Permit •
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:CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT •
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00265
TIGARD 13125.SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007
PARCEL: 2S 113AB -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD ZONING: I -L •
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG •
PROJECT: FANNO CREEK PLACE
Project Description: Building A - Low voltage for HVAC wiring.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
OPUS NORTHWEST LLC HVAC INC
1500 SW FIRST AVE. STE. 1100 5188',SE INTERNATIONAL WAY
PORTLAND, OR 97201 MILWAUKIE, OR 97222
Phone: 503- 916 -8963 Contact #: PRI 503- 462 -4822
FEES Reg #: ELE 26- 571CLE
LIC 50897
Description Date Amount
[ELPRMT] ELR Permit 2/26/2007 $75.00
[TAX] 8% State Surcha 2/26/2007 $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: /3d% 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:
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. 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.
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" 'Electrical Permit Application r(lt ovi.. I. t s1•: ()'I.N
City of Tigard ��00 / Permit No.: `f , �
13125 SW Hall Blvd., Tigard, OR 97223 v i Plan Review
.., .... - • Other Permit.
Phone: 503.639.4171 Fax: 503.598.1960 , 1
Inspection Line: 503.639.4175 J_ � . .41._ Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Maho& li Supplemental Information
- .4'4` Y4-r...�. ». : �..� ^. lr iY "S :'. ' :2` � 1F �"' r -, +, f9 t%r > s.h','�,::� +vzGnY'4 e • . a; �
.. .' :; _-;. -'`; ' , q �: y .. ;-. ''TY ietiF'.WORK ?"!k" •�"' - W.� . z''es1Si!4';s':: r:PI:AN; REVIEW ttg. . n
'New construction ❑ Addition/alteration/replacement Please check all that apply:
(2 Demolition ❑ Other: ❑Service over 225 amps, comm'I 0 Hazardous location
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
-r, �:K =-" ` ;CATEGORY OF, CONSTRUCTION - - 7 .'... J . 1 :2!- - -:;-::...: 7 :, - . ;
�' ' ' '��' T a_, ; - ,�` :.� � � - - . -, . of I -and 2- family dwellings 4 or more new residential
❑ I and 2 family dwelling IV 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
:., •=� ".1 - _ r: ;'�,' " JOB_ SITE INFORMATION_AND LOCATION ` ❑ Egress/lighting plan - RV park
Job no.: Job site address: /6037 sw v B h Rd ❑ Health care facility ❑ �
/ ' t Submit 2 sets of plans w any of the above.
City/State/ZIP: ( ct - v The above are not applicable to temporary construction service.
Suite/bldg /apt no.: Project name: tro G
.s.g.4;r�;.tG-s��y = :•�e: :FEE•_i SCHEDULE t ,v+�':�mz�•'':�'i ,: �:. ,.
Description I l217. I Fee I Tad I ••
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
, � ::.'6 ;e :; _= :` ' )$ ` 5 DESC RIPTION OF ■ WORK =. ...:-.7.-. • . , e. :;1 + =*;: ..",-,:::?--,1.,;';71 Each manufactured or modular
IOW U b i -a Cu(N(� Qi kILO S erv ic es or feeders ins tallation, alteration, and/or relocation feeder 90.90 2
Q � Services or feeders ins
200 amps or less 80.30 2
a �K i s : � -, - +.- . r : 201 amps to 400 amps 106 85 2
-��%- �PRUPEItTY.�OWNEit s �I -. �.� . _ - TENA : s�' % '
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
- " ""„ - "D ;APPLICANT; ^"T• r' ' ❑ CONTACT: PERSON : - - A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
--r :: `nil ..= ::.tWiro.'rirk-��'-.= �,�+'rsCONTRACTOR'�-= `si :Ls, = , �;`'R: #`r .' >M :�i- energy panel, alteration, or
I, f extension. Describe: Page 2 2
,
Business name: 4u l4� /Iv
Address: Si gg . { ft. w Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: « Li- cLwk Or Ta,n 9 1aL Investigation per hour (1 hr min) 62.50
Phone: ( ) Li (P a_ % �2 l!ax: ( Woo).- 1_SCE Industrial plant per hour - 73.75
to 111'-'1 ,: ELECTRICAL :P.ERM1TAFEES!:4S4 7;'
CCB Lic.: 50 I Electrical Lic.a( ed Suprv. Lic.: Or-L Subtotal 7'6
Suprv. Electrician signature, required: r' 2 '/ 0, Plan review (25% of permit fee)
n ' State surcharge (8% of permit fee) • CU
Print name: 4i, E k Date: I " 1 t. 21 p C
TOTAL PERMIT FEE g1 ,
Authorized signature: ) - C ia.) g - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Sk mot, Y I Date: / l I Li 0 (, • Fee methodology set by Tn -County Building industry Service Board
- •• Number of inspections per permit allowed.
i\ Building \Pamits1ELC- PermitAppdoe 12/03 440 A615T(id07JCOM/w® A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00265
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2G/2t107
Phone: (503) 639 -4171 q
Inspection Requests (24 Hrs.): (503) 639 -4175 ° 'IL•
I
INSPECTION WORKSHEET FOR DATE: 1/9/200 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building A - Low voltage for HVAC wiring.
OWNER: OPUS NORTHWEST I.LC, PHONE #: 503. 918-8963
CONTRACTOR: HVAC INC PHONE #: 503-462-4822
Inspection Request Scheduled For: Date: 1/9/2008 Pour Time:
Code # Inspection Description - z - ' •• Contact # Message
199 3 5
Electrical final 062844-01 0. Q.,9 -9226 Y
Corrections /Comments /Instructions:
,1
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il PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r, N6 Q] LAC Date: I — ( 1 ' 01) Phone #: (503) 7181
1
CITY OF TIGARD
BUILDING DIVISION _ t PERMIT #: ELR200S-00265
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 212&2007
Phone: (503) 639 -4171 1.
Inspection Requests (24 Hrs.): (503) 639 -4175 �' _'''' �..
INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building A - Low voltage for HVAC wiring.
OWNER: OPUS NORTHWEST LLC. PHONE #: 503 - 91643963
CONTRACTOR: HVAC INC PHONE #: 603462 - 4822
Inspection Request Scheduled For: Date: 10/1112007 Pour Time:
Code # Inspection Description ( Confirm # Contact # Message
13( Low voltage 057418-01 971.998.4440 Y
Corrections /Comments /Instructions:
i--g-. ' ' c L C'11.1— Mi 4 )e
❑ PASS 111 PARTIAL APPROVAL CE ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 11 0 7 Phone #: (503) 718 - VA
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200&00265
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 2/26/2007
Phone: (503) 639 - 4171 . 1
Inspection Requests (24 Hrs.): (503) 639 -4175 '!!+� 1I..
INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building A - Low voltage for HVAC wiring.
OWNER: OPUS NORTHWEST LLC, PHONE #: 5
CONTRACTOR: HVAC INC PHONE #: 503- 462- u11322
Inspection Request Scheduled For: Date: 9/17/2007 Pour Time:
Code # Inspection Description - - • al # Contact # Message
135 Low voltage 055805 -02 '71-998-4440 n Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr• N 6 Date: C t Vt Phone #: (503) 718 - I.. %
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CITY OF TIGARD _
BUILDING DIVISION PERMIT #: E1.R2006 00265
13125 SW Hall Blvd., Tigard, OR 97223 ' .4. A. DATE ISSUED: 2/26/2007
Phone: (503) 639 -4171 l A
Inspection Requests (24 Hrs.): (503) 639 -4175 '!!+� '''! I..
• INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7 :01AM PAGE: 3G
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building A - Low voltage for HVAC wiring.
. OWNE'R: OPUS NORTHWEST LLC, PHONE #: 503-916-8963
CONTRACTOR: HVAC INC PHONE #: 5034614822
Inspection Request Scheduled For: Date: 9/4/2007 Pour Time:
Code # Inspection Description • • n I - • Contact # Message
135 Low voltage 055049 -01 503 - 462 -4822 Y
Corrections /Comments/ Instructions:
C)41M3
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �' w Date: J i_t{ I Phone #: (503) 718 - �