Permit • :n
' OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2006 -10010
DEVELOPMENT SERVICES DATE ISSUED: 3/10/2006
--• 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S134AA-01800
SITE ADDRESS: 10170 SW NIMBUS AVE H6B ZONING: I - P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
Project Description: Add mag lock door to security system. Job #107.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: 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: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: • 'Contractor:
ROBINSON, CONSTANCE A + PROTEC INC
ROBINSON, LYNN + BELL, KAY ET 720 NE FLANDERS
BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97232
BEAVERTON, OR 97008
Phone: Contact #: PRI 235 -4000
•
FEES Reg #: ELE 215CLE
LIC 55414
Description Date Amount
[ELPRMT] ELR Permit 4/1/2006 $75.00
[TAX] 8% State Surcha 4/1/2006 $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: G /r Permittee Signature: .-Q-e 911
• 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.
MAR -10 -2006 " _ '�) 5032350363 P.02/03
16Aectri.cal rermu , vim: L
Reeeioed �/ p [�lo. �1�'Y�//s/A1 io City of Tigard � ateBY:.3 /Q !l � . � 13125 SW Hall B1+ .,Tigard, OR 97223 1(\ 2006 ata Review Otaer Permit:
Phone: 503.639,4171 Fax: 503.598.1960W\R ' .. t°pti I '1` sy: ru 8 see P sge z for
Inspection Line: 503.6)9.4(75 �! _ "i it • • Date tteadyBy
Internet www.ci.tigard.or.os �>'� .0k ' I1V `o; ied+btrdwd 1 Supyte
/ rnencal (nrormalinn i
J n •
)� J� � ry- � • 0 • ,, PLAN REVIEW
• ,l r Plea ch eck a ll that apply:
❑ New construction io . /alterat ,
❑Service over 225 amps, comm'I °Hazardous Ioes_I;,n
0 Demolition ❑ Other - ❑Service over 320 amps •- rating ❑ Buildng over 10.r.;00
. • • • CATEG9.RY * OF 'CONSTRUCf,IDN . `. • of 1• and Mutiny dwellings 4 or more new resldcn ::=:
❑ System over 600 Volt; nominal
units in one structure
❑ l- and 2 dwelling Commercial/industrial 0 Accessory building • ❑Building over three stories ❑Feeders, 400 amps or rwre
❑ Multi family Master builder ❑ Other: ['Occupant load over '.0 persons ❑Manufactured 37ft:4n_7es •
JOB SITE :IPIFOR�L4TION 4'sD ,LOCATION • ❑Egress/tighting p :an RV park
"� ❑Healch•carc is :ilir,: ['Other:
Job no.: O� I Job site dddreSs: 10110 s,�) • t� tt U 5 Submit 2 sets of plans with any of the above.
City /Sra :e,'Z1P: - r, G The above are not applicable to temporary construction sr :•.ICc I
- r FEE- SCHEDULE
Suite; bldg. /apt. no.: )3 P' Project namcCIMI.W. 1,• 0+_'�t{� Seg. P gcr l prion I UrT I Fe I r.�,�I
Cross street.'directio to job silei 4 1 New residential single- or multi - family dttriling unit.
Includes attached garage. -
L 0)0 sq. it. or leis � i 145.i5 j . =
Subdivision: Lot no Ea. add'( 500 sq ft or portion ; 33.40 ! .
Limited energy, residential 75.00 I 2
Tax map'parcel no.: Limited energy. non - residential 75.00 I 2
• DESCRIPTION OF WORK . _ Each manufactured or modular
_ dwellin�a„ service and.'or Feder 90.90 2
d 1 A ((r i 1.- -t5c-14 h ono 'Ma FC , t -f I � Services or feeders installation, alteration, and /or relocatio
6 I F -Non. 200 amps or less 80.30 ! 2
201 amps to 400 amps 106.33 I 2
1:1 PROPERTY OWNER - ❑ TENANT 401 amps to 600 amps 160 60
Name: 601 amps to 1,000 amps 240 60 I -
T Over 1,000 amps or volts •13165 = 1
Address Reconnect only 66.85 = !
City /State / ZIP: Temporary services or feeders installation, alteration. and, or
relocation
Phone ( ) Fax: ( ) 200 amps or less j I 66.85 I l I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps I 100 30 I _ I
intended for sale. lease, rent, or exchange. according to ORS .147, 449. 670. and 701. 4D1 amps to 600 amps I 133.75 I i
Owner signature: , Date: Branch circuits - new, alteration, or extension, per panel
:' ❑ APPLICANT • 1 ❑ CONTACT PERSON • A. Fee for branch circuits with i '
service or feeder tee, each 6.65
Business name: branch circuit l
---- -- B. Fee for branch circuits
Contact name; without service or feeder fee, — 46.35
— each branch circuit i
Address: Each add'( branch circuit 6.65 , '
City /Stat:'ZIP: Dliscellaneous (service or feeder not included)
- -- Pump or irrigation circle I 53
Phone: ( ) Fat:: ( ) -- _ Sign or outline lighting 53 4 0 -
E-mail: Signal Cireuit(i) or limitet:-
. CONTRACTOR . energy panel, alcerac :an, or -
extension. Describe I Page 7 -
Business name: IP L L=2 Z 14)G • _
�` y
/ Each additional inspection over allocable in any of the atlu \e
Address: f o•� �L�seJ� l - Per inspection I 62.50 •
City'Stat /ZIP: p�'� tt ,k ' a.3 3— - I Investigation per hour (I i_ r.,i,rl — 62.50 .
60 L5b3 au Industrial plant per hour I 73.75
Phon.: ) - o Fax - • ELECTRICAL PERMIT FEES"
CCI3 Lic.:S5t/ / Electrical Lic.:a,L5.„L I Suprv. Lie,; Subtotal I Ott) Suprt'. Electrician signature, required: Plat. re \ le • .'. • (25% or permit fee) ,. t CI 0 .__
- State s ircha:ee (8% of permit fee)
���
Print name: I Date: �- I -
ai
TOTAY. PERMIT FEE
Authorized signature: � /, � - -^ 'Ibis bis permit applicaci c.pires ire wink lx nut obtained ••ichin I)
days after it hat been accepted as complete
Print name: ) A � l ? AKGQ I Date: 3 - qo. , t • Fee iechudolo;y set by Tr.- Comity It ldi :r; In.scry $e:••: Bo4:=
• • Ne^her of i:upe:: ens per ; earuc 111
i•II,Iliti
P :rrni:. El.C.PUnoi.i;; ::: ISO! 413.2:15 mc.oLco iwn
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1ot 82006.10010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/200i;
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: 73
SITE ADDRESS: 10170 NIMBUS AVE h16B CLASS OF WORK:
SUBDIVISION: SCHO S BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CHILDR ` OF THE SEA
DESCRIPTION: Add mag lo door to security system. Joh #107.
OWNER: ROBINSON, C STANCE. A +, PHONE #:
CONTRACTOR: PROTEC INC PHONE #: 235-4000
Inspection Request Scheduled For: Date: 4/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 028447-01 503- 793-1565 Y
Corrections/Comments/Instructions:
nn+Cs 6`1,0 5'91
y LPASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & vV L1 Date: 4 3_11-441___ Phone #:, (503) 718- ilkilky