Permit ihi `�4 4°4- CITY OF. TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00424
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2007
. PARCEL: 1S135BD - 00100
SITE ADDRESS: 09600 SW OAK ST 340 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
PROJECT: SPHERION
Project Description: Low voltage for voice /data.
•
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:
ASA PROPERTIES, INC NORTHWEST COMTECH INC
BY PAUL DEVILLE 12807 NE 22ND ST
PO BOX 3110 VANCOUVER, WA 98684
HONOLULU, HI 96802
Phone: Contact #: PRI 503- 252 -1462
FAX 503- 252 -2343
Reg #: ELE CLE9
FEES LIC 179040
Description Date Amount
•
[ELPRMT] ELR Permit 11/15/2007 $75.00
[TAX] 8% State Surcha 11/15/2007 $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 N• • ca io . -nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR •52- 001 -0100. You may obtain copies of these
rules • direct questio to e • 1 - 503.246.6699 or 1.800.332.2344. , li. 1%
Issue By: 1 / �� / `�L .:.: PermitteeSignature: A ' \��
OWNER INSTALLATION ON
The installation is being made on property I own which is not intended for sale, : ase, 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.
Electrical Permit Application FOR OFFICE USE ONLY
7y of Tigard Date/By: f `< /6 7 Permit No.: Ea 2 7-.tifjy
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: III
TI G n li D Inspection Line: 503.639 Date Ready/By: funs: IN See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Cp Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction [ ddition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items 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 [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 -2 ", "1 -3 ",
Job no.: Job site address: q b0 0 S■J OA V, ST 100HP or more. occupancy.
0 Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: f� G ❑ Health-care facilities. ❑ Supply voltage for more than
' Ti � + 0 I O ` 1 �� ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 3,40 Project name: S eV\ 42.1., 1 O N I ❑ Service or feeder 600 amps or more.
job site: Description FEE SCHEDULE
Cross street/directions to
J I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
IP
r Limited energy, multi - family •
V % cit., 4- O AI A
A C Z , 1 (■/C residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPE TY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: ' ' 1 /�- o ! tp_ri,6 fNV 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: • 1›.0 �db Si Lh Over 1,000 amps or volts 454.65 2
City/State/ZIP: Pi- r Temporary services or feeders installation, alteration, and/or
D 1�O y-kL U o relocation
Phone: ( ) (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
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I branch circuit 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: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
���`') Signal circuit(s) or limited -
Business name: 00.} �� Owt t_C . c_. energy panel, alteration, or
Address: i a %o1 N c. �a N1--0 S -- r . 1 extension. Describe: Page 2 17 dV 2
C ity/State /ZIP: V +A a GO u J -Q W A `''t t 6 %y Each additional inspection over allowable in any of the above
�� ) / Per inspection 62.50
X Phone: ( ass .. t 1 4 b a, Fax: (5o) a, ••••• , 3 Investigation per hour (I hr min) 62.50
a` CCB Lic.: O Electrical Lic.: C 1 Suprv. Lie.: n ,% `&4 Industrial plant per hour 73.75
K 1 ELECTRICAL PERMIT FEES n . o J
Suprv. Electrician signature, required: \� � Subtotal / s�
�.`— Plan review (25% of permit fee):
Print name: V bvh,e_s ,(a \ Date: % % ` S l 01
State surcharge (8% of permit fee): to .00
Authorized signatu . .\ y TOTAL PERMIT FEE: v( P GO
�' r This permit application expires if a permit is not obtained within 180
Print name: � ,qv�- tj 1� Date: f,11 � O�
days after it has been accepted as complete
• Number of inspections allowed per permit.
I: \ Building \Pennits\ELC- PermitApp.doc 05/23/06 440- 4615T(I1/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls •
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling ,
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\Building\Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD.
BUILDING DIVISION PERMIT #: ELR2007••00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1512007
Phone: (503) 639 -4171 .�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/71/2007 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 09600 SW OAK. ST 340 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPHERION
DESCRIPTION: Low voltage for voice /data.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: NORTHWEST COMTECH INC PHONE #: 503 - 252 - 1462
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time:
Code # Inspection Description / Confirm # Contact # Message
135 Low voltage 060045-01 503- 262 -1462 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: •103(6 Date: t‘ i 2. 1 1 01 Phone #: (503) 7184,114
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1 )/15/2007
Phone: (503) 639 -4171 la� 1�
Inspection Requests (24 Hrs.): (503) 639 -4175 "- �
INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7:01AM PAGE: 24
SITE ADDRESS: 09600 SW OAK ST 340 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPHERION
DESCRIPTION: Low voltage for voice/data.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: NORTHWEST COMTECH INC PHONE #: 503 -252 -1462
Inspection Request Scheduled For: Date: 11/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 059905-01 503 -252 -1462 N
Corrections /Comments /Instructions:
RLmo d2 S veep041- I NC\
�o vJ \161-TA ,,,,, RN r _
ZOO
NOV chts G.31 f\ppit161
Ose F dN
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr . N LT Date: lit I Phone #: (503) 718- m
CITY OF TIGARD.
BUILDING DIVISION PERMIT #: ELR2007- 00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2007
Phone: (503) 639- 4171J.r,
Inspection Requests (24 Hrs.): (503) 639 -4175 '' I..
INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7:03Aivi PAGE: 75
SITE ADDRESS: 09600 SW OAK ST 340 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPHERION
DESCRIPTION: Low voltage for voice/data.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: NORTHWEST COMTECH INC PHONE #: 503 -2.52 -1462
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 061986 -01 360 -931 -4943 N
Corrections/Comments/Instructions:
\\/-
\k
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gm'. NOESLg Date: (2,24 Phone #: (503) 718 - 2 •