Permit ..- II
o CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00415
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/9/2007
PARCEL: 2S113AB -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: OREGON STATE BAR
Project Description: Audio /stereo system install.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
OPUS NORTHWEST LLC SPECTRUM SYSTEMS DESIGN
1500 SW FIRST AVE SUITE 1100 MCGILL SYSTEMS INC
PORTLAND, OR 97201 937 SW 14TH AVE STE 201
PORTLAND, OR 97205
Phone: 503 -916 -8963 Contact #: PRI 248 -0248
FEES Reg #: ELE 26- I232CLE
LIC 79244
Description Date Amount
[ELPRMT] ELR Permit 11/9/2007 $75.00
[TAX] 8% State Surcha 11/9/2007 $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: �` - / 411 or _ Permittee Signature: '\ 4,3 kJ
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 Appli a T.
'
G FOR OFFICE USE ONLY
Received . .. ` � 9 —O j,
City of Tigard �Y 0 9 2007 DaDate/By ll�� f b K Permit No � �S
13125 SW Hall Blvd , Tigard, OR 9 07 Plan Review
' C Phone 503.639.4171 F 9 0 9 ate/By Other Permit:
TI G A R D Inspection Line 503 639 4 17.8 k./ j BJA� Date Rcady /By 1urr HI See Page 2 for
Internet. www.tigard oI°AO®
Ill DN� G DIVIS I' , Notified/Method , Supplemental Information
TYPE OF WORK PLAN REVIEW
K` 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
❑ I- and 2- family dwelling 21 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
A
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: Job site address: / f / 100HP or more occupancy.
�6 03 SLU • t t� £ ?6 is rt /�- • ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: 4 ( J,1- q - )2_2_ 3 ❑ Health-care facilities' 0 Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: f C 1 Project name: O ti G N S 1._,, t e g4 2 ❑ Service or feeder 600 amps or more
job site: nncrl ton FEE SCHEDULE
Cross street/directions to
J P 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] 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft) 75.00 2
` Limited energy, multi - family
AA s -e" l r , s ,}, 1I o ,) residential (with above sq ft ) 75 00 2
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 orjess 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 brantlretrcuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
(� I - each branch circuit 6.65 2
Business name: C,r/LNM 5 '1s K mac: elk) B. Fee for branch circuits
Contact name: �- without service or feeder fee, 46 85 2
1 t., •-• y F ` t c ft.- first branc circuit
Address: 937 s' ( l r S'..,s 100
Each add'l branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Po Er - D �...u9 S Each manufactured or modular 90 90 2
dwelling, service and/or feeder
Phone: (S03 ) Z y 02' ? F • : ( ) 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: `"/
QA-7. Spec �-/L S'w l rr‘ St-t..� S. yN energy panel, alteration, or _ �
Address: `7 . ( 1{{'1. r .`�, Fe rOlt extension Describe Page 2 v
City/State /ZIP: 041 (A-so 0 � q7 2 _ o f Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: (Sp?) 7 9 0 ._ z ( fa Fax: (5'03 ) 27y - 7653L/
Investigation per hour (I hr mm) 62 50
CCB Lic. :1 q 2)-0-1 Electrical Lic.: -/ Suprv. Lic.: v276te Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician sin e, re tired: ' �,______ $ ,-�s
L'0
` r I . / Plan review (25% of Subtotal. permit fee).
Print name: N T 0, • l .j, / ..ea Date //-119 -07 State surch 0 , (.P °°
of This Authorized signature: f iv t2- arge (8 /o TOTAL PERp e M r IT mit FEE
$7g
r Date:
This permit application expires if a permit is not obtained within 180
Print name:
AN 7j.,/ , L �'I S(p�� //'1, 907 days after it has been accepted as complete.
• Number of inspections allowed per permit
I \BuiidingiPermits\ELC•PermitApp doc 05/23/06 440- 4615T(I I /05 /COM/WEB
•
Electrical Permit Application - City of Tigard •
Paget— 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
I \Buildmg\Perm0s\ELC- Perm0App doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FL.R2007 00415
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2007
Phone: (503) 639 -4171 • ,, 11 �
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!+� I ..
INSPECTION WORKSHEET FOR DATE: 4/11/2008 TIME: 7:01AM PAGE: 29
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: Audio/stereo system install.
OWNER: OPUS NORTHWEST I-LC, PHONE #: 603-916-8963
CONTRACTOR: SPECTRUM SYSTEMS DESIGN PHONE #: 248 -0248
Inspection Request Scheduled For: Date: 4/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 068223-03 503- 312 -5105 Y
pack c--; 41.L
Corrections /Comments /Instructions:
0 ,i
,... j , / •
APASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Le Date: y 1 S JE Phone #: (503) 718 - alli4z.