Permit s a t
CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00207
I' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/31/2006
PARCEL: 25101 BB -01500
SITE ADDRESS: 12232 SW GARDEN PL BLDG 1 ZONING: C -G
SUBDIVISION: CROW PARK 217 LOT: 003 JURISDICTION: TIG
Project Description: Voice and data wiring. A') LASS
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: OUTDOOR LANDSC LITE:
— OTHER: : HVAC: PROTECTIVE – SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SPIEKER PROPERTIES LP AF TECHNOLOGIES
4380 SW MACADAM AVE STE 100 1418 HEMLOCK ST. NW
PORTLAND, OR 97201 SALEM, OR 97304
Phone: Contact #: FAX 503- 362 -2382
PRI 503 -362 -2364
FEES Reg #: ELE CLE010
LIC 167061
Description Date Amount
[ELPRMT] ELR Permit 8/31/2006 $75.00
[TAX] 8% State Surcha 8/31/2006 $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 obt '❑ pies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: ( ACLtlt 1 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.
Electrical Permit Application. - . soli o EicE usE °Nur .
a '
74 Received
Ci ty of Tigard }� � � - Date/By. � 0 �! $ Permit No. ,_' A -'o ,'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone. 503.639.4171 Fax: 503.59.960 , Date /By Other Permit
I G A R D AUG UU Inspection Line: 503 639.4175 c 2006 Date Ready /By _Tuns ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method '� Supplemental Information
TYP OF'' WQIiiK S. lotatiatt. . PLAN REVIEW
❑ New construction
" + � menti i ` .' '
Addation9a7Fe'ration /replace Please check all that apply (submit 2 sets of plans w /items checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stories. .
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "i -2 ", "l -3 ",
Job no.: Job site address: I oZ� 3 �1 // 100HP or more. occupancy. •
, - befs p /C Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: q�
.�/
' ....j er? a ' 2 ❑ Health -care faahhes ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite /bldg. /apt: no - L1 - \ — Project - name: , ,_ J( / et 1 j — _D.Service.ocfeeder_600_amps or_more.
FEE SCHEDULE
Cross street/directions to job site: i Description I Qty. I Fee. 1 Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15 4
Ea. add'I 500 sq. ft. or portion . 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
6 � / // Limited energy, multi - family
( l Ca_ ? -x_ A Da . caoilietcc residential (with above sq. ft.) 75.00 2 _
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 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 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with .
' ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZiP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
' ` ' CONTRACTOR Sign or outline lighting 53 40 2
• Signal circuit(s) or limited-
Business name: r4 ,121,v7.5. energy panel, alteration, or
Address: . / � o , f 0 ., j �� extension. Describe r Page 2
City /State/ZIP: _ ! g (�( , /� s ® 9 /2 7 Each additional inspection over allowable in any of the above
Per inspection 62.50
r `c T
Phone: `6 9‘„A sA. 34 / Fax: (5'03 3,6 _ a m5 2 Investigation per hour (1 hr mm) 62.50
CCB Lic.: f4 ye, / Electrical Lic.: 'L6' ,* /0 Suprv. Lic.: 7A/19,,? Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required . �� � Subtotal: '7 5
Print name: / ` p .,1 Pe Date: .6/3e46 Plan review (25% of permit fee):
666 , �i' State surcharge (8% of permit fee) &
Authorized signature: , TOTAL PERMIT FEE g
Print name: G`� `'�( ei� S / This permit application expires been permit is not obtained within 180
• Date: �e' 0, days after it has been n accepted as complete.
* Number of inspections allowed per permit
t 1Budding\Permits\ELC- PermimApp doe 05/23/06 440- 4615T(I I /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 Supplemental Information "
LIMITED ENERGY PERMIT FEES:
` RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
-
111 Vacuum Systems*
❑ Other
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls `
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
•
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Building\Permits\ELC- Perm0Wpp doc 03/23/06
CITY OF TIGARD.. .
- ' BUILDING DIVISION PERMIT #: ELR2006- 00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2006
Phone: (503) 639 -4171 4401 11401t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9126/2006 TIME: 7 :06AM PAGE: 1
SITE ADDRESS: 12232 SW GARDEN PL BLDG 1 CLASS OF WORK:
SUBDIVISION: CROW PARK 717 LOT #: 003 TYPE OF USE:
PROJECT NAME: APEX LABS
DESCRIPTION: Voice and data wiring.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: AF TECHNOLOGIES PHONE #: 503 -362 -2364
Inspection Request Scheduled For: Date: 912612.00E Pour Time:
Code # Inspection Description Confirm # Contact # Message
c Low io age 037176 -01 503-830.8745 Y
Corre r
ct ons /Comments /I :
. -7 1) '\
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . tv Ve LJ4 Date:1 24/6C, Phone #: (503) 718- 2.4117 '
CITY OF TIGARD ..
r, A .
BUILDING DIVISION PERMIT #: ELR2006-00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3117006
Phone: (503) 639 -4171 4 PP�l9 li
Inspection Requests (24 Hrs.): (503) 639 -4175 /a � u �":_..
INSPECTION WORKSHEET FOR DATE: 9/6/70.06 TIME: 7 :06Am PAGE: 26
SITE ADDRESS: 12232 SW GARDEN PL BLDG 1 CLASS OF WORK:
SUBDIVISION: CROW PARK 217 LOT #: 003 TYPE OF USE:
PROJECT NAME: APEX LABS �i
DESCRIPTION: Voce and data wiring. 5 3 6 'Z 1 0
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: AF TECHNOLOGIES PHONE #: 503.362
Inspection Request Scheduled For: Date: 916/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 036091-01 503- 830-8745 Y
Corrections /Comments /Instructions: �+
► k PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
1 6 44
Inspector: �f v �.J � Date: Phone #: (503) 718-