Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
-
} ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00067
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/21/2008
PARCEL: 2S112DD -01100
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HOLIDAY INN EXPRESS
Project Description: Installing fire alarm and audio low voltage systems.
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
BHGAH TIGARD, LLC FIRE PROTECTION SERVICES
PO BOX 1670 5573 SW ARTIC DR
WILSONVILLE, OR 97070 BEAVERTON, OR 97005
Phone: 503 -783 -5222 Contact #: PRI 503 -590 -3732
FAX 503- 628 -6214
FEES Reg #: ELE 34- 488CLE
LIC 154333
Description Date Amount SUP 4120LEA
[ELPRMT] ELR Permit 3/21/2008 $150.00
[TAX] 12% State Surch 3/21/2008 $18 00 REQUIRED ITEMS AND REPORTS
Total $168.00
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:
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.
Mar 20 2008 5:11PM Fire Protection Services 503 628 -6214 p.1
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City of Tigard -r ......• r e 1. D t ceive d - j ®! Permit No.:
13125 SW all Blvd ,Tigard, OR 97Z }�(2 n vw � U ��
j �� j � P lan Review AIIEIIIIIIIIIII
❑OOOOa❑ootAoor❑icrA❑❑vc, gy�"'}0 a ! ® Date'B . �e1'ermit f or_ • ^ 0
Te ;1 D 1h iti OM15.7:
O[8BceinZ.4000QA s ..J'' 3 � Date ReadyB ® y. orris. SaMize 2for
Internet. • , ti g std -or. w t g �/ ® `� j'W NonficdMetbod: Supplemental Information
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lei' i' nt 'ri i;TZ Iii . : �ts2 -r -' _ �� € ! S ;147 _ r�: le :•ir,2 a w . u / eyv r '� a . EPI ilT` N rt
. � t - } r i a eel =- �=. r tt .nil _ -5FT: ( r t ., - 1.. l,i i
:. it.. .c.:s.. :vs.wa _ � .._� .r � ! � .«L.......�_.. _sue..,__.= :�- .7:- ���-- ,.�,..__ S,i..:.�w - . .w.c... .�. �>i ' sil o . = r•, -s_, _
❑ New construction ® Addition/alteration/replacement Please check all t hat apply (submit a sets of plans w /items checked belo
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑ Marinas and boatyard
[[ _ _ s.
1?- '" . �s ]'g i r t 41 -- -e•,; i !1
`t > ui!.iqu li+ r-kV "�, , exceeds 10,000 at 150 volts or Floating
'.:.t ,,eni. 1) t „ °i.. . = ''m ,- z,,t ., r 1 d_ 51 s !' -i ax: - 9 ❑ g buildings.
a.
El 1 - and 2-family dwe ling C /industrial Accessory building ass to ground, m exceeds 14,000 ❑ Commercial-use dings. agricultural
1- 8 ® ❑ �rY 8 amps for all other instauanoos, buildings.
❑ Multi-family I ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
.9P1 R )r I I 4 ; r t,M1F1li7 t ,Yy v � ,- � "-�� i ,x'1£'1 °0,Z.IP 11.i3t1 r r='` ❑ EMetgaocy system. larger separately derived system
.1 `'> --. :, ,..1: : :f. , .., :rsG ,:, _ r _. _ .. _ , n. -. ._:cl: • 11,1 it1 4, :R5,.. ^5 ❑ Addition of new motor load of ❑ A E .. .,
Job no.: 2463 Job site address: 15700 SW UPPER BONNES FERRY RI) IOOHP or mO1C' occupancy
❑ Six or more te3ideatial units ❑ Recreational velucie parks.
City/ State/ZIP: Tigard s R - ❑ Health-care facilities. ❑ Supply voltage for more than
:•
ii . .. '. . / i ❑ Hazardous locanona. 600 volts nominal.
Suite/bldg. /apt. no.: Project nam . ' - - : , ' - -. - ❑ Service or feeder 600 amps or more.
Cross streetidirectionst job site: [Initiation ;2:- t Fee. Total •
New residential single- or multi-family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.: Ea. add'] 500 sq. R or portion 33.40 1
l �,, -"--. -M11,7,!-P.,77- l ,; Limited energy. residential
`tl' • M s
L• - ,' '
I. ,itm`_a t =`T: t=s.: - .l � tiliifka e .t , Y.-�- a ' � 1 } : '._a _ _ amt..2 r 1.a ,. ?e (with above sq a ) 75.00 2
Add - FIRE ALARM ; AUDIO Limited energy, multi- family
residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
_� :_ r^ r s e r v o,n i c. it Kjn I 200 amps or less 80.30 2
y
t i i "f i' , s w 3 ,1 1 1 P a F • , u .� q, , 201 amps to 400 amps 1(16.85 2
ns;. Iitto?n; : sir,t . t t .n , 4 s A' _ . 1 lL41, 1 ,t -- -�.. -- .t3 `t:E:a
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 servkes or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 I
Owner installation: installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, 1 rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A Fee for branch circuits with
""=='•-"'-'7'-',.=--'"'"--.• {l'+ ' "Ini•:7 -- 1 i s 1 1'! a ' o t -z- f ib ,,, Rte'
,ilil,l'iin is..1.s . . t � . .._: li;11111i.tS ";-:7--.'s•;-=---
.n tCil ;i:, 't .kt s '�. t } .141.,,ntr , ),gf ., ! above service or feeder fee, 6 65 2
each branch circuit
Business name: Fire P otection Services Inc B. Fee for branch circuits
Contact name: David Phipps without service or feeder fee, 46.85 2
first branch cucuit _
Address: 5573 SW Ar is Dr Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Beav a on Or 97005 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 590 -373 I Fax: : (503) 628 -6214 Reconnect only 66.85 2
E -mail: phipps(.fpsn .tom Pump or irrigation circle 53.40 2
Wiis s i �jk II r7; ; te r i fy , , . - : = �. r rl y F i!r =€ Sign or outline lighting 53.40 2
i xd•i, L . ,r,i.:... aft; 0,41.._ _._- 9.._ k.1. - -'- -- - � --. .4.1.,,z..Yai,E -7, _ f,_ [ .i .nee :... ` .:.s
Signal circuit(s) or limited -
Business name: Fire P otedtion Services Inc energy panel, alteration, or �
Address: 5573 SW Ar is Dr extension. Describe: 1 Page 2 75,a) 2
City / State/ZIP: Beav . on Or 97005 Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: (503) 590-3732 I Fax: (503) 6286214 Investigation per hour (I hr min) 62.50
CCB Lic.: 154333 Electrical Lic.: , le3 - ' : Suprv. Lic.: 4120LEA industrial plant per hewn 73.75
:,_ -_ :a; :P'�- �""'f° l tr l iii .. ll, t i tftii3 i`ff i s.d i
P required: z'"d� 'i; : : :as.h,. z�i, a..;. -
Suprv. Electrician si store, uired: Subtotal: )
0 ' Plan review (25% of permit fee): I Q,
Print name: David M 'hipps / Date: 03 -20-08 State surcharge (12% of permit fee): • 0 I •
Authorized signature:. i �� . -- TOTAL PERMIT FEE: 3 J , � .
Print name: David M er/ -7 . T e• 03 -20-08 '� permit application expires if a permit is not ob ■ . within 180 •pps days after it has been accepted as complete.
• Number of inspections allowed per permit. •
t :mumingwenntitlELC.Pumh , : dot 0523/06 44e- 4615r(t ;roLCQM/WEB
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: L LR2000- 00057
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312/12008
Phone: (503) 639 -4171 Apo
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/3/2000 TIME: 7:02AM PAGE: 35
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Installing fire alarm and audio low voltage systems.
OWNER: BHGAH TIGARD, LL_C, PHONE #: 503 - 783-5 222
CONTRACTOR: FIRE PROTECTION SERVICES - US 0.1 PHONE #: 603
Inspection Request Scheduled For: Date: 4/3/2009 Pour Time:
Code # Inspection Description Confirm #� Contact # Message
135 Low voltage 067820 -01 503-590-3732 Y
Corrections /Comments /Instructions:
F (ZovP obi
-
--Ere-erroA.K. 6 wul"al_ bF A cts51/4)GD
ti)G" Fat..
csbOs
REtikkt. \-t0
2 F ItocL, c Asks, Q t1.
C-1-saaL I PocwS
A . 0
❑ PASS IIPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr Vv N3 L Date: 1 1 3C5114 Phone #: (503) 718- Milk)
CITY OF TIGARD : 4
BUILDING DIVISION PERMIT #: E_L.R2008.00057
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/21/2008
Phone: (503) 639 -4171 j � l
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'. °_
INSPECTION WORKSHEET FOR DATE: 4/9/2008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 15700 SW UPPER P,OONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Installing fire alarm and audio low voltage systems.
OWNER: 8HGAH TIGARD, LLC, PHONE #: 603-783-5222
CONTRACTOR: EIRE PROTECTION SERVICES \ <3 us+At,,j , PHONE #: 503 - 590 -3732
Inspection Request Scheduled For: Date: 4/9/2008 Pour Time:
Code # Inspection Description Conf ri m #- Contact # Message
135 Low voltage \ 068099 -01 503- 590 -3732 ~ Y
Corrections /Comments /Instructions: \
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v • N 1.. Date: 9 e ll 0 Phone #: (503) 718- laitki_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR ?008.000:17
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312112.003
Phone: (503) 639 - 4171 Vitt
A
Inspection Requests (24 Hrs.): (503) 639 -4175 "i ° —.
INSPECTION WORKSHEET FOR DATE: 6/10/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 15700 SW UPPER ISOONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Installing fire alarm and audio low voltage systems.
OWNER: OFIGAH TIGARD, LLC, PHONE #: 503- 783 - 5222
CONTRACTOR: FIRE PROTECTION SERVICES PHONE #: 503590 -3732
/ —
Inspection Request Scheduled For: Date: 6/10/2008 , Pour Time:
Code # Inspection Description irm # —. Contact # Message
199 Electiical final 071151 -01 1 503 - 590.3732 N
J
Corrections/Comments/Instructions:
1' 1AI Fi ct 14 1-NLAN RE .l.; ),( 4 I , , a ®1)
Ob 43 V ajDO RA , 6 \ gUliYkS,, N64/
k ( 0\i t D N b2QmkL.o 1 LW1, N vim, ietv., 4 s -min
N Ka.tlqcc S ®QR.,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL (CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 ---- . IV 6 L Date: ciao! d Phone #: (503) 718- 1/446
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008.00067
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 55
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Installing fire alarm and audio low voltage systems.
OWNER: BHGAH TIGARD, I_LC, PHONE #: 503- 783 -5222
CONTRACTOR: FIRE PROTECTION SERVICES PHONE #: 503-590 -3732
Inspection Request Scheduled For: Date: 6/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071251 -02 503-590-3732 N
Corrections /Comments/ Instructions:
- }! s E , �! 1,00
• ®"��
� r
v
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G w•V.Y6 Date: g • I SOS Phone #: (503) 718 - 1)44t.