Permit � CITY OF TIG e RD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00055
LIG,ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/28/2007
PARCEL: 25101 BB -01400
SITE ADDRESS: 12020 SW GARDEN PL BLD6 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: BMW MOTORCYCLES
Project Description: Low voltage for HVAC. Job No. 07 -0044
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: 1
Owner: Contractor:
SPIEKER PROPERTIES LP OREGON HEATING & AIR CONDITIONING
4380 SW MACADAM AVE STE 100 PO BOX 397
PORTLAND, OR 97201 DUNDEE, OR 97115
Phone: Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
FEES Reg #: ELE CRE -15
LIC 172126
Description Date Amount
[ELPRMT] ELR Permit 2/28/2007 $75.00
[TAX] 8% State Surchar€ 2/28/2007 $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 ortc w.ii 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 su 'ended for more-than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Tho - rules are set forthiri.OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtai •..ies of these rules or direct questions to OUNC at
503'246.6699 or 1.800.332.23 .
Issu By: , o� 4� 2L 2� Permittee Signdture:
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:
.r l --- T- RQCTOR INS ALLATION ONLY
SIGNATURE OF SUPR. ELEG � .04 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.
Feb 28 07 12:45p Oregon Heating & A/C 503 - 537 -2172 p.1
•
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El Permit Application FOR OFFICE LSE ONLY
City a nd Received g Reve of Ti e g 9� > ve d ..; Permit No Y^'�t�eC g/.. 1/�,,,� - 5�
�yry
. @ , i 9 /� /1 " 1 lit - e/
13125 SW Hall Blvd, Tigard, OR 97223 — plan Review
�( (/IU O 7
Phone: 503.639.4171 Fax: 503.598.19 _ J-' ' ' ' DatelHY Other Permit:
Inspection Line: 503.639.4175 U :`' pate Ready/By. f-+ns l 0 Set Page for
Internet, www_ci.tigard•or.us FIB 2 t7 � -- Notified/Method: 4S � Supp(emeutal information
1t�. _
i dd alte l�ioril pla`c emerlt Please check all that apply:
Q1 PP y
'" ['Service over 225 amps, comm'l ❑Hazardous location J
❑ New construction
❑ Demolition ❑ Other:
Service over 320 amps rating ❑6u'ldng over 10 ,000 sq. ft.,
• :.:,- of 1- and 2- family dwellings 4 or more new residential
;::.._:. -.... Ct1TEGOI2X QF.COi`1STILFJCIION';:i.f,.:. .- .'.'.:�.'.:i;.::`?' :', .,.
❑ 1- and 2 family dwelling 4ornmercialfindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Multi family ❑Master builder ['Building over three stories ❑Feeders, 400 amps or more
❑ Other Man red structures or
>:..:., <:::., ••. ..;.. - ....... ...... :.. ..... _ . - .. persons Occupant load over 99 u cru
.:,•••-..,:-;.-:.--:;-
.. ;-
JOB :'SIT II4FOR.MATION AND.' LOCATTOPT' :: .::., . ' ❑Egress/lighting plan RV park
Job no.: al - '1 I Job site address: 1 � Q " P S • ❑wealth care ficiGry ❑ abov
Submit 2 sets of plans with any of the above.
City /State/ZIP: ( 6 The above are not applicable to temporary construction service.
Suite/bldg./apt no.: Project name: ,,::'. - : '
IMctiptioe Qt I Fm / Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less I 145.15 r 4
Subdivision: Lot no.: Ea_ add'I 500 sq. ft. or portion 33.40 I 1
Tax map /parcel no.: Limited energy, residential 75.00 2
::,_, :.,;:_.;; 1 75.00 2
Limited energy, non-residential
> . _. _ r:• � _ : AESGRIPT.ION' OF. ':WOitTS`,` - - I
r- - . -_ _ .. .... .. ., ..... ... :, : . - .- . -. -_ ..- . • Each manufactured or modular
dwelling, service and/or feeder 90.90 j 2
• Set or feeders installation, alteration, and/or relocation
■
• 200 amps or less 80.30 2
-
�._ ; . :',L.: .:,: _ 201 amps to 400 amps 106.85 ' 2
- Q`PRO>'3EIITY'`.O.WhTEIi.. -FF�F ^tT?' %�'i:,t:- :_:�::.'; ::
:....:.
m � � ( �y� 401 amps to 600 amps 160.60 2
Name: 13 fl ' W ( 1(ytnr P amps amps to 1,000 am s 240.60 2
Address: 1r ^� .O c a , 1 ,• p L Over 1,000 amps or volts 454,65 2
`�J�� 9 1 4 } Reconnect only 66.85 2
City /State/ZIP: • i -t Cl Temporary services or feeders installation, alteration, and/or
Phone: ( - ) i Fax: ( ) , relocation
I 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
t:ur - =�'.." , .•, : :. -s . .. : ' . Fee for branch circuits w"h
-
- `- s:'r; <•:: i . �`CO2Y'FAG'P % :: -`. A.-
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
4-6.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: = ( ) Sign or outline lighting 53,40 . 2
E -mail: Signal circuit(s) or limited -
..
,..- .... .t;.;::r:' .:: ... .... ..... •..EOIYTRACTOIL':.7:: ": , ,. _• __...' :" enerBYPane, aeraon o > or � (,
extension. Describe: Page 2 ' 1 2
Business name: OREGON HEATING
& AIR CQ. ITfO■ING, INC,. Each additional inspection over allowable in any of the above
Address: P.O. Box 3 93I 538 -2953
7 Dundee, OR 97115 •
'. Per inspection 1 62.50
City /StateJZ1P: investigation per hour (1 hr min) 62.50
Phone: ( ) Fax: -7 Industrial plant per hour 73.75
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ELECTRICAL PERMIT FEFS#2 t'.:•.....-....:'.
CCB Lic_ :;�� Electrical Lie.: (� 4 U ! Suprv. Lie.:
Subtotal 15 C
Suprv. Electrician Signature, required: ( i Plan review (25 %ofpermit fee)
�-7)0g4' Sta te surcharge (8% of fee) �)
I U
Print name: it t = �,,. Date:
TOTAL PERMIT FEE 1 ` U P
Authorized signature: This permit application expires if a permit is net obtained within 180
- days after it has been accepted as complete
Print name: Date: - Fee methodology set by Tri- County Building Industry Service Board
+ * Number of inc pecti ens per permit allnwerl
1 : \Building1p r im,mr.0 -Peru itApp.dec 17h13 .44'615T(1 wavcomiwua
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL RUStn •00X56
131.25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2. Z,$
Phone: (503) 639 -4171 N '#09 111?\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: : .1_ a7 TIME: PAGE:
SITE ADDRESS: 1202C) S W ef‘R.DEi P L. (6) CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: is iv\ \NJ
DESCRIPTION: L u6aAeci 1 S 1
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 4-'01 Pour Time:
Code # Inspection Description Confirm # Contact # Message
35' vJ VOL„ c Aoie es.. t4 ci
cVA
Corrections /Comments /Instructions:
•
•
`,PASS n PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
✓ ❑ + FAIL ( I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 11 0 6 LE Date: t `0 ' 1 Phone #: (503) 718-1-44/*