Permit 7
".,, a CITY F TI GAR ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00183
TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/9/2008
PARCEL: 2S 102C B -03200
SITE ADDRESS: 09975 SW FREWING ST ZONING: C -G
SUBDIVISION: MASSIH OFFICE BLDG LOT: 021 JURISDICTION: TIG
PROJECT: MASSIH OFFICE BUILDING
Project Description: Low voltage of fire alarm.
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:
KAMELIA MASSIH FIRE PROTECTION SERVICES
1831 SW DICKINSON LANE 5573 SW ARTIC DR
PORTLAND, OR 97219 BEAVERTON, OR 97005
Phone: Contact #: PRI 503 -590 -3732
FAX 503- 628 -6214
Reg #: ELE 34- 488CLE
FEES LIC 154333
Description Date Amount SUP 4120LEA
[ELPRMT] ELR Permit 7/1/2008 $75.00
[TAX] 12% State Surcha:: 7/1/2008 $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
503.246.66 • ° or .; 40.332 .
s.
Issued =\ : o ,W4 i % Permittee Signature: -, 071411,11/ i, ." ` r
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.
r/
-- ieetrical Permit Application ECEI V
E L - - v FOR OFFICE USE ONLY
City g eceived , �� , / q
C1 of Ti and Date /B d i Permit No . fa
Il
° 13125 SW Hall Blvd., Tigard, OR 97223 JUL - ? J Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /B Other Permit:
Inspection Line: 503.639 CITY OF Date Ready /By:
71 CARD ® See Page 2 for
Internet: www.tigard- or.gov i AVM TIG NRC� Noti fied /Method: Supplemental Information
TYPE OF WORK DJNG DIV,S Q PLAN REVIEW
❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling Z Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: Job site address: 9965 SW Frewing IOOHP or more. occupancy
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Pacific Park Plaza ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 "
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Low Voltage Elev Return smoke detectors Limited energy, multi -family 75.00 2
g residential (with above sq. 0.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 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: ( ) Fax: ( ) 200 amps or Tess 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 0 CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Fire Protection Services Inc B. Fee for branch circuits
Contact name: David M Phipps first branch n crvi ir or feeder fee, 46.85 2
PP first branch circuit
Address: 5573 SW Arctic Dr Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Beaverton Or 97005 Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: (503) 590 -3732 Fax: : (503) 628 -6214 Reconnect only 66.85 2
E -mail: phipps @fpsnw.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal
Business name: Fire Protedtion Services Inc p at(s) or limited -
panel, energy panel, alteration, or
Address: 5573 SW Arctic Dr extension. Describe: I Page 2 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 Fax: (503) 6286214 Investigation per hour (I hr min) 62.50
CCB Lic.: 154333 Electrical Lic.: c1e3488 Suprv. Lic.: 4490LEA Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: / s t
Print name: Brad Gordon / Date: 07 -01 -08 Plan review (25% of permit fee):
,.. State surcharge (12% of permit fee): 1 , d o
Authorized signature: il r TOTAL PERMIT FEE: O •0 U
This permit application expires if a permit is not obtained within 180
Print name: Brad Gordon Date: 07 - - days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\ Building \Permits\ELC- PennitApp.doc 05/23/06 440- 4615T(1 I /05 /COM/WEB
CITY OF TIGARD , .
BUILDING DIVISION PERMI _ #:� LLR200B OO h3
13125 SW Hall Blvd., Tigard, OR 97223 DAT S D: /9/2008
Phone: (503) 639 -4171 .7.
Inspection Requests (24 Hrs.): (503) 639 -4175 ��'!,L t
INSPECTION WORKSHEET FOR DATE: 1/23/2008 TIME: 7:O2AM PAGE: 44
SITE ADDRESS: 09976 SW FREWING ST CLASS OF WORK:
SUBDIVISION: MASSIH OFFICE BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: MASSIH OFFICE BUILDING
DESCRIPTION: Low voltage of fire) alarm.
OWNER: MASSIH, KAMELIA PHONE #:
CONTRACTOR: FIRE PROTECTION SERVICES PHONE #: 503-5M -3732
Inspection Request Scheduled For: Date: 7/23/2008 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073042 -01 503-5!30 -3732 N
Corrections /Comments /Instructions:
SS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ! Dater f2 �� Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION - ►. PERMIT #: ELR20013-00103
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2008
f
Phone: (503) 639 -4171 � , '
,,
Inspection Requests (24 Hrs.): (503) 639 -4175 , -__I
INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 09976 Sly/ FREWING ST CLASS OF WORK:
SUBDIVISION: MAi SIH OFFICE BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: MASSIF OFFICE BUILDING
DESCRIPTION: Low voltage of fire alarm.
OWNER: MASSIH, KAMELIA PHONE #:
CONTRACTOR: FIRE PROTECTION SERVICES --0mr PHONE #: 603-590 -3732
Inspection Request Scheduled For: Date: 7/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072924-01 503 - 3140600 Y
Corrections /Comments /Instructions:
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- electrical installation defects noted
/r y � on this report shall be corrected and
an inspection request made within20
calendar days per OAR 918- 271 -0030
n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: U `t ib t Date: 1 • 4 . 61) Phone #: (503) 718- 'iiH k