Permit , .:.-,•. .
A . CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2006 -00231
L�i�'� DEVELOPMENT SERVICES DATE ISSUED: 9/25/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S1356D -00100
SITE ADDRESS: 09600 SW OAK ST 565 ZONING: C -
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
Project Description: Low voltage for fire alarm.
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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PLAZA WEST LLC T & L COMMUNICATIONS INC
C/O NORRIS BEGGS & SIMPSON PO BOX 87387
121 SW MORRISON # 200 VANCOUVER, WA 98687 -7387
PORTLAND, 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 9/25/2006 $75.00
[TAX] 8% State Surcha 9/25/2006 $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
rule r direct que •.ns • OU at 503 - 246 -6699.
I sued By: I !2 Permittee Signature: �y � 1 \
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.
•
Electrical Permit Applic ®p FOR OFFICE USE ONLY
1J � b L.-e:2:12., /
City of Tigard / DatReceived
eBy: 9 � ` '
Permit No.: 'j
13125 SW Hall Blvd., Tigard, OR 97223 ? 20- Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ' +d 1 A Date/By. Other Permit:
Inspection Line: 503.639.4175 / . -:T r , �i E •_,, I D ate ReadyBy: .12 ® See Page 2 for
Internet: www.ci.tigard.or.us �C � 0T d c Notified/Method: /I ((' Supplemental Information •
` TYPE OF WORK . - ''PI.AN -
•
❑ New construction ❑ Addition/alteration /replacement Please check all that apply: `
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps - rating ❑ Buildng 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 ❑Egress/lighting plan RV park
Job no.: Job site address: �6 �. S A V O P-_ t - ❑Health -care facility ['Other:
� Submit 2 sets of plans with any of the above.
City/ State/ZIP: T 0 i 1 0 9 "--_ The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: ��j5 ---•"" Project name: L f Y�vQi FEE *. SCHEDULE' . ' ..
Y� �L 1-fu ' Description I Qty. I Fee. I `' Total l
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
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK - Each manufactured or modular
•
dwelling, service and/or feeder 90.90 2
t 1/S r ° -5 Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY ' ❑ 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
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
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
Business name: — ® L C I m OA CA h 1 C �9- branch circuit 6.65 2
>
Q � O B. Fee for branch circuits
Contact name:
1� $ S 6.-is (---.c service or feeder fee,
each branch circuit 46.85 2
Address: Po 6 :"x - 3 d ' ) Each add'l branch circuit 6.65 2
City/State/ZIP: i.. C° r ( 1 Miscellaneous (service or feeder not included)
- Pump or irrigation circle 53.40 2
J �
Phone: v )? -- ) 9'72 Fax:: (3eo)77 Ca `!tom
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: e`' ' (--ci try 0- CA f CG Z�
Address: ��� �-� 3�`' ,F°-� Each additional inspection over allowable in any of the above
n Per inspection 62.50
/ ,
City/State/ZIP: PJ/C G., C 0 C t/ei./ I '
Investigation per hour (1 hr min) 62.50
Phone: () )3') -) 2.5 Fax: (760)') 3) q 6 Va.. Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES* •..
CCB Lic.: (,-� )S 7 Electrical Lic.: 3) Cl2r('� prv. Lic.: 6� Subtotal
Suprv. Electrician signature, required: �� Plan review (25% of permit fee)
(/' J\' State sur (8% of permit fee)
Print name: L cx r r ii (3 c e.s (J) Date: Qr2,S� r TOTAL PERMIT FEE
Authorized si ature: - '
$n This permit application expires if a permit is not obtained within 180
L l '72.,5-0 days after it has been accepted as complete
Print name: K % Z 45 La (-..J Date: !o • Fee methodology set by Tri- County Building Industry Service Board
!! '' •• Number of inspections per permit allowed.
i:\Building\Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB
Electrical Permit Application - City of Tigard •
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY: "
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:
COMMERCIAL WORK ONLY: •
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
m Fire Alarm Installation 1N & -0
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ P rotective Signaling
❑ O ther
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
is Building \Pennin\ELC•PermitApp.doc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: aR200600231 r
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/2006
Phone: (503) 639 -4171 �� ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME: 7.06AM PAGE: 15
SITE ADDRESS: 09600 SW OAK ST 565 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEN. CORP
DESCRIPTION: Low voltage for fire alarm.
OWNER: PLAZA WEST LLC, PHONE #: 503 -223 -7181
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360. 737 - 9725
Inspection Request Scheduled For: Date: 9/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 037413 -01 503-624-3631 Y
Corrections/Comments/Instructions:
CALL. b.elV
$ k►l_toi i 6 S 4 , 4i.5,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G'c N O6 Ix Date: 91 2 11co Phone #: (503) 718- 2'41do
C
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELR2006-00231
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/2006
Phone: (503) 639 -4171 m�g µI� li
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 9/28/2006 TIME: 7 :02AM PAGE: 58
SITE ADDRESS: 09600 SW OAK ST 565 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEV. CORP
DESCRIPTION: Low voltage for fire alarm.
OWNER: PLAZA WEST LLC, PHONE #: 503-223-7181
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360 - 737 -9725
Inspection Request Scheduled For: Date: 9/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 037286-01 360-737-9725 N
Corrections /Comments/ Instructions:
4, p 12 W-
II.) 6atc - 576
❑ PASS ❑ PARTIAL APPROVAL (CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v \V Date: 1 2-8 `kb Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 00231 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2G/2006
Phone: (503) 639 -4171 Ara 1 4 1 1 '
Inspection Requests (24 Hrs.): (503) 639 -4175 1 I
INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7 :00AM PAGE: 62
SITE ADDRESS: 09600 SW OAK ST 665 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEV. CORP
DESCRIPTION: Low voltage for fire alarm.
OWNER: PLAZA WEST LLC, PHONE #: 503 - 213 -7181
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737-9725
Inspection Request Scheduled For: Date: 10/13/2006 Pour Time:
Code ' n Description Confirm # Contact # Message
199 Electrical final 038136 -01 360 - 737 -9725 N
Corrections /Comments / Instructions:
Fla.. AL.ikan _ `TAT A (z v NI "1 1-0 .P
i
N/4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1`Oa e Date: 1° 11 31 0‘ Phone #: (503) 718- 2-74