Permit - 1
liPq ti CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00010
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/8/2007
PARCEL: 1S134AD-06201
SITE ADDRESS: 10450 SW NIMBUS AVE RA ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Data/Telecommunication. Job # 39 00992.
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:
KG INVESTMENTS MANAGEMENT LLC CHRISTENSON ELECTRIC, INC.
10240 SW NIMBUS AVE 111 SW COLUMBIA STREET # 480
PORTLAND, OR 97223 PORTLAND, OR 97201
Phone: Contact #: PRI 503- 419 -3300
FAX 503- 419 -3695
•
FEES Reg #: ELE 26 -34C
LIC 458
Description Date Amount
[ELPRMT] ELR Permit 1/8/2007 $75.00
[TAX] 8% State Surcha 1/8/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �, Permittee Signature: S� .e , ,,q
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JAN-08-2007 MON 07:54 AM CHRISTENSON VELAGIO FAX NO. 95034193695 P, 01
' Electrical Permit Applicao � -...--In "_ �� Reaiwd ,. _ id o0 0) b
Permit Nn.
City of Tigard Date/BV: • �/l
13125 SW Hall Blvd.. Tigard. OR 972 f
- " % 2C1-1 Plan Review Other Permit:
� ;l' ^.I•ti DatciBY:
Phone: 5 n Line: 503.639.4175 Far; .4175 : 503.598.1960 J p N 61:5,, - �
1 ! Data Read tnyi - lu El see Page z for
Inspection Linn. 5igatd. t r �`" w1 � Notified/Method:
Suppkarental Ltrorwatien
Internet: www.ci tigard.or.us C� e�; t .. iR , i3 ON ; . :
, wits, . �„ '�;:,;�: aKe: wxji 8i. ^':.i:'t�.,°:%ira :.;�"' �. . Yy: % .�.. .. �.;T <K;..:%`. i'`: if
, �^ off$,. ; y 5 , eg;R. '"q:' R:e s' r;i,�,•'S " <''at: e. h. % .< xs:.K..:,Y ? 4 S. :x. ;
• . r .., :£ ?r �.fk4.w::: o'f, ;Px.r ..:'• >x'.he ..w,.. n : , `' a �.s 4 inx ',..,, ' "� 5: CO: ;, . °S:
4 . { n < r. ?e, �'k' .^'' v,. ..••< � ['i "' / F k AS Y:ax..: A.J:S. x o. . ..J �a-0x S4:K�3'�
�'�� -`�:. ':: x. < : >s:': :;�;:.; > :: ::s:..:;: .. �: :.:,. ' ,.,... x,�.`, ; •�. Please chock all that apply:
n:. �
CI New construction /: Addition/alteration/replacement °S erv i ce over 225 amps, cumin'! []Hazardous loattion
❑ Demolition ❑ Other: _ ❑Service over 320 amps • -• rating ❑ Buildng over 10,000 sq. (t.,
. s x ;;�� -,; K a 1 r >' i ;. of 4 or more new residential
x.: .x '•x . .,:' :.: • . w vt' e d, ?i'tci.$} :itxi: li NIA> f 1 • and 2•fulnHY dwellings
1 'w� �. . F'{'F:iex xnfY'E:"'.?gYR :9( %0£'::
<�� ,£....: `l
•. ><�� "r�,,. y ..,��., � r�«���s::. L �F s over 600 vo lts nominal
• �x � x � Y «:': � :'�.h ❑System 0 ei unite in one mature
r:::; :.. - ;a x: $: Accessory building ❑Fcedcn, one amps to a ![lore
El L - and 2 - family dwelling ❑ t Y g ❑Building over three stories
❑ 1lilulti- Cltmily ❑ Master builder ❑Other. 00ccupant load over 99 persons ❑Manufactured structures or
k,. ::,n N ;y :y 3 s K° tr3;J } # s s K r E ess/li plan RV pork
s s :'.i � `i#� i x rki Y �.1 .. : - .i. 3 x;,: :s.,, §>f:...<x:s•. o :,s a:
" ' e `. <� . :=:; e'''<'.' c� &<.rK`;;!F,�„�,'+�T`,�,''��.;# '<'. x. ❑other:
,i<'x;<: 41a; ..•.,.:.,:'<.;_. �. I 1 ` AA 1
IQ `_ ❑Health -CBfn facility
Job no.3 'f. oo9 _..
9a I Job site address: I O s& SW !U 1�11t1,,15 /i' .___._ Submit :seta of plans with any of the above.
A The above arc not applicable to temporary construction sts'vico.
City/State/ZIP: aZ q( sF 5 « ` ...ip r m:': xlK� PI:.il �ISP::
-Q p �'f•:£'�x �e %.,. �� . :a � . ..:: . . Y•a ?
Suit/ apt. no.: .A Projectttame:E. f0.SS!�
Cross street/directions to � ., pe�►v Orr. l' it- 1 m� ..
job site: �/'+ ` Y (
1 a�`• l �1 1 S _ / �`' New residential single- or multl• family dwelling unit. Includes attached garage.
503 -L}\q -352-- 1,000 e ft or less 145.15 4
Subdivision: I Lot no.: Ea add'I 500 sq. ft• or portion 33.40 1
_ Limited energy. residential 75.00 2
-
Tax tnap/parcel no.: limited energy, non - residential 75.00 2
��a:
' ';qr ', �' . .. `4,;,: a . - . xab :':• j7i M1 a ;` „,f•. s'x %t;;.a ' Y x4?:: manufactured or mo
:: %, >: " "<` " " „, x � x1� <., <aa �a:1®.g9 . ® , � � p �:. ; x , < x. . s i,.: k .m •%:?i<:. " �� 5 •x:x�L.':+� E ae h manu f
r ` i. " :k:K.. .v,: ; :eK %.?�S' ...:. x _ 90.90 , 2
- ' °'• 1 � dwelling, serv m feeder
` . s ). " I, • d Services or feeders installation. alteration. and/or relocation
1 , ' �� ' ` 200 amps or less 50.30 2 ,
_
t 1,1 Ol amps to 400 amps 106.515 2
: n •• •: ti g; S•�::a' .40 ' 5. `3'> ` S'`:....rf 2:'x. `.'. # ' .:. ? i t ' �x r l ,k x 160.60 2
�� .� .� ' •5,3 ; ;�: ...,:,t:< � fink u >.;..:.
> < i' >! ::.: � Y ° t r::s� :: ::s_:s:;r. .:;..�5... &. .- .. , 401 amps to 600 amps
Name: 601 amps to 1.000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66.115 2
C sty /3 late/ZIP : Temporary services or feeders installation, alteration. and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66,515 1 l
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 00.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 40I to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension. per pane!
-
.:,-V r .y :., y ., x , . ::i . sg ,; .�
•.,ut MMs..n 'tti p; A. Fee for branch circuits with
:
"> " <ya� %''' ?:` G "kkb'cr.� ?x:� * ¢� °Z:l�'w`3^''K nw, serv or focdar f>:e, each 6.65 2
Business tuune: branch circuit
B. Fee for branch circuits
Contact name: _ without servi or feeder fee. 46.85 2
first branch circuit
Address: _ Each add'I branch circuit 6.65 2
City /Stale/ZIP: Miscellaneous (service or feeder not included) _
Pump or irrigation circle ' 53.40 2
Phone: ( ) I Fax: • ( ) Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
.,x xa 's � xr ' «z•`�:��e, � «kri• energy Panel, nitG'ation, or
n i ::r,> G � : . r ' : ": p i �rY: '" . •;1 . •., �t 3: DV 2
;''; >"<;`x� ���� r..; >��%�, "* �:�: � C��,,s ,.' ... F ;.i���:'�:' ^:s.:�,..� . 4. a. ..n1, � ;� >:�;t. Cxten6lo Uos
s w qn
' Business name: Christenson Electric, Inc. '1'a In h gyu`-
_Koch additional inspection over allowable in any of the above 1
Address: 111 SW Columbia Street, Suite 480 - For inspection 62,50 _ I
City /Slate/ZIP: Portland, OR 97201 investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: (503) 419-3300
Fax: (503) 419-3695 : R ^ �Y: ° ":'l: (tC AI j' '<' flat : ; r : -s° fi:f<:
�,
CCI Lie.: 458 LElectrical Lie.; 26 -34C J Irv. Lie.: 199 $ . Subtotal 1 5 , 00
Plan review (25% of permit fee)
Suprv. Electrician signature, required: C5e0-64a /
Y .I
State surcharge (8% of permit fee) CO ,
- Print name: 'Q0 "+ Date: i g b R' (, ) 7)
{ TOTAL PERM ME ME IT
Authorized signature: 'Cis permit application aspires ire pent[ is net obtained within 180
daya after It has been accepted as complete
Print name: Date: • Fed methodnlogy at by Tn- (;nutty Building lndu uy Service Board
id, Number of in:peetione per permit 'glowed.
iikpu lding\rtmlils \ELC- 1'amliAppdoe 12/03 440_4dt STfI11107/COMIW813
r'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 =..
INSPECTION WORKSHEET FOR DATE: 1/25/2007 TIME: 7:03AM PAGE: 26
SITE ADDRESS: 10450 SW NIMBUS AVE RA CLASS OF WORK:
SUBDIVISION:. SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EID PASSPORT INC
DESCRIPTION: DatafTelecommunication. Job # 39- 00992.
OWNER: KG INVESTMENTS MANAGEMENT LLC, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503 - 419 -3300
Inspection Request Scheduled For: Date: 1/2512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042510 -01 503-702-9346 N
Corrections /Comments /Instructions:
A DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N tel Date: t( of Phone #: (503) 718 - 24j