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Permit
1 ..j4... CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00003 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1 /2/2008 PARCEL: 2S 113AB -00300 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 ZONING: I -L SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG PROJECT: PROFESSIONAL LIABILITY FUND Project Description: Low voltage for access control. 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: INSTRUMENTATION: OTHER: ACCESS X TOTAL # OF SYSTEMS: 1 Owner: Contractor: OPUS NORTHWEST LLC CONVERGINT TECHNOLOGIES 1500 SW FIRST AVE SUITE 1100 2040 SE POWELL BLVD PORTLAND, OR 97201 PORTLAND, OR 97202 Phone: 503- 916 -8963 Contact #: PRI 503- 228 -8522 FAX 503- 228 -8521 FEES Reg #: ELE 26- 1173CLE LIC 148358 Description Date Amount [ELPRMT] ELR Permit 1/2/2008 $75.00 [TAX] 8% State Surcha 1/2/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 Notifica n Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -$100. You may obtain copies of these rules or rect quest* to OLLNt at 503.246 6699 or 1.800.332.2344. i/ I -- Th ssue By: ` `` /�__ / ` / Permittee Signature: Arg v 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. __ &J oo 8 — Co Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No Plan R ° 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review - Phone. 503.639 4171 Fax 503 598 1960 Date /B Other Permit TI G A R D Inspection Line 503.639 4175 Date Ready /By lusts 9 See Page 2 for Internet. www tigard -or gov Notified/Method Supplemental Information � : . i ' TYPE'OF WORK _- - ` PLAieREVIEV . , - - ' New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below) El Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards .CATEGO exc eeds 10,000 amps at 150 volts or Floating g R Ya OF_CON STRUGTIONr ; ��•= � p ❑ oatin buildings. / - less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations buildings ❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ installation of 75 KVA or 1'; • c ''•'-'•-'‘ , Emergency system larger separately derived system JOB - SITE INFORMATION:' A ND LOCATION _ ° . , �. . � ,�. - • � . , .. - •- .; , ,. - , -�;. - r ' , 0 Addition of new motor load of ❑ "A" "E" "1 - "I - Job no : Job site address 60�•�,W37 Jw . -' IJ 5 f n 1 100HP or more. occupancy P t K4 • Six or more residential units ❑ Recreational vehicle parks. City /State/ZIP: r • ., O e. ZZ3 ❑ Health -care facilities ❑ Supply voltage for more than _ J ❑ H dous locations 600 volts nominal Suite bldg /apt. no.. �v Project name. � „ ,! • ye r feeder p , o fe r 600 amps or more d � � i .., .;, �: FEE• S Ci:WD U LE1; ' ;r' Cross street/directions to job site: Description I Qty. I Fee. I Total I � • � c `- ] �7 'I� ' New residential single- or multi - family dwelling unit. ' OoV 7 �T , ” �bJWA' O� 1 Z^'d /}�lpt{kOFvJ�A1•� tip Includes attached garage. Subdivision. Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.. Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential :' • .., ;1' .,DESCRION PTI_ OF WORK;,:;_ ,: •: `'w "`, • - `i ., (with above sq ft ) 75.00 2 1 '15 Limited energy, multi - family 75.00 2 1--. 1--. Uo /T7xc C t mat tA,.n / -1-xem , //l . D s residential (with above sq ft ) 0 Services or feeders installation,alteration, and/or relocation 200 amps or less 80 30 2 _, ❑, °PROPERTY''OWNER•'` a TENAl2fA': •<.° 201 amps to 400 amps 106 85 2 Name: r (i--012.... 401 amps to 600 amps 160 60 2 � ? �� c � 601 amps to 1,000 amps 240.60 2 Address: 1 6(7( _S v� ; � _� , i,` x?t CE,fl _ p.c.! Over 1,000 amps or volts 454.65 2 City/State/ZIP: l ( e n f� e / . 772 V Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) i 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 599 amps 133 75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with - APPLICANT y ". °. ,I s: = , : ❑•-,CONTACT PERSON above service or feeder fee, r - each branch circuit 6.65 2 Business name: C�i2;' j , L 1p l� ,» , Y Fee for branch circuits B . Contact name: `� ��J ` without branch service or feeder fee, 46.85 2 t..'t i ‘044 first branch circuit C-0 Each add'1 branch circuit 6.65 2 Address 47/01/0 'LU P(X.�ei I Dfix Ci City/State/ZIP: Miscellaneous (service or feeder not included) tY �1'e»rr. i Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: (5e5 ) zz g — r s C z Fax:: ( Sa.9 ?Zr,"sz/ Reconnect only 6685 2 E -mail. Pump or irrigation circle 53 40 2 . r. „„.. 4 ,n....„ _ - „,...,_, ° ,:.CONTRACTOR:. <.. , , -_ . . _ . , Sign or outline lighting 53 40 2 Business name: 7 �., �._ K Signal circuit(s) or limited- w C-L?AJ lip- fF'�i11/ Q�tril[� (L ?"!it �” energy panel, alteration, or •75, „jiCO Address: � "' 7i / j `-/-3/a/ extension Describe Page 2 / 2 City/State/ZIP. ' L , ' ? - 1 ' , ' ejje, , n , L e.—.. Each additional inspection over allowable in any of the above Phone (��p�) - �Z, S ) Per inspection 62 50 ! F ax: (,�ff) ter �s'11 Investigation per hour (1 hr mm) 62 50 CCB Lic : E `�A 36g Electrical Lic.:ZG. / /73Ct, Suprv. Lic.: 3yz• ' LEA Industrial plant per hour 73.75 'v • ELECTRICAL PERMIT;;FEES - '. -- _ -•- -- --- Suprv. Electrician signature, required Subtotal: . 75 Print name �n Tlw� -� Date: r/ / Plan review (25% of permit fee). Q a� State surcharge (8% of permit fee)• 9• 70 Authorized signature ` / — TOTAL PERMIT FEE. g( ,O , I / I� / -. This p ermit application expires if a permit is not obtained within 180 Print name: 77 t p � K , c -_ Date: / r / days after it has been accepted as complete. I GG77 • Number of inspections allowed per permit I \Building\Permits\ELC- PermsApp doc 05/23/06 440.4615T(I I /05 /COM/WEB CITY OF TIGARD et N BUILDING DIVISION PERMIT #: F_LR2008 -00003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/7J2008 Phone: (503) 639- 4171 .iI#�i� Inspection Requests (24 Hrs.): (503) 639 -4175 .�' .. °:_.. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 53 SITE ADDRESS: 16037 SW UPPER dOONES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL LIABILITY FUND DESCRIPTION: Low voltage for access control. OWNER: OPUS NORTHWEST LLC, PHONE #: 503916-R963 CONTRACTOR: CONVEIRGINT TECHNOLOGIES PHONE #: 503-228-8522 Inspection Request Scheduled For: Date: 1/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 063038 -01 503-793-3414 N Corrections/Comments/Instructions: pat' qbiC W8 l Gv11 6 A 6e Na. G Ak5a fib:TN ea 6 E Yom 6- G- .)`frame. © &�Q6•4 ■E lta likiy\ 6 rc 7 s `i p c l- c_,gi -g' V 4 0, rz.v q'tvo,6 . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IA FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 6e Date: 1 ' 1(' 01 Phone #: (503) 718y CITY OF TIGARD 0 I N BUILDING DIVISION PERMIT #: E1.R2008 000133 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2/2008 Phone: (503) 639 -4171 � ' Inspection Requests (24 Hrs.): (503) 639 - 4175 s' I INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL LIABILITY FUND DESCRIPTION: L ow voltage for access control. OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916-8963 CONTRACTOR: CONVERGINT TECHNOLOGIES PHONE #: 503 - 8522 Inspection Request Scheduled For: Date: 4/10/2008 Pour Time: Code # Inspection Description 9nfirm Contact # Message 199 Electiical final 68'140 - 01 971 - 212 - 7363 N Corrections/Comments/Instructions: tO LE W. tel K e.`` I O 3 W a.% it N oN% RNs L; GO P •sa.w■, v �Jaaa� I ti1 a . ❑ PASS El PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS A FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: &- 0 be, Lie Date: ii`i Oli Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008 -00003 13.125 SW Hall, Blvd., Tigard, OR 97223 DATE ISSUED: 1/212008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/3/2008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL LIABILITY FUND DESCRIPTION: Low voltage for access control. OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916-8963 CONTRACTOR: CONVERGINT TECHNOLOGIES PHONE #: 503 -2213 -8522 Inspection Request Scheduled For: Date: 7/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072182 -01 603.228.8522 N Corrections /Comments /Instructions: • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / - 3 -4 Phone #: (503) 718-