Permit 3
a
CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00317
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/21/2007
PARCEL: 2 S 113A B -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 ZONING: I -
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: OREGON STATE BAR
Project Description: Install (3) low voltage systems.
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: SECURITY X
TOTAL # OF SYSTEMS: 3
Owner: Contractor:
OPUS NORTHWEST LLC BERGELECTRIC CORP
1500 SW FIRST AVE 6026 NE 112TH AVE
SUITE 1100 PORTLAND, OR 97220
PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 255 -1818
FAX 503- 255 -1919
FEES Reg #: ELE 37 -682C
LIC 110521
Description Date Amount SUP 5121S
[ELPRMT] ELR Permit 8/21/2007 $225.00
[TAX] 8% State Surcha 8/21/2007 $18.00 REQUIRED ITEMS AND REPORTS
Total $243.00
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: I L, /iii j' AK__ !/ Permittee Signature: y / / 101
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.
—
• Electrical Permit Applica' I f ir ' FOR OFFICE USE ONLY
R eceived
City of Tigard Permit No : • _ • a
ea 13 125 SW Hall Blvd., Ti gard, OR 9722 AUG . 0 2007 Plan Review
O � J� EL�
:II UJ i 2007 Plan Review
' C . Phone: 503 639.4171 Fax: 50 1960 Date : Other Permit
TI G A R D Inspection Line: 503.639.4175 f B " V fL p �� 1 Date Ready/By. MI 65 See Page 2 for
Internet: www ttgard - or.go d 1 r Notified/Method. Supplemental Information
TYPE , �` 11�. ,Ts SIGN • - PLAN REVIEW
® New construction ❑ Addition/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 ", "I -2 ", "I -3 ",
Job no.: 10300 Job site address: 16037 SW Upper Boones Ferry Rd 100H ore. occupancy
mor
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: 100 Project name: Oregon State Bar ❑ Service or feeder 600 amps or more
FEE SCHEDULE .
Cross street/directions to job site: Upper Boones Ferry & 72nd Description I Qtr. 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.: 2S113AB -00300 Limited energy, residential
' DESCRIPTION OF WORK , (with above sq. ft) 75.00 2
Limited energy, multi- family 75.00 2
Low Voltage Systems - Tele/Data, Fire Alarm and Security residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY.. OWNER ❑ TENANT 201 amps to 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/State /ZIP: - - Temporary services or feeders installation, alteration, and/or
- 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 . ® CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Bergelectric Corporation B Fee for branch circuits
Contact name: Phil Waymire without service or feeder fee 46.85 2
first branch circuit
Address: 6026 NE 112th Avenue Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Portland, OR 97220 Each manufactured or modular 90.90 2
dwelling,
Phone: (503) 255 -1818 - Fax:: (503) 255 -1919 Reconnee ct t o on ly ye and/or feeder
Reconnect 66.85 2
E -mail: pwaymire @bergelectric.com Pump or irrigation circle 53.40 2
. CONTRACTOR Sign or outline lighting 53 40 2
Business name: Bergelectric Corporation Signal p a nel t(s) or limited -
energy panel, alteration, or
Address: 6026 NE 112th Avenue extension. Describe: 3 Page 2 225.00 2
See Attached
City /State /ZIP: Portland, OR -97220 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 255 -1818 - Fax: (503) 255 -1919
Investigation per hour (I hr mm) 62.50
CCB Lic.: 110521 Electrical Lic.: Industrial plant per hour 73.75
, ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 1 Subtotal: 225.00
Print name: Jeremy Richmond Date: 08/09/07 Plan review (25% of permit fee): 0
State surcharge (8% of permit fee). 18 00
Authorized signature: brafU TOTAL PERMIT FEE. 243.00
Print name: Cheryl Appelman Date: 08/ 09/07 This permit application expires if a permit is not obtained within 180
rY pp days after it has been accepted as complete.
• Number of inspections allowed per permit
1 1 Building\Permds\ELC- PermitApp doc 05/23/06 440-4615T(I1/05 /COM/WEB
i
CITY OF TIGARD : ;
BUILDING DIVISION PERMIT #: ELR2007.00317 1
13125 SW Hall Blvd., Tigard, OR 97223 , • DATE ISSUED: al;t1/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' :Tilt .
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:00AM PAGE: 89
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Install (3) low voltage systems.
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: BERGF_LECTRIC CORP PHONE #: 503256-1818
Inspection Request Scheduled For: Date: 1/10 /2008 Pour Time:
Code # Inspection Description Conf ri m, Contact # Message
199 Electrical final 062810 - 01 971 - 246 - 9032 Y
Corrections /Comments /Instructions:
Nal Rie& ) , 011-1.- Ic tlf 6 IN1► •
l
6Et,-ufaTkO. )
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'\FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
No) e,
Inspector: GM N Y? t-E' Date: 1-10 Phone #: (503) 718-
CITY OF TIGARD ,_ , , .
BUILDING DIVISION PERMIT #: ELR2007- 00317
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8121/2007
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 s' "'I I..
INSPECTION WORKSHEET FOR DATE: 12)31/2007 TIME: 7 :00AM PAGE: 42
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Install (3) low voltage systems.
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: BERGELECTRIC CORP PHONE #: 503
Inspection Request Scheduled For: Date: 12/31/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 6230F>0 971 - 248"9032 Y
Corrections /Comments /Instructions: '
N 6 1 7 Z Ph --- - -
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G me Date: JZ'3I ' q Phone #: (503) 718- 1 4 I'°
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR7007.00317
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/71/7007
Phone: (503) 639 -4171 4 1 1, 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 e �..
INSPECTION WORKSHEET FOR DATE: 11/612007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RI 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE c TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Install (3) low voltage systems.
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: BERGELECTRIC CORP VA `K �� PHONE #: 503-255-18/8
Inspection Request Scheduled For: Date: 11/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 9056.01 t 971••246-9032 Y
Corrections /Comments /Instructions:
13 E 14z. ZA Ty- OQ 3 4 l P & 2 a - 6.(t11,1 �
•
❑ PASS ❑ PARTIAL APPROVAL XCANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: < 1 ODD Date: u(6(� Phone #: (503) 718- 0114L 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007. 00317
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007
Phone: (503) 639 -41714 I�h
Inspection Requests (24 Hrs.): (503) 639 -4175 1 .L.
INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Install (3) low voltage systems.
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: E3ERGEL.ECTRIC CORP PHONE #: 503 - 255 -1818
Inspection Request Scheduled For: Date: 1/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 063061 -01 971-246-9032 Y
Corrections /Comments /Instructions:
�?C e.Lv 0r� 6E0Q( (,`T1.
PA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N66 1...4. Date: LI — 01 Phone #: (503) 718- Veit