Permit IIIR
III v CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00095
TIGARD DATE ISSUED: 4/21 /2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S126DC -05000
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 003 JURISDICTION: TIG
PROJECT: FREEMAN OFFICE BUILDING
Project Description: (2) low voltage systems: Data and Fire Alarm. Job No. 311880132
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS: 2
Owner: Contractor: _
COOPER MOUNTAIN VINEYARD LLC NEW TECH ELECTRIC
9480 SWGRABHORN RD 13970 SW72NDAVE
BEAVERTON, OR 97007 PORTLAND, OR 97224
Phone: 503- 649 -0027 ' Contact #: PRI 971- 223 -7022
FAX 503- 670 -9571
FEES Reg #: ELE 26 -418c
LIC 41868
Description Date Amount SUP 3849S
[TAX] 12% State Surchai 4/21/2008 $18.00
[ ELPRMT] ELR Permit 4/21/2008 $2790 REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 4/21/2008 $122.10
Total $168.00
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
503.246.66 . .332.2344. /�
Issued By: 2 €�(d -4/ • Permittee Signature: l / &
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.
d 17/2008 10:28 5036709572 NEW TECH ELECTRIC PAGE 02/04
•
Electrical Pelrinuit Ana
,p�lacata \\ V FOR OFFICE:, USE ONLY
City of Tigard 1 1 7 �� Received di / 7 Pmmit No.; f .. fir
A 13125 SW Well Blvd., Tigard, OR 97223 1 bates , Q / iLQ .g ea tt 9 l
r ` QD Plan Review
Phone: 503.639.4171 Fax; 503,598.19 •�l / O r y • , .,,,,- , 3Date/B : Other Permit: T t c A is r? Znspcction Lino: 503.639.4175 t �1�G 1 t �7 PI Bee Page 2 far
Internet: www,tigard•or,gov Bu111 ESMIIIIIIIIIIMI Supplemental Information
•!.; l !nF J, ' Xt, d:h:.:e r�yh �l, � y� •p "• . . F ,,� .: j:iJt::•ip:w N ;:.F�, . Il l „ 1 . - ,tq� 4 . , ,i P " ". �'
h ;:i ,:4.6, ,1, 1.17"ra yliiii l V�:g;r ,tlr. .ice . a,e ,. ... lf•I'. - .l, r1,.....+ .
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;In r9rTH5^¢ �:: 13lJli' �lV'Ik��"w .,. rt••fr. ,., YA• ::rat �' ,.,. � ; ;'L:�)r , r� .11�� .. . .L. , � 'I� ,C y,
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❑ New construction ® Addition /alteration /replacement Please check all that apply (Submit Z acts of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other:
where the available twit current 0 Marinas and boatyards.
i�'Ili i 'I r; ;i: j ', Pit°" y liRa t, f i k'V,, '
t: ,'P. ;1 'I" '1'' `a./ i'll's ?! exceeds 10,000 amps 150 volts or 0 Plaiting buildings.
;4. ! "r '{ YI.k1;i' crvs�9 u,•:, r
. 1 4-? ' Il „IUIC!41K is !U 19 . 1Y7t1W „ '''' .1�`iy : I�.L;.' I x• 8 c.
&
. � 1 . . ,1 . . , � .. ..u,•�P•t>4 . 5 ' : '[1: '
.....,:, :.: o-rI•. ,,, ' less to ground, or exceeds 14.000 ❑ Commercial-use agHctOtnrnl
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building Amps ror all other installations. buildings,
0 Multi - family Q Master builder ❑ Other: • ❑ Fire lump, ❑ Installation of 75 KVA or
a.:rJ� '� FI {;,tF7 � 1 ;�,y�y[,��.Iq�y r r ,•� r >,�;:,;.: ❑ Emergency system. larger separately derived system.
I'll.T'.. l� , ,,JW.tk,' '!U171 . ,O i 1 ,r� .: �1, ;r:I •
! riY : itt.F }1 r 1 : �¢9 �,I�, ^J:� ,., ..(O •,�,� .�., "' - Al�` , 1'u7�Wry� � W; ,
•!;Li u •:,:.. , •I ;.1-111 I ,., �... .,- w., . •,•. 1 .::,o .,. ': .. . ❑ Addition of new motor load of ❑ uA ","E ",1 ^,
Job no.: 311880132 1 Job site address: 9397 SW Locust Street 100xP or more. occupancy.
❑ Six or more residential units. ❑ Recrantionel vehicle parks,
City /State /ZiP: 97223 0 Health -care facilities, Q Supply voltage for more than
• 0 Hazardous locations. 600 volts nominal.
Suite/bldgJapt. no.: `Project name: Freeman Building ❑ Service or feeder 600 amps or mote,
Cross street/directions to job site: :.: lk∎ a 1e '! ° i" :I i ` ;; t rjitiIL ' -_' .:, ;�f :I''1
0 •, ree. Total
New residential single- or multi- family dwelling unit
includes attached garage.
Subdivision: • i Lot no.: - 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
v. �,.�1•I ;:' ;.1r,. r ,... a; l.Ii; ,,,,.. t Limited energy. residential
.1 1 .., u i 1 °' n., .. 75.00 2
'.4:':'L., ,- e'.I;'w - :" .4.i.,.,:;i fll ArPH,,.11, ..,.. , .'1 .. .. . VI\: ;� 1J . '4, .1•1•14 11 I• '. .:•, 1. i `. C' (with above SQ. it.) ,
a� -1 J'. .. �.. .l r.f ... , ' ,i .1 �,. .:�1
Install low voltage system Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
r ' Services or feeders installation alteration and /or relocation
:ra 1 v • y :• , :; I ; y , ;, 200 amps or lass 80.30 2
,ri, �. ,.: f�i'',n,t' .r" `a:�h:e,•^-'l, �,.• ; . i '::� s ;��l,'i _ , �±1 ;�I 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 se rvices or feeders installation, alteration, and /or
relocation
Phone: ( ) I 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, Qer panel
Owner signature: • Date:
A. Fee for branch circuits with
w : a '�'cU� 'i!t 2 q' ! " `.,i Sb1!) e?.:..___. above service or feeder fee,
each branch circuit 6.65 2
Business name: New Tech Electric B. Fee for branch circuits
without service or feeder fee,
- Contact name: Sue Ross - Holmes first branch circuit 46,85 2
Address: 13970 SW 72 Avenue Each add'l branch circuit 6.65 2
Miscellaneoas_(service or feeder not included)
City/State/ZIP: Portland OR 97223 Each manufactured or modular 90 .90 2
dwelling, service and/or feeder
Phone: ('971) 223 -7022 I Fax: : (503) 670 - 9571 Reconnect only 66.85 2
E -mail: sue.holmes@ntei.com Pump or irrigation circle 53.40 2
'[1"1 sTfli P is 1 �It N;r�q :t Iii rrp. A 1 . "61r ; a 1 ,•'5 h &:
T �I ;1� , ,� Any ti ui4f r e�liN;�.:p:, 9}•I li f !. �; r �, i . ?�.� IP: r! �'��' � "��" �jr . `4' Sign or outline lighting 53.40 2
Business name: New Tech Electric Signal cirwit(s) or limited- ,
energy panel, alteration, or Y"
Address: • extension. -/
- er tl Q 0 2 w Page 2 /DU 2
City/ State/ZIP: Each additional inspection over allowable In any of the above
Per inspection _ 62.50
Phone: ( ) Fax. ( ) investigation per hour (1 hr min) 62.50
CC13 Lie.; 41868 Electrical Lie.: 26-41 SC Suprv. Lie.: Industrial plant per hour 73.75
Suprv. Electrician signature, required: '`� (a „ ,: ' t,P,5'i'B, 01 ` ' 1 ;, PtE$1?!, :�' . ., >, r ;i ;
Subtotal: /�p.b
Print �
name: n/i„t�4eG 1 �' f ,(�,, � w + � Date: 4/17/08 Plan review (25% of permit fee);
- . '� State surcharge (12% of permit fee): .0 0
Authorized signature: -
....•---- _ TOTAL PERMfi PEE; O V - Print name: Th ts permit applicnton expire if a permit Is not obtained within ISO
Date: days after it has been occepectt os complete.
• Number of inspections allowed per permit.
1: 1Buitdion1PenoloARI ,C- PormitApp.doc 05/23/06 L � � _ l .44O- ( r1j 1N5 /COMIW2A
• e. * /y0• /o
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 -00095
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/20013
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27/2008 TIME: 7:01AM PAGE: 44
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: (2) low voltage systems: Data and Fire Alarm. Job No. 311880132
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503.60.0027
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 971 - 223 -7022
Inspection Request Scheduled For: Date: 6/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0 -01 503.969-9403 N
Jfls
Corrections /Comments /Instructions: I Ilk
F-; 14 0,x... N
— r - z51 Po)Dci frivin A1. Q ItsIs 4414 --
•
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G . , I f Yi / )L Date: t7 Phone #: (503) 718- 7.--'I4k
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006.00095
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/2006
Phone: (503) 639 -4171 I ' I ��
Inspection Requests (24 Hrs.): (503) 639 -4175 . �! - ° ° ° 'I ..
INSPECTION WORKSHEET FOR • DATE: 6/27/2008 TIME: 7:01AM PAGE: 11
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: (2) low voltage systems: Data and Fire Alarm. Job No. 311880132
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503 -649 -0027
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 971-223-7022
Inspection Request Scheduled For: Date: 6/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 071950-01 503 - 648.1900 N
Corrections /Comments/ Instructions:
'p A66'EI 61,) AI 7% 0A B NO5i..
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 'S t•i(% Date: if 710 Phone #: (503) 718-
CITY OF TIGARD
k
BUILDING DIVISION PERMIT #: ELR2008 -00035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/ :n/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 tlfr
INSPECTION WORKSHEET FOR DATE: 4/25/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 CLASS OF WORK:
SUBDIVISION: LEIIMANN ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: (2) low voltage systems: Data and Fire Alarm. Job No. 311880132
OWNER: COOPER MOUNTAIN VINEYARD LLC. PHONE #: 503. 649-0027
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 971 - 223 - 7022
Inspection Request Scheduled For: Date: 4/25/2008 Pour Time:
Code # Inspection Description Contact # Message
135 Low_yoltage 068864 -01 503810.2038 N
Corrections /Comments /Instructions:
ALARM\ ' V ■tri a 'A
X ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
El AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��� CO 6 Date: Lk ( 01 Phone #: (503) 718- *PC)