Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00122
DATE ISSUED: 5/20/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA
SITE ADDRESS: 16105 SW 108TH AVE BLDG B ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Fire alarm & data.
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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
OT2 LLC FIRE & SECURITY GROUP LLC
5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST.
LAKE OSWEGO, OR 97035 CAMAS, WA 98607
Phone: 503- 620 -4373 Phone: 360 - 833 -9938
Reg #: LIC 153226
ELE 37- 338CLE
FEES SUP 3862LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 5/20/2005 $150.00
[TAX] 8% State Surcha 5/20/2005 $12.00
Total $162.00
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 jf 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: • _ Permittee Signature: n
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 20 05 11:49a Rick Stevenson 380 -833 -1727 p.2
Electrical Permit Ate on e �/ FOR OFFICE i'SF ()NIA , 'J
• n LCV �� , > Rcoci.cd.. l� �J � tNo.: t J�!'O�QS O ��i74v^"
City of Tigard 1>aivBrJ
13125 SW Hall Blvd., Tigard, OR 97223 Plat Review other Permit
a •.. r. i ., D�By:
Phone: 50 3ine: 5 0 3. 63 Fax. 503.598.i96503.598.19 2 0 200 1 A I DateReady/By: mils: J ( Supplemental Information
I WI See Page2for
Intern lion Line: 53. or.us - Notified/Method: if a<tion
Internet: www.catcgardorus f:ITV (1� TIf =hC►� - l2EV`1Lr'f,'�
B difiou//a1t a / Please lease check all that apply.
New construction El Addition/alteration/replacement ' cepient ['Service over 225 amps, comm'l ['Hazardous location
❑ Demolition ❑ Other 0 Service over 320 amps — rating OBuildng over 10,000 sq. S.,
: `,.' ' '" Uhl ` :' :: .: _ 4 or more new residential
...: 1tX OB, G'Ol!IST>�'f1C'i?......
of 1 and 2 fmaily dwellings
•. �. •:. >:: ' .: , ' .. , �::. ... over 600 volts nominal one structure
units in 1 - and 2 - family dwelling LjQ Lommercial/nndush731 ❑ Accessory building ❑Building over three stories ['Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other ['Occupant load over 99 persons ❑ RV c structures or
•- s; JOR-' itt: .Ai - 0)00A,t1UN.; : .:,_: ; . .. ::....:: .` r' - : DEg essingbtmg plan []Other
' � `' '� /�� p, ['Health-care facility 3ob:ao.:(5�}t 1 - 6 - & - Job site address: I p 0 s /o /Jr .!J Submit 2 sets of plans with any of the above.
1 The above are not applicable to temporary construction service.
City /State/LIP: %L�> ' 6 Q. • a� ;' ; , : �El?� *:. . '..:.._ : .. ' ; :. , � .
Suite/bldg. /apt, no.: bat / Project name: .OPi K T. fl ps , t» . 1
Qom, Fen I Total � .: �•:
Cross street/directions to job site: LU.Y j i e z- New residentkd single - or inapt -fam7Y dwelling mit.
induces attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.:
FAL add'] 500 sq. ft or portion 33.40 1 Limited energy, residential 75A)0 2
Tax map/parcel no.:
limited energy, non-residential 75.00 2
- ::• DPSGRIir!'ION WARS
; ;Op` • `. ; ; �1 . :.. ; ; ; ; ;:..:,:`- i::. °.. _- :.:: ; ;. ; , „ -. Each manufactured or modular
�j dwelling. service and/or feeder 90.90 2
' " $1 /La 1,s b tiff Ill- 'A A Li Services or feeders alteration, and/or relocation
�f F-+r r 200 amps or less 80.30 2
201 ampsio 400 amps 106.85 2
'
OEF,,R 'X; OW ,, TEt • ,. , . : 401 to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Over Recoct only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) • l Fax: ( ) 200 amps or less 66.85 1 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 1 100.30 1 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, alterat aa, or extension, per panel
. . A Fee thy branch cirwiis fee with
. C�01V) A LT : L'EXtSi�ll�i ' • r .': ; i c or f eeder each 6.65
t7: A�plxcl?c' > .:; :1-';:'''''::%::':''':1•• branch circuit
Business name: f S�C,Ue. T`( '^'fQ 0L4 r, L G B. Fee for branch circuits
Contact name: r L i 4-e, c. STr✓ vcMs) NI without service or feeder fee, 96,85 •
r each branch circuit
Address: 25 3 �S N - e - � 1 - 5 i Each add'l branch circuit 6.65
Q n Miscellaneom (service or feeder not included)
Pump IN �, (,�{ / b Q Pump or irrigation circle 53.40
Phone: (A40 ) i33 -i938 I Fax:: (31,d) g33-17-7 Sign or outline lighting 53.40
E -mail: alteration, or
Mcrosroa Descri Page ' Signal circuit(s) or limited- , E,
;:... ;. energy panel,
Business name C iisr, a 6Q Ye— Each additional inspection over allowable in any of the shove
.Address: - Per inspection 62.50
City/State/7X': investigation per hour (1 br min) 62.50
73.7s
Industrial plant per hour ,�
Phone: ( ) Fax: ( ) `;* , nrtzer hello rEANOT:; . : .'
CCB Lic.: 1 6. 3 a . a(o Electrical Lic3'7_9902•(. -I S .• . Lic.: i- `C.f� -�,- Subtotal
/ � • /f • Plan review (25% of permit fee) J
Supra. Electrician signature, tCQti]Ie i- State surcharge (8% of permit fee) `
Print name: R, C 4i .. ak{-S fit Date: J�`� f L� TOTAL PERNIIT d
Authorized Signature: L
� j / ::-.72:---„..., This permit application expires ifs permit it not obtained within 180
r, ! . ( / c- / � " L. - .. - _.. L days after it has been accepted as complete
Pont name: tLf i f � _ �•� C rV , �`h + Dale: 5/ b Q J • Fee ree@adoloo'set by Tri- Cotmty Building industry Service Board
j S 0 i • .•
Number of inspections per herm allowed.
CITY. OF TIGARD . a ,'
SUI L DING DIVISION PERMIT #: ELR2005-00122
13125SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2005
Phone: (503) 639 -4171 /�+p���H�yiI�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/1212005 TIME: 7:04AM PAGE: 14
SITE ADDRESS: 16105 SW 108TH AVE BLDG B CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Fire alarm & data.
OWNER: OT2 LLC, PHONE #: 503 - 620.4373
CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 360-833 -9938
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 018104 -02 360-518-4568 N
Corrections /Comments /Instructions:
, . rec. Pr
c
/
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: L Date: /Z - /2.-or Phone #: (503) 718-
__4,(AA__))k______
CITY - OF TIGARD -
BUILDINt DIVISION PERMIT #: ELR2005.00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2005
Phone: (503) 639 -4171 i a�u +"NN�iq
Inspection Requests (24 Hrs.): (503) 639 -4175 11• I..
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7 :04AM PAGE: 26
•
SITE ADDRESS: 16106 SW 108TH AVE BLDG B CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Fire alarm & data.
OWNER: 0T2 LLC, PHONE #: 503-620 -4373
CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 360 - 833 -9938
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 018096-05 503 -453 -2991 Y
Corrections /Comments /Instructions:
PASS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i142146) Date: /0 '" ) 2 - O S Phone #: (503) 718-
r_.
CITY OF TIGARD . `�
BUILDING DIVISION PERMIT #: ELR200 00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2005
Phone: (503) 639 -4171 - i i � l ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 -..'
INSPECTION WORKSHEET FOR DATE: 7/1/2005 TIME: 7:14AM PAGE: 82
SITE ADDRESS: 16105 SW 108TH AVE BLDG B E, J CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: DOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Fire alarm & data.
OWNER: OT2 LLC, PHONE #: 503- 620.4373
CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: 360.833 - 9938
Inspection Request Scheduled For: Date: 7/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 010572 -01 360- 833 -9938 N
Corrections /Comments /Instructions: ��
6) Ka% L ? Li.1 1 k.v - a v
1) "iz.oj,5 Foy k i \)\ c'€3 . PAX 66 toe* .
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
a V ®V-1L Date: - Phone #: 503
Inspector: ( ) 718 -
•
Inspections Required for: ELR2005 -00122
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect
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 X 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Stricture 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 325 RP/backflow preventer
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: \Building \IVR \InspCard- AOP.doc 02/02/2005
CITY TI • ELECTRICAL. RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PBRMIT #: ELR2005 - 00122
A4,44111:, ,, 4111, DATE ISSUED: 5/20/2005
-�` 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171
PARCEL: 2S115AA-OTOOA
SITE ADDRESS: 16105 SW 108TH AVE BLDG B ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Fire alarm & data.
• A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
OT2 LLC FIRE & SECURITY GROUP LLC
5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST.
LAKE OSWEGO, OR 97035 CAMAS, WA 98607
Phone: 503 -620 -4373 Phone: 360 - 833 -9938
Reg #: LIC 153226
ELE 37- 338CLE
FEES SUP 3862LEA
•
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 5/20/2005 $150.00
[TAX] 8% State Surcha 5/20/2005 $12.00
Total $162.00
CIO
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 1
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: " ". 2 , d - - � Permittee Signature: _ e & ,f
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.
•