Permit 1: �a ` ! ELECTRICAL PERMIT -
CITY OF TIGARD RESTRICTED ENERGY
I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00041
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/3/2005
• SITE ADDRESS: 10575 SW CASCADE AVE 130 PARCEL: 1S135BB -00501
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Add to existing alarm system.
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: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
AMB PROPERTY L P PROTEC INC
BY TRAMELL CROW NW INC 720 NE FLANDERS
8930 SW GEMINI DR PORTLAND, OR 97232
BEAVERTON, OR 97008
Phone: Phone: 235 - 4000
Reg #: LIC 55414
ELE 215CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 3/3/2005 $75.00
[TAX] 8 % State Surchari 3/3/2005 $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 95 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699.
Issued by � / Permittee Signature dL „ �. : .
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 639 -4175 by 7:00 P.M. for an inspection needed the next 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.
MRR - 03 -2005 10 01 PROTEC 5032350363 P.02/03
. 'Electiical Permit Application ;I.( ,it Ol rl( F. I'sr'.IONI.\
City of Tigdirli '''. Received -
Datc/B K.. 3 0 S PermitNo -. _r/ _,.. - -4 )
1312 SW Hall Blvd., Tigard, OR 97 ,,"" EC E ' 1 E Plan Rev' ' Other Permit:
Inspection line: 503:639.4175
p ..
Phone: 503.639.4171 Fax: 503.598 9• '' "'": r1. illy` Datc/BY:
Ins a i __ Da Ready/8y: i RI See Page 2 for
1:
Internet: www MA R O J .ci.tigiid.or.us 20 Notified/Metbod: ( ( Suppfameaul Information • • I ,.:1
.,. , . .:.,. -, :. .,.� r:.: _..- •.. •. ... . _ .. --.-..-./.;?.,,,.. 1. • rot, - u iS `i -0K '+ `,.1c' '' h
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yyy.. ti . •
0 New construction t
„
( ...,•,,:,'; i...._. , - .,I,. _: 1 -• ,•' '• ,- .j'',. l , -ti , .. , .. 1..::- . }.➢(.'- .... ., . . , .... ■1 , 'I N
'" Rd. ' :l A t • . • ' ot �a a tSftiE{it�•m` 1 Please check all that apply:
D I N 1--/ t' ' r ['Service over 225 amps, comm'1 ['Hazardous location
❑ Demolition ° er 320 amps - ratin ❑B
❑ In . �� :w . ; i ; , ' 1f dR
'. ? ' ; ❑Setvrce oV g uiIdng over 10.000 sq.
. ,:y l i ^+i /� , . %S 1 . I ' � , •,r " i�', « : r I:1 I I1 1 1fu f . ,l 1 1 _ ' t 1 .,_fi ,,.` . `{ F�' I oft -and 2-family dwellings 4 or more new residence
❑ 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building °System over 600 volts nominal units in one structure
OBuilding over three stories :Weeders, 400 amps or me
0 d Ot her ructures
Multi - family ❑ Muster builder _ [Occupant load over 99 persons ❑Manufactu red st
.; p'' ', - _ .. ` i i:I'. : '.I • :1:�1 I I' ∎- ' A: ' ''
: . ,' ' 'I'' '.1.1' : �� : Li.':: RV park
;.�'�� Ir . 'i, ` 1: `!,: ` 1 � ,� ' ' � ,yl .k.::.. ['Egress/lighting plea
, • .r �: , • - � i ,..., ` -' ' ' ' ; - :..:,:' :,:.•. Other
D Job site address: CAbe SU Tt �xnit1,care of Job no.: -
!"� � W3D � D S� � SW �� 5 Submit � sets of plans with any of the above.
City /State/ZIP: 1 4A1.b , l X3.4 The above are not applicable to temporary construction service.
;;;,,i,,,,„..:. 1,' „ a. i• ,,, + I II.II)I! ,I. �.'
Suite/bldg./apt no.: 0 Project cc,, t,a
' ect name: l C't "M��ti1 Aeacrlptlon
Qry, Pu• I Telol
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or leas _ 145.15
Subdivision: Lot no.: Ea. add'1 sq. ft. or portion 33.40
Limited energy, residential 75.00
Tax map/parcel no.: Limited energy, non - residential 75.00
i t :' � :'� C�: • i , I L : }. °' [ 5` :It 1
r:, :'I - ''I �1 'ra;,ai5 P }`r I .) :.; . •1. r: ,;fir ' 1r1�1- ∎ 9P Each manufactured or modular
� 1:,� Fr r.I..t.'i ' '.L r .:.::.5. ' . ...VA I.)., : •1'7fi,.:.lf >..
e
�„ dwellingservice and/or feeder _ 90.90
,� lfl alisTI/Y ' •• A.1 S , reeti Services or feeders installation, alteration, and/or relocatio
200 amps or less 80.30
r ,I „ I ,'{a' t ., 20t amps to 400 amps 106.85
tl.:. r 1.∎, 1 4r., :::.:.:L'.- _ 1 1 1 , i ce ,'. 1 1 ',: : � :`., t i .21;1 �� . � '' 1 1 4,_: !It l .. ' r ..r 1 F } I i 1 " § JI , li ,4�. 9vfri -i L
401 amps to 600 amps 160.6
Name: g l . 44.) , A., • k A - RalLniti itr2C224 601 amps to 1,000 amps - 240.60
Address: • S r 5 , O Over 1,000 amps or volts 454.6
-
Reconnect only 66.85
City/State/ZIP: T' G .44,,, I, L9i y , 4 Temporary services or feeders installation, alteration, and /o
relocation
Phone: (S63) LS b4 - Fax: ( ) 200 amps to less 66.85
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to OILS 447, 449, 670, and 701. 401 amps to 600 amps • 133,75
Owner signature: - _ Branch circuits- new, alteration, or extension, per panel
_ , a . , ..4 , I 1 ' . i 1 , "_ iI • c, I v 4 I ` °, ."1y 11' '! A. Ecc for branch cimoita with
; I+ }1. .. , , . ,. ' I d ' ._ 1 ' , . . I .. ,1 r .
,, _. 1 t .' I , .1-; �;:,_...' i_rA1, service or feeder fee, each
6.65
Business name:
branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85
each branch circuit
Address: Each add'l branch circuit _ 6.65
City/State/ZIP: _ Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40
Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40
E Signal circuit(s) or limited -
''. 1 1J 1 ) ., -: i.` '''.. :' ..,1 1 ,L..rr' L r,._.: ' _,: :... .4iv3, j -y _ energy panel' alteration, or [.�
extension, Describe: I Page 2 V
Business name: -c_, , , .
� F Each additional inspection over allowable in any of the abo•
Address:
t � A) L ` DOLS ST. , Per inspection 62.50
�i �' �, Investigation per hour (I hr can) 62.50
:5 ^ - (4 OOO F ax :6b3) . r r - C 3 a3 Industrial plant . CT hour 73.75 -
nC . ,, 61 11r ,i;ii i.. ':I i,;' ii''rl ` - ; `�^!�''1 � •
'N'''' +; „ .r"�: .'� ,' -i`,1 ., �. �•' t
CCB Lic_: �(' Electrical Lic.�5[LL. Suprv. Lic3 P. Subtotal ^ 75.E
Suprv. Electrician signature, required:
/ Plan review (25% of permit fee)
State surcharge (8% of permit fee) 6.01-
Print name: - v ; _ K at__ Date: • . i -b3 TOTAL PERMIT FEE 8,1 , 'M Authorized signature: Thu permit application expires it permit Is tune obtainea within I
days after it Isis been accepted as complete
Print name: Date: • Fee methodology set by Tti -County Building iwluatry Service (5 oar(
•• Number of inspections per permit allowed.
tABuddm n ion c-PamitApp•dm t2/03 440-4tl T(t0102/COM/WBB
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: ELR2005"00041
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2005
Phone: (503) 639 -4171 Ake
Inspection Requests (24 Hrs.): (503) 639 -4175 . ii .
INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 91
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Add to existing alarm system.
1 � 1
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: PROTEC INC PHONE #: 235.4000
Inspection Request Scheduled For: Date: 10/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 018789 -04 503-407 -4755 Y
Corrections /Comments /Instructions: '
C (/
i,
I
1 r
1
•
,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS '
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e 1 : / Date: • , 0 ./4 Phone #: (503) 718- I �
ri