Permit A
7
v CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 -00304
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/14/2006
PARCEL: 1 S134AA -01800
SITE ADDRESS: 10150 SW NIMBUS AVE E5 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
Project Description: Re install phone system.
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:
ROBINSON, CONSTANCE A + CHRISTENSON ELECTRIC, INC.
ROBINSON, LYNN + BELL, KAY ET 111 SW COLUMBIA STREET # 480
BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97201
BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 419 -3300
FAX 503- 419 -3695
FEES Reg #: ELE 26 -34C
LIC 458
Description Date Amount
[ELPRMT] ELR Permit 121141200E $75.00
[TAX] 8% State Surcha 12/1.4/200E $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 or 1.800.332.2344.
Issued By: 0 , fS J Permittee Signature: ty
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.
DE(' -14 -2006 THU 11:13 AM CHRISTENSON VELAGIO FAX NO. 95034193695 P. 01
11JIZetrical Permit A ligation I'Olt OFFICE USE ONLY
city di< Tigard Received
Dste/14 : W ty /a, 613 > n;t No. l/ . _ ., ,
"13125 SW Hall Blvd., Tigard, R y _ 3
a:�,,<, -• , ''. Plan Review
Phone: 503.639,4171 Fax: 503.598.1960 , . Daw/hy Other Pernik
: Inspection Lino; 503.639.4175 /� 2006 • • - - Dat ficd/Ma keady / thod; .4 By, � � Supple See Ps mntt go al 2 car lnfonnn Gan
Interact: Www.ci.tigard,or.us DEC 1i 1 's L l! Nuti
< . < »: sG?x{<;r: ex.>s• . 1. o ``; ; i;i n'+5,sSx. ?� �':h:>(..e�`�`:t iY 3 :�•`. :.: ;,S;s;cx . ;e::,,.os, • ' +xse .: }, •.s• .x:. ,
ti' t Y•' >:k: <.: < • n . <, ,,. ::1� < 2 • • 8: ., imi v }t'„ . „ C.�.», k . O.0 . 'i.x: :,:s`. +;. .
x'3„.„4: x x• g � :1.;.. .� .IL£k:z x" 10i } ti? V. chgck . Lt ' t 'k:':< y� i> `i .:. s.r,
- . - : :.Y.7GG' •S eil it: .R. .. ' S ..75:,,;.S:.s..>• x ., ".wok• >:2s.;�:b:<�xei�,y��` .SS..x,.�2:: ^.;xn *sr Rx{,x,:? ' ^' "�'.x'sl �', ^. ^,x�. ;, • � ,�, o � < ,F•s, ``�': ":i .wx.
❑ New construction , -1 ' . i' , . ice-.. at. .x i "T' T" :E >'rk {< s a
e teat fftlftilrient lent Please c all that a 1 { '''
❑ Demolition 'U it' r: s •' ❑ over 225 amps, comm'1 ❑Harardous lot:ati
Demo Service ov on
v ti3 x'" ;" /•��• "�r' '� r v , 5 , x ❑Service over 320 am s - rating Buildn over ,.I: . > � : �::;:�: =:e ^" i' >>"V i..tss�. �k % Sti g o�Y U a'o:o'x }`�t� Yk i.k P 6 ❑ S r10.0o0s(.II.
�' {" ... ,. x ti�4, !I�OA� "'�4 �.; "'x4..:.)%k ::„ xbi b.,: i r
,• ..,.<.:.�x:r`� ......•:�. 1,..< ^. �t s� �s,. �: kw x,>: 1} ,:;,,assx;a:x' }.:.#�xaK�:'x5s;� :i�,:<l9�? of I- and 2-family dwellings 4 or more new residential
t
❑ I - and 2- family dwelling 24Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in ono structure
❑ Multi ❑ Master builder ❑Building over three stories (]Feeders, 400 amps or mere
❑ Other:
>iis;::3it: +�, x; x:io-, >::, x.x. „ r . x . : . s : .� ' :> " . � ❑Occu ant load over 99 '•ens Matlufaolured .
:: "s:. ' "- :'a "•k '.'"s�e ^i:y:o:,,ova It I l� structures or
�
ix. „ ,.�k „•�,..:,..x,,, •�� ?:., ,.. x.<, a: � `:',.� ];:;x���s,?:::;,!ti,
❑Egress/ligllting RV park
Job no.: Job Site ad (0150 5U I ivrl 1 S ❑Heahh - care facility ❑Otter;
Submit 2 sets of plant with any of the above.
City /State/ZIP: 7 < rti tY
i ('R. �t� ^ -�Cr7 1 The above afro not applicable to temporary construction service.
Z ,1 5 41) ` s" " rr`4s E l ^ ;.4' w� s ck s . z ". k , ;x
p Idg,/apt no.. 6 Project name: T, -AV 0." EXW� 114 14 3xr: Y ye xq'�y{ ..' y p
{ .,:,^5`!3� .k' : c i x.x`, <S:k� .ii.dCS.F ,. : 1'...�' : S 2� x:> : >. ;; :�.1. >:
c '. ". ". 3 .
%,i " i ""'""•:; C
1 °eSayouaa QIY.� NIL Total
Cross street/direction:t to job site: & ', : l • ` / /• New residential single- or multi- family dwelling unit.
/� Includes attached garage.
5D 3 - fro 6 ~ I f • 1,000 sq. ft. or less 1 45.15 4
Subdivision: Lot no.: En. add'l 500 sq. It or portion 33.40 1
Tax map/parcel ] no.: Limited energy. residential 75.00 2 -
' ' ks x % ; s ," �� j �„ �,. „ ^ g :, x � . Limited energy, non - residential 75.00
., ., . , <, .<., >. K "i3: :. ><'x'< 4'R•?�" . � ' <.-#sa:: ,.:N>f >:$ .,.ra
+.• ... ��,.�`:���:�=,�:,; ,i:,I"r:�z < >. ":: i{ ;,:,:�, ^ „ >: �.;< : �;;�:� ; ti, ; l�;,; Each monutactufed or modular
k_ 4 ` � e 1ri,r. I qI�,,, _ _dwelling, service and/or tdedcT 90.90 2
1 ( 1 rt I N (�L♦ Services or feeders installation, alteration, and/or relmattion
1/4../ . 200 amps or less 80.30 2
*`4 p� r� ° u• ox �;,�;x� s:;Vr<f �Qt`i:',>fv:: l;} �.;:;:I. . d ew:... •<: w Lr�.x � + :ct.::: ; � ; :s:s 2�
.. », "..ci ` :•.7: ,. `;ix x; : e:. ., •:: ",'$x " x ., *: : s;s .: � :`m : .. ,; : .,xr: 1 a to 400 a 1106.R5 •.' .�. >: ..: .. .. ,�. v..,.,....:.. •:� .,.:..,.. p�%{ �:^. :..Si ^: }i:!h.y+.wSS:egMxx�.... �lii7:� „�.�. S.Z:p ,�i� ��/�k
401 amps to 600 amps 160,60 2
Name: 601 amps to 1.000 amps 240.60 2
• Address: Over 1,000 amps or volts 454.65 2
City/State/2D; Reconnect only 66.85 " .. 2
_ Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) reioeatlon
200 amps or less 66.85 1
Owner installation; This installation is being property s not made on that T own which i _ 201 amps to 400 amps 100.30 2
intended for sale, Icase, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 2
Owner signature: Date; Ltranch circuits - new, alteratio tl .. ranch or extension, per pane l
�,:n:': <'Yi "' "`fi"N i': + �' % •.>;i:ex+{' :Lif3: "s s�^��: " : < a'y' ':Y "t2a''':b3 A. Fee fur branch circuits wi
:,a:
...,.k <e.>.< ti?„.i<'E,+ ,..'"�A y { ,,te t•ya1N7;' , ; 1 �. gl..; -> `.z; 1 �,f,y lice's m,.t� ; wig
! 'max 6" k�kkT: .: �' .2'.. ;�4!,:: '+��v.x" Si 2e�V�,•:: ^^•�:�<�'2,,.�.. �>Sh ;ifF�'"i��'.�Lfi>;:J�
service or feeder fee, each 6.65 2
L9usiness name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, 86.85
Address first branch circuit 2
Eaoh addl branch circuit 1 6.65 2
City /State/21:P:
Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) - Pump or irrigation circle 53.40 _ 2
1. .
Sign or outline lighting 53.40 2
k:tK :<'' x� xl.:K"�k:: ;ra cx's. , r :Sr,:• +k'M : <: • Signal circuit(s) or limited -
V > ' %'i: < . z,K i-� :: • S , :s : :, ?''$:'4 x . ;:i ,. %r` : x y , :0:k : dx x : E, > • <•,..c..
a...:w x, t « „.� }•ako.co k( . i<S:•:a ;x 3. <' x ;+.n:, .. _ k" ,, , , i . D crib or
name: Christenson Electric, inc. xt sI . uescriho f Pago2 T7 5, d'D 2
Business
_ �Te aie r
Address: 11.1 SW Columbia Street, Suite 480 Each additional Inspection over nllowsble In any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97201 lnvestigruion per hour (I hr min) 62.50
Phone: (503) 419-3300 Fax: (503) 4193695 industrial plant per hour 73.75
CCB lulu ,, 458 Electrical Lic.. 26 -34C S rv, " "` :•. "I: lki r s ': 5',N :: " _
Lie.: 199
j____ i Subtotal •'75 C'D >. x
MI 1 r
Suprv. Electrician signature, required: Plan rcvicw (25% of permit roc)
• Print name: Date: 1 i # State surcharge (8 %ofpermit fee) /„' It �1
TOTAL PERMIT FEII RI to) n
Authorized signature: - This permit application ',spires ifs permit Is not obtained within 180
I days aver it has been accepted as complete
Print name; f Date: + Gee mo met rri- em7t Bilg industry Scrvics boan7
•" Number eth of ins dology pections by pe
r permit al ln din
iAHnddnION :m 12133 410-4111 s I Na2/COM/WE3
CITY OF TIGARD,
BUILDING DIVISION PERMIT #: ELR200&00304
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2006
Phone: (503) 639- 4171a..i
Inspection Requests (24 Hrs.): (503) 639 -4175 �'�� "'. �..
INSPECTION WORKSHEET FOR DATE: 17J22/2006 TIME: 7 :00AM PAGE: 33
SITE ADDRESS: 10150 SW NIMBUS AVE E5 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: HARTMAN EXHIBITS & DISPLAYS ,
DESCRIPTION: Re- install phone system.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503. 419-3300
Inspection Request Scheduled For: Date: 12/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 041448 -01 503 - 806-3383 N
a q' l Cit4 kt--
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G \ vI 1 " . 0 1 2 I 0l6 1
Phone #: (503) 718. -