Permit V •
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
i DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00131
.� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/24/2005
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 500 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: Relocate (2) cable drops.
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: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: CABLE DROP X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD TRIANGLE I LLC NEW TECH ELECTRIC
4650 SW MACADAM AVE STE 220 20811 NW CORNELL RD #400
PORTLAND, OR 97201 HILLSBORO, OR 97124
Phone: Phone: 503- 648 -1900
Reg #: LIC 41868
SUP 3849S
FEES ELE 26 -418c
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 5/24/2005 $75.00
[TAX] 8% State Surcha 5/24/2005 $6.00
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.
Issued By: a Permittee Signature: �G ®\,
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.
05/23/05 MON 11:01 FAX 503 648 3131 NEW TECH ELEC 411 001
iitrical Permitpplica ' O
City of Tigard & e�QQ� 5<....2.,y e.5 1?' Permit Na.
13125 SW Hall Blvd_, Tigard. OR 97 � r > Review
Ph ony. 50 3.639.4171 Psut: 503 _1�; • . b' . 0 --. 11 i D - Other Permit:
Inspection Line: 503.639.4175 i1.1 •1 Dam Bead /B 1
i.cigard_or -us . S . \. pod: S 9«Pan2
Internet www.c ' �'J N / ��f Supplement Information
s o
_ 1
❑ New consttueaon ii Additio ,�, +on/replacement please check all that apply:
°oi
ID Demolition ❑ Other o 225 amps, corneal ❑FLvardtws location
<<' < ';'r��7.t :;r ; I {;;� ic�iaii :iii irlic >! O ]dngovea 10.000 sq. fr.,
O ' f 1 d 2 family dllings 4 or more residential
ee ❑
1- and 2 dwelling ri Commercial/industrial ❑ Accessory building DSYstem aver 600 volts nominal units in one structure
❑Building over three stories ❑Feeders. d00 amps or more
❑ Multi - family El Master builder ❑Other
❑Occupant load over 99 persons ❑Manufactured structures or
. ._ Egt+ess/lighti2gelan RV park
Job no.: L1313 Job site address: 1 2.7_ 1 5W l.. }•l A--1 OHealrh -care facility []Other,
Submit 2 sets of plans with any of the above,
City/State/ZIP: 716, Z.n OR. •(.% e ..id The above are not applicable to temporary construction Service.
Stlite/bldgdapt no.. •Pro'ectname: nIIV d-SI :. .•,.',,:.r I_ :0 a �� : - Y
3 An 0 Ll--t7 r oF.N1 _ Description <;`.. _ r ,r
. . Qty. . UK . Total
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 i 4
d'1
Subdivision: Lot no.: Ea. ad500 sq. ft or portion 33.40 I 1
Tax map/parcel no.: Limited energy, residential 75.00 1 1 2
� l::u �iw :��n__�o�� ,,� ,;. c. ri , I red energy, non-residential 2
m
._ ,.,.:.I::, manufactured or modular
_ .... Each
n t.•OC.A 1 l LAi?•t.E 1�fZl� Pc_-_-_ dwe[Gng, service and/or feeder 9(1.90
^ Services or feeders installation. alteration. and/or relocation
200 amps or Less 1 1 80.10
: :, - .. �ir :'i lr'(f! �; r- , .. _ am to 400
'
: ..:....::a � ,
v: ! 12�� , �;�ir�l u " � . lit ^u� i I' " � — GPs I 106.85
Name: 401 antes to 600 scrips 160.60 2
�.� L•Mt- tt,.1eJ 1C. A .. 4— 61.49-t/ 11I•• 601 amps to 1.000 amps 1 , 240.60 1
Address: 24 , Over 1,000 amps or volts 454.65 I 2
t! NtiT °tJ Reconnect only ( 1 66.85 1 I 2
City/5tatc2Ip:
- 552A2.-- Temporary services or feeders installation, alkration, and/or
Phone: ( relocation
j) . *46; Fax: D 200 amps or Tess 1 66.85 1 1 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 I •
intended for sale, leas:, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps -
Owner signature: Date:
_ . Branch circuits new alteration, a
is extension.
per panel
a
L_ . :�_-- ,....___JC ' , ,;: �,c - I r t�!� Ia�ii±'cji _ c.; A. Fee for branch circuits with
service or feeder fee. each
6,65 2
Business name:
brunch circuit
Coetatt name: B. Fee for branch circuits
without service or feeder fee. t
each branch circuit 46.85
Address: Each add'I branch circuit 1 6.65 1 1 2
City/Statc/ZIP: Mlseellaneous (service or feeder not included,
Phone: ( ) Pump or irrigation circle 1 1 53 S0 1 1 2
Fax :: ( ) -
E-mail:
Siga or outline lighting 53.0 1 2
Signal circuit(s) or limited
f�, , 7 7 _ . . , ��:= _g, (o .; '..i ' " ° i energ,y panel, alteration, or
Business nat»C: extension. Describe: Page 2 2
NEW TECH ELECTRIC INC _
Address; 20811 NW CORNE LL RD STE 400 Each additional inspection over allowable in any of the above
Per lion 1 6^ -.501
City /Stace/ZIP: H ILLSBORO OR 971 24 Inve9llgt fon per hour (1 ! r min) 1 62.50 1
Phone: ( ) 5 0 3 64 1 Fax: ( ) lnduseial plant per hour 73.75 1
900 503.648.3131
CCB Lic.: `II'i ;ti' t. o ie':•, L.' 77:Ff=.
4 8 6 8 E lectrical Lic.: 2 6 — 41 8 C Su prv, Lie.: 3 8 4 9 5 e: t Subtotal 1 1 ,
Suprv. Electrician signature, required ` 1 ' / Plan review (25% of permit fee) 1
Print name: PHIL HANSEN Date: (7 S 12,2, ( ; :. � gam_ surcharge (a95 of permit fee) i (, . r'
TOTAL PERMIT FEE 1 e I ,
Authorized signature*. This permit application expires It 2 permit it not obtained within loll
M \Y . 1 #ays aver it by been accepted as complete
Print name: Date: et] o set by Tri- County Building Industry Service Board
�i .- Number of in per perry 2Ilowed.
IABWIdmatPmtduELC- Pern d4
dtwpp,doc 12,23 +a61srttamccoMD eY OF TIGARD
lRt le—.1" A / t. IT BUILDING DIVISION
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00131
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24 /2005
Phone: (503) 639 -4171 livitik\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 59
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: Relocate (2) cable drops.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503. 648 -1900
Inspection Request Scheduled For: Date: 7/11/2005 Pour Time:
Code # nspection i - - ription Confirm # Contact # Message
135 Low voltage 111:401 503-969-9477 Y
Corrections /Comm - uctions:
1 ea-NJ — 31/-110
PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: '
1' 06 L+' Date: Phone #: (503) 718- Zl U •
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELR2005 -00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24 /2005
Phone: (503) 639 -4171 ii ,,a '�iliil { �
Inspection Requests (24 Hrs.): (503) 639 -4175 I_-.
INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 17
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: Relocate (2) cable drops.
OWNER: TIGARD TRIANGLE I LLC, g PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 648 - 1900
Inspection Request Scheduled For: Date: 7/8/2005 Pour Time:
de # Inspection Description Confirm # Contact # Message
135 Low voltage 011044 -01 503-648 -1900 Y
Corrections /Comments /Instructions:
'O10) :C 4 . -) 9 o
— 7 ` � \ V\ p - ?,�� , o -c, , IA, k4 LF snow , �j - � o - 5 •
10 C , \\WI 010 , w``\ \) v , 0 11 0 b 1
- CFI 0/S co .
pi_s
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
3 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 2 6 � Phone #: (503) 718 -