Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00284
,TicARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/2/2008
PARCEL: 1 S126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 420 ZONING: C - G
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: ASSOCIATION FIELD SERVICE
Project Description: low voltage for audio / stereo system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES NORTHWEST DIGITAL MEDIA LLC
BY TC PORTLAND, INC 14819 NE 81ST
8930 SW GEMINI DR VANCOUVER, WA 98682
BEAVERTON, OR 97008
Phone: Contact #: PRI 360 - 772 -6260
FAX 360 - 326 -8052
Reg #: ELE CLE155
FEES LIC 180686
Description Date Amount
[ELPRMT] ELR Permit 10/2/2008 $75.00
[TAX] 12% State Surch 10/2/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 'e Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-Olt 0. You may obta' co.'(s of these
rules or direct questions to OUNC at 50 .:... •9 or 1.: • I. 2.2344.
Issued B ��% �� .� 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.
'10/01/2006 15:05 5032554495 HOME WIRE LLC PAGE 01/02
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City o Tigard nteis . Permit "P �.� �.1�
13125 SW Hall Blvtl., Tigard, OR 97223 ;. Plan Rcvicw
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LLi�' : Phone, 503.639.4171 Fax: 503.59 a • t� ,` �rey: D ((//`"'�`��
Inspection Line: 503.639.4175 n fi Supplement! Onto heady /By: hair 63 See Pngc 2 for
T I G M!) c' 9 "�c Suppleal Information Internet: www.tigard - ocgov ,. (1'11 e 9 `` u Notified/Method: o_
of algae w /ite
Please chock all thOt opply (submit
,(, � i'1 'ip^t •' I ,7��, p� I � ,, ;+ i ( . i i :: Jp '� '' 1 Al' • UtlflAlil•.f�'��yy iq�its ��AS i'Ir7(gn i t(��jM --�- -- r f�( fait; ) ry ' '16` ��
leek' " 1 IAr PIN �y r ki u �l( Yi . tr4 .. % e+�.tt � . 716• , r��l . , • m�, , ; =. ,v', &I :. 7.7 tn1!`1''hnnx'1'ti "�.4 .e I� 11,`l+u�w.s2.aarvtldowtiiytl'''
1 'Il l'' .I ? 5 N 1 J . i1r: , �•. �. "fIBJy. y..r , i Lq r {,'„ t ^.El:; i ,'� ...
'. F eery ms oheaked below);
❑ New construction ® Addition /alterationifsT qi,1t \ ` J't'J ❑ Service , n feeder 40U Drops nr more ❑ fiuilding over three ateNac•
0 Demol ition ❑Other: fl,Je ® �`�� V whore the evni(nIJ10 fault tunes! ❑ Mousse end boatyards.
i � g , r w, r !' w _$.,. ,J % ;(<31r', • • I • j exceeds 10,000 omps At 150 volts or El floating buildings.
aN+ '�i �,r ,t�l �`'Y "''b "n�� r'I'' ' krJ:y tC1aW • •, L • L n r it i } �,�� Pl 1'• • :fi1:h` -, lees In Ifh! ❑ � .0 agricultural
�, ( a , , � 1 {' y- Jli,l:tiarvla.. •• j 7y�o-•d + ^'.n,r � , �. brra -�� w+d or csce I d,000 mmercinl -sac n iculhn•AI
❑ 1 - and 2- family dwelling 1E Commercial /industrial ❑ Accessory building Amps for oil other Inaallations, buildings.
il
Multi -fam ❑ builder ❑ Other: ❑ rib pump. ❑ InxtIlation of 75 KVA nr
❑ Y , w ❑P,mcr sy n.. larger separately ticrivcd sys+ont.
ant rti N rxa y,�r I ;. •r� s '( ,1, I of new motor bed of Q "A" "p "1-2"."1-3".
y�)y I't's I � �"{ f -,$ '. E c`1 " ,,,, ,, .,' `h �,+a+,- .,h,n,w �.( iliiN�i `tfi,ll yYr 4 ❑Additiono
�'44f I A '�' I ' I tli Y ,:1 ( �. ��. 1 -W 1' "Mfl��l�n �•+
I 0011 or more• occupancy.
lob nn.: Job site address: 09020 SW Washington sq. rd. CI $ix or morc reaidenliol unite. ❑ Rcerenilo+ml vehicle pinks.
El Health - care facilities. ❑ Supply voltage for morc than
City/5taxc/7IP: 97223 0 4i,irdoue location... 600 your. nominal.
Sui te /bldg. /apt. nu.: Project name: Assoc. Field Service ❑ $erviee or feeder 600 amps or mote,
rr , p Stra`li'a� "aa'i n 1, '' ijt,r .^ A' l '
1 . 'lfid' ,,.:, rC� rli�l,.d,�1.8 ' ..h� it ,'iV. {li.
Cross street /directions to joh sitc: o eteriptlan Qty T. 'rein -
New residential single- or multi - family dwelling unit.
include§ attached garage.
_- -
I Lot no.: 1.000 sq. ft. or less 145.15 4
Subdivision: one Cmhusy Center _ Ea add'1 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy. residential 2
i, l - r ' � { of Lrl " t 'tuGdt with above sq. fl.) 75.00
{ 'iar ,� i I r��� '� i, }t�'V�' {N., ' _ t Av .04! ' �' •
iit ;;;dy�• ,., ' `. ' � Limited energy, multi-family 75.00 2
Mounting televisions and speakers _ residential (with above sq. n) -
Services or feeders Installation alteration, and /nr reloc idon
• 200 amps or less 80.30 2
r n, r r J' I }U a'c ' v , 4 'It t.' 106,85 2 ■ i � ' P ;� ur IPA r ; O itti l 1.i R : ;` '.?� + a� aFti l ; � l l • ' i ' ' i ^ 1 + 0 4icr' , 1 .c!' (14!" . .: l 201 amps to 400 amps
401 amps to 600 amps 160.60 2
Name: Portland Office Assoc. - 601 amps to 1,000 amps 240.60 2
Address: 8930 SW Gemini Dr. Over 1,000 amps or volts 1 454.65 I 2
Temporary services or feeders instillation, alteration, and /or
City/StateJZIP; Beaverton, Or 97008 relocation
Phone: (503 -)590 -3732 Fax: ( ) 200 amps Or Tess 66.85 1 1
--- 201 amps to 400 amps 100.30 2
Owner installation: This installation is being made o p roperty that: I own which is not 401 amps to 599 amps 133.75 2
intended for sale, lease, ,Cat or exchange, according to ORS 447, 449. GAO, and 701. Branch circuits - new, alteration, or extension, er panel
Owner signature: Date:
��! A. Fee for branch circuity with
' ; � " r ^ t ,. m .•�J+ n!.ki .11 r' ', 171-1 m a .' 7 nRt!} , i y:� y • 11 -C? above service or feeder fee.
6.45 2
each branch circuit
Business name: B. Fee for branch circuits
- without service or feeder fee.
46.85 2
Contact name; first branch circuit
- Each odd'I branch circuit 6.65 2
Address: _ - Miscellaneous (service ur feeder not included)
City /State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone; ( ) Fax: ; ( ) Reconnect o nly _-._ 66.85 2
E -mail: - Pump or irrigation circle 3 40 2
�, " K' ^'` " PA;" ir,Nf', j Sign g n or outli ne lighting
`� #'! r nl� S ��i�'��k� c4.�.l ?�i:`•�� 1� E�n °SiU11� .�+L'C. ran isi? l�i: n` ��n�� �r.'�dtW4 +I��Fi�ict � `3 40
Signal circuit(s) or limited-
Business name: NW Digiatl Media energy panel, alteration, or
Address: 14819 NE 81 st extension. Describe: -75.4-1-
)escribe: ( Page 2 - 7 2
City/State /ZIP: Vancouver, Wn. 98682 Each additional inspection over allowahle in any of the above
--- Per inspection 62.50
Phone: (360 -) 772 -6260 Fax' ( ) - investigation per hour (1 hr min) 62.50
-
CCB , Lic.: 1806+86 J Electrical Lic.; C1E155 Suprv. Lic.: Industrial plant per hour 73.75 {
• i , i i• i '� 91 .3l t
:",r .'ge(l i � T 1M.I RNNl "i. :64S.
Suprv. Electrician signature, required: Subtotal: "7 ,
Print name; T31I1 Wat65011
Date: 1(1 /01/08 Plan review (25% of permit fee):
- State surcharge (12% of permit fee): q. c..ge
Authorized signature: j _ , . i -- �` TOTAL PERMIT FEE: -
This permit application expires if n permit ix an obtained within 1811
Print name ( c _at _. al : days after it has been asxxertal fix template.
• Number of inspections allowed per uennii.
lAmoltlimorv,00losJ_f Pttiomoo.ttoc O5R ? /eL' • 0-net. (i i/oste0mA96A
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CITY OF ��mm m ��w- nn���nnm�� �ig, -..
BUILDING PERMIT =°~~"~~"°""~~° DIVISION � tIR20Q8O8204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1(12/2)OO
Phone: (503) 639-4171
Inspection Requests (24Hmj:(5O3)63Q'4175 ".k�� "�i�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � 10y0/2008 � 7:OOAK4 � J5
SITE ADDRESS: CLASSOFVVORK�
SUBDIVISION: � O 9 020 SWVVA3M|NGTONSC>UARERD43O �
� LOT #: TYPE � (�NF EMBASSY CENTER � �
PROJECT NAME: � &SS0C| HELD SERVICE
DESCRIPTION: � | voltage for audio / stereo system.
OWNER: PHONE #:
� P0RTLAN[}OFFICE ASSOCIATES,
CONTRACTOR: NORTHWEST DIGITAL MEDIA PHONE #: ALLC � 360-772:.6280
Inspection Request Scheduled For: Date: 10/6/3008 Pour Time:
Code # Inspection Description #\ Contact # Message
��C���
' �� �
1~`' voltage
`- 0311'01 360-772-6260 N
Corrections/Comments/Instructions: `` /
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L ��N ALL FOR INSPECTION | | ADDITIONAL FEES ASSESSED
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Inspector: G.^ � ( 0 b ' E~ Date: 10 ^ Phone #: 0503\ 718- Vilb