Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2006 -00107
Ai� DEVELOPMENT SERVICES DATE ISSUED: 6/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: ISI35BD - 00100
SITE ADDRESS: 09600 SW OAK ST 380 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
Project Description: Low voltage for horn strobes.
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:
PLAZA WEST LLC • T & L COMMUNICATIONS INC
C/O NORRIS BEGGS & SIMPSON PO BOX 87387
121SW MORRISON SUITE 200 VANCOUVER, WA 98687 -7387
PROTLAND, OR 97204
-
Phone: 503- 223 -7181 - Contact #: PRI 360- 737 -9725
FAX 360- 737 -9648
FEES Reg #: ELE 37- 428CLE
LIC 67787
Description Date Amount
[ELPRMT] ELR Permit 6/12/2006 $75.00
[TAX] 8% State Surcha 6/12/2006 $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- You may obtain opies of these
rules o - • - - tions to at 503 - 246 -6699.
Issu - . 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.
WM
r
ElectricalnPermi Aret ®' FOR OFFICE I ONE)
City Ti and Received Permit No.:
1312 SW
13125 Blvd., Tigard, OR 97223 s Plan Revrew /o1� /O` u�.� — �� /0 7
"
�IAY 2006 ,,., Other Permit:
Phone: 503.639.4171 Fax: 503.598.196 i 1 ' Date/By.
Line: 503.639.4175 ���Y OF �-� 4 � I � Date Read /13 El See Page 2 for
Internet: www.ci.tigard.or.us p - Noti6ed/Method Supplemental Information
BUILDING DIVISION �J
TYPE OF WORK PLAN REVIEW
❑ New construction pi Addition/alteration/replacement Please check all that apply:
El Demolition ❑ Other: ['Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps – rating ['Bulking over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 and 2 family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 'Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION RV
❑Egress/lighting plan park
Job no.: I Job site address: ! s (� .A S T ❑Health facility ❑der•
Q 14-K r Submit 2 sets of plans with any of the above.
City/State/ZIP: --n ( a C CI, 0 (e Ot.`-- The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 310 I Project name: i z-qW esT 3 8- 0 Deer FEE* SCHEDULE
;ptioa Qty. a ,t P Tag � ••
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'! 500 sq. ft or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non-residential 1 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
S dwelling, service and/or feeder - 90.90 2
r h J Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER 1 - ❑ TENANT 201 amps to 400 amps 106.85 2
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
Phone: ( ) I Fax: ( ) relocation
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
. ❑ APPLICANT I ❑ CONTACT PERSON A Fee for branch circuits with
service or branch circuit
eeder fee, each 6.65 2
Business name:
T L-L . C,O '44tH C .. ,t \c a� , --5
B. Fee for branch circuits
Contact name: S S t Lt without service or feeder fee, 46.85 2
each branch circuit
Address: p 0 IL0K g ')A 1 Each add'l branch circuit 6.65 2
City/State/ZIP: (,/jam >1. L / 14) (A- Cf Kr? -03 O Miscellaneous (service or feeder not included)
Phone: (3(0 l3-) q7 ZS Fax: • (3(.,o) - q'6 9y Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: ( Page 2 2
Business name: 4
� � L VYICA. IA (CQ '-
Address: • P b t Olc Cic-) 3 (-) Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: ' 41 v � Investigation per hour (1 hr min) 62.50
� ' Industrial plant per hour 73.75
Phone: (3c�) "`� 3 97 ZS' FaxGO) � �7 7C / � y/ � ELECTRICAL PERMIT FEES*
('"'
CCB Lic.: 7' I Electrical Lic.: 3? t,rluprv. Lic.: 6 6 y /d} Subtotal
Suprv. Electrician signature, required: 7"�4`�
� Plan review (25% of permit fee)
Print name: 1.— k I D i/ Date: S _ State surcharge (8% of permit fee)
v ` TOTAL PERMIT FEE
Authorized signature �---- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: 10( s LS Lacey Date: S=)3 D c • Fee methodology set by Di-County Building Industry Service Board
• • Number of inspections per permit allowed.
is\ Building \Permits\E.C- PmmitApp.doc 12103 440-4615T(10/02/COMAVEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200(; t)g107
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/171201)6
Phone: (503) 639- 4171 . 11 d9 l � hl
Inspection Requests (24 Hrs.): (503) 639 -4175 ` __..
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 48
SITE ADDRESS: 09600 SW OAK ST 380 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: RIVER CITY TRAVEL
DESCRIPTION: Low voltage for horn strobes.
OWNER: PLAZA WEST LLC, PHONE #: 503- 223 -7181
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737 -9725
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
• - - . Inspection Description Confirm # Contact # Message
199 Electrical final 032246.01 360 -737 -9725 Y
Corrections/Comments/Instructions:
cl?'1rn
4
ASS ❑ PARTIAL APPROVAL % CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION � II ADDITIONAL FEES ASSESSED
Inspector: G" . ‘410g6 Date: 61 2310 Phone #: (503) 718- 1-t1410