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Permit
..e — 4 -Ir li C ' il CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT . '.- COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00266 T,IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007 PARCEL: 2S113AB-00300 SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD ZONING: I - SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG PROJECT: FANNO CREEK PLACE Project Description: Building B - 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: � Permittee Signature: �_ G 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 Application rolz urrlc I: 1 sI•. o i v City of Tigard it ©o ABM Permit No.: `G j 4; -00'(,0 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit: Inspection Line: 503.639.4175 .414- '._!.. Date ReadyBy: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: [gm Supplemental Information . ::: •.t. . .TYPE OF'WORK _ •" - 41LAN REVIEW ,;,�-, . - - ,- ( New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition El Other: ❑Service over 225 amps, comm'l ['Hazardous location OService 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 a'CommerciaVindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi - family ❑ Master builder ❑ Other: ❑Buildin over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or -` - : -- - JOB SITE' INFORMATION AND LOCATION - - ' RV . - - ❑Egress/lightingpuan Job no.: Job site address: I 605.3 S 60 () eat 0 ❑Healthcare facility 00ther. Submit 2 sets of plans with any of the above. City/ State/ZIP: '1 c) The above are not applicable to temporary construction service. SuiteJbldg. /apt no.: M f Pro :-r KIND \JVeek ►�P FEE! DULE� t , `'; '.. D escription I Q ty. I Fee. I Taal I . 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'I 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 1, 1, � {� !' ` L �' `� I � dwelling, service and/or feeder 90.90 2 V"1 r � W \ j � Services or feeders installation, alteration, and/or relocation (J 200 amps or less 80.30 2 -I.. ' ; ❑ PROPERTY .OWNER'' ' "" . I - - ❑ TENANT - :.'., ;, . . - - , • ' - ' i . , - 1 . . • 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 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: 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) Phone: ( ) F : . ( ) Pump or irrigation circle 53.40 2 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: 40___1� Address: S1 c-g S E: ` t -lil 1'-t' uu Each additional inspection over allowable in any of the above Per inspection 62.50 City/ State/ZIP: L - c _k ©r p n G � )._3_a__ Investigation per hour (1 hr min) 62.50 Phone: ( ) "[ (ra� % A.3--- Pax: ( � ' }' t t r /_) _ S C E - Industrial plant per hour 73.75 'ftOb' l 1D _ ..'ELECPRICAL FEES! •, CCB Lic.: 50gC 7 Electrical Lic.,_57/ j f Suprv. Lic.: Or-iim ,-7.---i Cf Subtotal Suprv. Electrician signature, required:, 7)7 0l Plan review (25% of permit fee) State surcharge (8% of permit fee) ( .00 Print name: �SCO t bCt.(2 -- Date: a 2.-10(9 n TOTAL PERMIT FEE g J . 6)19 Authorized signature: /_, ` 6 , �, This permit application expires if a permit is not obtained within 180 rr ww days after it has been accepted as complete Print name: 5 k a 0 6 c () Date: I \ IL) 06 • Fee methodology set by Tri -Canty Building Industry Service Board •• Number of inspections per permit allowed iABwidmg\Pamin\ELC -Pe mitApp doe 12/03 440.4615T(16o2lCOM/W® CITY OF TIGARD BUILDING DIVISION PERMIT #: EI-R200 &-00 66 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/36/1007 Phone: (503) 639 -4171 16 ' Inspection Requests (24 Hrs.): (503) 639 -4175 &.. 'I L INSPECTION WORKSHEET FOR DATE: 1/16/200 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FAWN() CREEK PLACE DESCRIPTION: Building B - Low voltage for HVAC wiring. OWNER: OPUS NORTHWEST LLC, PHONE #: 503.916 -8953 CONTRACTOR: HVAC INC PHONE #: 503 -162 -4832 Inspection Request Scheduled For: Date: 1/16/2008 Pour Time: Code # Inspection Description Confirm Contact # Message 199 Electrical final 06331B -01 503459 -9226 \ Y Corrections /Comments / Instructions: l'orvA5 PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS �-A7L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G D� b6 c Date: 11016 Phone #: (503) 718- 144) • CITY OF TIGARD BUILDING DIVISION ,•‘ PERMIT #: EL R2006. • 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 �°'' r�llt Inspection Requests (24 Hrs.): (503) 639 -4175 _� INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7 :00AM PAGE: 21 SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building B - Low voltage for HVAC wiring. OWNER: OPUS NORTHWEST LLC, PHONE #: 503 CONTRACTOR: HVAC INC . PHONE #: 503- 467 -4822 Inspection Request Scheduled For: Date: 10/22/2007 Pour Time: Code # Inspection Description ' - onfrtn� # Contact # Message 136 Low voltage 058041.01 971 -221 -6344 Y Corrections /Comments /Instructions: /AA 'U701,,(\)56N;) A PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G7r' 1 066 Date: I0131'it 1 Phone #: (503) 718- WA__