Permit CITY F TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00326
"v11111‘' � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/7/2005
PARCEL: 1 S135BB -00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Data
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: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
AMB PROPERTY L P BOONES FERRY ELECTRIC INC
BY TRAMELL CROW NW INC PO BOX 628
8930 SW GEMINI DR WILSONVILLE, OR 97070
BEAVERTON, OR 97008
Phone: Phone: 503- 682 -4936
Reg #: SUP 4918S
LIC 88482
FEES ELE 3 -223C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 10/7/2005 $75.00
[TAX] 8% State Surcha 10/7/2005 $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: ; %� �,�T Permittee Signature: _a -e_
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.
.' I t. 7. 2005 9:24AM • BOONES FERRY ELECTRIC No. 7718 P. 1
_ _ _.. _ .. �.� . i licaltavu FOR OFFICE USE ONLY • City of Hall Blvd , Tigard, OR 9FI EC E I D E ® a °ed i
Date . i�-7 t✓J� - ooh --.• 6
Phone: 503.639.4171 lax: 503.598. i, . ;; ti n I Plan Reoiely
Inspection w: 503.639.4175 U 0 7 2 005 {� : ' � _ � Date lteed�By: Ot3ai Pmt
tigard or us
Otafied/tts>d Su p�t i tOrmatloa
N Ps 2 fo
le n
J
El New construction _, , ; - PP l ,. :rF %...,_. { \..... _ c _ t' y _iii , `� ",.;: +1�, 'r•
placement Please check all that apply:
❑Service over 225 amps, corrtmq ❑Hazardous location
[] Demolttzon ❑Other:
.,, .T .,1 r i, ` � ,, , I u °Service over 320 amps - rating ❑Buildng over 10,000 sq. ft.,
- of 1 • and 2- family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling ommercial/industrial ❑ Accessory building ❑System over 600 volts nominal wits in one structure
B family 1:1 Master b
wider ❑Other utlding over three stories ❑Feeders, 400 amps or more
El Multi
load over
.• L Z , , .: z' 1 `' '� 7 J jl !''.; IJ(r ' L' t 2 � ❑ Egtest a i 99pG36n3 ❑
Job tie.. ❑Egress/lighting plan R.V . Park
Job site address. (� s' 7 5 SW !as (A tie p sets of plans with a
❑Health -care facility ❑Other:
City/State/ZIP: Submit z irty of the above
rt � Q r 0 >E The above are not applicable to temporary construction service.
Suite/bldg ptt no.: J 3 D Project nam e: -" , a , ,
Cross streeddirections to job site: Description Qty. Fee. rots' "
New residential single- or multi- fatuity dwelling unit.
Includes attached garage.
1,000 sq. ft• or less In 145.15 4
Subdivision: I Lot no.: add'1500 sq. ft. or portion _ 33.40 1
Tex map/parcel no I ' Limited energy, residential r 75.00 2
i .1 �. r t . : i ) tb :NT: p ,(r 1 . ' _ Limited energy, non - residential
_. .. l, -T'1 St4 . 7 ' a ' 75.00 • 2
� 1 A '' '. : Each manufactured or ,nodular ■
° �T L ih C S I dwell' _, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200
.. ' i � ' j . 7 V) j7I\ i (V i g `7* P < } ; 1V7 4 ' 4 � t , - . > :, amps to or 400 80.30 2 2
_ ,',,l'•._n. i,: 1 , 1' o L 201 amps to 400 amps 106.85 2
Name: - �: ' ,. 401 amps to 600 amps 11.11 160.60 _ 2
• address: 601 amps to 1,000 amps 240.60 2
s--- ---- Over 1,000 amps or volts en 454.65 2
City/StateJZIP: - Reconnect only _ 66.85 -- 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax' ( ) _ relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 1 2
Owner signature: 401 amps to 600 amps
1
Date: Branch circuits 133.75 2
} f 3.. :!1 ' 7 I ' I `� ' r it -� , r, ' li' I{ „i I ` r S ...,'.,:';;';741,; .
T a - new, alteration, or eatenaion, per panel
,- l' A. Fee for branch circuits with
service or feed
Business name: eder fee, each
branch circuit 6.65 2
Contact ratite: B. Fee for branch circuits
Address: w'� service or feeder fee,
each branch circuit 46.85 2
City/State/ZIP: 1;ach Win branch circu 6.65 2
_ M ncl
iscellanaons (service or [eerier not includ
includ ( ) I Fax :: ( ) Pump or irrigation circle
53.40 2
$'1 Sign or outline lighting 53.40
- _ Signal t(s) or limited- 2
r..: ". .. _: ---' 1J ..Pl , ,;,. 1 81 p
. - L y - ' energy panel, alteration, or
Business naive: Boone s Ferry Electric extension. Describe
l7444 14,14..-e Page 2 7 7 2
Address: P • g OX 628 Each additional inapectiou over allowable In any of the above
City /Stue/ZIF: WilsonS►11le OR 97070 Pe` ins "don In 62.50
6 82 - 4936 Investi per mini 6 2.5
Phone: (9� 3) P hour tY �' r 0
F (503) ofpc
682 -7946 Industrial plant per hour 7375
CCB Lic.: 88482 Electrical Lic.: 31 70 i . M_ t : a � 71 `r
3 - 223C S uprv.Lic. : _._ ,. �.t:'lYr� +.:.;
- Suprv. Blerirician signature, required:
Plan review (25% of permit s a o
— Print name: rmit fee)
`a h H =� Korl I Date: i0 - 7 - O S State surcharge (gel, t7tbt fee) o v
Authorized signature. _ • - TOTAL PEBMI' FEE 8) I. 00
�• ��.�_ � 4 This permit application expires i f a ernmte is not obtained within 180
Print name:
ri P p
Date: • Fee methodology t� it has tan accepted as complete
i:�But r• Sr by 7'ri -County Building induct y Service Board
1 dot6 14 enta�l>iGPmnrtApp.dx 17/0 Number ofinspections per permit allowed.
44046171(10/02/(:pyyWES
1
CITY OF TIGARD ' -.. ``
1
BUILDING DIVISION PERMIT #: 0/7 00326
/2005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Ab
Inspection Requests (24 Hrs.): (503) 639-4175
III..
10/24/2005 7:02AM , 101
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10575 SW CASCADE AVE 130
SITE ADDRESS: CASCADE BUSINESS CENTER CLASS OF WORK:
SUBDIVISION: HEMCON LOT #: ' TYPE OF USE:
PROJECT NAME: Data
•
DESCRIPTION:
AMB PROPERTY L P,
OWNER: BOONES FERRY ELECTRIC INC PHONE #: 503-682 -4936
CONTRACTOR: PHONE #:
10/24/2005
Inspection Request Scheduled For: Date: Pour Time:
Cs Ireg cfioapfDae1scription R MPO5 q8 t , 1755 Message
Corrections /Comments /Instructions:
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date .i • i Phone #: (503) 718-