Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° . a, COMMUNITY DEVELOPMENT PERMIT #: ELR2008
TIGARD,' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/24/2008
PARCEL: 1 S 126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 420 ZONING: C -G
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: ASSOCIATION FIELD SERVICE
Project Description: Removing and replacing 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: j Permittee Signature: / L- -»
`� f5 .
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.4
: . '16)
Electrical Pertnit Application Q 1 CS � " r " - " uz ' ' ( I 7 , r t )i i i t i I 1 ► , � , a fl :4, ''' %
`� f �� 4 -reA. ',4, _d rr.., _ O ,. 4i9.e .`'`+b_.,',. W..: 4,. t .. y...al<.. . r,..c_. i . tx
:, City o4` Tigard � % R ,red a JAV , C_7 /� ' I' _`:,..1_ 1 ■117`
e n 13125 SW Hall Blvd., Tigard, OR 97223 � Q •1 '
f s ® C j . fit Other Permit
+,� Phone: 503.634.4171 Fax: 503.598.1960 GAl . _ .
i g �hi Inspection Line: 503.639.4175 , 4 O 11 cs ReadyBy: 21 See Page 2 for
aura kar :8 Internet: 5i✓ww tgard-or gov C \ ' ;\ S Notified/Method: . , Supplemental Information
", x'I" r'i- ^°- !3r._...L"SL a'.- ;.ri:_ a x ''�'"g` ss�"` .: -r 3.:� 2^.. .,, ,t s*' ,-E 1 . e -r -{ .: i+• e.E W5' 7 r "'t+, .� 11 ,.� oxT1M7... t i - '11 ^1 -VVIl .
i 1 c' 1r+ 1 _.. ,, .5 -'m.. ,- . L-11 . 4.cs . 7 1L a. -1! : Ys�a_ I^- Fe . r;i iLZ'c� : ia.1.iiw a i. i.aw.n:;- a;.. .-
o New construction . ® Addition /alteration/replacement Ply k app/ submit seta of plans w /items checked
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
xuia L W s ' kl I y 4 �e ;rR" r yq r� eGc"` rkie e,. rw n r ��a nw(�pl 'r ° 4=- ' j exceeds 10,000 0>aps at 150 volts or ❑ Floatin buil d i ngs.
t . .
-;; 'AM - thltii.,. .otailiitrs tlitir it _.. . al ¢ sr ,rk
5,� � � it a ' a r,: loss to ground. or exceeds 14.000 ❑ Commercial -rue agricultural
❑ 1- and 2- family dwelling E Commercial/industrial ❑ Accessory building amps for all other installations. buildings
❑ Multifamily • ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
2 eu E w 7 1 °i s x r aa r «e s e pn l3 °tR° u Ji r?$}ty 11.4 e.r� , i _ ❑Emergency system larger separately derived system.
1 B all • r iii i, iE �_ :- 4 h*".w :.th:alii.miti r v .aw ... -. . . .� ... : ....r � . A .14 ! }°t la i ❑ Addition of new motor load of ❑ " A , • .. E . • `1 ")_3 ",
Job no.: 2564 Job site address: 9020 SW Washington Square Rd. looH? or more. occupancy.
❑ Six ar more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard OR 97223 ❑Health -®re facilities. ❑ Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 4240 I Project name: One E sy Suites #420 ❑ Service or feeder 600 amps or more.
Cross street/directions
to job site:s fi 1�6it t r ,. , „w
Description Qtr. Fee. Total •
New residential single- or malti-family dwelling unit.
SC n/t (f Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'/ 500 sq. It or portion 33.40 1
Tax map/parcel no.: limited energy, residential
r lv �^ a a erg 4 r .,.,. y,_ .' a%.'ial.e -i ta3 : ft , t zr . . 75.00 2
li . i.uti
i 1.511 !- `S } , itg 1i11x / : � ° i { iii i 11 if 'tl a b fi i (With above sq. ft.)
., .et:.�v , , . - �,li u�PdiT �w as.arxe._s.� Bsixino #a L a s.. ,.+r.cs. ,..�sg#_.ii_ � _ ._
Limited energy, multi - family 75.00 2
Remove & Reinstall existing Fire Alarm device to accommodate replacement residential (with above sq. ft.)
of ceiling tile Services or feeders instatlatlon and/or relocation
200 amps or less 80.30 2
?1r�
a r''.�.$`. ,'i x.�Ek"L'II!'.d.4�n , : '�+.}rl � '' a y
w.r °?t-.,,.s .,.. .xs`�I.V_.� a` t 00Iiitt:1 ,la' - 5:: aaF , -s ,..� a arir:"..e 201 am to 400 am 106.85 2
Name: • 401 amps to 600 amps 1 60.60 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: ( ) J 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 10D.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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
_ A Fee for branch circuits with
f°` 4 Pa . az aua r iiri i .I t MI 'r''S ➢tt ;# ruts 37 zs.uls 7 "f tam a .
LII Y, .diii _ I .4z Iii 11. 5 u- ., 7 . . : . ` � .T` ...°_,ivirssh.it. _t k above service or feeder fee, 6.65 2
each branch c
Business name: Fire Protection Services Inc B. Fee for branch circuits
Contact naive: David M Phipps without service or feeder fee, 46.85 2
first branch circuit
Address: 5573 SW Arctic Dr Each add'l branch circuit 6.65 2
lv iscellaneous (service or feeder not included)
City /State /ZIP: Beaverton Or 97005 Each manufactured or rncuiular
90.90 2
Phone: (503) 590.3732 I Fax:: (503) 628-6214 dwelling, service and/or feeder
Reconnect only 66.85 2
E -mail: phipps @fpsriw.eom Pump or irrigation circle 53.40 2
`� ° t,4'`F` ^3er *r' "' 1 14rier! • 1 s s iPiRTprC i s 3�->•, '-
.FF, a30 F` ,r till': x1"g ti 17,s i ,' t" r z1,.tIP F ea It lrl
Sign or outline lighting 53.40 2
;_ �C�;xa•4.1„' .i� ..i'`.`� �,P�� � ��,�5 .�: �.. aw, _, -M .,,� w..�.,...,ri.�fet4,rd�i�s,�'i�
Business name: Fire Protedtion Services Inc Signal circuit(s) or limited -
energy panel, alteration, or
Address: 5573 SW Arctic Dr extension. Describe: 1 I Page 2 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 (1 br min) 62.50
CCB Lic.: 154333 1 Electrical Lic.: CLE3488 I S . . Li . • 4120LEA Industrial plant per hour 73.75
Suprv. Electrician signature, required: , . j -' - - Subtotal 75.00
Print name: David M Phipps - / /�% Date: 09 -23-08 Plan review (25% of permit See):
dol j State surcharge (12% of permit Ice): 9.00
Authorized signature, %. - � TOTAL PERMIT FEE: 84.00
Print name: David Phipps :� Date: 09 - 23-08 Thivpermitapptic eh plete. dwitbintR0
PP �l � ` days af it has been accepted as complete.
• Number of inspections allowed per permit.
I\Building1Pemrits\ELC-Permfflpp .doer 05,73/06 440.46)5T(It/05ttAmvWFa
Sep 23 2008 4:05PM Fire Protection Services 503 628 -6214 p. 5
Electrical Permit Application - City of Tigard ❑ Other
Page 2 - Suppler#iental Information Total number of commercial systems: _
LIMITED ENERGY PERMIT FEES: *No licenses are required. Licenses are require
for all other installations
t(e � .. ` ; K� ` '
I.....�Y s n.»+ari .a.v...a.j.±.a- 't'a °.. 1 b.. 2 ',
Fee for all residential systems $75.00
combined
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial $75.00
system.
(SEE OAR. 918:260 -260)
Check Type of VG'ork 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*
❑ Protective Signaling
1 18u11dingTerreits \ELC- Pcrm44pp.dec 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI R20Ol3 00 71
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 912A/2002
Phone: (503) 639 -4171 fah
Inspection Requests (24 Hrs.): (503) 639 -4175 '�
INSPECTION WORKSHEET FOR DATE: 912612008 TIME: 7 PAGE: 18
SITE ADDRESS: , ‘SIN WA SQUARE RD 4l� CLASS OF WORK:
SUBDIVISION:
ONE EMBASSY t LI�TEP L T #: TYPE OF USE:
PROJECT NAME: AS,:SoclA Ito FIELD SERVICE
DESCRIPTION: Removing and replacing the alarm device to acc:ornodate replacement of ceiling tile.
OWNER: PORTLAN[) OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: FIRE PROTECTION S[ RVICE '. PHONE #: 503 590-373:
Inspection Request Scheduled For: Date: 9/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075971 -02 503.690- 3732 N
Corrections/Comments/ Instructions:
\
r\ \ \
)1 A i \
t
PAS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N Qe• t-G Date: 91 2-6 b1 Phone #: (503) 718- MI)
CITY ��N~��� �~�����N�������� '- `
OF mm�����m�� - .
A BUILDING DIVISION PERMIT ~°~°"~~~°""~~� ~�"°"~~"~~"" � ELR2OO8'00271
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: �V�4/20U8
Phone: (503) 639-4171
/napocdonRequests (24Hmj:(503)63P-4175 ����
INSPECTION WORKSHEET FOR DATE: � TIME: PAGE:
9/2‘. KA � 2OO� � 7�OO� 29
SITE ADDRESS: CLASGOFVVDRK�
� O�UJOS�/VVASM|NGTC)N RD4�8 �
SUBDIVISION: LOT #�
TYPE
DM
� E. EMBASSY CENTER
� �
PROJECT NAME: � A5S0C}AT|()N HELD SERVICE
DESCRIPTION:
Removing and replacing fife alarm device to mx;om0date replacement of ceiling tile.
OWNER: p0RTL�NOC `FF|C��ASSOC|ATES. PHONE #:
� PHONE
� F|REPF�0T[�CT|0NSEF�V|���� #: 503 7�2
CONTRACTOR:
Inspection Request Scheduled For: Date: ' Pour Time:
� � 9/2672008 �
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075917-02 503-590-3732 N
Corrections/Comments/Instructions:
�� ^� �� v� � ' ' e 9-4, / ����
' � � ~. ' _
0 PASS D PARTIAL APPROVAL [11 CANCEL ri NO ACCESS
~ ALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
,�_.=^ c '
/
Inspector: v ~ � Date: '?- �� �- - Z� Phone #: (503) 718-
-' '' _-----_�-_-'-�� _ .. . .