Permit z:
' -CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00056
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/1/2007
PARCEL: 1 S126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 ZONING: C -G
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: GRESS LAW FIRM
Project Description: Low voltage for phone and data.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES T & L COMMUNICATIONS INC
BY TC PORTLAND, INC PO BOX 87387
8930 SW GEMINI DR VANCOUVER, WA 98687 -7387
BEAVERTON, OR 97008
Phone: Contact #: PRI 360 - 737 -9725
FAX 360 - 737 -9648
FEES Reg #: ELE 37- 428CLE
LIC 67787
Description Date Amount
[ELPRMT] ELR Permit 3/1/2007 $75.00
[TAX] 8% State Surcha 3/1/2007 $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
issuanc =, • wo ' uspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utili otification Centers. T • - rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 You may obtain copies of these
rul • s or direct questions t. • UNC . 13.246.6699 or 1.800.332.2344. / /
Is ued By: , , _11 fie /1 4 L Permittee Signature: � i
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.
. gtrical re A . icatt O l�_ .Fv ' c' I 1
E ' FOR OFFICE USE ONLY
City'of'Tigard � , . ._ L _ Date/By. ° r i�a7 Permit No.: g '/49� 7V�
13125 SW Hall Blvd., Tigard, OR 97223 q n - Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 r) 0 ! LU °'= jY f, 1 ' • Dale/B • Other Permit:
Inspection Line: 503.639.4175 ' " ' a '"' '� Date ReadyBy: ® See Page 2 for
Internet: www.ci.tigard.or.us Q � 0 1 7"' Notified/Method Supplemental Information 11
T OI I. ( - , - ' t (TT '� .+ PLAN REVIEW
❑ New construction ❑ A�Aiiio?i/a/Iterati on/replacement Please check all that apply:
El Demolition ❑Other: ['Service over 225 amps, com'I 0 Hazardous location
❑Service 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 dwelling g ❑ Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
El Multi - family 0 Master builder 0 Other: ['Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION 0 Egress/lighting plan RV park
Job no.: Job site addre laz,S ��`,t� �� ❑ Healthcare facility DOther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: ��� The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: SE Project name: 3 1,wi Cr 3 L ,s OR a Description I Qty. I Fee. 1 Total 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
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
t dwelling, service and/or feeder 90.90 2
�� Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
' ❑ PROPERTY OWNER ' I ❑ TENANT • 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
c / service or feeder fee, each 6.65 2
Business name: G0�21Wee (� � branch circuit
) B. Fee for branch circuits
Contact name:
e
6 `j J & r'l ' -I without service or feeder fee, 46.85 2
Address: � ' X3
each branch branch it
r 1�-' Each add'I branch circuit 6.65 _ 2
City/State/ZIP: '--. / /+ Miscellaneous (service or feeder not included)
Phone: 3 X72 $ Fax: : (3e 6Ve" 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
exten ' Describe: f Page 2 2
Business name: e L Gp y
id-- / i., Ca (t (1, (
1�
Address: (' /� s,,--) Each additional inspection over allowable in any of the above
I �' Per inspection 62.50
City/State/ZIP: l��h C4 (4�7-1f----4._/k4— Investigation per hour (1 hr min) 62.50
Phone: „o) '2; g ..- ) � � 2 Fax: ) 7 J 7? v to I - Industrial plant per hour - 73.75
�J ELECTRICAL PERMIT FEES*
CCB Lic.:t )7 V7 Electrical Lic .;,3i Suprv. Lic.: i�� Subtotal 76
Suprv. Electrician signature, required: J Plan review (25% of permit fee)
Print name: Lard v_eushct tAJ Date /.--67 State surcharge (8% of permit fee) . D'�
TOTAL PERMIT FEE 6/ , !> U
Authorized signature: , / , This permit application expires if a permit is not obtained within 180
ili■alf days after it has been accepted as complete
Print name: I`I.L Sj , J Date: --a� ✓6 7 • Fee methodology set by Tri- County Building Industry Service Board 6.2 Y' •• Number of inspections per permit allowed.
is\ Building \Permits\ELC- PermitApp.doc 12/03 J C57 440- 4615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -0006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007
Phone: (503) 639- 4171a� 1hl�l
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD' 560 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: GRESS LAW FIRM
DESCRIPTION: Low voltage for phone and data.
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC . PHONE #: 360 - 737 -9725
Inspection Request Scheduled For: Date: 3/29 /2007 Pour Time:
Code # Inspection Description 'rm # Contact # Message
199 Electrical final 045697- 1 360. 518 -5185 N
Corrections /Comments /Instructions:
\\\
•
-1
N -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ , NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r be) L� Date: 3' "Z� 0`1 Phone #: (503) 718- 2"ILib •
CITY OF TIGARD
a r
BUILDING DIVISION PERMIT #: ELR2007 -00056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 � e
-..
INSPECTION WORKSHEET FOR DATE: 315/2001 TIME: 7:U0AM PAGE: 47 .
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: GRESS LAW FIRM
DESCRIPTION: Low voltage for phone and data.
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360 - 737.9725
Inspection Request Scheduled For: Date: 3/5i 2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low vo lt_age - 360 - 737 -9725 ' Y
Corrections /Comments /Instructions: - SI 8 - gig 5
CJ Rio N G ALL of.) v6 D \(d 14 1 0,v
\t; 0144 INR1 VAI
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL Nt CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY t ' " Date: '5 ' '7 L v
Phone #: (503) 718- 2-