Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
, ,
• v
). ° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00341
. TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/12/2007
PARCEL: 2S113AB -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD ZONING: I -
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: FANNO CREEK PLACE
Project Description: Bldg A Data telecommunication and fire alarm.
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: •
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
OPUS NORTHWEST LLC BERGELECTRIC CORP
1500 SW FIRST AVE. STE. 1100 6026 NE 112TH AVE '
PORTLAND, OR 97201 PORTLAND, OR 97220
Phone: 503 -91.6 -8963 Contact #: PRI 503 -255 -1818
FAX 503- 255 -1919
FEES Reg #: ELE 37 -682C
LIC 110521
Description Date Amount SUP 5121S •
[ELPRMT] ELR Permit 9/12/2007 $150.00
[TAX] 8% State Surcha 9/12/2007 $12.00 REQUIRED ITEMS AND REPORTS .
Total $162.00 ,
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 -0 0. You ay obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. /
Issued B c ��
y Permittee Signature:
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 Applicatio ':: FOR OFFICE USE ONLY
` City of Tigard Received 9 •
° 13125 SW Hall Blvd., Tigard, OR 97223 Date/B . I G 7 14: P ermit No �L202007 i 03
Phone 503.639 4171 Fax: 503.598 1960 E P 1 2 i � Plan Review
Date/B : Other Permite9u4 40577
TIGARD Inspection Line: 503.639.4175 C T � gg V gg ® cc F' F I G A R O ss Date Ready/By lens' ® See Page 2 for
Internet: www.tigard -or.gov ®UILLJINGDIUISIOI`l Notifed/Method: Supplemental Information
L . TYPE ',OF WORK, d . ? t �. , tr ; '{ 't.:, � " = •,'i� :',Ii: : •' ?: P LAN'1REVIEW; 'r' • "' •
New construction ❑ Addition/alteration/replacement Please check all that apply (submit 3 sets of plans w /nems checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition 0 Other:
where the available fault current ❑ Marinas and boatyards.
!.§. i CA TEGORY.'OF' CONSTRUCTION ;i .; : K ,, ' 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 CifCommercial/industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi - family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 75 KVA or
❑ Emergency system larger separately derived system
- JOB` SIT INFOR LOCATION " _
r �, - ., MdTION�,;ANDt, , . , . -, };''•' ::- . ❑ Addition of new motor ❑
0 or load of
Job no.: /� Job site address: 441r 5 /� 1 IOOHP or more occupancy.
�b3GU i' /etwC7 Jtd 1� // � l / ti F' i ' ❑ Six or more residential units. ❑ Recreational vehicle parks.
�/
City/State/ P: . '� O 2 0 q 7 )t �/ ❑ Health-care more facilities. ❑ Supply voltage for ore than
tM t` o�cx ❑ Hazardous locations. 600 volts nominal
Sui /bldg./ t. no.: 994 7 Project name: ()fe a) ` ia_k L3ar ❑ Service or feeder 600 amps or more n � er; p ua o
"? :1; 4) '.FEE`- - SC HEDULE,; ,�,' `, •; : • '- .
/
Cross street/directions to job site: t - ,r '�,,, /
/�K•/ �[(�{� , � .6�ne s —,-,-„- lrG1 • I Qty. I Fee. I Total I •
J New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I 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.: Limited energy, residential
r' i• • i - ; ,;DESCRIPTION `,OF, WORK,,; ° . ' , - (with above sq. ft.) . 75 00 2 •
Q / Limited energy, multi - family 75.00 2
rife, / 1 �1 /n 3- / all a.i � q- residential (with above sq fl.)
Services or feeders installation, alteration, and/or relocation
e
/h5/ 1 A r) 200 amps or less 80.30 2
,•,;'s' ❑ PROPERTY,.,UWNER- i a ' r , ; - ,i,' : 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: ( ) I Fax: ( ) 200 amps or less 66.85 I
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
Owner signature: Date: Branch circuits— new, alteration, or extension, per panel
A. Fee for branch circuits with
I,'` ; Ili - APPLICANT ; ,� CONTAT PERSON. above service feeder f
c e or eeer ee,
�. _ ,. �'. - , ��" L C b 6.65 2
each branch circuit
Business name: Bergelectric Corp. B. Fee for branch circuits
Contact name: Phi [ without service or feeder fee, 46.85 2
/ / �. f{' / f� first branch circuit
Address: 6026 NE12th Ave. Each add'l 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, service and/or feeder
Phone: ( ) 503- 255 -1818 I Fax: : ( ) 503- 255 -1919 Reconnect only 66.85 2
E -mail: nWQ J Jm IRe? hefeleicciri, C0m Pump or irrigation circle 53.40 2
Ii f ;;;') q M: �';°"-,? �?CB' IYTRACTOR s ,2' - .. ,`, -" ''� � ; Sign or outline lighting 53.40 2 •
Signal circuit(s) or limited -
Business name:
Bergelectric Corp. ener panel, alteration, or re eCG ^ nr✓/
Address: ex
energy n. R scribe: / Page 2 / 2
6026 NE 112th AvP_ F ire /HOW ,
City/State /ZIP: Portland, OR 97220 ach additional inspection over allowable in any of the above ,
Per inspection 62.50
Phone: ( ) 503-25r-1818 I Fax ( ) 5 Q 3 — 25S Investigation per hour (I hr min) 62.50
CCB Lic.:1 1 0 5 21 Electrical Lic.: 3 Su.. ic.: , '7/5 Industrial plant per hour 73.75 • Vt.: ,. `‘ , ,, ; :, , .. ;':•''':' ••,
Suprv. Electrician signature, required: :�ri/�L � Subtotal: j116• (�rj
Print name: „_ 11,._, I Date: 8 d �: ',r='
Plan review (25% permit fee):
LI 1. r / � State surcharge (8% of permit fee): ia; Q7)
Authorized signature: a / / Aj') TOTAL PERMIT FEE:
/1 This permit application expires if a permit is not obtained within 180 -
Print name: (lji 1 , p a., D ate: g ,Ci D ty ith
days after tas been accepted as complete.
/ • Number of inspections allowed per permit
1 \Building\Permits\ELC- PermitApp 05/23/06 440-4615T0 I /05 /COM/WEB
CITY OF TIGARD • •,
BUILDING DIVISION PERMIT #: ELR2007- 00341
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 9//120007
Phone: (503) 639 - 4171 , 1
Inspection Requests (24 Hrs.): (503) 639 -4175 : ±+il
...
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FFANNC) CREEK PLACE
DESCRIPTION: Bldg A Data telecommunication and fire alarm.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503- 916 -0963
CONTRACTOR: BERGELECTRIC CORP y'I F ft p PHONE #: 503-255 -1818
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description j onfirm& Contact # Message
135 Low voltage 05R127 -01 -' ", 971-246-9032 Y
Corrections /Comments /Instructions:
L 5 5c i i� � m ?
S u r `f '675 voi c>s' A q P -0P A15
i 'XsSVi ►7 _TK bC:
_,--- vk s QMP3( lo &I (Z.e-
-- f., (6 VI1._.a10 1Ni A
❑ PASS ''PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C7 1\1(S6 (.....5 Date: 14( L41 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #014 1.003'1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '''I �..
INSPECTION WORKSHEET FOR DATE: ' GI 221 O"' TIME: PAGE:
SITE ADDRESS: 1 603 S (A) VP alk, BMOCS F RL1 RD . CLASS OF WORK:
SUBDIVISION: LOT . TYPE OF USE:
1 PROJECT NAME:
DESCRIPTION: e V a t � � � ` _ ' U0' 1 t t V / s / p 1 �` _".
OWNER: v r � PHHONE #:
CONTRACTOR: y6wp Eig t4 PHONE #:
Inspection Request Scheduled For: Date t q 1 69 Pour Time:
Code # Inspection Description Confirm -# _ Contact # Message
Corrections /Comments /Instructions: _
?PAVIAL— ■Pi 13 vet Nb ► +4 C , KiALL3
e A c �� 51 tk~fiL w'.Ll. - JP&L4 61S • crAmk, 1 BP F-1,0 tit- eu.q t'061114),P i
CS it.:1/4 V a 1 ) A404 t �� 601-.4 .
❑ PASS 'N PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
_ j_________ .
Inspector: v 1 ,v be Le Date: i° Phone #: (503) 718- 2.44r
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2007.00341
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/12/2(}07
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' iL.
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Bldg A Data telecommunication and fire alarm.
OWNER: OPUS NORTHWEST LLC, PHONE #: 5039/6-8963
CONTRACTOR: BERGELECTRIC CORP yv\\ K PHONE #: 503255 -11318
Inspection Request Scheduled For: Date: .t1/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 I..ow voltage 059144 -01 971 - 246 -9032 Y
Corrections/Comments/Instructions:
gi&LAI: ■' - -%„-ii. % k _ . k.■ L
i tikk
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 3 1\16G Date: RI 1101 Phone #: (503) 718- 1-07
CITY OF TIGARD - . I.
BUILDING DIVISION PERMIT #:r-t.C2C01•0034)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A II Inspection Requests (24 Hrs.): (503) 639 -4175 � ". ..
INSPECTION WORKSHEET FOR DATE: 1 _ 1k. 6 41 TIME: PAGE:
SITE ADDRESS: iUo 3'0 U pp'm U 00 f4s f t CLASS OF WORK:
SUBDIVISION: th T #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 1 -v ,` _� ` v0` l��� t . ( Vol 1. bp1�p
A �ZVe
OWNER: " ' PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1 - i1 - 0$ Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 CV3‘ Et AL —
Corrections/Comments/Instructions:
EA, ccr 5€ vitl ' .
t /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • NC:)b Date: 1 " I t '08 Phone #: (503) 718- 24$1____