Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
i DEVELOPMENT SERVICES PERMIT #: ELR2006 - 10012
DATE ISSUED: 3/13/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD ZONING: MUE
SUBDIVISION: BEVELAND LOT: 003 JURISDICTION: TIG
Project Description: HVAC LOW VOLTAGE
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:
Owner: . Contractor:
UNITED PACIFIC PROPERTIES LLC PROTEMP ASSOCIATES INC
PO BOX 600 9788 SE 17TH AVE.
ST HELENS, OR 97051 PORTLAND, OR 97222
Phone: Contact #: PRI 503- 233 -6911
FAX 503- 238 -9767 •
FEES Reg #: ELE 26- 1063CRE
LIC 38868
Description Date Amount
[ELPRMT] ELR Permit 4/3/2006 $75.00
[TAX] 8% State Surcha 4/3/2006 $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 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.
/ Permittee Signature: Issued By: P
�' �' -" � � 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.
E "ectrital Permit R1> IV E F) ...OFFICE USE ONLY
g
City of Tigard Received Permit No.' — / ( � b -/�J /�
Date /By: t2 �3 86
13125 SW Hall Blvd., Tigard, OR 97223
A ,' Plan Review Phone: 503.639.4171 Fax: 503.598.1 iq R 13 2006 rl f I I Date/By: Other Permit:
IIM
Inspection Line: 503.639.4175 ! y► e' L Date Ready /By: J s 77 El See Page 2 for
Internet: www.ci.tigard.or.us � _nY Notified/Method: // !N Supplemental Information
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P, � RE IEW° �'��' �-. -
s - � .. ,, �P" F �'E ���� "� LAN �
;, ".... -.,, . _..._,.:�:> .• �.��,�,, x .� k� .., ��:�;�= ��.f�,�:... _,,, .,,.; ,, -';z�" ..:';�'� -lea .,
BE
❑ . e' Tyr a p l u T PTA ® +` Please check all that apply:
New construction te A t n alter non /re acement pp y
El Demolition 11:1 Other: over amps, n' ['Hazardous
_- <;`.,, ..N ,
Service r 225 a s corm Hazar location
y �� ❑Service over 320 amps rating ❑ Buildng oven 10,000 sq. tt.
"'', ° « OF C ONSTRUCTION. ��
���, :� � � ��' ` ° •� al
of I -and 2- family dwell 4 or more new residential
❑ I- and 2-family dwelling ® Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
i 0 Multi III builder III ❑Building over three stories ❑Feeders, 400 amps or more
;:" " ,. „ .,...; c persons n
❑O upant load over 99 e Manufacu ed structures or
«:'C#4 I NROR n TION'.?AN "LOCATIO wa a`• ^ '� , `
, _-`- RV park
Egr /li htin lan
'.: ;„, ,;.,„,,,
«., ;, _ ;: -._ r; F_ ,, < , < , ,, d- ,,."_.-, "✓, ", E "tok.•r,. , : ".l , !i � , a esS g g P
❑Health -care facility DOther:
Job no.: 8868 Job site address: 7157 SW BEVELAND
Submit 2 sets of plans with any of the above.
City /State /ZIP: TIGARD OREGON 97223 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project name: UNITED PACIFIC FOREST
Description I Qty. Fee. 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 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
> ;, ' •t DE bRIPTION ciF' W ORK ' `cz:; ,, 6 : . ' . ¢., ,.
Limited energy, non - residential 75.00 2
:,,,,2;;;::%:z*:: , : « 4. .. ,,.SC 4.„,.:, ", ,.., ,.. ,..� >;.,,, " _._ , t,? <•,, , >,, , Each manufactured or modular
THERMOSTATS AND WiREiNG dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
,: `; ;i ii PERT ". : «.;:,,: > t • �, ..1. . , :ate , �,,;,,,;,,,,,.,," amps 106.85 2
- v�,
O �YOWNER� .
�'�'' "" � - - �~ ®"-TENANT" :'Ire 2 1 amps ,..';«�p�,:� _ ��. 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
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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
s :e. ,. c - 'S t ; ' T A. Fee for branch circuits with
� " : ` .'' �i'GONTACT NERS.. ,' .: °
a �,. �..,,�,. .w .:... ;t .-v..: ; ffi .....__, . •,..: _yam, service or feeder fee, each
Business name: PROTEMP ASSOCIATES branch circuit 6.65 2
B. Fee for branch circuits
Contact name: BRUCE BUTNER without service or feeder fee,
AVE
Address: 9788 SE 17 AVE
branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City /State /ZIP: PORTLAND OREGON 97222 Miscellaneous (service or feeder not included)
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
:a .. " •. :•;, , a: r , * "a °' °za:'� a " ";¶ 5 energy ;': ; _...,f �.., . ,� -:,�• "v ,�- ' CO1V'rRAGTOR : ;, �= , ::.- m:: gY P anel alteration, or
extension. Describe: ' Page 2 2
Business name: SAME AS ABOVE
Address: Each additional inspection over allowable\in any of the above
Per inspection 62.50
City /State /ZIP: Investigation per hour (l hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
` , ,, FELE_CTRi - _`'__`''
CCB Lie.: 38868 Electrical Lie.: 261063CRE Suprv. Lie.: 2613LEB Subtotal
Suprv. Electrician signature, required: ( � =1r ,p_ 5 Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: ` r Date: 3/13/06
� " �i r TOTAL PERMIT FEE �. ■
Authorized signature: )7;5 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: ,2
`` t( � V6 ° � /) � ��_ Date: 3/13/06 * Fee methodology set by Tri- County Building Industry Service Board
`� ** Number of inspections per permit allowed.
is \ Building \ Permits \ELC- PermitApp.doc 12/03 440- 4615T(I0 /02 /COM /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2000 -10012
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:02AM PAGE: 18
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: UNITED PACIFIC FOREST PRODUCTS
DESCRIPTION: HVAC LOW VOLTAGE
OWNER: UNITED PACIFIC PROPERTIES LLC, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 233 - 6911
Inspection Request Scheduled For: Date: 6/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031179.01 503 -519 -6199 V
� ° 0
Corrections /Comments /Instructions: q � ' "
a re U C
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: t fit; __At Date: 6 ' b • i t Phone #: (503) 718- 2,1411t
CITY OF TIGARD
BUILDING DIVISION - PERMIT #
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7 / 5 7 8 eJj ' ` Qd CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: / �+
OWNER: PHONE i:5� / - 61
CONTRACTOR: PHONE #: --
Inspection Request Scheduled For: Date: — 7 -0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1\I L Date: 1 1 ' 1 CA Phone #: (503) 718- 2‘44 I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: i4g3av6- od12
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639-4175 `__..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7 / j ^ '7 6 vet /2o/ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE S f C-5
CONTRACTOR: 6 u . L , i r PHONE #:
Inspection Request Scheduled For: Date: `f — 7- 0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
/3r /9-5 Lots vac.
4if ' Ivajj 3,,s-e.
Corrections /Comments /Instructions:
•
j PASS ❑ PARTIAL APPROVAL n CANCEL El NO ACCESS
f/ I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ry 66 LEE Date: /4 7 06 Phone #: (503) 718 -1A4