Permit rw
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT j
PERMIT #: ELR2005 -00409
�i DEVELOPMENT SERVICES DATE ISSUED: 11/15/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DC - 04000
SITE ADDRESS: 07500 SW TECH CENTER DR 130 ZONING: I - L
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Alarm
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: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SPIEKER PROPERTIES LP PROTECTION ONE ALARM MONITORIN
4380 SW MACADAM AVE STE 100 15500 SW 72ND AVE
PORTLAND, OR 97201 PORTLAND, OR 97224
Phone: Phone: 503- 624 -0244
Reg #: ELE 34- 428CCLE
LIC 116325
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 11/15/200E $75.00
[TAX] 8% State Surcha 11/15/200E $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 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: , -** ---- Zi w r i1 261 Permittee Signature: Cfr'-L
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 - 6394175 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
City of Tigard d.. . / v R ved : / /
13125 SW Hall Blvd., Tigard, OR 97223 ate �� r� Permit No.:��'O�h /� �� z . Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 �t - = s 1 1i�( 1' i '�
� / DateB
Inspection Line: 503.639.4175 =' + Date Ready/By: EVIN ® See Page 2 for
Internet: www.ci.tigard.or.us — Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction '[ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling KiCommercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi family 0 Master builder ❑Other:
:Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: 5 1 1g50y Job site address: - 1510 SW T (e„. ,, Or, tab ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City/ State/ZIP: 1 A (J a" °C'7 ,a,3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: 5' . 6,164 l �e,n i- )vl f DI-,,I FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
� a ` a r I. dwelling, service and/or feeder 90.90 2
l Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: S 9.e _ lA At0.:V1(41 ti (-Ca:(Rc 601 amps to 1,000 amps 240.60 2
Address: 1 SOO Std - r& - c.. . 14 c -',. ��- c: _ 4 Over 1,000 amps or volts 454.65 2
-�� �" Reconnect only 66.85 2
City /State/ZIP7T1 G A-i2D oe_ 0-2 -Z23 Temporary services or feeders installation, alteration, and/or
Phone: ( ) l DO , 1.t3 Fax: ( ) relocation
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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City / State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax :: ( )
Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: ? _-h Dr) O (� extension. Describe: Page 2 'IS .co 2
Address: { ()D 5 W Are_ -t°. S 1 ' . 1 bb Each additional inspection over allowable in any of the above
A _ n Per inspection 62.50
City/State/ZIP: -1 C -Ang_D 0 ' 1 Z_2 y Investigation per hour (1 hr min) 62.50
Phone: (50 ( q da LiU Fax: ( Q5) ( rq3 <)q)- Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: v ( U 3a S Electrical Lic.: 3( - iI ' ' Suprv. Lic.: 1E4 35,../a Subtotal - 1 5 ND
Suprv. Electrician signature, required: B , Q „ Plan review (25% of permit fee) —419
Print name: Date: /��5 /��! State surcharge (8% of permit fee) 00
TOTAL PERMIT FEE t6 1. 00
Authorized signature: This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
i:\BuildingTennitsELC-PermitApp.doc 12/03 440- 4615T(l0/07JCOM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #tLR Q'j L�p�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �,wr
Inspection Requests (24 Hrs.): (503) 639 -4175 4 "'' 4..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
, SITE ADDRESS: ° 75 - 60 1 acG ee--14 � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
WC
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��8 Date: D' 4 Phone #: (503) 718- 1 1�
CITY OF TIGARD
BUILDING DIVISION w PERMIT #: ELR2005 -00400
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2005
Phone: (503) 639 -4171 �amu.
Inspection Requests (24 Hrs.): (503) 639 - 4175. ..
INSPECTION WORKSHEET FOR DATE: 12/112005 TIME: 7 :08AM PAGE: 62
SITE ADDRESS: 07500 SW TECH CENTER DR 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SPECIALTY HEATING & COOLING
DESCRIPTION: Alarm
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: PROTECTION ONE ALARM MONITORIN PHONE #: 503 6240244
Inspection Request Scheduled For: Date: 12/1/2005 Pour Time:
Cod # Inspection Description Confirm # Contact # Message
135 N Low voltage 022641 -01 503-624 -0244 N
Corrections /Comments /Instructions:
f
?-
\ ttloASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: //-et-id 9 � y Date: 1:2-j/X Phone #: (503) 718 -3 V4/ t