Permit -2 ..T_ CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
"„•: , COMMUNITY DEVELOPMENT PERMIT #: ELR2006 -00295
TRAM) 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/30/2006
PARCEL: 1S134AD-06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Low voltage for intercom system. Job No. ST2423
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
ROBINSON, CONSTANCE A + SHAW WEST COMPANY (� t� Jrir
ROBINSON, LYNN + BELL, KAY ET PO BOX 1427 � IJ eN1L, v
BY INSIGNIA COMMERCIAL GROUP TUALATIN, OR 97062 ' 'AL' W U
BEAVERTON, OR 97008 _ 1
Phone: Contact #: PRI 503- 682 -3939 GA)
FAX 503- 682 -3723
•
FEES Reg #: ELE 34 -70c
LIC 63142
Description Date Amount SUP 221S 0
[ELPRMT] ELR Permit 11130/200€ $75.00
[TAX] 8% State Surchart 11/30/200€ $6.00 REQUIRED ITEMS AND REPORTS Q
Total $81.00
L J„,'"D
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 are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obt co ies of these rules or direct questions to OUNC at
503.Z46.6699 ain 6699 or 1.800.3/ 2. 3 t.,_
Issued B i , . ( ft ., � � ,� / Permittee Signatur - " �' Cy" Vi c). -
\
..... 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.
„,,,,��//” INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: t L,Kelc ,t,- et),195 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date By I ✓ Code I 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 X 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 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 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 599 Final inspection
I. \BuildingUnspection Cards\Forms\AOP - InspCard- Blank.doc 12/09/2005
(Ho—Q
_ a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00295
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/30/2006
PARCEL: 1 S134AD -06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Low voltage for intercom system. Job No. ST2423
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
ROBINSON, CONSTANCE A + SHAW WEST COMPANY
ROBINSON, LYNN + BELL, KAY ET PO BOX 1427
BY INSIGNIA COMMERCIAL GROUP TUALATIN, OR 97062
BEAVERTON, OR 97008
Phone: Contact #: PRl 503 -682 -3939
FAX 503- 682 -3723
FEES Reg #: ELE 34 -70c
LIC 63142
Description Date Amount SUP 22I S
[ELPRMT] ELR Permit 11/30/200€ $75.00
[TAX] 8% State Surcharf 11/30/200E $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_(ormore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Tho se are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain co ies of these rules or direct questions to OUNC at
503. 46.6699 or 1.800.3 . .
) C Iss d By: ' -( Z( P ermittee Signatur : , .) / (L)-„,--
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.
NOV -30 -2006 14 13 SHAW WEST 503 682 3723 P.01/03
Ltectricai rermit Application , :;,,; ;,,:, ,t 1: , , , ;, i ,
City of litgard - • Receiv• ' Date/By: O O L / 4 $ P erm Z /-L A it No: (o moo( 9 S STigard, OR 972��� Plan Re
11 Phone: 503.639.4171 Fax: 503.598. Date/By: Other Permit:
I t t. n u 1, Inspection Line: 503.639.4175 p 0 " 2006 Date Ready/By. rurlr
�V V ,�! ® See Page Z for
Internet: www.tigard or.gov Notified/Method '"/ I G. , Supplemental Information
:1 . �f. _ :!r- F'i _ ,i '. y - ..i i '+ta� Pi r�. tt .:,, ` ... Pv sul.. "A ;i •.Gr= _.0 ^'1i ,�7> ..ur +s.l.. :T I ti r a : -t i;::a ..1
' ..:..... _,: i� : ..J �. 1.. i;. i ,�' S I' . t ,ip ..45 '+; rai a'g >tr ;ti_ :3, ., ,'r"S figs ,l,. ;..x. itr' ,r
... •a:• 1i;r,.r• c .. ,.,I.r., -_. .. i�. +��,�'d!'�:i:iL�`�Y��;'�{t t°� "$C' >; „ttt:t.�'x; +1'I`:'a w ,, fnl �d� 3g gf�1.1u`a':'�;.:.;�,. ,, ..ci+ 'i
;: �. �'• F!. „ �. r r m ;;L 1 a;J *. .fa' };!,�i ti:, ad'ur� "�.:I3;i�F•Cik�i.! 9 �����R�. -t, � � t �_r.::- '.
❑ New construction ® Addition /akera o!rep acement please cheek all that apply (submit a sets of plans w /items checked below):
❑ Demolition ❑ Service or feeder 400 amps or more ID Building over three stories.
❑ Other:
1 , : ' . ts;. y= . _ s r.o =we C 75 E where the available fault current ❑ Marinas and boatyards.
,= ., Iati:43� • t B r, .i • `. t• .; �. r t volts or Floating a: Ex = -:! : c ix� •r.M, ';;; P,�dl;u. °j 4o A d a sir;, t a .,t . • ' : :; 1 ; = , : ' : fry. "' exce 10 amps et 150 ❑ buildings.
❑ 1 - and 2 - family dwelling ®Commercial /industrial less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder
❑ Other: ❑ Fire pump. ❑Installation of 75 KVA or
?' ;tf ,17,,,t4,:-.T4,-,....4,1,,0! r}.,.,:4 r. : t: 7 t r , � � , , ,u` -� „,„ ? .q'` � mt . x Pe! . • 'i�`+r it_ f,:_ "H:..,;1-` El Emergency system. larger separately derived system.
''' .: .F ;.: °!f .. ll<' u',r ate 3. '
. ,� �� �r' "; ft, t!!,.�a?;;i:; ❑Add of new motor load of ❑ "A" "E" "1 -2" "I -3",
Job no. :dal' a j Job site address: 10500 SW Nimbus Ave. IOOHP or more, occupancy.
0 Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223 ❑ Health•care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Bldg. T Project name: Solid Rock Fellowship TI ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: Nimbus South from Scholls Ferry Rd. to d : : .�: i. �. r .s rt:l:�ii' • ,., ! _: i...
P:
Of
rm F r i p ti or mS�iFfl l if: i a l,;S t CX or al m' >
Description t2tr. . Fee or : ::1.,,: •
end of business park New residential single- or multi - family dwelling unit. r
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
i. � I;:I ^ a1 ±rah ' -:ip�S �'.i.5+h..f; _ - .,� . Limited energy, residential
2 „ _ '. :?k e' i q .a 4 r :s . ' i?' .5:�� r11+ =.st'i if)!'r 75.00 2
d ` aItiii.. .'.i.:':G.i.. - 1; .. .}.1.,,. �:, I�:r:i.,. (with above sq. ft.)
/ �,� r Limited energy, multi - family 75.00 2
residential (with above sq. ft)
Services or feeders installation,_alteration, and/or relocation
''?`i '�9: ale I!� '� ;;,_,5 1i ,�.�,.. F _. ; , v�r�t t{ �;,.I.s, t.., 200 amps or less 80.30 2
'' el. _•.a . - '• Se � i `.i.: :,,. i� ;'.• 1 4iffi ' . 9:4 c' .. F 7J.,�... 201 amps amps 2
•r� . . '+,,:., .. ,ss ,...... : n ,i, ' l.vis: -alt..Q;}.':S.`.'�` S co 400 am 5 (06.85
Name: Constance Robinson / Insignia Commercial Group 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: Beaverton, OR 97008 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 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: Dale:
:., ;` + <. . ,, L, r5, �t. , . a A. Fee for branch circuits with
. , ; ,ti l t'. �:,' .-1. ,.-, 1,91,(' :-;; : 0 .� 4 , d H i above aove service or feeder fee,
.:.,' ;. : �: „e,l_:..•F1i;!?f . .... ±i�#d.3.::•y,_ 6.65 2
each branch circuit
Business name: Shaw West Co. B. Fee for branch circuits
Contact name: Grace E. Cooper without service or feeder fee, 46.85 2
first branch circuit
Address: PO Box 1427 Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Tualatin, OR 97062 Each manufactured or modular 90,90 2
dwelling, service and/or feeder
Phone: (503) 682 -3939 Fax: : (503) 682 -3723 Reconnect only 66.85 2
E -mail: grace@shawwest.com Pump or irrigation circle 53.40 2
,.t °:.��`�:,Fj :.14 %gyp $f }7 SI �,ii 1 �� al,l«.., /.. r lu
r`k::', .�.tlif. 1 , ut;-�.i f -I y r� '} 1' k•1i " +5'''�i{i�••,t' '7 grt� "'.
, 1. : Xk�`�'rt ; `M:'cr'X[�`�,�'�SH. i...k�'.�_F-""�i�1SrI.�' 1n ';�� Sign or outline lighting 53.40 2
Business name: Shaw West Co. Signal circuit(s) or limited -
energy panel, alteration, or
1 7500
Address: PO Box 1427enescribe: Page 2 .
ttso 2
Intercom
City/State/ZIP: Tualatin, OR 97062 addl"donal Inspection over allowable In an of the above
Per inspection 62.50
Phone: (503) 682 -3939 Fax: (503) 682 -3723 Investigation per hour (1 hr min) 62.50
CCB Lic.: 63142 Electrical Lic.: 34 -70C _
.Su ..% . Lic.: 221S Industrial plant per hour _ 73.75
E t ]�
� /' ledti . t- r. 13i . y�!.'.4'.571..h�.;�;.�: �.::' g •'.,I'a;i
Suprv. Electrician signature, required: . Subtotal: '75.00
/Ilk Print name: Clair A. Simmons Da 1140/06.-____. Plan review (25% of permit fee):
State surcharge (8% of permit fee): 6.00
Authorized signature: TOTAL PERMIT FEE: 81.00
!'riot name: Grace E. Coop Date: 11/30/06 This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I \B ilding \Permits\ELC- PennitApp.doc 05/23/06 440.46155(11 /05/COM/WEa
,. :q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
irp
' ° .:. : COMMUNITY DEVELOPMENT Permit #: ELR2006 00295
:T 1G A R Ei 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/30/2006
Parcel: 1 S 134AD06202
Jurisdiction: TIG
Site address: 10500 SW NIMBUS AVE T
Subdivision: Lot:
Project: SOLID ROCK FELLOWSHIP
Project Description: Audio /stereo Job No. ST2423
Owner: FEES
ROBINSON, CONSTANCE A + Description Date Amount
ROBINSON, LYNN + BELL, KAY ET, BY [ELPRMT] ELR Permit 11/30/2006 $75.00
INSIGNIA COMMERCIAL GROUP [TAX] 8% State Surcharge 11/30/2006 $6.00
PHONE:
Contractor:
SHAW WEST COMPANY
PO BOX 1427
TUALATIN, OR 97062
PHONE: 503 - 682 -3939
FAX: 503 - 682 -3723
Type of Use: COM
Class of Work:
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls:
CCTV: Clock Systems:
Data & Telecommunications: Fire Alarm:
HVAC: Instrumentation: Total $81.00
Intercom /Paging: Landscape /Irrigation: Required Items and Reports (Conditions)
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other:
Other Desc:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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
the 180 days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
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.