Permit . ,, p
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
��� DEVELOPMENT SERVICES PERMIT #: ELR2006 -00101
zd �'� i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/8/2006
PARCEL: 2S112DB -00400
SITE ADDRESS: 07337 SW KABLE LN ZONING: I -L
SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. LOT: 004 JURISDICTION: TIG
Project Description: Voice /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:
CONSOLIDATED SUPPLY CO. TECHNOCOM INC.
7337 SW KABLE LN. 7929 SW BURNS WAY # F
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: 503 - 684 -5904 Contact #: PRI 503- 682 -4195
FAX 503- 382 -2781
FEES Reg #: ELE 34- 269CLE
LIC 73872
Description Date Amount
[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 questions to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature:
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.
l \v-\
Elects ical Permit A Waif ;ri F . FOR OFFICE USE ONLY
Received / / /
City of Tigard Date/By: _' v� �� Permit No.: 6 1�� t , C )
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 MAY f / /a.-Ri1/i 1` \ Date/By: Other Permit:
0 8 2 0 l�p�,���'` y.
Suns. li1 See Page 2 for
Inspection Line: 503.639.4175 ,J111. - Date Ready/By: � � I Supplemental Information
g
Internet: www.ci.tigard.or.us 4 i ll' 'HOARD Notified/Method: U
we .r r '•aa, a, F# �+ , �j',u�yza�,.,o!�� - .a+�cm • Sri v *;, r»�p ,.� . r�1':.; ,''�y ". ;�° � "" i ", `1 k,. , ^� :: p „ ^ x ,.:. �.
a , 6i. 3 y a , t , : � ; ;: d �u� , � i
: a e ,� f A" ` C Yuri�1.,"� .1 N os
❑ New construction ❑ Addition /alteration/replacement Please check all that apply:
Service over 225 amps, comm'l EHazardous location
m
❑ Demolition ❑ Other:
1 it � � P � NE �, � �.'�� ����, qN, �� ^" „ d , �, �,� * , r : EService over 320 amps - rating EBuildng over 10,000 sq. ft.,
a .. �-°p i q ( ,` `� ® r v c = a of 1 -and 2- family dwellings 4 or more new residential
07: ;i x Ati '. .. 1W. .tl m44 44/711Kk6 W4;4 Y,'bf «'3e kA /4/4 4 .4 -
❑ System over 600 volts nominal units in one structure
❑ 1- and 2- family dwelling [ Commercial /industrial ❑Accessory building 0 Building over three stories ['Feeders, 400 amps or more
❑ Multi -family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
5'��`' 441.0r407
a , urns at ' s'
" iii . '�r Mia e;�; ��..�.''a , ATI C y r .t. 'I ['Egress/lighting plan RV park
p
EHealth-care facility
❑ Other:
Job no.: L2O c l L i I Job site address: J133 7 S W L/ GL bit, av Submit 2 sets of plans with any of the above.
City /State /ZIP: 'r 1 Cfilr(,t 0 c 1223 The above are not applicable to temporary construction service.
g P Project CQ>'l� 0 11C(Ll SupP } ,phi
Suite /bid '
/a t. no.: Pro ect name: r' ' •Fill , .." ' : X 14i 'N` «
Des cription Qty. l Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: .„_ Limited energy, non - residential , 75.00 2
" °' ., xr,.,,, ' a'",^^ "'��." if"��'- it.s�s 4 d " , * * , :..�r %3Es, I�ex �`"", < 4� . . •' s KO. w. >�," , .�a. V " k t h t a it, '° "f
Each manufactured or modular
• csv� : r. '
^ , '_
�
U0 l (Q ( .a - CIA YJ l 1 {' dwelling, service and /or feeder 90.90
q Services or feeders installation, alteration, and /or relocation
2
J 200 amps or less 80.30 2
� ,,fig t 1 � I o; ,'I r „' ma ¢, 1 ! , rte„ u �scr t , ; q 201 amps to 400 amps 106.85 2
'�� :.�, »��r�+nm' ' ,4� :�A ?� . .x. ..��,1 ti." N: �,��t �;', 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
�rre , .r 1 .s i` r ' rt ° ` "" " " . n 64 A. Fee for branch circuits with
'.x.;:.v r.;. <''F. %1£„" „,n ", a.... n�' f: �s r. �s ^"'d+- :,.c.^»,'�a�,:k asiN. . t:`�'tisi i ':e.
serv or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit
Address: Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53.40 2
E Signal circuit(s) or limited- y
�t " i t ,. ' ; ; ra ' +n.G- �,`ru�girai i;s1`".,n4 . !°�'`t i INgs . P. ' � i.: energy panel, alteration, or i Paget l5t 2
aw pia rM,i _st�i.c, �. .n.��.;.,wt.... 4 J!. ' s#1
--.7- � " "' extension. Describe:
Business name: 'T'e_LKnoccyil 7 i - C
q r - Each additional inspection over allowable in any of the above
Address: C J l s >< f
7 ( 57 t !` l K L� t Per inspection 62.50
City/State/ZIP: ) 67
y GC ,. (.SG�t J( l �
Cit , r� �� ( /�70 Investigation per hour (1 hr min) 62.50
✓ )•5 - 4 f�Ur Fax: (C23 ) Gay • "Z. - " 7�Jr Industrial plant per hour 73.75
Phone: /e rr : " i r im ^ h S F'
CCB Lic.: '73 7'7 Electrical Lic.:32-1_ 2.6qcct Suprv. Lic.: 1 � "-‘6. - Subtotal - 16 1 00
_.-----
Suprv. Electrician signature, required: j6)....1 3tISL - Plan review (25% of permit fee)
" State surcharge (8% of permit fee) ( 00
Print name: Date:
TOTAL PERMIT FEE of6 1, 00
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
i:\ Building 1Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COMJWEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
acs». "�e+u v gasw;'uf' : ®,.� .�SwsH. +", dci 93 ^'s'7: YYuu`�''t;,�' ",�,,,,,� r w �xr'n.: ��'
�G ' ��rr � ''� 'sk �..;�A _���Cw. ,a+ {�;�:;. �� �d
irft "v'.. E :.."..<:E.a #^...�.<`.... �`°z 5ak`S3iSG"�.�'? A� Baulk ' = $
A�`r
Fee for all 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:
.n`!''C4..r. a.Hmcr�:
Fee for each commercial system $75.00
(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
7 Landscape Irrigation Control*
❑ Medical
Ti Nurse Calls
Outdoor Landscape Lighting*
Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\Bu4ding\Permts\ELC- PermitApp doc 04/03
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CITY �~�����N��������
��NU m ��w mmn�m��n���
BUILDING DIVISION -' \�� PERMIT #: ELR2006'00101
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51E1/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 839-4176 A@- Ai.
INSpECTION WORKSHEET FOR DATE: 5/9/2006 TIME: 7:01AM PAGE: 61
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SITE ADDRESS: 07337 SW KABLE LN • CLASS OF WORK:
SUBDIVISION: SOUTHERN PACIFIC Tl@ARDIND. LOT #: 004 TYPE OF USE:
PROJECT NAME: CONSOL!DrED SUPPLY CO
DESCRIPTION: Voice/Data
OWNER: CONSOLIDATED SUPPLY CO.. PHONE #: 5a3-684'5994
CONTRACTOR: TECHNOCOM INC. PHONE #: 501?-6824196
Inspection Request Scheduled For: Date: 5/912006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 029508~01 503-4547379 • N
Corrections/Comments/Instructions:
•
•
•
vi PARTIAL �� CANCEL ��N[)ACCESS
�� / / �-�
FAIL CALL FOR INSPECTION | | ADDITIONAL FEES ASSESSED
Inspector: ' � Date: 5- - Phone #: (503) 718- 2-414 L
•