Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
,, I`�' II
' DEVELOPMENT SERVICES PERMIT #: ELR2006 -00198
�L DATE ISSUED: 8/22/2006
---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 110DC -02400
SITE ADDRESS: 11565 SW DURHAM RD 110 ZONING: C -G
SUBDIVISION: SDR1999 -00022 WILLOWBROOK II LOT: JURISDICTION: TIG
Project Description: Security.
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: X
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
MOODY 2005 TRUST SONITROL PACIFIC
9811 NE 114TH CIRCLE 8220 N. INTERSTATE AVE.
VANCOUVER, WA 98662 PORTLAND, OR 97217
Phone: 503- 201 -3266 Contact #: PRI 223 -5822
FAX 503- 973 -7773
FEES Reg #: ELE 26- 370CLE
LIC 53535
Description Date Amount SUP 3567LEA
[ELPRMT] ELR Permit 8/22/2006 $75.00
[TAX] 8% State Surcha 8/22/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
__________
Issued By: Permittee Signature: e"> r
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
a, � iN C � FOR OFF CE USE ONo$; t, - '
c
Electrical Permit Application -..' `� :Y. `l,,i,G „, %4 .� ., E �* 1,: �. - ,�� i
City of Tigard RECEIVE
Received I
°� DateBy: I i� A • I PermitNo'a „ 0 b w Jtg
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503 598 1960 Dat Permit Other Pert
AUG 2 1 200 :4
Inspection Line: 503.639.4175 a � 4' �� . Date ReadyBy 0 See Page 2 for
Internet www ci tigard or.us Notified/Method. Supplemental information
CITY OF TIrARta
A »TrYca`?> "r.Ogr :x.F t c=>_, a.,�.�,'F. z':w Z,01>; 010 , -,>w 0,4 -* ., ., .... .. „ . , Y ” "t ` ° r;:`• - " ,. ;
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
['Service over 225 amps, comm'l Hazardous location
❑ Demolition El Other:
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft ,
`j " °= t-i �>rt == '>: '= " A• E Y OF
:CO STRLUCiTION `'' .' of 1 and 2 f l
o- an-ami dwelling
_. .,` --I bkr rv, -mY4 . ".
;..- ,
GT GO ,r,, ,, ,,3,1,, , ,;,..--,-.4.,,,,,' , - � _,_ , *,u. _ >•: , ,.>, _ - a ,,» iu .J; , , . „
Commercial/indust Y dwellings 4 or more new residential
b
❑ 1 - and 2 family dwelling , nal a ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Building over three stones ['Feeders, 400 amps or more
❑ Multi family
❑ Master builder ❑ Other: Occupant load over 99 persons ❑Manufactured structures or
.z ° ,, : , ti _ .,,, -} ; .A .. - 'r . c , .'«f a. g RV park
, r,`' , «- 'SITE -NF M , 9,a AN-DgLOCAT O\r „_.. x• i '` , , ,:,A-,N: v
.; ;; ; ❑Egress /lightin plan P
°�,k, ._��,<:�%. ;� ��,r,:a ., „�� x ,.�a � a � , - . � a ��» ❑Other:
Job no.:?o 12,5 Job site address: ) lF�e Gio N Agar x}1110 ❑Health -care facility
Submit 2 sets of plans with any of the above.
City /State /ZIP Q Arti QQ. ql 2 The above are not applicable to temporary construction service
J 1 °,iF -; : :.° :iV. -:= �' .FEE* ' UIsE
,SCHED = ;'_ - .
Suite/bldg. /apt. no.: Project ¢ ' Y”
�,/� Wn� 1 ' Y• Description Qty Fee. Total
Cross street/directions to job site: /�. / New residential single- or multi- family dwelling unit.
`'l Includes attached garage.
- 1,000 sq ft or less 145 15 4
Subdivision: Lot no : Ea add'1 500 sq ft. or portion 33 40 I
Limited energy, residential 75.00 2
Tax map /parcel no.. Limited energy, non-residential 75 00 2
*: si. , r- � - >.;,_ E' . 'T I "I ■A, „ WORK's:z.w e n. - -
' H `, ,~ ; n ” > ;,�,,,. = or modular
,,; ; 'xf :D RIP : U � - > ^ °:gy Each manufactured o mo
�
r 1' S t4im dwelling, service and /or feeder 90 90 2
fl S ] ► - Ai 1 .1 ri Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
gig. I . fl0 . 1! ba , > 201 amps to 400 amps 106 85 2
`. ' .Y-PROPERTI �0.. w = ®` „TENANT.:'
Q. ri. �...._ ... • >. : , > ,.. "�,'ss t� `a<.= . _ _ . , 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 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
,i- ,; r ; = IF:> K f irii ”' t „ , .. , ,.4,,: 1 A. Fee for branch circuits wit h
❑ . A P P„ LEA ;` "_ . ` ;' -' ` ; := , 4ft ., m Z;CO;`iTAC C :', , , . , .. -r , " ,
� : :, , _. _ , , r_._, , - _� . s t
l __ service or feeder fee, each
Business name: branch circuit 6.65 2
- - B Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46 85 2
Address: Each add'l branch circuit 6 65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or imgation circle 53 40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53 40 2
E - mail: Signal circuit(s) or limited -
''i� >; .yz,. ;t _ F:' > ,; , N <. `; :_TOR - ;'� . �;',.: - : ,.� ener panel, altera o
extension Describe ( Page 2
_,. w ___ ; ._ a _ � =: " coy,rc _, �,- . 75
2
n
Business name: , --I '1' ,i
Each additional inspection over allowable in any of the above
Address: e�-Z -7 G n t ,' 1 ^ � ,."t 1 ,- t TT V,-.P Per inspection 62 50
City /State /ZIP: - .R„, -? 8. ( e_ 9 Pr , l'- Investigation per hour (1 hr nun) 62 50
Phone: Industrial plant per hour 73 75
( •5'a, ZZ 3 . Fax: (� c� -� 3 — 7 - , ', 'ELECTF,ICAZ :P - FE ES *
CCB St
0 Lie.c:. � 55 . Electrical Lie.: id /L - i i upry Liie : 3,5"6„ 1 .4 Subtotal - 7 5.0n
Supry 7 % "l' tVVVe, re uired. v % la �� j �J ) Q 1 } �
Plan review (25 /o of permit fee)
/ +�✓ � Date - /' (o / ate surcharge (8% of permit fee) , a0
Print name:,(�Erj S' j r�� ! / 1 ( 5(� _ ��
TOTAL. PERMIT FEE
Authonzed signature: O &• - a 7o QL6 4 to This permit application expires if a permit is not obtained within ISO
days atter it has been accepted as complete
Print name:
7 /05( *
Date Fee methodology set by T ^. -County Building Industry Service Board
r. Number of inspections per permit allowed.
I \ Budding \Perm,is\ELC- PermitApp doe 12/03 r— *)6O 2.2. 440- 4615T(10 /02 /COM/WEB
Electrical Permit Application - City of Tigard
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
y x ,x ^+s � o. .� �z*. �s�; c. .,7 e :.�, ;,�rac. s, .:4 >E:'+,. ..�,:;t, ",a ....�; �x '
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
e gr Burglar Alarm
❑ Garage Door Opener* • "
H Heating, Ventilation and Air Conditioning •
•
System*
- ❑ Vacuum Systems*
Other:
Fee for each commercial system $75.00
•
(SEE OAR 918 - 260 - 260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
Clock Systems "
n D ata Telecommunication Installation
P] F ire Alarm Installation
n H TAC
n Instrumentation
Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
Nurse Calls
•
I I Outdoor Landscape Lighting*
Protective Signaling
n O ther
Total number of commercial systems:
•
*No licenses are required. Licenses are required
for all other installations
\Bwldmg\Permits\ELC- PermttApp doc 04/03 •
CITY OF TIGARD „-
BUILDING DIVISION
PERMIT #: ELR2006-00198
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 812212006
Phone: (503) 639-4171 /10 0 1 1101Ii'■
Inspection Requests (24 Hrs.): (503) 639-4175 •A
INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7:06AM PAGE: 38
SITE ADDRESS: 11565 SW DURHAM RD 110 CLASS OF WORK:
SUBDIVISION: SDR199B WILLOWBROOK II LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMMUNITY CREDIT UNION
DESCRIPTION: Security.
OWNER: MOODY 2005 TRUST, PHONE #: 503-201-3266
CONTRACTOR: SONITROL PACIFIC PHONE #: 223-5622
Inspection Request Scheduled For: Date: 9/2612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 037145-01 603-223-6022
cV €-■ NW--
Corrections/Comments/Instructions:
- 7 3 5 Lrl
)PASS PARTIAL APPROVAL n CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N6e4 Date: 2 - 4 :( ' Phone #: (503) 718- 1140
CITY OF TIGARD ,.. A
BUILDING DIVISION
AM PERMIT #: ELR2006-00198
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/27J2006
Phone: (503) 639-4171 -1110114011i,
Inspection Requests (24 Hrs.): (503) 639-4175 —.
A 1 —
INSPECTION WORKSHEET FOR DATE: 9/1412006 TIME: 7 PAGE: 24
SITE ADDRESS: 11665 SW DURHAM RD lit) CLASS OF WORK:
SUBDIVISION: SDR1999 WILLOWBROOK II LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMMUNITY CREDIT UNION
DESCRIPTION: Security.
OWNER: MOODY 2005 TRUST, • PHONE #: 503-201-3266
CONTRACTOR: SONITROL PACIFIC PHONE #: 223-5922
Inspection Request Scheduled For: Date: 9/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 036532-01 503-223-5922 Y
tor-g. a N) L._.■
' Corrections/Comments/Instructions: •
WiL-I— INIStNE.:7- ' l C..T
its(■) c--- 44 N L •
I I PASS n PARTIAL APPROVAL X CANCEL 7 NO ACCESS
I I FAIL 7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G - co ae, (.,-' Date: 9 14 Oft, Phone #: (503) 718- 2.)q4
. . . .