Permit 1 3 r�iy w rx. .
` " a CITY OF T H A D ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT
PERMIT #: ELR2007 -00105
w DATE ISSUED: 4/24/2007
T I GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB - 01100
SITE ADDRESS: 07070 SW FIR LP 200 ZONING: C -
SUBDIVISION: 72ND BUSINESS CENTER LOT: 013 JURISDICTION: TIG
PROJECT: WHOLESALE MERCHANT SERVICES
Project Description: Voice and data.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
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:
CRUMPACKER, JAMES FEIR MONTI ELECTRIC INC
2107 SW GREENWOOD RD PO BOX 30478
PORTLAND, OR 97219 PORTLAND, OR 97294
Phone: Contact #: PRI 503 -491 -4909
FAX 503- 665 -7200
FEES Reg #: ELE 26 -1018C
LIC 135326
Description Date Amount SUP 4591S
[ELPRMT] ELR Permit 4/24/2007 $75.00
[TAX] 8% State Surcha 4/24/2007 $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
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: I Permittee Signature: j lib " 1
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.
A� r ,23 07 11:36a Monti Electric 503 - 665 - 7200 p.1
- 58e Monti Electric 503-665-7200 1
F ier 23 07 10. p
ca i.e._
leictli'c~.ai Permit Application ob i , k r.Sr; .. a v„.. = fi 5444.:0 �. '
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�' of Tigard 1'„! al l . 0 t ` Permit Pia: 0 0 ) " 06/
■ 13125 SW Rail Blvd., Tigard, OR 97223 Pfau • • "• J ∎ -
�t
- 1 art; Mono: 503.639.41 71 Fax 503598.1960 moray' Pez
d t ry t Ins tinnLine 503.639.4175 c DoeReady/Dy J / --- 1 a - See Patc'2 Far
fl ,_r_•eart Internet aww.tigpM-0r.8ov INPR 44 ;': 20 ikt eilftet,od: J Soppicatand lef emir lea
TYPE OF WORK Gay ( Tt PLAN REVIEW
0 New construction . ® Additiorrfaltastionglimm D i i i sir IU N Pteare dwelt an that apply (enbaeit a refs erptaea Mrreeas decked to low): Redding Enter throe sturi=.
0 Demolition JD Other: � Wee st e msra m ar 0 Marian sad
C A T E G O R Y 01? C O N S T R U C T I O N metals 10,000 asap at 150 v o l t s or O s etatldieegs
baste premwir or =cads 14400 0 Commaual -me agac+daaat
Q 1 - mid 2- Racily dwelling ® cc uu ercialrmdusmal 0 Accessory building saps Sarah other instaUaaoar, baadmn.
❑ Mulct - family ❑ Master builder ❑ Other. Orate pemp 01aetagation of 75 KVAor
Eutemsecy .� �E�separately ", - 1 . derived sysGat
JOB SITE INFORMATION AND LOCATION
[)/edtftlon oraow motor load of 0 "A•,'S', "3 "t - 1 ".
Job no.: J ob site address: 7070 S F'Irloop Welcome= 7•
1 ��( 1 CAC or atomoxide:Mal mita. 0 RooieaAOSai vabido pad=
City/State/ZIP: Tigard Or .97223 D l? Ill. a Sm't:eaa. 0 Sappi, values ibr mom to a.
011acardoes laummhs . 600 volts nominal
Suite/bldg. /apt no.: PzojectSame: Lk, O Savicooribederdo0mnpsmmore.
ESE SCHEDULE
Cross strest/dizoctions tojob sites uwei ptlaa 1 o v. 1 rte. J Med ! •
. New r+esidendai single. or maul- family damning unit.
Inelodesattaebed garage.
Subdivision: f Lot no.: 1,000 sq. R or bass 145.15 4
Ea addl 500 Tax map /parcel no.: Limited energy, sq. ft. d
ntia o at 33.40 1
75.00 2
I DESCRIPTION OF WORK (slim game gut)
Limited en ergy, atuiri- Qotily ' 75_00 2
residential (with atom sq. 1 1.)
1.L7C---- ri'-r----L-- 5ervicesor kedas insts1iabon. Aeration. and/or relocation-
2 cr 80.30 2
0 l'KOrEitTY OWNER i Q TENANT _ 201 amps to 400 amps 106.85 2
Name 401 amps to 600 maps 160.60 2
. 601 maps to 1.000 maps 240.60 2
Address: Ovmr 1,000 amps or votes 454.65 2
City /5tetdZrP: Temporary enviie= or feeders installation. aleernhon. aed/or
releaatinr7
Phone ( ) [ Fax: ( ) 200 amps orlen - 66.85 " 1
Owner iaetallatioa: This installation is being made on property dug 1 own wbich is not 201 CRC tO 400 amps 10030 2
iuteaded for sale, lease, rant, or exchange, a000tdug to ORS 447,449, 670, and 701. Bra S IO 599 romps arw. sitenOroe, or este 133.75 i 2
7, Qer�anei
OwnleC signature: Datie: . _ A. Fee for branch cieetuies WA
0 APPLICANT 1 ® CONTACT 14ERSON above nevi= or feeder fee, 6.65 2
` Fee for branch Busiocss Dame: Monti Electric In c
� B. bFee nor brer�clt Circups
Goatee[ namnc Steve Ailed: >rolrour service or Iberia for. , 46.85 2
East bagels gels circuit
Address: 845 NW Dunbar Ave Al 105 Ea* WO branch circuit 6.65 .- %_ ;t 2
tie eclleneoae service or feeder' . a •
City/Stew/MP: Troutdale OR 97060 finch manufactured or modular
dwelling. service eudlor feeder 90.90 2
Phone: (503) 493 - 4909 1 Fax :: (50.3) 665 - 7200 01y 66.85 . 2
E clad: Pump or irrigation circle 53.40 2
CONTIRACtOR Sign- or online lighting 53.40 2
9ttsit►css name: Mond Electric Slgaal drains) or limited- •
• energy petrel, alteration. or
Address: 845 NE Dunbar Ave 8 105 extension. t Pogo 2 15°) 2
City/StatefL1P: Troutdale OR 9•273 Each addltio inspection over aUowatde in • orate but
1
Pbane (583) 49J -4f109 l=ax: (503) 6657200 Per Ias�om _ 62 50
Investigation pet boor (1 Casio) 62.50
CCB Lic.: 135326 [Electrical Lic.: 26 -I018C 1 Suprv. Lie.: 45915 ludasoiel p per bear 73.75
Suprv. Electrician Si uire� ELECTRICAL PERMIT FEES
!9 ` Subtotal: ) , , ."-1 , _
Print name: Stan Montt ! palm V- 4P-c3, 7 Plan Review (25% of ptamit leer
J setae year Be (83' of ptzmittee)r :
Authorized sine: / C TOMS-PERM? T FEE:
Print name: Stan Mont) `d Dal= Tug ivy apsrmaaie twines ines rr4 rc••• e b we o4t 4n- 1 ea
1 / {--7 days al it bay hem accepted as complete:
• Number orimpoeeoaa allowed per pax& S.
Militia glFaa ital. C•rtsmltApp.00s 07/221f06 c4 46151 1U0licammea { Ji
CITY OF TIGARD A . -
BUILDING DIVISION PERMIT #: ELR2007 -00105
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2007
Phone: (503) 639 -4171 ' ' �,� P i
s 1� flk
Inspection Requests (24 Hrs.): (503) 639 -4175 6 '.!
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 70
SITE ADDRESS: 07070 SW FIR LP 200 CLASS OF WORK:
SUBDIVISION: 72ND BUSINESS CENTER LOT #: 013 TYPE OF USE:
PROJECT NAME: WHOLESALE MERCHANT SERVICES
DESCRIPTION: Voice and data.
OWNER: CRUMPACKER, JAMES FEIR, PHONE #:
CONTRACTOR: MONTI ELECTRIC INC PHONE #: 503-491-4909
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description ,_---- Confirm # - Contact # Message
135 Low voltage 047232 -01 503- 572 -2778 Y
,ckok �■( b
Corrections /Comments /Instructions: \
C ,4 PASS ) n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: G g 08 Date: 2 Phone #: (503) 718 - v� Yo
r ,