Permit w c
At, CITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 -00256
' II 13125 SW Hall Blvd., T i gard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2006
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 200 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: Low voltage for HVAC wiring.
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: OUTDOOR LANDSC LITE:
OTHER: : HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PNWP LLC AMERICAN HEATING
6600 SW 105TH STE.175 1339 SW GIDEON ST
BEAVERTON, OR 97005 PORTLAND, OR 97202
Phone: 503- 636 -2500 Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
FEES Reg #: ELE 26- 993CRE
LIC 33135
Description Date Amount
[ELPRMT] ELR Permit 10/20/200E $75.00
[TAX] 8% State Surcharl 10/20/200E $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 for more than 180 days. ATTENTION: Oregon law requires
you to fol les adopt by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010
throug OAR 952-0 -019 . You may obtain copies of these rules or direct questio at 503-246.1699.
�l�
Issued y: k /1_ i Permittee Signature: / = 0 ,, C / Z c: 4 1e'S re/
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:
CaII 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.
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Dare/Bved /0 I�r iL2V�'"t� . . 0 !/ I P No
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ✓ "�'r ,4 ' Date/B : .
Inspection Line: 503.639.4175 - . Date Ready/By: h • H See Page 2 for
Internet: www.ci.tigard.or.us . Notified/Method: / a Supplemental information
3.2 i 1- '. P' S r • F" a. , ✓ _ h _ s : 7 t -! 5 ..s a2' '1 i • 17 f ` s5�� ^ 77 . , FF v*�rF rt�C ` r 1 C o-
.?' v a k.. ..a L n5 3 & � t� CI /. y ` - f r ; - - ! v,; t :- t 1 � :f' (-. f a ar 2.- l i a mt... ,1 B j. " f '. . - ■ ..x '_ti, K .
' 1 :'.._'t..: �,a_�', - u' rr i.?... .,y -.. „ � ._ .�..,:1, =�r�.•
❑ New construction is Addition/alteration /replacement Please check ail that apply:
❑Service over 225 amps, cornm'I ['Hazardous location
❑ Demolition ❑ Other
s �� f1
❑Service over 320 atr�s - rating ❑ Buildng over 10,000 sq. .,
-, g i Y•" .. :Vg1:1 r s (l siFio)a r 7 nTiii ` �t1 -- 5::: 2 t - , of 1- and 2- fam dwellings 4 or more new residential
❑ 1 - and 2 - family dwellingCommerciaU ['System over 600 volts nominal units in one structure
industrial ❑Accessory building
❑Building over three stories ❑ Feeders, 400 amps or more
❑ Muhl family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons DManufactured structures or
i` f Yr + + > t ` ��; 400,1)s a''ibdo .xc:0? 60 :M0-0, ` i s ,i i r ' ' Z IA t ❑ Egress lighting Plan RV park
DHealth-care facility ❑Other:
Job no.: Job site address: 1 - 1 0 la( _ „ Submit 2 sets of plans with any of the above.
City/State/ZIP: t / State/ZIP t 1' The above are not applicable to temporary construction service.
F� as - ,. Jr�, Jt
� �l yc
, {e 'r� 5z „„ . . .. 9. ,.. „ .� - a � y ,y .:,, 4'..
Suite/bldg. /apt no Project name: ";1/ I 5 ��,4 4_ B Qty. Fee. Total ••
a . Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no Limited energy, non - residential 75.00 2
A
r1 �� I y„:: #. : S i r',b) i.: ji1 I t�,'I bi f A • y `I 1 k - �j:' Jr � Each manufactured or modular
°` f , / 1 t dwelling, service and/or feeder 90.90 2
14 VCS. �. V��t r{ - Co - ( Services or feeders installation, alteration, and/or relocation
(f ,I,, ltit& 4P 200 amps or less 80.30 2
r{ ' s 'rt W ' eiti y r t ' i. ' 1l r ;.f r 1 'iiF; ' 201 amps to 400 amps. 106.85 2
" �'_:.71_)� 3� a 4- ,.i,e?n t
a ..�r:r_'_ v.�..�..,� ...f.. .j: iN,;.1i _....:1:11: 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
relocatio n
Phone: ( ) 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 • 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
1 . � r l 9 .F i 1 i x ` .fi+'� ,c c 65 VCnr tP 5 e) k w eae ` s; t ' A. Fee for branch circuits with
r - ? ., is r .t -�t,?` ,I. :-,k. 14:✓.1 * Y 1 t: iJl 1 . <<_ ..1- ,s.: -1A r, . KF_ 1'...t service or f eeder fee, each
6.65 2
= „ f i ... I branch circuit
B. Fee for branch circuits
Contact name: • • ♦ without service or feeder fee, 46.85 2
each branch circuit
Address: 133 5 E t •, St , Each add'l branch circuit 6.65 2
City /State/ZIP: i Cj yi - CUft a . Q rZ Cfl a 0 a Miscellaneous (service or feeder not included)
a(� Pump or irrigation circle 53.40 2
• Phone: ) D:" 60 Fax: ) a J' ( - � 6-3% Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited -
` e 1 7 t trl.r I r r '7 6F ? ' i '; t -i l fi r '? ' I a �. '4 -g*P fl m ( :; energy panel, alteration, or
, t �, t ,fi 1 T.,�1 C...�.i1..- : :..LI._,.. - ` - • - - extension. Describe: 1 Page 2 2
' � � ^ t Each additional inspection over allowable In any of the above
Address: C•, ♦ . t Per_ inspection 62.50
City/State/ZIP: ' - , 4 C) e e ) -30 Investigation per hour (1 br min) 62.50
Q Q' Industrial plant per hour 73.75
Phone: ( ) n - 1 - (p 0 U Fax () -1i7�U a ra s c i4u :Oizd jt) as,r fir`
CCB Lic.: 33 t 35 Electrical Lic.: , (7q q3 cee Sup Lic.: X014 I Subtotal
Suprv. Electrician signature, required: r / Plan review (25% of permit fee)
♦ �`"" �
9 State surcharge (8% of permit fee)
Print name: •r' Date: b „ . ( �,a & 061
1 v • A I _ TOTAL PERMIT FEE j�
V I
Authorized signature: � ,t `/ / ;,� This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete
13 ` Date: 0 _ ,, $ 0 G „ Fee methodology set by Tri-Coanty Building Industry Service Board
Number of inspections per permit allowed.
._. Aen ex I IT( nrmicnMrwt:a •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200&00256
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 '
Inspection Requests (24 Hrs.): (503) 639 -4175 W "_-
INSPECTION WORKSHEET FOR DATE: 2121/2007 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 11740 SW 68TH PKWY 200 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 00B TYPE OF USE:
PROJECT NAME: PARTNERS GROUP
DESCRIPTION: Low voltage for HVAC wiring.
OWNER: PNWP LLC. PHONE #: 503-636-2500
CONTRACTOR: AMERICAN HEATING PHONE #: 603 - 239.4600
Inspection Request Scheduled For: Date: 2/21/7007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043658 -01 503-763.4001 N
Corrections /Comments /Instructions:
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N6fa L Date: Z` 61 Phone #: (503) 718- 2-04
CITY OF TIGARD _ •
BUILDING DIVISION PERMIT #: ELR2006- 00256
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 4.44 " '�
Inspection Requests (24 Hrs.): (503) 639 -4175 �..
INSPECTION WORKSHEET FOR DATE: 12/21/2006 TIME: 7:Q0AM PAGE: 58
SITE ADDRESS: 11740 SW 68TH PKWY 200 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: PARTNERS GROUP
DESCRIPTION: Low voltage for HVAC wiring.
OWNER: PNWP LLC, PHONE #: 503 - 636.2500
CONTRACTOR: AMERICAN HEATING PHONE #: 503. 2334600
Inspection Request Scheduled For: Date: 12/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 041387 -01 503- 793-2240 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Date: t2 Phone #: (503) 718- 410