Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00115
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/14/2008
PARCEL: 2S 102 DA - 00401
SITE ADDRESS: 13125 SW HALL BLVD ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: CITY OF TIGARD
Project Description: Installing (1) low voltage data systems for permit center.
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:
TIGARD, CITY OF OREGON ELECTRIC GROUP
13125 SW HALL 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: FAX 503- 234 -1001
PRI 503- 234 -9900
FEES Reg #: ELE 26 -95C
LIC 203
Description Date Amount SUP 4460S
[ELPRMT] ELR Permit 5/14/2008 $75.00
[TAX] 12% State Surch 5/14/2008 $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 • ` Permittee Signature: 1009." 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.
• MAY -12 -08 17:00 FROM- OREGON ELECTRIC -MAIN 5032349900 T -234 P.001 /002 F -857
• I FFICE USE ONLY
City Of Tigard , rat Received
ij Permit No.:
0 13125 SW Hall Blvd., Tigard, OR 97226'1 G i ivy D¢uB : . (�' i (�� {� t --co . 7 5 , '
. M plan iv Other Pcmut:
Phone; 503.639.a171 Fax: 503- S�98.1960.'- DatetA ;
ins ec[ion Linc: 501639.4 1 p -y
TIGARD p Q� A O � 0
Internet; www.tigard- or.gov Date Ready/13y; nrr s. 0 See Puge 2 for
H !d " Notified/Method;
Supplemental Information
. . f : t;q -;. µ:,.-' :y -tit; :;1 . r • 3 �:_i %i E :r , . r '. :1, +'j'. - ,, �::,;
[] New construction Additi ' " t' :_�::`'tlR —J
011✓Alteratlot[/repl'aC,Emenia f . , ,. � � a Please cheek all that apply (submit 2 sets of plans w/irerns checked below):
❑ Demolition ❑ Other: 5VO
l . z•' : ^ ' 0 Service or feeder 400 am or more ❑ Building over three stories,
: -. . �:.;;: ......, e a ,.. .. .:..15:5:;. r ". "<':1; ..' ^'' r ,:., :- where the available fault current ❑ M a boatyards.
.
1 Marinas an
. : ; ' . 41 . C)b�C*b• , lt1' . 1(QN c4: - exceeds 10,000 atop, at 150 volts or ❑ Floating buildings,
Commercial/industrial ❑ Accessory y buildin ` less to ground, exceeds 14,000 ❑ Commercial-use a iculturrl
❑ 1 - and 2 family dwelling
amp
❑ Multi-family amps for at other installations, buildings,
' ns 'I
Y Ma ster builder ❑ Other: ID p. ❑ Installation of 75 KVA or
a ir,: ,, ;, ;JOB ' ?f 'FORb A' [ON U A"1TON ? < : "i : ' 0 Emergency system.
larger separately
1 Job site address: d ! p y derived system.
70038 I . , ' � - � . - �
Job no_: 700 ❑ Addition of new motor load of ❑ "A ", ••E", ••1.3 ^, - L -3"
Ss: 13125 SW Hall Blvd 0 0F1P or more. occupancy.
❑ six or more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: Tigard, OR 97223 0 Health -care facilities. ❑ Supply voltage for more than
—
❑ Hazardous locations. 600 volt:: nominal.
Suite/bldg. /apt. no.: Project name: CITY OF TIGARD PERMIT CTR 0 Service or feeder 600 amps or more.
Cross street/directions ;' : ::0,. :. "Q'' ?3GHEDVLEr • a : =` a.
ens to job si te: >': -.. r,..,,, .
neat ilo i Toad
— New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 1,000 s
Lot no.. 9• ft, or less 145.15 4
Tux map /parcel no.: Ea. add'I500 sq, ft. or portion 33.40 I
-
:.;.,r; -,,,. :; t u ? Limited energy. residential
; ' . � .... rt : :- _ ,:;<3ESCRiFTIOij OF�S0;_) #`;_',:::1,,i i- i_= :.`r.r ) 75.00 0
:
is . ., . - (with above sq tl.
(2) DATA CIRCUITS FOR PERMIT CENTER Limited energy, multi- family
residential (with above sq. ft.) 75.00
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
:' , TFNKNT:: ? 't� :, <; . r k.::: '. 201 amps [0 400 amps 106.85 2
Name: CITY OF TIGARD 401 amps to 600 amps 160.60 2
—
Address: 13125 SW HALL BLVD 601 amps to 1,000 amps 240,60 2
Over 1 ,000 amps or volts 454.65 2
City /State /ZIP: TIGARD, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
• Phone: (503)639 -4171 Fax: (503)598.1960 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps tp 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 2
Owner signature: Date: Branch circuits - new, alteration, os extension. Eerpanel
"I: . 3! (: AFP�IGANfi,' i ;,, ' _ A. Fee for branch circuits with
Business name:
"' each branch circuit 6,65
_ B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I branch circuit 6,65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
—
Each manufactured or modular `
( ) dwelling, service and/or feeder 90.90 2
Phone: — 1 Fax: : ( ) —
Reconnect only 66.$5 _ 2
E - mail: Pump or irrigation circle 53.40
• -i..,. ." r: .5�: rCOhTTRitiCTOR'', - r .. _ Si Or out line lighting 2
,,; ,:; . '... , . < ':. _ r _ gn g ling 53.40 2
Business name: OREGON ELECTRIC CONSTRUCTION, NC Signal circuit(s) or limited -
rH energy panel, alteration, or
Address: 1010 SE 11 AVE extension, Describe; I Page 2 75.00 2
City /State/ZIP: PORTLAND, OR 97214 — Each additional inspection over allowable in any of the above
Phone: (503) 234 - 9900 Fax: (503) 234 - 1001 Pct' inspection 62.50
Investigation per hour (I lir mini 62.50
CCB Lic.: 203 Electrical Lie.: 23 - 95C Sept Lie.: • • t _ Industrial plant per hour 73.75
• Suprv. Electrician signature, requir • i �► t Vkin 1 �'"• EIBCTRrCAx .HERMIT, Eg ' _ :. '
— Subtotal: 75.00
Print name: RICK MCELLIOTT , rt. c: 05/12/OS Plan review (25% of permit fcc):
(12% T �l� Stare surcharge 12% of permit fee); 9.00
Authorized signs .� ,,, ` ��' � —
TOTAL PERMIT FEE; 84.00 I
•
Print name: RICK MCELLIOTT Date; 05/12/08 This permit application expires if a permit is nor obtained within MO
-
(lays after it has been accepted as complete.
I:■ permirnpp.ane n5r23ip(, • Number of inspection allowed per permit.
4411-4 75T(1 !/
INSPECTOR'S SIGNATURES ARE NOT ,
Inspections Required for: )//v_ REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code Inspection Description I PASS Date I By
•
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain • 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
/ \
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 1 599 Final inspection
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