Permit • 4 CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
� .I�� DEVELOPMENT SERVICES PERMIT #: ELR2005 -00038
-- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/2/2005
SITE ADDRESS: 10575 SW CASCADE AVE 130 PARCEL: 1S13566 -00501
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Low voltage for security.
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: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
AMB PROPERTY L P PRIDE LTD
BY TRAMELL CROW NW INC 6965 SW 184TH
8930 SW GEMINI DR ALOHA, OR 97007
BEAVERTON, OR 97008
Phone: Phone: 503 259 - 9338
Reg #: ELE 34- 384CLE
LIC 110793
FEES SUP 1812LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 3/2/2005 $75.00
[TAX] 8% State Surchart 3/2/2005 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952- 01 -0 00. You may o' in copies of these rules or direct question At e U - t 503) • - ° • .
Issued by � c_ cps ,� Permittee Signature it! �� •
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• .
Electrical ECEiriCA lication FOR OFFICE USE ONLY
City of Tigard vA 0 0 2, Ti It
,4
Plan Review if --
13125 SW Hall Blvd., Tiga 97223
Permit No .V R06 i c , 3
Phone 503.639.4171 Fax: 503 598 ism GA.F.1) ,---_ .„
41 Date/By Other Permit
Inspection Line: 503 6,39 or 1 ' , loS ,-.04-. c...E. Date Ready/By: ,J:Prs El See Page 2 for
Internet: www.ci.ligarB.e -nliG DI IS Notified/Method: 1 ( a. Supplemental information
--.:,-:: ..TY:it i'-',;',.;-;V:;;;P:.'is;":: '
p New construction 0 Addition/alteration/replacement Please check all that apply
EService over 225 amps, comm'l ['Hazardous location
0 Demolition El Other
- - - =:?, -- ['Service over 320 amps - rating pBuildng over 10,000 sq ft.,
:07, I ';-- •-' .. ,, -.; ,. ,. • :,,, -,- - - - 3 ..,.•&:-'4• r.-
''' ' . ' - ' -, - •--- ,. - CATEGORINOF , CONSTRTICTION , --- --:--, r ••,-:--;$- -,•:--,-, ?r--F,t . -^. 5-.*. of 1- and 2-family dwellings 4 or more new residential
-, ,-"..- .-'.- • ■ •-•-.= -.• - -_,,::-,---.- ,,,,-,- .- --. - .. - -. —.. ..‹..:.-...-:,,:,-- `• •-. -.4-....v.,-.14 . •..
0 1 - and 2 dwelling ( VCommercial/industrial 0 Accessory building 0System over 600 volts nominal units in one structure
OBuilding over three stones ['Feeders, 400 amps or more
D Multi-family 0 Master builder 0 Other:
ElOccupant load over 99 persons ElManufactured structures or
1-'4` ;,- 4 , :ii.- , §ii , f_ii•FFOWItOrkr1<iilliiatio ', E plan RV park
[lHealth-care facility ElOther:
Job no.: Job site address: 10 5 ,..., ci
Submit 2 sets of plans with any of the above.
City/State/ZIP: T1 /1 s2 D The above are not applicable to temporary construction service
. ,.'71 .:V, -1t0:',P:''
Suite/bldg •
./apt. no.: -•, Project name: /./
• • ill, Erncoo0 Description Qty. I Fee. Total I 4*
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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: .
Limited energy, non-residential 75.00 2
:--.2 ' - If. ' i .. -..'fiWcOl - :::,',1 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
4 ' tr '1 '.!.;! . T ;;',.:Ci, : k'. c, [ iv ii ii4 A i,i i . , ,..:-',-;;;.,,,,,.,;;; 201 amps 10 400 amps 106 85 2
"'-- '. p
." '`" . " OWNER ' ''' 7-" ' ' f ' ' -'' ''' --;-- 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
;;:aiPPLI&AT■fr',.. `' ''' - :4: 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
each branch circuit
Address:
Each add'l 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
- -
:, ;", '•'(;:'...,f-, ' ",' ;'';',?"- ' =, ,' ' ".'"i'_..CON'Tlittl*- :!' '''-::::'-..- :': .. -• ;:'.` ..
•:'.:':,'''Yr:,::',.'3.''..,4; energy panel, alteration, or
--"
• - .._! , . .. - -- . - 4 ‘• ' ..-;" - . '' - .---- ' .""''" ' ' ' extension. Describe. J Page 2 2
Business name: PP.11)
Address: 6 L E) C-L) / y Each additional inspection over allowable in any of the above
Q 1
4 /Per inspection 62 50
City/State/ZIP: /I Lo dr+ bg_ ) 067 Investigation per hour (1 hr min) 62 50
1fN IP
k Phone: ( ) .; i - D ) 2.: 3 L Fax ( T .--) --/ -' — 0 (•," -.• _.., A Industrial plant per hour 73.75
'
L COB Lic.: // D .'"? 3 Electrical Lic.: 2 GgV Suprv. Lic.: /Bi LEA Subtotal - 1 c----
Suprv. Electrician signature, required: 0...S'LS) RN......uocit_ Plan review (25% of permit fee)
State surcharge (8% of permit fee) & ---
Print name: f-* t-i ,, F __„) Date. S - L . 05'
TOTAL PERMIT FEE ''c I . al
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Pnnt name: Date: • Fee methodology set by Tri-County Building Industry Service Board
•• Number of inspections per permit allowed.
i \Building \Permits \ELC-PerrnitApp doe 12/03 440-46 I 5T(10/02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
C�^�rz� utta.., .s.+-+¢+.x�. -a+nn= ,ti e^,ikr��?. �w. �ts�r -A
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
aTRIkI;> a„ a W ®R TOM;. fi s ° t r ' . ;, ,'
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
71 . -
Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Butldmg\Pemits\ELC- PermitApp doc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200S-00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2/2005
Phone: (503) 639- 4171 I •
Inspection Requests (24 Hrs.): (503) 639 -4175 I � ..
INSPECTION WORKSHEET FOR DATE: 10/2012005 TIME: 7:09AM PAGE: 94
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: • TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Low voltage for security.
•
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: PRIDE LTD PHONE #: 503 - 259 -9338
Inspection Request Scheduled For: Date: 10/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
19 Electrical final 018789-02 503 -407 -4755 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
./4 Inspector: Date: P Z O Phone #: (503) 718-
.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005- 00038
13125 SW Hall Blvd., Tigard, OR 97223 f• DATE ISSUED: 3/2/2005
Phone: (503) 639 -4171 taa o
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7:10AM PAGE: 65
SITE ADDRESS: 10675 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Low voltage for security.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: PRIDE LTD PHONE #: 503.259 -9338
Inspection Request Scheduled For: Date: 6123/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
135 Low voltage 009938-01 503 - 313 -2732 N
Corrections /Comments / Instructions:
•
•
•
•
•
•
•
•
\PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/Inspector: _ Date: IS Phone #: (503) 718-