Permit + a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00092
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/6/2007
/39 4t3 PARCEL: 2S103DD -01201
SITE ADDRESS: 149fIeLSW PACIFIC HWY ZONING: C -G
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT: JURISDICTION: TIG
PROJECT: GOODWILL INDUSTRIES
Project Description: Fire alarm and security system Low Voltage.
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: X
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
GOODWILL INDUSTRIES STONER ELECTRIC
1943 SE 6TH 1904 SE OCHOCO STREET
PORTLAND, OR 97214 MILWAUKIE, OR 97222
Phone: 503- 238 -6100 Contact #: FAX 503- 659 -2824
PRI 503- 462 -6500
•
FEES Reg #: ELE 26 -122C
LIC 44823
Description Date Amount SUP 3496S
[ELPRMT] ELR Permit 4/6/2007 $150.00
[TAX] 8% State Surcha 4/6/2007 $12.00 REQUIRED ITEMS AND REPORTS
Total $162.00
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: "0 4.---y2_40_12,e CATA.....,
_
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.
04/06/2007 06:55 FAX 5036592824 STONER ELECTRIC Ii 001
` Electrical Permit A licatio EIV l OI. rrI(1: I I.. i► \I
City of Tigard __ T i P No.' -:�' 1. .�, e .
13125 SW Hall Blvd., Tigard OR 97223 Peas R
Phone: 503.639.4171 Fax 503.598.1960 APR — 6 21 b. r 'rl � il ii,' Data/13 . Other Permit;
17rspeerionLine; 503,639,4175 _,:.! -__ DataRcadyBy: ® hoe rags i rot
Internet www.ci.tigard.or,us CITY OF T I - I Notified/Melhod: Supplemeam] Information
_ TYP DIVISION • ' ' PLAN RErrocww '
J New construction ❑ Addition/alter'ation/ eplacement Please check all that apply:
0 Demolition OVze� ❑Semce over 225 amps, comm'I ❑hazardous location
❑Service over 320 amps — rating ❑Buildng over 10,000 sq.1t.
_ . i
CATEGORY OF CONSTRUCTION of 1- and 2 - family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 14 Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one smut=
ID Multi - family El 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 ' ❑Egresa/lighdng plan RV park
Job no.: 4 I Job site address: 1 3 g 20 5 yd ?AefFie. g W ❑Health tie facility ❑other:
Submit 2 acts of plans with any of the above.
City /State/ZIP: TI 4 p ,P�c) 0 e 9 223 The above are not applicable to tempormy construction service.
Suitc/bldgiapt. no.: ` I Project name: G 00 D w, b l - U ••
m IQ► -I . I .h 1
Cross strecr/dircctions to job site: New residential single- or multi- tgmtly dwelling unit.
Includes attached garage.
1,000 sq. tt or lass 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sn, ft or portion 33.40 1 ,
Tax brag /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
• g.. ! t S — u Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
' ❑ PROPERTY OWNER I . • ❑ TENANT . 20I amps to 400 amps 10615 2
_ 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1.000 mops or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installmtion, alteration, and/or
~ Phone: ( ) l Fax ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that T own which is not 201 amps to 400 snaps 10030 2 _
intended for gale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 600 amps 133.15 2
Owner signature:_ Date: Branch circuits — new. alteratdon, or extension. per panel
' • ❑ APPLICANT I ' ' p CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Pee for branch circuits
Contact name without service or feeder fee, 46.85 2
first branch circuit
Adder: Each addi branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax _ ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuits) or limited-
? . CONTRACTOR energy panel, alteration, or
Business name: STONER ELECTRIC net T ctIgsr4 Z Page 2 1 E 2
Address: 1 904 SE OCHOCO Each additional inspection over allowable to any or the above
Per inspection 62.50
Ciry /State2dP: MILWAIJICI E, OR ) , a ,r ) / Investigation per hour (1 hr aria) 62.50
Phone; (503) 462.6500 Fax, (503) 659-4968 Industrial plant per hour 73.75
ELECTRICAL: PERMIT FEES'
CCB Lie.: 44823 Electrical Lie.: 26 -122C A I Suprv. Lie.: 3496 Subtotal I sin
Suprv. Electrician signature, required I' // ��" " L ��........,,,, review Plan revi (25% of permit fee)
Print name: MICHAEL FALCONER °ale; 4 /G / 7 _ State surcharge (8%. of permit fee) I Z
TOTAL PERMIT FEE 1 W 2
Authorized signature: 'rah permit application expires ire permit is not obtained within 180
days env if um been as complete
industry y Service name: 1 Date: 44// • Pee methodology set by 'rrt�ovM Building Baildiag indusby service Board
•• Number of inspections per permit allowed.
I.0 u1cdrna\PernthAFLC.PerwuApp.dcc 12/03 440.4615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00092
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
Phone: (503) 639 -4171
•
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/21 /2007 TIME: 7:03AM PAGE: 26
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Fire alarm and security system Low Voltage.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503-238-6100
CONTRACTOR: STONER ELECTRIC PHONE #: 503- 462.6500
Inspection Request Scheduled For: Date: 6/21 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 050667 -01 503.706-3308 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Nu) L Date: 6-1-1' Phone #: (503) 718 - tic)
!.-- '
1 ' CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00092
' A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
Phone: (503) 639 -4171 Arta
Inspection Requests (24 Hrs.): (503) 639 -4175 �' `'I � ..
INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7:01AM PAGE: 59
I ADDRESS: 13920 SW PACIFIC HWY
SITE ADDRESS. CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Fire alarm and security system Low Voltage.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503-238 -6100
CONTRACTOR: STONER ELECTRIC PHONE #: 503-46/6500
1
Inspection Request Scheduled For: Date: 6/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049597 -01 503-706-3308 . ikl PM
Corrections/Comments/Instructions:
it . i s D 4N cl.,
__ __ __ 1
tA C v . i_ �� (3
tI -
Q k k - . , l 1 O , . ci _ 41SOA 13 i i1/40—)610D\ INTL
(LS I\ LA1/40.-w• tivaxw ItL. viii" IA ilwftve
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O G( ZsCa A4e- Nil N FI AI, W..
{ k.■czt6 ..o 4L- ors) biz vice . it rnAN iT Be
Q.Ep ;N rti..,R.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (VS L Date: 6• 5- 01 Phone #: (503) 718- )441,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00092
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1/6/2007
Phone: (503) 639 -4171 a
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 5/1812007 TIME: 7:02AM PAGE: 58
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Fire alarm and security system Low Voltage.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503- 238 -6100
CONTRACTOR: STONER ELECTRIC PHONE #: 503-462 -6500
Inspection Request Scheduled For: Date: 5/18/2007 Pour Time:
Code # Inspection Description Confirm_ it Contact # Message
135 Low voltage 048560 -01 503- 706 -3308 N
Corrections /Comments /Instructions:
del.. (Ovo‘u - ;f
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e N 68 Date: 611 ilcri Phone #: (503) 718 Z ib
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: ELR2007 -00092
13125 SW Hall Blvd., Tigard, OR 97223 * DATE ISSUED: 4/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/16/2007 TIME: 7:00AM PAGE: 71
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Fire alarm and security system Low Voltage, •
OWNER: GOODWILL INDUSTRIES. PHONE #: 503 - 238-6100
CONTRACTOR: STONER ELECTRIC PHONE #: 503462 -6500
Inspection Request Scheduled For: Date: 5/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 048284 -01 503.706 -3308 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I . P6 L' Date: 6 01 Phone #: (503) 718- 2414,
_ _ _