIL X CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C- • QB L-E Date: 64 Oi Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION '" PERMIT #: ELR2008 -00024
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2 2008
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Alt .
INSPECTION WORKSHEET FOR DATE: 2/0/2000 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 08266 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: JOHANSON TRANSPOR"T"ATION
DESCRIPTION: data telecommunications installation
OWNER: WESTEC AMERICA INC, PHONE #: 603..6S9,9060
CONTRACTOR: BE(UELECTRIt,; CORP PEW- PHONE #: 503 -2256 -1818
Inspection Request Scheduled For: Date: W8/2008 Pour Time:
Code # Inspection Description (Con` mm # Contact # Message
136 Low voltage 00`728 -iI\ 503 - 209 - 2300 Y
Corrections /Comments /Instructions:
I
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a' V (1 Le- Date: 2 ° $ 4 i t Phone #: (503) 718-140r