Permit ir
C ITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
�6 DEVELOPMENT SERVICES PERMIT #: ELR2005 -00301
- _ ' ,.I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -417 DATE ISSUED: 9/23/2005
PARCEL: 1S134BC-00300
SITE ADDRESS: 12280 SW SCHOLLS FERRY RD ZONING: C -G
•
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Limited energy for data telecommunications.
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:
BPP RETAIL LLC LAN TEL SERVICES INC
4350 EAST -WEST HWY STE 400 1900 IRVING RD BLDG C
BETHESDA, MD 20814 EUGENE, OR 97402
Phone: Phone: 541 688 - 1427
Reg #: LIC 90461
ELE 20- 353CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 9/23/2005 $75.00
[TAX] 8% State Surchar€ 9/23/2005 $6.00
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
star :1 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
•u to follow rules a• • p • b e Oregon Utility Notification Center. Those rul are set forth in OAR 952 - 001 -0010
hrough OAR 952 -00 010! •u may o s - in copies of these rules or dire uestions to OUN" t 5e . 46 -6699.
ssued By: / Zt _ Permittee Sign . �J. _ice /Z." �al --4-----
OWNER INSTALLATION 0
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
a NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. • LEC'N „ ` ri lc-A A-_- 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.
SEP �S 10 51 LAN TEL SVCS EUGENE P.02
FOR OF USE ONLY
Electrical Permit A Iication
•
C EIV; ,i I &ems ? Ay Os Axa� , Palml'ie.: EG 2t 5 -ee�
City of Tigard I-= —
13125 SW Hall Blvd.. T :gard. OR 97223 Plaa p eviC� Other Permit:
SEP 2 I,.t�a
Phone 5n tine: Fax: 503,598.19ot! 4 j 1 Date Readyray: 3 114.1--., - 63 See race 2 for •
� " ,' b / ILA. Supplemmtallnform ■ciao
Inspection LInF 503.6? )A175 Internet: www.Ci•tigard.or.us - PLAN REVIEW 'o .
TYPE O� _
_ Please check all that apply
0 New construction c.'.4 Addition•.0 ion rep aceTn I OSeniee over 225 amps. comm'1 ❑Hazardous !cation
(] Demolition ❑ Other CIScrvice over 3I0 amps - rating ❑ Buildng over 10,000 [4. ft.,
CATEGORY OF COY t of 1- and 2- family dwelling; 4 or more new residential
QSystem over 600 volts nominal unit; in one structure
p 1- and 2 - family dwelling Commercial/indu trial ❑ Accessoy building (]Building over throe stories ❑Feeders. £00 amps or more
[] Multi ❑ Master builder [] Other: °Occupant load over 99 persons Qls4artulectured structures or JOB SITE INFORMATION AND LOCATION ❑ +�cssA RV park
irhling o
' °Health -clue facility Other _
lob no. .. Job site addres< )•� Ferry t �a Submit 2 scis of plans with a•+y of the above.
D C.C.S I The above are no applicable ro temporary Con strdction service,
Cir /iStarc; LlP'�'L a, , I [� FEE' SCII(EDULE
SuireAldg. ;a ?t. no.: i Proeeename:(5 e f 6/1)1/11 /1/1 ( KIptna I ar - rte. I tow I •.
New residential siai le- or multi - family dwelling snit.
CrbSS:treet'directions to job site: Gret°x� raw c..‘ � fndudes attache garage.
l s q. 4, or icy, 145.15 4
Lot no.: F* add'I 500 e e l . or pardon 33 44 1
Subdivision: I Limited enemy, residential 73.00 2
Tax map %parcel no.: Limited energy, non - residential 7 5.00 7 S' 1
• DESCRIPTIO$ OF WORK Deli ttteaufsccur'ed or modular
d acllin service and/or Feeder i 2
; o- - ' e 1 , !n 1(A1
• ' . t I .2. - >• a, . Services or feeders installation, alteration, and/or relocation
I ik 200 amps or lea. I 50.30 2
U 201 amps 10 400 amp 106.85 2
Q PROPERTY OWNER l i � pa TE .101 amps to 600 amps :6.0.60 I 2
me :Op , 670 AA wet tit l f cl }' nierrN , I N1 amp ,
s to 1000 amps _ .. 240 60 I 2 -
Da +.r� C Over : .000 amps or volt; 454.65 ` 2
Address: J $() J.f 1? a 1i' .�n� - 1 �-�� Re nnec 66.85 1 2 •
i City/Stoic/ZIP: State / - LiP: `'t L oQ 0 !� Temp orary services or f ae d cr; installation, alteration, and/or
1 reloest7ou
Phone: I ) Get - too ' I Fax: ( ) 200 amps or tes.a 66.61 1
■ Owner inatallatioo: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease. rent, or exchange. according to ORS 4.17, 449, 5 and 701. 401 amps to 600 amp; 133.75 l 2
I Owner signature. Date: Branch circuit; - new, atterrtien, or extension, per panel
A. Fee for branch circuits with 1
APPLICANT 1�— CO�rI ACT Pli RSO`I service or feeder fee. each I
6.65
branch circuit
Business name: I rB. Fre for branch circuit. i
• Contact name: i I wfrheur:erviee or feeder fee. ,� �� 1
each branch eireu
• Address: Each add'I branch circuit I 5.65 L ,? ,-
■ City/Stat0:'ZIP; MIseellaacous (service or feeder not included)
Pump or irriection circle I 53.40 i — 1 2
Phone: ( ) 1 Fax: ' ( ) Sign or =time lighting 1 5 ;,411 I ; 2 1
E-mail: Sill clrcvit(s) or limited-
entry pan:1, alteration, or
CONTRACTOR extention. Describe: Pa 2
1 Business name: • �,ri'l Se•'s;1� l C� __ - _ .
Each additional inspection over allowable in any of Ibc above
I Address: I qoa x.,-,i; n v - - 4 IA - ' Per inspection 62
a i nv e st i g ation per hour 11 Iv min) { I 62,50 I - — Th
C r ; Q - � `! � D 2 73..5 t
5 9) /- ��'Y ^ Industrial plain per hour 1 I
; Phone: (5� I ) ` 8 ~ a rax. ( 1) t0 r}• ELECTRICAL PERMIT FEES' •
I CCB L it.: CI l- to L E:CCTical Li:.: " . Li Supra•. Lic.. i (3 L Subtotal
c 1nuC, required. ,. 'IP r EA I Plan review (21% afpermit feel
I Su, Electrician ,taut 1_ • Q�
' Slam ,u.tharbe (8% of permit fee)
Aare 7 V ca l �5
i 2n:t n� ntc: G e-., : c _ - ` TOTAL PBRti11T FBEJ
i _....._— ` ,
Authorized i1s111NCt' '-•• dr. Thu >xemi! applleal:aw alpi +tS If a pa, 'is Ar. ee,l %r set Arsine') vilUltl ISO
L Print name: `S days attar It hex hero accepted as cvmpteto
� _ A - 4 y` I Date: C , - I —� • fe me tnea44*w Set by n•County Building indigo? Scri:c usure
.� •• ;lumber of Inspection; per pcn*it yw..c2.
.. n.a I ST' 10 v.•CO WEB
CI Y .OF TIGARD _
BUILDING DIVISION PERMIT #: ELR2005 -00301
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:16AM PAGE: 104
SITE ADDRESS: 12280 SW CHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWA TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: OREGON CO MUNITY CREDIT UN
DESCRIPTION: Limited energy 'r data telecommunications.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: LAN TEL SERVICE NC PHONE #: 541 -686 -1427
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # Inspection Description , • onfirm • Contact # Message
199 Electrical fina 019471 -01 541-688-1427 N •
Corrections /Commen s ns ructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G teR N&) L' ' Date: 1 ef _1 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION `�, PERMIT #: ELR2006 -00301
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2005
Phone: (503) 639 -4171 -�' 111
Inspection Requests (24 Hrs.): (503) 639 -4175 _�� __..
INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 81
SITE ADDRESS: 12280 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMMUNITY CREDIT UN
DESCRIPTION: Limited energy for data telecommunications.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: LAN TEL SERVICES INC PHONE #: 541- 688 -1427
Inspection Request Scheduled For: Date: 10/18/2005 Pour Time:
Code # nspec • ! -scription Confirm # Contact # Message
135 Low voltage 018559-02 360 - 601 -7928 N
Corrections/ omments /Instructions:
. I skPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NtJ8 - 1 � .1 r - Date: 1 I lARY Phone - #: — (503) 718 - 1 2.443 •