Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00289
TIGARD 13125 SW H.II Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/18/2007
/p PARCEL: 25101 DA - 01900
SITE ADDRESS: I III SW VARNS ST ZONING: C - P
SUBDIVISION: NELSON VIAL OFFICE LOT: 003 JURISDICTION: TIG
PROJECT: NELSON VIAL OFFICE ADDITION
Project Description: Low voltage for HVAC wiring.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
NELSON VIAL, LLC BARNESS CONTROLS
7000 SW VARNS ST 2020 SW 8TH PMB #310
TIGARD, OR 97223 WEST LINN, OR 97068
Phone: Contact #: PRI 503- 723 -7257
FAX 866 -593 -1764
FEES Reg #: ELE 281LEB
LIC 147154
Description Date Amount
[ELPRMT] ELR Permit 7/18/2007 $75.00
[TAX] 8% State Surcha 7/18/2007 $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 i !cation Ce :. Thos- ules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rule or direct questions to O. C at e .246.6699 or 1.800.332.2344.
Iss ed By: i / IP , /L �/ Permittee Signature: y
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 Application �y FOR OFFICE USE ONLY
Al -amity of Tigard Date /B 7 1 b I" Permit No Z44,0-04 74fr,.2g7
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
C Phone 503 639.4171 Fax 503 598 1960 DateBy Other Permit
TI G A It D Inspection Line 503 639 4175 Date Ready /By Jens ® See Page 2 for
Internet www.tigard -or gov Notified/Method / (ce• Supplemental Information
TYPE OF WORK PLAN REVIEW
J. 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 J 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 LOCATION ❑ Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
65 , 100HP or more occupancy
Job no.: �,p f Job site address: ' /
q I ✓A/ZA / Cr ❑ Six or more residential units ❑ Recreational vehicle parks
...-----
City/State /ZIP: ft. 6 2 9" ❑ Health -care facilities Supply voltage for more than
7 ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more
NELSON �FfJC� FEE SCHEDULE
Cross street/directions to job site: UA jr oFf 0f Si ( - 79 Description r Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
A — lanlN EA Includes attached garage.
Subdivision: Lot no.: 1,000 sq ft or less 145.15 4
Ea add] 500 sq. ft or portion 33 40 1
Tax map /parcel no.: Limited energy, residential 75 00 2
DESCRIPTION OF WORK (with above sq ft )
Limited energy, multi - family 75 00 2
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 - 8� Rmes , s , (; Aji t B Fee for branch circuits
/ without service or
or feeder fee, 46 85 2
Contact me: /_ \� �A' S J first branch circuit
Addr s: ,1l/2U errr �l tax �tir/3 At 7/.0
Each Each addmanufa'I branch circuit modul 6 65 2
/ Miscellaneo (service or feeder not included)
Ci /State /ZIP: (/f� ,esl' L.TNN U/2 ° I,706$ c 90968055
0 2
/ dwelling, service and/or feeder
Ph ne: (S-63) jfG - y7YY Fax: (�6�) S'9� -17�f Reconnect only 66 85 2
E -m ' I: le;96.e c C? 4leA6'" C Ciivr S„ cvi„t Pump or tmon 53 53 40 40 2
CONTRACTOR Sign or outline ligh i ng 2
S circui or limited -
Business name: energy panel, alteration, or
Address: extension Describe Page 2 2
City/State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr mm) 62 50
CCB Lic.: N7/5)1 Electrical Lic.:62$ iL Ea Suprv. Lic.: Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal
Print name: Date: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
`
Print name: ,./ G..-!,.. ‘ AA, Date: 7 (e 7 days after it has been accepted p
ted as complete.
* Number of inspections allowed per permit
I \Building\Permits\ELC- Perm,iApp doc 05/23/06 440- 4615T(t I /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information 4
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- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
2r
❑ 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 \Budding\Pertnus\ELC- PermitApp doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION • a PERMIT #: ELR2007- 002t39
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2007
Phone: (503) 639 -4171 +� •
Inspection Requests (24 Hrs.): (503) 639 -4175 „_' FA LL.
INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7 :02AM PAGE: 24
SITE ADDRESS: 06995 SW YARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: NELSON VIAL OFFICE ADDITION
DESCRIPTION: Low voltage for HVAC wiring.
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: F3ARNESS CONTROLS PHONE #: 503-7237257
Inspection Request Scheduled For: Date: 10/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 056973-01 503-N4-3744 N
\\ ) Corrections /Commen s
N. .
N. r
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V
IV, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
► -! = i ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G G. N oV Date: Jb J 14( Phone #: (503) 718- i,7 y6
CITY OF TIGARD =''
BUILDING DIVISION PERMIT #: ELR2007. 00289
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/7(107
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7 PAGE: 27
SITE ADDRESS: A6996 SW VARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: NELSON VIAL OFFICE ADDITION
DESCRIPTION: Low voltage for HVAC wiring.
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: E3ARNESS CONTROLS PHONE #: 503-723-7257
Inspection Request Scheduled For: Date: 1002007 Pour Time:
Code # Inspection Description Contact # Message
199 FjIectiical final 056877 -01 503.804 -3744 N
•
Corrections/Comments/Instructions: y 5' �
kZ\ IQ i V5 t 107 i\.) YY1ft 5 J (FAr -- ►,J ��E��c
I S`TA`B' Wra i>EvelAN t?Jc v6tES
V 0.
Peto..) ` avym'1 4 r, c-Jza. - oAti et14 -WJ3- 001
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I•�/ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • 4\A 16 le
Date: 1.01311) Phone #: (503) 718- 244L
, ` �1 ,.-
CITY OF TIGARD
BUILDING DIVISION } PERMIT #: ELR2007- 00289
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2007
Phone: (503) 639 -4171 �" "
Inspection Requests (24 Hrs.): (503) 639 -4175 .,' "'f_�..
INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 19
•
SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: NELSON VIAL OFFICE ADDITION
DESCRIPTION: Low voltage for HVAC wiring.
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: BARNESS CONTROLS PHONE #: 503.723 - 7257
Inspection Request Scheduled For: Date: 7/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 052369 -01 503.604 -3744 Y
Corrections /Comments /Instructions:
• SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,Inspector: S Date: - / 0 7 — Phone #: (503) 718- '