Permit • n CITY O F TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00270
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/24/2008
PARCEL: 1 S126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 430 ZONING: C -G
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: ASSOCIATION FIELD SERVICE
Project Description: Removing and reinstalling fire alarm device to accomodate replacement of ceiling tile.
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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES FIRE PROTECTION SERVICES
BY TC PORTLAND, INC 5573 SW ARTIC DR
8930 SW GEMINI DR BEAVERTON, OR 97005
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 -590 -3732
FAX 503- 628 -6214
FEES Reg #: ELE 34- 488CLE
LIC 154333
Description Date Amount SUP 4120LEA
[ELPRMT] ELR Permit 9/24/2008 $75.00
[TAX] 12% State Surch 9/24/2008 $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 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: f �' 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.
Sep 23 2008 4:04PM Fire Protection Services 503 628 -6214 p.1
� \ .- IX.
' Electrical Permit Application SO ink to l f l ( F. I . . E ()NI ,
City of Tigard V V Received `I/ Permit No.
11
• 1311 SW ' Hall Blvd., Tigard, OR 9722 0� w r`
.. q n D atcBy. Other Permit:
Phone: S nLine: . 503. Fax: 503.598. p 3 LO lure- H See P 2 for
T N + l: i Inspection Line: 503.639.4175 c ? ii Date Ready/ay: age
Internet: www.tigard- or.gov G . Sed/Melhod: 7J Supplemental Information
Tj'=.'7,,. K', t a-t 9t' r ,+ . E 3 �'✓f^3f : *tt . 1 ... , e• I a11t• r i1 9ii ii a - 1) . - t+' . - `c
i l a { #.�k;'� i,.. iff It .: iI ; -r igi a T :t . a a 1� ;, _i i. ` 1.11'' s Ij, 1 . r.7:ta 1 l 1{ f i'l.1?► c --t ' i - -- ax„ - e -: ' '_ .
:r .... :0:74.131 ... ...:: cld.,:. i....i4::, :.k ... ..t, t r r "r,x, .i...... . .:ti i' . ._ Wi t__. :. .,, 4:;s checked below).
>_
❑ New construction ® Addition/alteratio t•" , Please check ell that apply (submit sets of plans w/items checked bebw).
I {a
• ❑ Service or feeder 400 amps or more ❑ Budding over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
f + � -'� ' " ,ttcm ` .s,ry cra7 a -r+ ",i'^ ! ' ° ; exceeds 10,000 em at 150 volts or ❑ Flo braidings.
2f# i a .� 1 se ;'.l ll �r - , .,. 'l y ' 1 .44 r '.; _ .h,r r:: `a`.l. .� 9 tY4 1 ;... l a ,:"ki.2 /=' : less to mound. or exceeds 14.000 ❑ Commercial -ase agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other mstailations buildings.
❑Mlllti- family 0 Master builder 0 Other: ❑ Fur pump. ❑ lnstaliauon of 75 KVA or
r ,) . s a r, a s .� s w W rat �, 't �sp , EmergerC system larger separately derived system
- ❑ Y
E ,e„ 1 # . := h'i ` .....Li .:ats . K3n ` - ,c .. ..... -1 ::` e , 3N,- ,,__ • -a� m C .S ..e ' 1 III ❑ Addition or new 'licit= load of ❑ " " ,. 1 3 ,,
Job no.: 2564 Job site address: 9020 SW Washington Square Rd. 100HP or more occupancy,
❑ six or more resulentml units ❑ Recreational vehick parks,
City /State /ZIP: Tigard :OR 97223 ❑ Healthcare facilities. 1:3 Supply voltage for more than
['Hazardous locanons. 600 volts nominal.
Suite/bldg. /apt. no• 430 1 Project name: OneE uites#430 ❑ServiCe feeder 600 amps ormore.
c, i t . i',�71' { 9 l 3 3e `4FS". . u"llli 'Smu
Cross street/directions to job site: G ∎- �J ,R 0 unodo ; �` "�" "' `" On, T m,l s •
' New residential single- or multi- family dwelling unit.
_ . e{Vi (R- Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft or less 145.15 4
Ea add'1 sq. ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
1 -97 r nr x+ F a .. t Fz ]' .S t w y t y x Yr 1 . 75 00 2
� 1 _.�„ �..«_a..r ide,;e'a1-. a. z r .:��' _ v '}i. .a cP,,l.l � ill _L ,` (with above e. 1 fl )
L energy multi- family
75.00 2
Remove & Reinstall existing Fire Alarm device to accommodate replacement residential („pith above sq. ft)
of ceiling file Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
, :: us ,'ri e� � } r u -f �� r t lr zr i tl1 it i"ra
_'si`'r r. e..� �C. ' ,ea.i.- .. au. , " m o.. ui,.iiiii i,, rt,g �s s35- . ,..s r..ii au,. . :At744.re ;ir roaririr i i;a-, ,. / rt ° . i 201 amps to 400 amps 106.85 2
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 services or feeders installation, alteration, and /or
relocation
Phone: ( ) I 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 200.30 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
l }. : iiiif T Pig r5 R'7 . .d Nw F �t . rve t �e pt l� ,tl 3 rY ^ , x l _s j x hr..,'sst, 4 Fii.g. above service or feeder fee,
t U.,." L _S . wrt iuli3L-�_, u� a ildi.-..,n r.il,i.� tlriei... ,,..4 . at}i, , ,,.. ,.m each branch circuit 6 65 2
Business name: Fire Protection Services Inc B. Fee for branch circuits
without service or feeder fee,
Contact name: David M Phipps first branch circuit 46.85 2
Address: 5573 SW A tctic Dr Each add't branch circuit 6.65 2
• Miscellaneous (service or feeder not induded)
City /State/ZIP: Beaverton Or 97005 Each manufactured or modular 90,90 2
dwelling, service and/or feeder
Phone: (503) 590 - 3732 I Fax:: (503) 628-0214 Reconnect only 66.85 2
E -mail: phipps@fpsnw.com Pump or irrigation circle 53.40 2
igtl "��. s. LEI i+"� r . �us'v.�c..,M 1 ,' "aw.+ai;'er � �'d Eg rT",
i .�.. : : ._. V- -- # ; �r.,��, :. Fai , , ,._.. ;�����2��.it.'r. _ = �°� ..,a�tesst'r', t, Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Fire Frotedtion Services Inc energy panel, alteration, or
Address: 5573 SW Arctic Dr extension. Describe: I Page2 75.00 2
City /State /ZIP: Beaverton Or 97005 Each additional inspection over allowable in any of the above
' Per inspection 62.50
Phone: (503) 590 - 3732; I Fax: (503) 628 -6214 Investigation per hour (i br min) 62.50
CCB Lie.: 154333 . I Electrical Lie.: CL -3488 • rv. Lic.: 4120LEA Industrial plant per hour 73.75
•�
Suprv. Electrician signature, required:
7% � / ' ; Subtotal: 75.00
Print name: David M;Phipps Date: 09 -23-08 Plan review (25% of permit fee):
411, State surcharge (12% of permit fee): 9.00
Authorized signature: TOTAL PERMIT FEE: 84.00
Print name: David M Phi This permit application expires if a permit is not obtained within 180
pps Date: 09 -23-08 days after it has been accepted an complete.
11Building\Permui Er.0 -PemmA p doe 05/23/06 440- 4615T(1 t /o5tCOM/wEa Number of inspections allowed per permit
CITY OF TIGAD .
BUILDING DIVISION PERMIT #: ELR700S -00270 `
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Ri24 0013
Phone: (503) 639 -4171 * i I r
Inspection Requests (24 Hrs.): (503) 639 -4175 A- "'I
INSPECTION WORKSHEET FOR DATE: 9/26/2008 TIME: 7 :00AM PAGE: 19
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD Q38 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER L T #: TYPE OF USE:
PROJECT NAME: ASSOCIATION FIELD SERVICE
DESCRIPTION: Removing and reinstalling fire alarm device to acconmodatereplacement of ceiling tile.
OWNER: PORTLAND OFFICE ASSOCIATES, - ° 1 - PHONE #: ,
CONTRACTOR: FIRE PROTECTION SERVICES - PHONE #: 5 03.590.3732
732
Inspection Request Scheduled For: Date: 9126.f7008 : -, :_.P Time: •J
Code # Inspection Description ' Confirm # Contact # Message
J
199 Electrical final 075971 -01 503 590 -3732 - ` ~ „ - N '
Corrections /Comments /Instructions:
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•
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v 1IV �
4P PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1, v , 6Q3 L Date: Phone #: (503) 718- /4,44_____
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