Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00272
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2006
PARCEL: 1 S134AD -06201
SITE ADDRESS: 10450 SW NIMBUS AVE RC ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Add security to new office area. Job No. P060291
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: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: SECURITY X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
KG INVESTMENTS SON ITROL PACIFIC
KYLE LATTA 8220 N. INTERSTATE AVE.
10240 SW NIMBUS SUITE L3 PORTLAND, OR 97217
PORTLAND, OR 97223
Phone: 503 -598 -9980 Contact #: PRI 503- 223 -5822
FAX 503- 973 -7773
FEES Reg #: ELE 26- 370CLE
LIC 53535
Description Date Amount SUP 3567LEA
[ELPRMT] ELR Permit 11/13/200E $75.00
[TAX] 8% State Surchart 11/13/200E $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 . - et forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or dired questions to OUNC at
503.246 : • 99 or 1.:.0.332.2344.
Issue. By: /// f J1 � I / Permittee Signatu AIM i' AS •
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.
,.4
E lectrical Permit Application �` FOR OFFICE USE ONLY
6' 11' } R VE h Received
City of Tigard Date/B : MOM Permit No.: E 1 , - - _ a 7
is IIII 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598 (9q 1 3 2 006 B Date : Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: ® Page 2 for
Internet: www.tigard - or.gov CITY OF b IGAHt) Notified/Method: NW' Supplemental Information
TYPE OF R MING DIVISION PLAN RE VIEW
❑ New construction gil Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /iterns 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 1/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 "1 - ", "1 - ",
,1 100HP or more. occupancy.
Job no.: 90 ( 2 029 ( Job site address: o y 5 SQ.) N 1 fr \) I&.5 ❑ Six or more residential units. ❑Recreational vehicle parks.
City /State/ZIP: PD o nd i Q 1� , 9 7 223 ❑ Hazardous ❑Supply voltage for more than
1 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
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
Limited energy, residential
DESCRIPTION OF WORK (with sq. ) 75.00 2
with above s ft.
Add- '' 1 ' _ OC fit f. 4 n/� Limited energy, multi- family
75.00 2
Add- \4400 Se _LAC]` -L I n net t) oc-c C� Q, r A.cOrk residential (with above sq. ft.)
` 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: ( ) 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, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
wit /tout service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add' I branch circuit I 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: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
rn Signal circuit(s) or limited -
Business name: Srloc.C[A 1 1 }1 L' energy panel, alteration, or
Address: S M
' () o ---h "T�i Q, ra4.��� e extension. Describe: I Page 2 15 2
I`,' (- p�V `�G.. w
City /State/ZIP: Q, �� 9 7a q " Each additional inspection over allowable in any of the above
> all Per inspection 62.50
Phone: ( 2'3 - 5 -2_2_. I Fax: (603) 4 73 . 777 2 Investigation per hour (l hr !Inn) 62.50
CCB Lic.: 53 25 Electrical Lic.: Z 6 3 uprv. Lic.: deL Industrial plant per hour 73.75
`'1•� ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: bAilia �`, Subtotal: 75
�rV
Print name: i . ' _ .1'- / I� �d Date: I � Plan review (25 % of permit fee):
� �[ State surcharge (8% of permit fee): 6
Authorized signature: TOTAL PERMIT FEE: `81 • Co
Print name: Date: This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I: Building \Pennits\ELC- PermitApp.doc 0523/06 440- 4615T(11/05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00272
13125 SW Hall Blvd., Tigard, OR 97223 , 1 DATE IS ` SUED: 11/13/2006
Phone:
spection is (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/2/2007 TIME: 7 :00AM PAGE: 75
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Add security to new office area. Job No. P060291
OWNER: KG INVESTMENTS, PHONE #: 503.55 &9980
CONTRACTOR: SONITROL PACIFIC PHONE #: 503 - 2
Inspection Request Scheduled For: Date: 3/2/2007 Pour Time:
Code # Inspection Description - _ • Contact # Message
199 Electrical final 044210 -01 971 - 222 -7202 I V
Corrections /Comments /Instructions: . 35 1 t 1
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & Vv Date: 3'2" b1 Phone #: (503) 718- 2..446