Permit r^
i
CITY OF TIG
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 00389
TIGARD'' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE' ISSUED: 10/12/2007
PARCEL: 2S112DA- 01400
SITE ADDRESS: 06650 SW REDWOOD LN 370 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG .
PROJECT: CSB SYSTEMS
Project Description: Installation of low voltage for data. Job No. 101107 •
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:
PACIFIC REALTY ASSOCIATES NEW CENTURY COMMUNICATIONS
15350 SW SEQUOIA PKWY #300 -WMI 21035 SW ERIN TERRACE
PORTLAND, OR 97224 ALOHA, OR 97006
Phone: Contact #: PRI 503 -356 -8387
Reg #: ELE 34- 537CLE
FEES LIC 141971
Description Date Amount
[ELPRMT] ELR Permit 10/12/2007 $75.00
[TAX] 8% State Surcha 10/12/2007 $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 direc tions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By � J� d
Permittee Signature:
V
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.
. , , yV FOR OFFICE USE ONLY
`1 „Pelrilriit Application ” r i 1 ; ,, lectiii
'i Received ^
City. of.'Tigard Date/By: Permit No; iCR24) 7-__ ,_
n 1 SW Hall Blvd,, Tigard, OR 97223 Plan Review
Z .. Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other. Permit:
l - y:
•
T I G AR D inspection Line: 503.639.4175 Date Ready /By: t�uri f �t Sup
® See Paget for "
Internet: www..tigard- or:go Notified/Method: 1 (G ental Information •
.
try r . t ..
. R " '' o aaa z � - , OF`'WORK t , '` A7 l a . '` a �. F "t :3 P rAN w R E ViEVY 4 4;O I , % 1"' , ; ; ; ,':
❑ New construction dditionIalteration /replacement Please' check all 'Oat apply (submit 2 sets of plans w /items checked below):
❑Service or.feeder.400 amps or. more ❑ Building over three stories.,
Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. -
° Fria. ` : a t '" t A t a ii „ ; ° exceeds.10;000amps at 150 volts or ❑ Floating buildings.,
CATEGORY OF CONSTRUCTION
L:-« k «� .: n. :..�.. �. $ . " , "s., ma x+ -..��_ �. � kirk, �;-, �.:.,u.. ,. . .., . t„ z -.
less o Bound, or exceeds 14;000 ❑ Commercial-use agricultural'
❑ 1- and 2- family dwelling ommercial /ind ❑ Accessory building amps.for,all other installations. buildings.
Multi-family ❑ Master builder ❑ Other: ['Fire pump. ❑ Installation of 75 KVA or
o• k ❑ Emergency system. larger separately derived system.
: : r, JOB SITE' IN FO A OCATION • 1 �, R
. u.. ... .e, K _ .,__ , ,. ��..._.._, _3 ._ .,,.. -. ,.- ..,.. l ',.- ., r ❑A dd iti on o f newm otorload, o f ❑
100HP or more. occupancy.
Job no.: /0//0 7 Job site address: GG j O Sw lee d LN ❑Six or more residential units.. ❑ Recreational vehicle parks.
City/State/ZIP: �� -'--' �� ❑ Health -care facilities. ❑ Supply voltage for more:than
City
/ • �I — .- .1i: ❑ Hazardous locations 600 volts nominal.
l k�/bldg. /apt. no.: ? • Project name: S - ❑ Service or feeder` 600 amps or more.
� u i,u¢ w iiws t -" s 4 1 t FEE $CI DULE lit f- V ' "r 7. ,:
Cross street/directions to job site: Description" I,;Qty I Fee 1 Total' 1
New residential single - or multi- family dwelling unit.
Includes. attached garage. -
Subdivision: Lot no.: 1,000 Sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40. • 1
Tax map /parcel - Li ( �ed'energy, residential
r xti, c w w y . ; k 75 :00''.. 2
r
N :41 N 74 :4•K � .. <. t DESCRIP TION OF$' W,ORK:p " X c � ' . ;above s q . ft.)
Limited energy, multi - family 75.00 2
`��-Tp4- residential `(with above sq. ft.)
Services or feeders installation, alteration, - and/or relocation
200 amps or less 80.30 ' 2
s�t ® PROPERTY OWNER 'i a
1 Fs' M * :, ,iiw ®• TENANT I 201 amps to 400 amps 106:85 2
r
Name: 401ramps.to 600 amps 160.60 2
• 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: • Temporary services or feeders installation, alteration, and/or
• relocation
Phone: ( ) Fax: ( ) 200 - 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 599 amps 133.75 2
Branch circuits - new,,alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
` ` k ® APPICANT tom ., ®CONTACT PERS ON,
�sw L w x ab service or feeder fee
F t r,. M 6.65 • 2
eachl6ranch circuit
Business name: • A 1/ e Cc. " , ,ere GoMµ i -s B. Fee for branch circuits
Contact name: r without service or feeder fee 46.85 2
/Ci)! / at first branch circuit
Address: Each add'1 branch circuit 6.65 2
,2 / 0 3 $ H/ i2iN "/ 2/2 aC Miscellaneous (service -or feeder not included)
City /State /ZIP: /q7. J Li G9 d‹ . c 7 1 C7 Each: manufactured or modular 90:90 2
/ dwelling, service and /or feeder
Phone: ( ) 3 i -6 _ - cr s , 7 Fax: (_1. a3) xv,dr - - 9, 277 Reconnect only 66.85 2
Email:, NGG/a EGA: t , Pump or irrigation.circle 53.40 2
1' * , 4 u; � ' "' . " r ';" ,, ,ii ' u _, :. 1 �; Si or'outl • l 53.40 2
Business name: Signal circuit(s) or limited -
S4r� ,-s - h o - energy 'panel, alteration, or
extensi Describe: / Page 2 - 76 2
Address: //T� ,qq
City/State /ZIP: Each additional inspection over allowable in any of the above
, Per inspection • 62.50
Phone: ( ) Fax: ( ) Investigation per'hour (1 hr miti) 62.50
CCB Lic : p.09 1 / ' Electrical Lic.: /3 2 7 z -A - Suprv. Lic.: Industrial plantper hour 73.75
1 y r -', ,t; ELECTRICAL?PERMIr FEES . 1 '�s* .
• Suprv. Electrician °signa{ufe, (equ ed: 31 - 5 37 L LE. 7l /dg Subtotal: 7
a Date: (J Plan review (25 % of permit -fee):
• Print name:
. Z if.- G M C /' .12 2 v 7 State surcharge; (8 %0 of permit fee): UJ
Authorized signature: 7�/ TOTAL PERMIT FEE: $ ( , 6.0
• This permit applicationexpiresif a permit is not obtained
. '. Print name: Date: days after it, has been "accepted as complete.
•
• Number of inspections allowed per permit.
t:\ Building )Permits\ELC- PermitApp.doc x.,05 /23/06 440- 4615T(I 1 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 Supplemental Information
LIMITED ENERGY., PERMIT FEES:
ESIDEN�TI�AL W,�ORK�'ONLY �:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
n Vacuum Systems* •
n Other:
.r . M! CIAL;WORK ONLY 7.1 14
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
n Fire Alarm Installation
n HVAC
El Instrumentation
❑ Intercom and Paging - Systems
❑ Landscape Irrigation Control*
❑ Medical •
n Nurse Calls
❑ Outdoor Landscape Lighting *"
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\ 3uilding \Permits\ELC- PermitApp.doc 03/23/06
• •
• CITY OF TIGARD
BUILDING DIVISION; PERMIT #: FLR:1007-00309:
,
13125 SW Hall, Blvd.,,Ti§atd, 0q97.223 DATE ISSUED 10/12r2007
Phone: (503) 639-417f.
InsOection.Requests (24 Firs:):' (503) 639
INSPECTION VVORKSHEEtFOR DATE: 11/1/2007 • TIME: 7:02AM PAGE: 7
• •
SITE ADDFiESS: 06650-SW REDWOOD'LN' 3'70: CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE." CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME CSB SYSTEMS
DESCRIPTION: Ipstallation of low voltage-for data. job No. 101107 •
• OWNER: PACIFICREALTY ASSOCIATES, PHONE #:
• 'coNTRAtTorR: NEW 'CENTURY COMMUNICATIONS • PHONE #: 503-3588387
Inspection Request Scheduled For: • 'Date: 11/1/2007 Pour Time:
Code # Inspection Description einfirm.... Contact # Message •
198 Elettrical' fihal • 058826-01 503.95&6290 Y
Corrections/Comments/Instructions: •
) \)AA)
• Co . H 4 Zt4 1\1 -0 " RA e 1 pNif
Fi Ppr.ObiV, QACOULt
•
\-)
PAS PARTIAL APPROVAL
ID CANCEL
NO ACCESS
n FAIL 'n CALL F013 INSPECTION El ADDITIONAL FEES' ASSESSED
Inspector: .K (S6 LE: Date: t Phone #: (503) 718-
• GA D .3
. CITY OF BUILDING, DIVISION PERMIT #: CLR2007AL7 t
13125 SW Hall Blvd Tigard OR .97223. DATE ISSUED: 10/120007 )0U7
�' '
Phone: 639 -41;71 ii�lt I i li
Inspection Requests '(24- Hrs.): (503)' 4;1
INSPECTION WORKSHEET FOR `DATE: 10/26/2007 TIME 7..0t1AM = . ' PAGE; 77
SITE ADDRESS: o66Eitu'SW RFE L!4 370 • ' - CLASS OF WORK:
SUBDIVISION :. PACIFIC C CORPG.RAt;E°CE1' lER LOT #: 002. ' TYPE OF' USE:
PROJECT NAME:. C:SB SYSTEMS
DESCRIPTION: Installation of low voltage for Bath. job No 101 i0J
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR:
PWEW'GEN1 "I.FRY COMMUNICATIONS - L :PHONE #, Tity3.356..8;w
Inspection Request Scheduled For: - Date: 10116/2007 , Pour Time: .
Code # Inspection Description Gonfir -m # Contact` # 'Message -
1 asa Low voltage 066392 -01 603,6 16-15139 Y
Corrections /Comments /Instructions
•
•
•
e4 PASS . P1 PARTIAL APPROVAL ❑ CANCEL - ❑ NO ACCESS
AIL :- ❑ CALL ,FOR.INSPECTION . ❑ ADDITIONAL FEES ASSESSED
Inspector:• 1 v:de Date: 13 Phone #:. (503), 718-
CITY OF TIGARD -
•
BUILDING DIVISION -
PERMIT #: ELR2007.00389
-
13125 SW Hall poi Tigard, OR 97223 - DATE ISSUED: 10/12/2007
• Phone:- (503)..6394171
• Inspection ReciLiestO (24 Hrs.): (503) 639-4175 r a
• INSPECTION WORKSHEET FOR DATE: 11'/2/2007 • TINE:, 7:01A4 PAGE: 33
• :SITE ADDRESS: 06650 SW REDWOOD'LN 370 CLASS OF WORK:
• SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CSB SYSTEMS
DESCRIPTION: Installation of low:voltage for data. Job No. 101107
OWNER: PACIFIC REALTY ASSOCIATES,, • PHONE #:
CONTRACTOR: NEW CENTURY COMMUNICATIONS PHONE #: 503-356-8337
Inspection Request Scheduled For: Date; 11/2/2007 Pour Time:
Code # Inspection Description ( ,Coriiiiin Contact # Message
'
as5 1,,,ori'vottage - 058836-01 • 503-516-1589 Y
I C I 0145AL. •
Correctigns/Comments/InStructions:
•
•
•
• •
•
CA PASS 1 PARTIAL APPROVAL. CANCEL • • Li NO ACCESS
III FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date \11- Phone # (503) 718- 2441 •
•
CITY OF TIGA-RD
iik
BUILDING DIVISION PERMIT #s I L.R2007••Ot)3g9
it
13125 SW Hall Blvd.,- Tigard'OR.97223 DATE ISSUED:, 10/1
Phone: (503) 639-4171 , 14'4110
inspection Requests (24 Hrs.): (503) 639. 41,75 ° ,
INSPECTION WORKSHEET FOR DATE: 10/25/2007 • TIME: 1 :0 PAGE: 15
SITE ADDRESS ' 06650 'SW R EbWOOD,Li'Wl 370 • CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: ( 5 3 SYSTEMS •
DESCRIPTION; „ on of lour voltage for, data. Joh No. 101'10,7
Irw�1all�ti • .
'OWNER: PACIFIC REALTY ASSOCIATES, 'PHONE #:
CONTRACTOR: NLYV'CENTURY COMMUNICATIONS IONS RHONE #: 503:356:8387
Inspection Request Scheduled For: Date: 10/25/2007 Pour•Time:
•
Code # Inspection Description / onfrrni• # Contact # Message
195 Misc. ,inspection, ( 058354-01 • 503-968:6290
Corrections /Comments /Instructions:
•
�Q G
�'al<>h0•NI .V. [J, v6 C t 404
f a
F. v'
4 .
•
•
•
PASS \PARTIAL APPROVAL n CANCEL n NO ACCESS
nit FAIL , n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
J Oi ( Inspector: ''". • �M) Date: !01 2S Phone #: (503) 718- � "f� -p'