Permit • 70 - k
C ITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
n DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00248
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2006
PARCEL: 1 S135BD - 00100
SITE ADDRESS: 09600 SW OAK ST 565 ZONING: C -P
SUBDIVISION: PLAZA WEST • LOT: 005 JURISDICTION: TIG
Project Description: Voice and data cabling.
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:
Owner: Contractor:
PLAZA WEST LLC NORTHWEST NETCOM INC
CIO NORRIS BEGGS & SIMPSON 12011 NE 99TH ST. STE 1550
121 SW MORRISON # 200 VANCOUVER, WA 98682
PORTLAND, OR 97204
Phone: 503- 223 -7181 Contact #: FAX 360- 635 -0201
PRI 360- 635 -0200
FEES Reg #: ELE 37- 392CLE
LIC 172343
Description Date Amount
[ELPRMT] ELR Permit 10/20/200€ $75.00
[TAX] 8% State Surcha 10/20/200€ $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: ci.4 .1 _ Q, Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property' I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
2006-10-11 16:41 360-635-1 1 . I •
•
14 L
Electrical Permit Application . rolt oni.icE 1.!$l: ONLY
. .' .
.
. ..- .: City of Tigard itcceivo ivh,,, 6 6 Penttit No,: Pi ' .;.•
,.::. :;;.- '." 13125 SW Hall Blvd., Tigarx Plan Review . i
l, OR 97223 .
I4 Date/1W:
e P - - - ,• 8 )901, -.---- _± . ..0
: ; .,.i ..:::. Phone.: 503.639.4171 Fax: 503 •ir 60 : , 2006 D ...
Othr nit
Ti( j Af ,,i - - lnspcetion Lint: 503.639.4175 tt • __ trate Realty/By: J . • . &I : .e Page 2 for
. . . .., Internet: www.tigai-d-or.gov .. Information
— -
7':'2_41'.40':';',F1'.',F-"t,i5••-hr43:•••. t a ;i:7:-.;",':‘,.. "...-..,..4:-•":_.""ti--.1:a-ra,w,w4177r7 %.1.47.4R-;44-e4tArliitti'71vICIR25:ti.tiz:.;
''''''' . 47- ' ' l'-',..L4411.4,1ai:iitt.I. • ''''' .- ..i. ,, .....E.-.L - ' ..., ' •.'....,, ,,.,......',...vjii,,,...
. Please check all that apply (submit Z sets of Plum &item, checked b
0 New construction C Additionlaleration2replacement Clsenice nr feeder 400 amp Of more 0 Building over three stories.
0 Demolition 0 Other; whore the available trult current 0 Marinas and boaiy.trda.
-.!
........rmir ••• r ..^. ", .. '.. r'"...p ... ;.. - 'n...s. ... - :....; - ., - ,4.vs■". ,,,,■:.,„ exceej�s 1,000 amps in 150 volts or 0 Homing buildings.
•, : s 5, ± ,:,...:. s ■ :- ;;, ' sr. 4 . `.s. ,: • ,..,.17.4.„,..,„,744.4.. . • 7.n..:.5.3.
less m ground, Of exceeds 14,000 0 Commercial-use agricultural
El 1 - and 2-firmily dwelling Commercial/industrial El Accsory building a mp, for alloillor instailations. building 0 Multi-family 0 Master builder 0 Other: /3 Fire pump. 0 log:illation of 75 KVA or
larger separately derived system.
4 , 71 401ifs gagiAlaii, 0 AdditiOn Or OM motor load of 0"A", "F"."1-2".1-3,
. .. . ' 1001IP or Mere. OCCuptsney.
Job no.: il 10 t, J„t, site address: q L 0.0 !.; e',1 /4 4 2D7 - rat-_... _ El si.. mom residemi.t wiit.s. 0 Reel cationat vchkk parlu3.
(1y/Ste/ZIP : - I i i .; g 1.. ..._ .. -7 — 3_ - ').) oil ilielliticr. CI Supply village i)r more (bite
. 0 I lai.ardous locations, OIX) volts nominal.
. •:
Suite/ apt. no.: -,. 0 Service or feeder 600 amps or more.
bldg./ / /1
PiVjUll:h 2 i c ji i-11 . LIALLIE_v_ A ,p;,ii,: , , ,,„ i s,., :. ,:,s,; . ..47,:4, , g..#4.rfriaretitU16%qizimi : if.;;:ig ,.7
.— ----
CrosS street/directions to job site: 1.. rw. vo_ci==retai._ j_•:__
--- New residential single- or multi-family dwelling unit.
I ' 9( : Ct: 4 C i.;-.0.3 .SP:kek includes attached garage.
Subdivision:
1,000 sq. ft. or Ies.s — 145,15 4
l.t.Tr-10.: _
a. add'i 500 sq. ft. or portion 33.40 1
—
Tax map/parcel no.: Limit energy, residential 75.00 2
•zt*.i:4EF:44:*:-.-Y4jekara*.r.14-:.V(itit - '' ..s...'17:.,:. ,,"_=:_tF' ..7 'o.,. .47,,..it (with above sq. ft.)
.- ••• ....• • -- —
Limited energy, multi-family 75.00 2
t e_.e_ ec. TA CA:e 7 L i t■ZI 6k I K 1 fi•-'' b de-L,66 residential.(with above sq. ( 9 ---
,_ • . Services or feeders Installationolleration and/or relocation
flke.A. 1- CM' 200 amps (17 leSS 80.30 2
.7.17r",42.,' r.IPM 201 -isms to 407 - - 106.85 2
.A,...........=.7 :1;..
401 amps to 600 amps 160.60 2
Ntime. NA -- I)6?.,u e..L. p „,, eArr Eii4-(
—.— .— 601 amps to 1,000 amps 240.60 2
Address: L-,1 L., asr-„ c........ (.., .. .. _.4--.g.i;.......:-/ Over 1,000 amps or volts 454:65 2
• --
City/Stat Temporary services or feeders installation, alteration, and/or
e/ZIP: .1 t cAg6 C- ,11-1.,--
. - _ . .-,-- relocation
..---._ . _
Phone: ( 6UC ) 44-‘5 -...). -- Li 1_ L FOX: ( ) 200 amps or IlliS _ 66.85 1
201 amps to 400 amps 100.30
Owner installation: Thal installation is being made on property that 1 own which is not 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits -- new, alteration, or extension, per panel
Owner signature: _. _ ________. _______ _Date: _______ ._
? '',IT...,' .. 2 f '' ').",i.•.'-'47?::-;,.....i;--7"::-.. -,.:; ....::4-:',?.477.7.A".1:i A. Fee for branch circuits with
bove service or fmdcr fec, 6.65
.... _ a
.24,......x, .. each blanch circuit . .... _. 2
I Business nurnc: N v , 4,141 . _ - .B. Fee. for bnineh circuits
, .
.— without service or feeder fee, 46.85 2
Contact name: ( 1Si L L E - IC 4;1.. t_4 4Z.L. L. t bran11 circui
v A.:3;•.
Address: '‘ t, k I j:3 'D gn _,.. f l ( 1 11 "k (LT- —
'- 74 ' ) ' ::. 1 1 .- 7 '
Each ali branch circuit 6.65
' il ii- .. ellanoous (service or feeder not included) .7
1 .. ''. '
city/Stat \i 4 V 3 Vif‘... c _ 1..;•:.• :.)-. Hach manufactured or mo 90.90 2
dular
dwelling, service and/or fetter
... Phone: () U.1-..5, — 4 ...,1 eic I Fax; : (5Lr.... Li 35 --...t.:;. 1 Reconnect only -- 66.85 2
Pump or irrigation circle 53,40 '
(0 E-mail: 6 CU • • ki I lett ) A k_:. i. et c.e..K - Ce:' Irk
Sign or out
..,,,„ -. • _ ,--5, -,=; .,.• ..=.,,, ,, , 77.7r!"i'Af • = ''''',:e=:.1:t"..1'.70.-Itevi,'4".'L••'-'41 - Sg lino 1ighting —53'
\
* ‘
"F)?:::: . :• ..;;Ii '',...!=:".:ZY,T.f..);',:.a.',.:'-:',...,;..SIVa..r ,..,. i,.0 F.,=1-7•:.•iF4.7..2”..''',..7-ea,?':=.- '
\ II Business mune: %. IF , 0 , 2 .,:,-i s c t . 0 .A . r energy panel, alteration, or . - 15 t. s .. c.L. Signal cimuit(o) or limited.
— 2
extension. Describe: I Page 2 IS .0C) 2
s ar \ Address: 1 i hi k- ‘i 1 ..;--.. . ST 'i= ( 5 '.5b 1.41-(A.1.21-1t. r.c?it. i ei.,01
.
• ''tale/Z1P: - 4 ptiQ, Lt,„Q .._.4 LA:)fk 6 ) c2, .,.:, p..,.A. i i _ 0 • Each additional inspection over allowable In an of the above
Per inspection Mill 62,50 I I
I
Phone (D r. : ) ii :5 - c.) -,-..2.06:, Fax ( LT)) I .: _ c —
Investigation per hour (1 Or min) Ell 62.50
— - .. .
CCB Lie.: I:7 2 t-1.3 i Electrical Liu.: _.., -7—yr 4 , 2 uprv. In
Lie..
• . 141k UP dusUial plant per hour 73.75 mili
_.r _ ._ :fV 117 . :iI . 6 . :i_t_ . .. ',, ..0: i.: - •: ,- .Vi
.... .... .. .
Suprv. Electrician signature, required: ,- Nur, AL_ ... kw.. rio, Stdrtutal: — 6,, typ
I---- — ...-.-■ A SINVAIDO , . !A...I ...a tb. .—..-- —
Plan review (25% of permit lee):
Print name: e , c c i , , .: ,. l. . Date: I ) _ i i _.
1" Zr(' ;4..9."!.• State sun:Marge (8% of permit fee): Li De
.._,..—
Authorized signature: fa40,/,. 1 ,1 • :-..-_ 1 , _ TOTAL PERMIT FEE:
...--.--
711is permit application expires if a permit Is not obtained within 180
t
Print narr. by -
Ad icel 1 Dale: day% after it has been accepted as complete.
L.—. • • Number of inspections allowed per permit.
if.onsia;na..r...i.m.c.-ecrmadtpooc os,73.41t. 44046151( I I i05,1.:ONNWED
2006 -10 -11 16:42 360- 635 -0201 NWNetcom P 3/4
•`Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
..:J4i qt.kk..... _...... \a'.. Li
Fee for all residential systems combined. . $75.00
Check Type of Wort Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
fl Garage Door Opener
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
as "r�;1',.'i ". `d�c - ;•', l`1 ° iy "^ :,'j'. :�i_ cil't5>�w' i��n"i- ,`.�: :::''ti; "'�'¢`i��'� .C:�
. !�= pr.� +.i�xi`�}: � ...- ,.,..,a. .... �E._w. t.°•=^:. - nwY.avc�+ct— ."i.- �ti : \��..o,. : -.- tiw,+%`
Fee for each � commercial $75.00
system.
(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's
❑ 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
\e•uemnPamusTc.c.-P pp. o,')oc