Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00087
DATE ISSUED: 5/1/2007
T[GARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-04100
SITE ADDRESS: 11850 SW 67TH AVE ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS
Project Description: Landscape irrigation control for irrigation
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: X
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:
PACIFIC NW PROPERTIES PEAK LANDSCAPE
ATTN: PAUL GRAM PO BOX 927
P.O. BOX 2206 CORNELIUS, OR 977113
BEAVERTON, OR 97075
Phone: 503- 626 -3500 Contact #: PRI 503- 359 -7801
FAX 503- 359 -9202
FEES Reg #:
Description Date Amount
[TAX] 8% State Surcha 3/27/2007 $4.27
[ELPRMT] ELR Permit 3/27/2007 $55.40 REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 5/1/2007 $19.60
[TAX] 8% State Surcha 5/1/2007 $1.73
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: , � j / / Permittee Signature: c Sep, ���/;c (m
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.
c _�. 4r , ,a(63.
Electrical Permit Application '''3^ 4 - FOR OFFICE USE ONLY
t " 11 City of Tigard ) a ��. Date/B e a ��r�� Permit No 1 'f2 -07)6)18 ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi•
C Phone: 503.639.4171 Fax: 503.598.196E G AR G c 2001 Date /B Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: �� ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF Wf9` ignI `` 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 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 ". "1 -2 ", "1 -3 ".
100HP or more. occupancy.
V Job no.: e_ Job site address: ' 1 g 1 �W
W ❑ Six or more residential units. 0 Recreational vehicle parks.
Cit /State /ZIP:��� ❑ Health -care facilities. ❑ Supply voltage for more than
y t lard) > O� ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project nam ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: I Description 1 Qty. 1 Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
■
Includes attached garage.
• Subdivision: Lot no.: as 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: y Ea. add'I sq. ft. portion 33.40 1
1 Limi ted energy, residential
ntial 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
/t r .4-1 tp ,n„ residential (with above sq. 6.)
1 Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2 ..4 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
• s City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
4, Phone: ( ) Fax: ( )
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Owner signature:
200 amps or less 66.85 1
201 amps to 400 amps 100.30 2
401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Date: A. Fee for branch circuits with
APPLICANT ❑ CONTACT PERSON
c_ above service or feeder fee,
, each branch circuit 6.65 2
Business name: B. Fee for branch circuits
\ without service or feeder fee,
Contact name: , e, rePo first branch circuit 46.85 2
Address:
L CID--7 / Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: L „ (. - 0. , 2:).4_ 9 '7 ` Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( ) 3j�' ��� � Fax: : ��) 559 - €3;;;10,.... Reconnect only 66.85 2
E - mail: 6---y tr.. eat to Pump or irrigation circle 53.40 ' 2
`` CONTRACTOR Sign or outline lighting 53.40 2
business name: ? / p Q Signal circuit(s) or limited-
> L_ Q 33 / energy panel, alteration, or
Address: extension. Describe: Page 2 2
E ach additional inspection over allowable in any of the above
City /State /ZIP: p y
Per inspection 62.50
ne: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 _
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: ,
`
Q Plan review (25% of permit fee): �
Print name: Date: State surcharge (8% of permit fee): �
Authorized signature: 'f p TOTAL PERMIT FEE:` \ '•
I This permit application expires if a permit is not obt.ined wt hin 180
Print name: 0\drk. re.. Date: 3/5/0 , days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\ Building \Permits \ELC- PermitApp.dne 05/23/06 440- 4615T(11 /05/COMIWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 000137
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639 -4171 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 L .....
INSPECTION WORKSHEET FOR DATE: 8123/2007 TIME: 7:OOAM PAGE: 37
•
SITE ADDRESS: 11860 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Landscape irrigation control for irrigation
OWNER: PACIFIC NW PROPERTIES, PHONE #: 603- 626 -3601)
CONTRACTOR: PEAK LANDSCAPE PHONE #: 503 -359 -7801
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 054520.01 603- 533.8173 N
Corrections /Comments /Instructions:
P SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /44'141<i) Date: — - 3 --69 Phone #: (503) 718-