Permit r te; h
u CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2006-00307
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/19/2006
PARCEL: 1S133AD-16200
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 ZONING: C -
SUBDIVISION: PP1995 - 073 LOT: 003 JURISDICTION: TIG
Project Description: QUIZNO'S. Sound System.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC CREST PARTNERS SCHOLLS L MUZAK LLC
1430 EASTSIDE RD 12449 NE MARX ST BLDG 10
HOOD RIVER, OR 97031 PORTLAND, OR 97230
Phone: Contact #: PRI 503- 889 -3848
FAX 503- 889 -3883
FEES Reg #: ELE 26- 1055CLE
LIC 142760
Description Date Amount
[ELPRMT] ELR Permit 12/191200E $75.00
[TAX] 8% State Surcha 12/19/200€ $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: T �f P 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: U-CJAIQ..L,D. � � � ` DATE: t2l l a I 6 - 6
LICENSE NO: 2. I IQ Le. Q L�
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 A lkc • „ r FOR OFFICE USE ONLY
City of Ti and ! - Received • Q Date /B : , 1 %1Ot Permit No.: 6C-� Ali I t Sc /
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' C Phone: 503.639.4171 Fax: 503.598.19 Date /B : Other Permit:
TI G A R D Inspection Line: 503.639.4175 D EC 1g 2006 Date Ready /By: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE $ Rtof ! - PLAN REVIEW
` ,Dlew construction ❑ Addif I aligO r EICI ni`■ Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling .Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
•
JOB SITE INFORMATION AND LOCATION ['Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
06(41.10,6„1/..44 I OOHP or more. occupancy.
Job no.: Job site address: ( 60 S (1.� . ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: - TI E , n n q '7 ^ L�3 0 Health care facilities. ❑ Supply voltage for more than
l J i l ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no .I Project name: P7N w' vs ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: 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 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK �'+ ' (with above sq. ft.)
Limited energy, multi - family
S o uLAn 0 [may Ll-+ residential (with above sq. ft.)
75.00 2
` Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
1m A. Fee for branch circuits with
❑ APPLICANT ( ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit •
Business name: B. Fee for branch circuits •
Contact name: without service or feeder fee, 46.85 2
fi rst branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only - 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: ,(�,"Z� L�
Signal panel, alor teration, li or
energy panel, alteration, or
Address: 0-4 4 N 2_ � s p .gyp extension. Describe: Page 2 2
���, "`"'"
City/ State/ZIP: ��- " � O � C.,41 - 1-1-2,3 ' 3 Each additional inspection over allowable in any of the above
� 1 ��+ Per inspection 62.50
Phone: () �� _ 3 /"li 0 6 Fax:) 7 — S.L7 Investigation per hour (1 hr min) 62.50
CCB Lic.:( 42 t Electrical Lic.: 2( -t Cf Ls prv. Lic.: 2 b La, Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: _ Subtotal:
r
14 ( Plan review (25% of permit fee):
Print name: a c1/4„ _ b'''' r Date: ' t l0 . State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
• Print name: Date: This permit application expires If a permit Is not obtained within 180
days after it has been accepted as complete.
• • Number of inspections allowed per permit.
i:1t3uilding \Permits \tLC- PermitApp.doc 05/23/06 440 -4615'1'(11 /05 /COM/WEB
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E1 R2006.00307
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/19/2006
1 Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 :
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7 : 00AM PAGE: 29
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: PP1995_073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: OUIZNO'S. Sound System.
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: MUZAK LLC PHONE #: 503- 8B9 -3Q4B
Inspection Request Scheduled For: Date: 12/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 041328 -01 503.889 -3846 N
CGrreclions /Commenfs/lMtructions:
A IO az.. L L S t o9 5o(
2- si k-r5
1 64:10..co
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -