Permit a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00269
TIGARD DATE ISSUED: 11/8/2006
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S134AD -06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Relocate T - Stats.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
ROBINSON, CONSTANCE A + ALLIANT SYSTEMS LLC
ROBINSON, LYNN + BELL, KAY ET 1600 NW 167TH PL # 330
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97006
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 230 - 8991
FAX 503- 230 -9238
FEES Reg #: ELE 34- 640LHR
LIC 153420
Description Date Amount
[ELPRMT] ELR Permit 11/8/2006 $75.00
[TAX] 8% State Surchart 11/8/2006 $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 dired questions to OUNC at •
503.246.6 or 1.80 .332.
Issue By: �� Permittee Signatufe: �� i�i/% - -�
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.
@3/18/27 21:36 5032309238 ALL I ANT SYST PAGE �1/3
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11/07/2006 13:59 TAX 6035061960 CITY OF TIGARD a001
•
Electrical Permit ApplicatatE ED ,„,„ , ,,,,,,-,,,,
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city of Tigard -"" RANYVIAMIAI Permitl4tm 4 1 ,4-40 6 'es- 6,'
11 13125 P/ Hell Blvd, Tigard, og, 912kOV 6 9Z Guy
FgiallINIIIIII *lye Permit
Ph°111 5" 9.41" Fal"(13.55 ill OF TIGARD M
1 in Line 503.639.4175 Dee Ilesslyiny: 8 See rage 2 for
. ' 1. I C . I 1 ) Inbanote www.tigard•or,gov BUILDING DIVISION *MA ameba& EWA atnonowarat lartammiaa' .
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' • - • ' IT'• — 4----C---rwittlkelOrr it" .' ' 71 0/ 1 k 'i7 '''. 1' iv''' •" -19$11000 ‘ 1 '''''"" t . J
Pio= emok o n taa oey(stssiti sets of plan Vitt= ebroled ovh:
0 New consteuctloo i! - 4 7ordelteratiortileplaccmatt °Strata or toder400 opt or Mage D }Resin overtime modes,
U Demolition 0 Olber: oboe ma ovitablo forat tense I:1 Wow end boarunie .
•
• ' • • '' i " — ' ` "'.' - '1! al: .' ''''.',•• 'r " :. '1 mash 1000 elms a t50
mats or 0 Nosing buirbm-
- .... ,• ' 1 1.4 c . f9 —...."---- .:/eMARI"-'1-----I'Alz% . " N'a A.'' .;:"fs. 0, '" ' too to wend. comae* td,000 13 Coimeraial-ase aoicultana
,
• b 1• and 2-Strully dwelling )5L<ornmercial/indusitial 0 Acccssory building tens Ike di ollar insuitlatices. buRdings
0 Mlati.thenly 0 IvIsater builder El Other: OF% pomp. Dlosodlation 017510/A or
.,.., 0 Emmy Arm l pepanady arrived mew.
:' t :14:15r1 ' 7441 t i Ot 1 0 :11010Antliia .1 LOYAMON - ' '' 4 0 . f? ''''' .-... ....''' 0 AdtHdon drew tooter load of CI EA"; s-, -14-,14^.
,..... . d ,
Job ow I Job she addresat I 050o Idk) t1/411k0U5 100WP WOOS%
Ogg a mom tetiamsh1 mita CI Roacsioni ssitide vela.
CiOriStatefZIP: 11 (0649 Q te..... 0 Hulthimot facaities,
0 Beardages loclan. 13 SepplY voltage fa mum Soo
600 vow ftmin2L
SuitelbldgJapt no.: Pil M une: 7� l/1. ruf4?cAL-- 0 Semi cc a *der 600 elms a snots ,
, ,..._ 4 ...r.., .. . •4- ". :.• 1 ....mtelitigarp
Croon street/dircodons to job site: ' .._, i Om 1 rec.
New residential single-or In oltl-fam By derelliag unit.
bender attached garage.
Subdivision: I Lot no.: IAN sq. I or len 14115 '4
_
Es. eckll 500546 lt. or potion 33,40 1
' Tex mapiparcel no.: limited energy, rosidendal 7100 2
.; ...:':.%.'• .:''' IT:P. ".1...'4''ZiSiliklillEetldtt*.42AstalgiC i,.#,,,? 7:1,';r.,7. (s4vi sispos mi. ft.) -
- ''''' Limited energy, mnIti-family
_e0Wr T- - r^okre- - residential (still above sq. ft) 75.01) 2
......--_
1netalletion-W01.an i' e oe96011
213 laws los 80.30 2
. :.., ....„',..6:/ 0.107841,: 1100 201 02400 0 iM 5 2
• 401 mut* 600 rams 160.60 2
Name--L------------". 601 snips PS 1,000 amps 240.60 2
Adele= OM 1,000 amps or volts 454.63 2
— .
aty/steterm: Temper:Ma = kaki's gni or ka lostallatton. alteration, mid/ or
- relegation
) 1 Fax: ( ) 200 Imps or less . KU - 1
. Owner Wallet/no: This installation i$ being roade cm propmty thee 1 own which ia not 201 81 to 400 amPs 100.30 2
intended for sale, lcoso, rent, or =change, according to ORS 447, 449, 670, and 701. 4_01...ws to 599 etsms 133.75 2
jamb tartans - SIX otterallon, or entanslon, puked
Owner signal= Date: - A. Fee for branch elaufts wok
?,...7N 4rogottoxtraew • above strvIce or feeder fee, 6.S9 2
etch bland rinse
, Busk= naMc: A144 4;mm B. Fee fla blanch chalks
wishogit =Tim or feeder be,
• Cannot name: AA ... r 1. r 0/A) Fast branch circuit 46.85 1 2
1 ( 2
Addremm IT 0 0 1 1\1 Vi eirr/t l/ -/7 Elton o de braroh circuit 05
--- nollwallaticsaw (serviee or feet( lot included)
C.Ity/StateraP: V•rti 0 ilt-
1 Doh manumed or modular 9030 2
- doollin , serrate andlor Condor
. Phclne: ( 0 IA 0 ' S c I Fax: : ( 515 t 3 1 1,0'' 1 Ittecenest only 66.8,5 2
.
&mail: Pump or •, • ? •oil carols 53.40 2
1 : •,,, , 1 .- - - ';: . Ir,........):4,1 :4 zi,'..".'.7:).ri.• : vi:V!? Sign or call6 N
c uke
• 4, l . 53.40 2
MAIMS !WIC 4/1,4 A r Sipa] eiradt(s) or Emile&
away panel, alteration, or
Address: exteatioa. Dacca= I Pap 2 2
• City/State/VP: 47) troch additional Wmetton over alloisble Is any 05 tbe above
Pa inspeoben 6L50
phone ( ) . F. ( )
Ilsrostig 'shun per bow (1 Mien) F 62.50
CC)3 Lica 91 4 i,i) I Electrical Lie,: N.-1004.,suprv. li115 IX41.- induoria Plant how 73.75
• Suprv. Ele N7:',: '...': ..- • '.
ctrician a
signture, equire
rd: hAd
4 4 A Subtotal:
. / Pion review (25% of peen* 5M): •
. Penn vat= t, ve L p I N v
Rate sun:nage (It% Orpennit fee): •
Authorized si m, , • , 0 IV TOTAL MOAT FEE:
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Print nem= M e
L•UtuncEuglAenciiIOSICAPTeltApp.dac moms / r g Dec P./ .
44046L5T(11/091COMME13 Ilris permit apportion wins w a wont Ill sot assleed RUM 9
days sperm sar verso atepted as complete.
• Number elsopatioos dies= rer weft
i
CITY OF TIGARD
• A
BUILDING DIVISION PERMIT #: ELR2008- 001269
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1112OUt.
Phone: (503) 639 -4171 A•u,1ry, ;l1
Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 62
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: Relocate T Stats.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503-230-8991
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 u .1 039756-01 971-235-3746 N
Sa i tS40 --
• • /Com 1- _ ctions:
f.
„, li ____ , C., ,
4 .
‘‘,...,
► PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - V V G B (5 Date: I 1 1 6 Phone #: (503) 718- 21`i ° •
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