Permit CITY TIGARD CARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 10022
DATE ISSUED: 3/21/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 BB -01300
SITE ADDRESS: 11950 SW GARDEN PL BLD.7 ZONING: C -G
SUBDIVISION: CROW PARK 217 LOT: 001 JURISDICTION: TIG
Project Description: Upgrade existing access control system. Job # 153.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
_ O T R: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SPIEKER PROPERTIES LP PROTEC INC
4380 SW MACADAM AVE STE 100 720 NE FLANDERS
PORTLAND, OR 97201 PORTLAND, OR 97232
Phone: Contact #: PRI 503- 235 -4000
FAX 503- 235 -0363
Reg #: ELE 215CLE
FEES LIC 55414
Description Date Amount
[ELPRMT] ELR Permit 4/5/2006 $75.00
[TAX] 8% State Surcha 4/5/2006 $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: -___ -� s. a [ 1 v Permittee Signature:
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.
MAR - 21 - 2006 12 07 R T C 5032350363 P.02/04
Electrical Permit A PPt l ►i t: u p
Cit of Ti Ard Received J
Y g nare/B : _ / _ ...----i Permit No CL�. Ob
13125 ,5w Hall Blvd., Tigard, OR 97223 MAR 2 1 2006 Plan Review Other Permit: ,
Phone' 503.639.4171 Fax: 503 598.1960 ""'''i'^iit•iIi Date/BT
Inspection Line: 503.639 4175 �,1„ _ ` Date Readynly: runs El see Page I far
Internet vnvw ct,tigard.or,us CITY OF TIGAR t3otitiewMethod. 1 �� Supplemental Informutinn
_. r II a h - i ..•• -
4:r1,2!"y1.; ,,':'',, �, er , r. , 4 ,.. , ` k - ,.., . .. PLAN REVIEW
—
� 1 ;1 t "` i : ;' [r e ., , : *;aoi7; yT� : . ORC ;di` � t :;;,,, "
, • •
❑ New construction - 1 Addition /alteration/replacement Please check all that apply.
['Service over 225 amps, comm't 0 Hazardous location
[] Demolition 0 Other:
❑Service over 320 amps - rating ❑Bullring over 10,000 sq it ,
" '' ; ' "' ; 44 PE,4CE11!fg4r.CTON'; ' lr °. of l- and 2- family dwellings 4 or more new residential
ED I - and 2- family dwelling i•, Commercial/industrial ❑ Accessory building ❑ system over 600 volts nominal units in one structure
❑lBmlding over three stones ❑Feeders, 400 amps Or Mora
❑ Multi- family ❑ Master builder ❑ Other: []Occupant load over 99 persons [Manufactured structures or
, : "r 41 JOB '$TY'F.,.,j QMATIONM) c:410N,, • • ,.1 ❑ Egress/ugh ting plan RV park
Job no.: [ 53 Job site address- licist Sul ,,, ,,, ) (..044..,6 ❑ Health-care facility ❑Other
Submit 3 sets of plans with any of the above
Ctty/State /ZIP: -r 1 4 . G 7 433 The above are not applicable to temporary construciiuf service
Suite/bldg. /apt. no,. Project name, TT — FEE' SCHQ I E L.
_ Y / e MA1t+a Deacriptlon ! Qty I Fo e- To
Cross street/directions to Job site: New residential s i n g l e - ur multi= family dwelling unit,
Includes attached garage.
1,000 sq. rt or less I , 145,15 1 , . .
— ,
Subdivision: Lot no.: Ea add'1 500 sq, ft. or portion 33 40 l
Limited energy, residential 75,00
Tax map /parcel no Limited energy, non res 75 00 -
. ',pESORIPTION' VW!OR_ Id' ; ,: , p a.;" .:' -" • :., _ Each manufactured or modular
di.‘ ailing, service and /or feeder 90.90
U ?0RQ�t RV,1 c ?' 4. AcC.e.,as Co/-.1IAsa ( '6y57
Service or Feeders Installation, alteration, and /or relocation
200 amps or less 80.30 _ 2
❑,; PROPERTY OWNER • • ' t ,❑ •TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160 60 [...-i--
• Name. 601 amps to 1,000 amps 240,60 '
Address. O».er [,000 amps or volts 454.65 2
--- -- ---- -- - Reconnect only 66 85 2
City /State /ZIP: Temporary services or feeders Installation, alteration, and /or
Phone: ( ) ax: ( ) relocation
F
200 amps or less 66,85 l
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 3D 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 1-7-
Owner signature: _ Date; Branch circuits - new, alteration, or extension, per panel
' >-❑ APPLICANT (r - . - E] 'CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46'80
Address Each add'l branch circuit _ 6 65 %._i
City /State /ZIP: Miscellaneous (service or feeder not Included) -__-_
Phone: Pump or irrigation circle 53.40 � - 2
( ) Fax: ( ) Sign or outline lighting 53.40 2
E -mail' Signal circuit(s) or limited- T
' - V IRA ctoR ' "{ energy panel, alteration, or
extension Describe: Page 2
Business name, puS: C,
Address; �'J n � y Each additiotral Inspection over allowable in any of the above
+ �D L'� �' Per inspection 62 50 r— " - i
City /State /ZIP. Pop .A 911:13?— Investigation per hour (i la inn) 62.50 •
Phone 6b3 )R Fax: ) )491,3y 0363 (ndustrial plant per hour 73,75 �_�
'ELECTRICAL .PERMIT `FE'E5'
CCB Lie. :s5"y�cf E lectrical Lic.: 0 5- 4(.4t2- Suprv. Lic.:„3 Subtotal 75'
Suprv. Electrician signature, required: Plan review (25% of permit fee)
_ _ State surcharge (8% of permit fee) 6,Ob
Print name: Date: �� 6.-5.---d
TOTAL PERMIT FEE.
Authorized signature e` Thls permit application expires if a permit Is not obtained Niitnr [811 --
_ ` . , - �" .. „„..� _.._, dap utter It hi., Been accepted as cmupicrc
Print name: � 4 - Date 3'j -p6 • Fee methodology set by rri- County B uilding Industry Service board
"^ Number Of utspeelcon_s per permit allowed
I Bwtdipg•PemltI,vLC•Pemutn /y doe 12/03 44o.461S f(1ci02i(0wwgB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -10022
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2112006
Phone: (503) 639 -4171 �" Vm4l�
'�I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5 /3/2006 TIME: 7:08AM PAGE: 52
j f 1 9 s t
SITE ADDRESS: 11960 SW GARDEN PL 1 LD, 7 CLASS OF WORK:
SUBDIVISION: CROW PARK 217 LOT #: 001 TYPE OF USE:
PROJECT NAME: VESTA - MAIN
DESCRIPTION: Upgrade exi:Aing acres„ control system. job # 153.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: PROTEC INC PHONE #: 503
Inspection Request Scheduled For: Date: 5/3/2006 Pour Time:
9.. - : Inspection Description Confirm # Contact # Message
199 Electrical final 02917901 503-209 -02&1 N
NN
Corrections /Comments/ Instructions
Q.-
C
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � - . 4 a u ' Date: 5 -. 6 -01 7 Phone #: (503) 7 1 8 - 2 - 1 - 6
CITY •F °CIGARD
BUIL®I +G DIVISION PERMIT #: � DC � L� '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 #/iv V!��ypq l l"
Inspection Requests (24 Hrs.): (503) 639 -4175 .4,J,,`:•�1I' ,
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / / J -1-7 � e_ '1"-- P (" CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: :7 PHONE #6-0D 171 7379
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4 / (9 f °P Pour Time:
Code # Inspection Description Confirm # Contact # Message, ›A urzo° = ,,,
O
Corrections /Comments /Instructions:
';r m, a.;' "imm4m~ortsmr
e'- I : t-t & c f
ASS r I PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: ._/O 6 Phone #: (503) 718-