Permit r.
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
•
411 PERMIT #: ELR2006 -00097
DEVELOPMENT SERVICES DATE ISSUED: 5/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AD -06201
SITE ADDRESS: 10450 SW NIMBUS AVE RA ZONING: I -
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Voice /Data. Job # W104789.
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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:
EQUITY OFFICE CHRISTENSON ELECTRIC, INC.
ONE SW COLUMBIA # 300. 111 SW COLUMBIA STREET # 480
PORTLAND, OR 97202 PORTLAND, OR 97201
Phone: 503- 412 -4800 • Contact #: FAX 503- 419 -3695
PRI 503 -419 -3300
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FEES Reg #: ELE 26 -34C '
LIC 458
Description Date Amount
[ELPRMT] ELR Permit 5/1/2006 $75.00
•
[TAX] 8% State Surcha 5/1/2006 $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 obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: • 7j 77A Permittee Signature: y� ch
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.
MAY -01 -2006 MON 11:20 AM CHRISTENSON VELAGIO FAX NO. 95034193695 P. 01
E4c,Ctrical Permit Application � V G® role orrlc'l_ USE o�:l,\•
City of Tigard � —� � Uk �� F arm itN n: Q
'' 13125 SW Hall Blvd, Tigard, OR 97223 a: �� � p��9
P P l an n atreeview
Phone; 503.639.4171 Fax: 503.5911.1960 i t
200 ' � 'oL' �r 1 :4' I Dote43v: outer Permit:
Inspei-lion Line: 503.639.4175 " F)L '� _-, Ante Ready/By: hats: i 1 as
InterneInternet: www.ci.tigard.or,us Notified/Method: j i fJ I S ® ppplemtytPo taz llnfar fornatlon
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❑ New construction .W Ad 7 i o terationJreplarenlenL Please check all that apply:
❑Service over 225 amps, control location
❑ Demolition ❑ Other:
320 amps — rating
t.gt isr i:: °�• ,.,: • 0Scrvicc over r' UBuildn over 10.000 s ft
stet <,;:. .�,y,}� ML
. xr • < ;.i
u
.. .,,.,).:::... :.,,,��t.�... ,.��.'`t �.' r. ,.a,> of a
.. ,.< ..:.. , , ; , , , ,,,,, ,,,;s:`I <.):::�ii�,.:,¢.:v::i"2'`, . :.....a .: t 11y dw Ilinps 4 or more new residential
❑ 1 - and 2- family dwelling h'' Comtnercial/illdustrial CI Aeeessory buildinl. ❑System over 600 volts nominal units in one structure
1.3 Multi - family ❑ Master builder ❑Other: OBuilding over three stories ❑ Feedt rs, 400 amps or more
k ^, r •^ ,,; []Occupant Inad Over 99 persons ❑ Menu faotured structures or
r:3:`.
t + ' i "
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:ii � ��YyS� '•Yy 1�i•��� 11�1�'
x
.��tF.:.:F.� .�'�l kr i�`.'i�lA.Cs
;fix " .,. , n �! + };�• rr` C�tn�Tvi' ^'� RV park
.. . #. .,.. t , 4? �! ;�!� .:. {...:.,. } . >'.•'. ^ .)r.;... ,.. > ...r ::i:.,' ;:r : `�w �llh tghtifErlan P�
lob no.: (p4't S Job site address: ,50 $.W s i I s ; ❑lien -carp facility ❑Other: - ti O W 1 V l V Submit 2 seta of plans with any of the above. •
City /State/ZIP: �,�,( ( 0 9 cl ary az3 a The above are not applicable to temp
,} or
3 ' construction service.
5<,^x:G. . v$:i^ i., 's ' ,it ?' : � 0. t i Yw,.g l s; IV, : 'i
Suitd/bldg. /apt no.: ` L r, Project name: A r' Q.1rI i i LLe :€ Tams :.N a :.t
. : Dacvtpilon Qty- .. Fes.
Cross street/directions to job site: ail JVts t . vas ew realdentlal single. or multi- family dwelling unit,
2 D ' �' Includes attached garage.
50 3 - + t �j - 335 , - 11 I 1.000 sq. R. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.,
Limited energy, residential 75,00 2
,ax., =.,r•.) ;r• .. : ,;. ; , t; . , 3 . Limited energy. non - residential 75.00 2
vT'' iK :55
:: Ufa \'�'idR:d
'�>� W�pR� r;,
; : t ,�
.>< Each manufactured or modular
• c , • �1 dwelling. service and/or feeder — _ 90.90 2
i'
___ ila_ e4 . , -...h. A . I — 'p ' L _ 11 I / P q( i e -r t. TBbr Scrvlca or feeders installation. trltenttiun, and/or relocation
S it 200 amps or less 80.30 2
::e . �, ,.. ;w !, + . ate,- ...w...
: . s . , 201 amps to t 400 c
ism 4
0
�;; am 106 65
P
`$Y
'rp.:
^ ..... ...,.:::.,..:.:.: :....... ^:: :.,,.:::.,.:. ..: ��� 111 .: �:^,. : `k� >, .: 1 600
Name: v ^ �y , / � 0\
111 ///YYY \� Q ' Y C 40 amps to amps 160.60 2
(, 601 am s to 1,000 amps 240.60 2
Address: Q ..e._ Li
l / \ � O \ , �, 4 !/�/I) Over 1,000 amps er volts 454.65 2
J , � Reco only 66.85 2
City/State/ZIP: .�� ir '7G Temporary services or feeders installation, alteration, and/or
Phone; ( ) c a - (4/0 ; a 1 �
I Fax: ( ) relocation
Q 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, iease, rent, or exehangc, according to ORS 447, 449, 670, and 71. 401 amps to 600 amps 133,75 2
Owner signature: , jute: Branch circuits — new, alteration, or extension, per panel
�S ::
;g. >.
A Lr ee for bran c' cuts w
:•3r: • i:' ri Ch Ir l lh
ti : ��
service or feeder fee, each / 6,65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: wirhour service or feeder fee, 46,85 2
• Address: ;i first branch circuit
t Each add'l branch circuit 6.65 2
City /Stute/ZIP: 1 ! Miscellaneous (service or feeder not Included)
. Pump or irrigation circle 53.40 2
Phone: ( ) J Fax: : ( ) -
Sign or outline lighting 53.40 2
h: - mail: .
I: Signal circuit(s) or limited -
:'s
.'^cis i. ' -:i!.. .5 xv: ':S. • er anl a x110
t t %i£ %< „ t' en tr n. or
business name: Christenson Electric, . . .. ........ ':i'•: ' pis.. :E!� lIn z . , k:' :. x bey P
.., `:•};' >.. ^:i•;i ��p { fn s ^ :: 3: ).� .:::: ).. i � , r. �. v';i ,.an .. .: `:'f �:ij <: �.:�:y:
ctric, Inc I .., eatensi Describe:
u 1 n. a 7� Le I Page 2 75, 2 a">� _
Address: 111 SW Columbia Street, Suite 480 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /Stale/ZIP: Portland, OR 97201 Investigation per hour (t he min) 62,50
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Phone: (5113) 419.3300 Fax: (503) 419 - 3695 li industrial plant per h // o u u � r } y ■ /} 4y0
CCB Lie.: 458 Electrical Lic.: 26 -34C S rv. Lic.: 199 -. Subtotal 1 5, O--,D
Suprv. Electrician signature, required: 4 ::5 - i ( A' Plan review (25% of permit tee) //
TOTAL PERMIT FEE
Stat surc harge (8% of permit fee) /, •
Print morn: eY� A Date: 5 ( + , I , 6 ��
� 6
Authon[ed signature: I This permit application expires If a permit Is not obtahtod within 180
days aver It has been accepted au complete
Print name: Date: + Fee methodology sot by't'ri•County building Industry Service rlanrd
—
•• Number ofinspecti per permit allowed.
tH wldinp\I'eMsIsARI l.!- PennuApp ac 12/03 440- 'idI5Tii0/OJ \ f
M/WGB i
r C,.
CITY OF TIGARD
A .c •
BUILDING DIVISION PERM t: ELR2006 00097
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .'!� `: _..
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: J2
SITE ADDRESS: 10450 SW NIMBUS AVE RA CLASS OF WORK:
SUBDIVISION: SCROLLS BUSINESS LOT #: TYPE OF USE:
PROJECT NAME: - ' d. ' ' Ell) pt■s6 Pp�
DESCRIPTION: Voice/Data. Job # W104789.
OWNER: EQUITY OFFICE, PHONE #: 503'412 -4000
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503 - 419-3300
Inspection Request Scheduled For: Date: 619 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031440.01 503702 -9346 N
Corrections /Comments /Instructions: II
- ,6', P.I.-)R4 ZOOS ao45 N�I U IaL\ l
I
3 1 . DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I\1 (.4. Date: C I * 0 ' Phone #: (503) 718- 241-00