Permit CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 10029
„4„4 ._� I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/27/2006
PARCEL: 1S126BC-01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Data /Telecommunications.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WYSE INVESTMENT SERVICES CO SERVICE COMMUNICATIONS INC
111 SW 5TH AVENUE #1100 4120 SE INTERNATIONAL WY A -109
PORTLAND, OR 97204 MILWAUKIE, OR 97222
Phone: 503- 294 -0400 Contact #: PRI 503- 723 -6415
FAX 5037236416
FEES Reg #: ELE 3- 365CLE
LIC 90175
Description Date Amount SUP 1127JLE
[ELPRMT] ELR Permit 4/6/2006 $75.00
[TAX] 8% State Surcha 4/6/2006 $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: ' LL Permittee Signature: s,.e, Qs ?
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.
e
Electrical Permit Acon1Nt E� �/ ED FO OFFICE USf.OiN'L .
City of Tigard � De eed -- - n Permit 4
PitNo.: - 4I i
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review - • �_ ` y
Phone: 503.639.4171 Fax: 503 598.1960 MAR 2 7 20B Date Other Permit -
H
Inspection Line: 503.639.4175 �' . Date Ready/By Effil El See Page 2 for
Internet: www.ci.tigard.or.us [:ITY OF TIGARD Notified/Method. Supplemental Information
TriaguckfpvitiatRiViSioN PLAN RE VIEW
p a New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: El Service over 225 amps, comm'I 0 Hazardous location
❑Service over 320 amps - rating El Buildng over 10,000 sq. ft.,
'CATEGORY O F CONSTRUCTION , of I 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
❑ Multi - family ❑Master builder ❑ Other: El Building over three stories 0 Feeders, 400 amps or more
❑Occupant load over 99 persons ❑ Mann factured structures or
. JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: ❑Health care facility ❑ er
�v a /4fA �/i 2 'J Submit 2 sets of plans with any of the above.
City/State/ZIP: -- 77 .--- �� c -Z m2 97aa 7 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: . �oo Project name: c) \• \3 e .� Y � ��d-v
FEE* SCHEDULE
Dneriptioa I Qty. 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: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 l
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
• — Zitl. /Z , / --- ) . T �/� Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ 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 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
'_ ' ' ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: first branch circuit
Each add'I branch circuit 6.65 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax : : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
- ' CONTRACTOR • - energy panel, alteration, or
� extension. Describe. Page 2 2
Business name: , Q✓i (�. -rtn /1nlie'y .S7
-u.r J UC. 7��'
Address: Each additional inspection over allowable in any of the above
x/ /070 �E' 5..+�,v2."44Zi.."4.9L z....447 , /o`/
Per inspection 62.50
City / State/ZIP: �jf / c),--e 7 2c,7 z Investigation per hour (1 hr mm) 62.50
Phone ( ) 7�-3° 69 I Fax.. )7e9..? Industrial plant per hour 73.75
' b V16. ELECTRICAL PERMIT.. FEES* _ .
CCB Lic.: ,o /7.s"' I Electrical Lic. GLc Suprv. Subtotal 7 c: ,
Suprv. Electrician signature, required: f Plan review (25% of permit fee)
Print name: " '' Da St surcharge (8% of permit fee) g t :7 p
��/ A /
' C_ /` .._.....::77.... ��' TOTAL PERMIT FEE
may O c,
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name_ j / / z Date: 7 o � • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed
i.\ Buildmg\Pertmts\ELC- PennitAppdoc 12/07 A40 -461 T(10/O2/COM/WFB
r
` v
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
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 system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ 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 \ Building \Pennns\ELC- PeamitApp 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL-R2008 -10023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/270006
Phone: (503) 639 -4171 ,1
Inspection Requests (24 Hrs.): (503) 639 -4175 'I-
INSPECTION WORKSHEET FOR DATE: 4/213/2006 TIME: 7:07AM PAGE: 71
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: AEROTEK
DESCRIPTION: DatzJTelkcornmunicat-ions.
OWNER: WYSE INVESTMENT SERVICES CO, PHONE #: 503. 23`1 -0400
CONTRACTOR: SERVICE COMMUNICATIONS INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/213/2006 Pour Time:
C. e = • Inspection Description Confirm # Contact # Message
411) Electrical final 028933.01 503 - 706 -3211 N
•Corrections /Comments /Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 66 LT Date: f 2 f 0 �b Phone #: (503) 718- 2 •'1 tit
CITY OF TIGARD
BUILDING DIVISION PERMIT #:ql o C, 2-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ':� 'I I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: So Qd C LASS OF WORK:
SUBDIVISION: LOT #: TYPE
OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE 67,33 72-3
CONTRACTOR: S-f-e14_01.1,--...jf PHONE •
Inspection Request Scheduled For: Date: q- 3 —0 'ce Pour Time:
V' • • - # Inspection Description Confirm # Contact # Message
vo (+ i_ -
Corrections /Comments/ Instructions:
f %;6 0 4:poug- 0..vituAnzo (sp Iti-ctek
ceIL:4 ciz °
A ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: qlVt N93 Date: 3 W Phone #: (503) 718- V 1' Yko