Permit y K
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•
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00401
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/31/2007
PARCEL: 2 S 102 DC - 00302
SITE ADDRESS: 09240 SW O'MARA ST ZONING:' R-4.5
SUBDIVISION: FISHER PARTITION LOT: 016 JURISDICTION: TIG
PROJECT: NOBLEWOOD FOSTER CARE
Project Description: Low voltage for intercom system.
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: INTERCOM : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
SHERRY STELLAR DELTA FIRE AND COMM, LLC #174599
17755 SW 131ST AVE 33585 SE FRANCIS
TIGARD, OR 97224 GRESHAM, OR 97080
Phone: 503- 740 -9927 Contact #: PRI 503- 663 -5940
FAX 503- 663 -1275
Reg #: ELE CLE122
FEES LIC 174599
Description . Date Amount
[ELPRMT] ELR Permit 10/31/2007 $75.00
[TAX] 8% State Surcha 10/31/2007 $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 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: / Permittee Signature: Dn.., G p 4J[t ( c 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. .
C
1 1 Oct 29 07 04:15p Delta Fire 8. Comm Lle 503 - 663 -1275 p.1
Electrical Permit Application e : , , rc n rr r i r r ,.1
" "7 of :. D.edB . /0 n ' 0 I Permit No.: E42 _. 4. r • 13125 SW ` •.1 4. • SITED Plan R re.
Phone: 103.it9. ' '' . -t pyaigy: pttaerpernit:
s .. •, ,
In Inspection Line: 503.639.4175 Dale Rasd5r4y: r., el Ste PtiPar f fir
en ..e,d wzr 2 1101 leati8ed/Merbod: ".. PIeA1
New epllst uetlon /� dael / Please dRC1 Ala aryp� fav6m« mu at plaae wlitcnn oinked ixlo+l:
a ll /N 0S wine a6oc m 400 amps malma C18109'8aaerreamotmia.
o Demolition t/ ' t . '' V mime e the available ?rah man Q Maim $ as0 bemryuda.
• • . r • • . • . , , • . mimedi 10.000 amps a 150 rolls a O Roping huildi
ys 1 and 2 dwe : in • maciauindustriel C Accessory bonding amps ta'r 11ao,
l other iarallstimecmeda om. O W buildings.
osc agrievgarat
y 8 amps ab0 o,buildings.
❑Multi- family 0 Master builder ❑O(hcr: El room*. 0 1 a+
• . • • • JOB 91i i•E• IIMFOIAMA�T[ON • AND LOCATION'' .• . . O mei*. cow.. aysaan. 'Ater wpm* desired system.
QAddirian load mF 0•A••, 2'.'1•.
Job no.: I soh site address: { L 0 J �� p) {OOAP a mom:. +>�P�y.
�. i v CIsix m more residential who O Rarortioaal wbide pales.
O l wi liwore %aides. O Supply wisp: for mom dm.
Cily/StaW71P: in Gr4f oe Z 2� Onareiato loationa 600 oafs nominal.
Suite/bldg.lapt.no: Project name: OSovIcealaada600 Imps amagi.
/ •' nit scs auu.E
Cross street/directions to job site:
New,e demtat atoteia or mdf-fiaally 4 omit
. tadodes atbebed garage. .
Subdivision: 1 Lot no.: 1,000 sq. R. or las 145.15 4
Ea. add'I S00 sq. R. or }option 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
DC.St30fl1 N1 Olt' WbRK' (roll stow as R.)
�� Limited energy. multifamily 75.00 2
M 1 � `� S residential (whir cub we re. n.
` S� Stryker or f WWI a to'atian. and/or rescinds'
200 temps or less 80.30 1
. 1. Q PROPlfB'CTff 0i/MIt . ' • : r.: '• D TENANT' ' . • • 201 enpa m 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/Stec/ZIP:
Temporary services or Roden lasaaiteeea, alteration, aad/er
Marsden _
Phone. ( ) l Fax ( ) 200 amps or less 66.89 1
Owner antsitlation: This installation is being made on property that i own which is not 1111 amps to 400 amps
11 I 100 3'+ l 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 2
Branch trends- Herr, akeretloy or anee4ea, Per petal
Owner signatunr.. Data A. Pic for Manta circuits oath
. : d APPLICANF. ; : ' •• ' I l' CONTACT PERSON " • • above service or feeder fee. 6.65 2
each breach circuit
Business name: 8. Foe for branch circuits
Contact acne wi?roed service or feeder fee, 46.85 2
first branch circuit
Address: Each add't branch cltcstt 6.05 _ 2
Miscellanea Partin or feeder sot iaduled)
City/Stec/11P: . Each manufactured or modeler -
dwelling. service rota 6x411 90.90 2
Phone: ( ) Fax:: ( ) Reconnect only 66.85 2
Pomp or irtioa circle 53.40 A 2
.. Sinn a outlin iebtine , 53.40 2
Signal circuit(s) or limited -
meegy panel alteration, or
h amnion. Oauibe: 1 Pxgc 2 7 fc 2
"'0 •
1 ' w tack additional over a»owable la a of the above
n 62.50
Phone • • • 62.50
a,; 73.75
/ .' RISl`aelrcia PBAInlQ7 FEES
Suprv. Electrician signature, required: 74......., ,ios- e7-2,......-A . , Sutintal:
Print name: ii--L ! Ael/4 Date: /9 q — Plan review (24% of penult fee):
State amelm8e (8% of permit tee): . an
Authorised signature: MTAI, PERMIT PEE 9.j i
Print name: Dote: Ms pvehapp8pnaa madras as primal boot abeam' Wok an
Layer 'Mar is bas bete memo d as enwadeae.
• Number or hnpenlom allowed par wok
rMuse.yapa.wtal.e-permkA wee ar/ilrod ..e- .arsryr
\ / ' D
mil'
Oct 31 07 02:13p Delta Fire & Comm Llc 503 - 663 -1275 p.1
CITY OF TIGARD ELECTRICAL RESTwcTEDENERGY t�ERMNT
PERT T t: ELR200740401
�r COMMUNITY DEVELOPMENT DATE ISSUED: 10131/2007
' ' • r. -' 1311.i' SW feud Blvd, Tigard. OR 97223 503.639A171 PARCEL 2SIO2DC -00302
SITE ADDRESS: 09240 SW O'MARA ST ZONING: R-4.5
SU8DWISION: FISHER PARTITION LOT: 016 JURISDICTION: 110
PROJECT: NOBLENIOOD FOSTER CARE
Project Descaption: Low voltage for intercom system. .
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM! BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA1TELE COMM: NURSE CALLS:
VACUUM SYSTEM FIRE ALARM OUTDOOR LANDSC UTE:
OTHER: • INTERCOM : X 1IVAC: PROTECTIVE SIGNAL
INSTRUMENTATION: OTHER: . :
TOTAL if OF SYSTEMS:
e Owner. Contractor:
`'SHERRY STEUAR DELTA FIRE AND COMM. LLC 0174598
17755 SW 131ST AVE 33585 SE FRANCIS
'TIGARO. OR 97224 GRESHAM, OR 97080
Phone: 303- 740 -9927 Contect PRI 5036634940
FAX 503- 663.1275
' Reg 0: ELE CLE 122
FEES LIC 174599
Description Dale Amount
(ELPRMTI ELR Permit 1013112007 575.00
[TAX] 8% State Sadta 1013112007 • 56.00 REQUIRED ITEMS AND REPORTS .
Total $81.00
This Permit ie issued abject to the regulations contained In the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable tea. Al? work will l be done in accordance with approved pans. This permit will expire if work is not staled within 180 days of
issuance. or U work Is suspended for more than 180 days. ATTENTION: Oregon taw requires you to fellow rules adapted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001-0010 through OAR 852 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.248.6899 or 1.800.3322344. .Q
Issued BY: Permittee Signature: an., � /� „ ,
i f
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sate, lease, or rent
OWNER'S SIGNATURE: DATE
•
C TOR INSTALL ONLY
siow►TUaE of suPa ELECN:
DATE: /.._ J /C7
•
LICENSE Ntk 2,
Can 003.139.4178 by 7:00 a.m. for en inspection that business day.
This permit card shag be kept In a conspicuous tea an the job site until completion of the project
Approved plans are required on the job site at tim time of each inspection.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007.00401
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3112001
Phone: (503) 639 -4171 l 1
Inspection Requests (24 Hrs.): (503) 639 -4175 `_
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7 :02AM PAGE: 40
SITE ADDRESS: 19240 SW O'MARA ST CLASS OF WORK:
SUBDIVISION: FISHER PARTITION LOT #: 016 TYPE OF USE:
PROJECT NAME: NOI3LEWOOD FOSTER CARE
DESCRIPTION: Low voltage for intercom system.
OWNER: STELLAR, SHERRY PHONE #: 503-740.9927
CONTRACTOR: DELTA FIRE AND COMM, LLC #174599 PHONE #: 503663-fi940
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time:
Code # Inspection Description lifirm # Contact # Message
135 Low voltage 055795 -01 . 503663-5940 N
Corrections/Comments/Instructions:
IT\ Eit6/0■L R,„ A : . 3v Rs II u1/41L/ Tf\rbst4 as A'\
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A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
" w� r ,�
Inspector: Cr N t16 N� Date: 11 • I. 01 Phone #: (503) 718- 111417