Permit gyp" V -1
CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
`'rr DEVELOPMENT SERVICES PERMIT #: ELR2006 -00061
.� II 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 2/21/2006
PARCEL: 1 S126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Relocate (8) control temp sensors.
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:
WYSE INVESTMENT SERVICES CO PROTEMP ASSOCIATES INC
111 SW 5TH AVENUE #1100 9788 SE 17TH AVE.
PORTLAND, OR 97204 PORTLAND, OR 97222
Phone: 503- 294 -0400 Contact #: PRI 503- 233 -691 1
FAX 503- 238 -9767
FEES Reg #: ELE 26- 1063CRE
LIC 38868
Description Date Amount
[ELPRMT] ELR Permit 2/21/2006 $75.00
[TAX] 8% State Surcha 2/21/2006 $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.
Issued By: Permittee Signature: eZve,16CE4—
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 -/ EEEctrical Permit Applic FOR OFFICE E USE ONLY
City of Tigard i ��V t•/ Received IA • Penult No - J
13125 SW Hall Blvd., Tigard, OR 97223 t
Phone: 503.639 4171 Fax: 503 598 1 960 FEB 2 1. 2I . � E � Plan , Patn Re Re view
Other Permit
Inspection Line 503.639.4175 ii I1 Date Ready /By 1 / ® See Page 2 for
Internet: www.ci trgard.or.us CITY OF TIGARD Notified/Method V VVVV Supplemental Information
TYPE fi!i:1 tijO DIVISION PLAN REVIEW
❑ New construction ® Addition /alteration /replacement Please check all that apply.
El Demolition ❑Other: ['Service over 225 amps, comm'l 0 Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Buildin over three stories EFeeders, 400 amps or more
❑ Multi - family 0 Master builder D Other:
['Occupant load over 99 persons El structures or
JOB SITE INFORMATION AND LOCATION - ❑Egress /lighting plan RV pack
Job no 8850 Job site address: 9020 SW WASHINGTON ST
❑ Health -care facility ❑Other.
Submit 2 sets of plans with any of the above
City /State /ZIP: TIGARD OREGON 97007 The above are not applicable to temporary construction service
Suite /bldg. /apt. no : #300 Project name: AEROTEC FEE* SCHEDULE
Description I Qt}. I Fee. I Total I "
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145 15 4
Subdivision' Lot no.. Ea. add'I 500 sq. R. or portion 33 40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75 00 2
DESCRIPTION OF WORK Each manufactured or modular
RELOCATE (8) CONTROL MANAGEMENT SYSTEM TEMPATURE dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
SENSORS 200 amps or less 80 30 2
' ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240 60 2
Address: Over I,000 amps or volts 454 65 2
Reconnect only 66 85 2
City /State /ZIP: . Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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 600 amps 133 75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
® APPLICANT ® CONTACT PERSON - A. Fee for branch circuits with
service or feeder fee, each 6 65 2
Business name: Protemp Associates branch circuit
B Fee for branch circuits
Contact name: BRUCE BUTNER without service or feeder fee, 46.85 2
Address: 9788 SE AVE first branch circuit
Each add'I branch circuit 6 65 2
City /State /ZIP: PORTLAND OREGON 97222 Miscellaneous (service or feeder not included)
Pump or negation circle 53.40 2
Phone (503) 519 -6199 Fax: : (503) 238-9767
Sign or outline lighting 53.40 2
E -mail: BRUCE @PROTMP.COM Signal circuit(s) or limned-
CONTRACTOR energy panel, alteration, or
' extension. Describe: / Page 2 2
Business name: SAME AS ABOVE
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City /Stale /ZIP: Investigation per hour (I hr min) 62.50
Phone: ( ) Fax: ( ) Industnal plant per hour 73 75
ELECTRICAL PERMIT FEES*
CCB Lie.: 38868 Electrical Lie.: 26I063CRE Suprv. Lie.: 3948LEB Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: Date: 2/21/06
TOTAL PERMIT FEE / 64-) Authorized signature:�� This permit application expires if a permit is not obtaine within ISO
days after it has been accepted as complete
Print name: QA tJ G 8,7-A.,..,,_ Date: 2/21/06 * Fee methodology set by Tn- County Building Industry Service Board
** Number of inspections per permit allowed
i\ Building \ Permits \ELC- PermitApp doe 12/03 440-461 5T( I 0 /02 /COM /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Z066- ovo 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
`
SITE ADDRESS: 9� _. Lti -- � ,S Q , 300 CLASS OF WORK:
SUBDIVISION: TYPE OF USE:
PROJECT NAME: //e1
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 — /S Pour Time:
code Ins. - ription ∎ onfirm # Contact # Message
/ q C�
Correc . s o • •- - s /Instruc ions:
F
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: C *NC )\- ' 1 ' —7 Le Date: 3J( 3 J161q Phone #: (503) 718 - 9-1 /6