Permit q CITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
° '`- COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00335
TI I? 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/7/2007
PARCEL: 2S113AD -01900
SITE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 009 JURISDICTION: TIG
PROJECT: ROCKWELL COLLINS
Project Description: Low voltage cabling for intercom and paging.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES TECHNOCOM INC.
15350 SW SEQUOIA PKWY #300 -WMI 7929 SW BURNS WAY # F
PORTLAND, OR 97224 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503- 682 -4195
FAX 503- 682 -2781
Reg #: ELE 34- 269CLE
FEES LIC 73872
Description Date Amount SUP 2281 LEA
[ELPRMT] ELR Permit 9/7/2007 $75.00
[TAX] 8% State Surcha 9/7/2007 $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 dir- - sue tions to OUNC at 5S . 46.6699 or 1.800.332.2344.
coc k_ t ■
Issued =y: j� / . � � Permittee Signature: pe l�
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.
09/06/2007 16:25 5036822781 TECHNOCOM PAGE 01
. ..
Electrical Permit A • • licatio o. EcEIVED 1•01i 01+1( :1: III. u1.'
City of Tigard SFP 0 7 2007 Efflolionsivicii.;
I li . 13125 SW Hall Blvd., Tigard, OR 97223" - Pin Review other Permit:
; F • Phonc: 503.639417I Fax: 503.598.PC:1T y oF TpARD Date/B
Inspectione: 503.639,4175 ""--.. Date Ready/By; • El See Page / for
Internet: www.tigard-or.gov
T1C1 r% l■ I) n Li BUILUNGDWISION Nolificdfmclbc.A: IM Supplemental infortnatim.
-- ••.:. ,:, ' , •••• 'Y -. . ••• . • ' - tiript ior *61k ::: :••••:•.: .!;, ..•:.•:: ::,:" • ''..';:'::.::' .:.z;:•4:•••,:', :::;: ,,;'' ,•',',•:'',...: 41jatisrltkidtW ,, .1: ,,,::,,,,,:;:::,,,:,:•;. :: : ::'•: '.:
ple check all that apply (submit 2 sets of plans votirents checked below):
0 New construction 23 Addition/alteration/replacement 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition El Othcr: where the available fault current 0 Marinas and boatyards
....:dirkittiT.,ietitentitit5010it.::: ;; ...;::',; :;:';:..; ; ; ..; ; ; exmcds 1 0000 amps at 150 volts or 0 Floating buildings.
• less to ground, exceeds 14,00o 0 Commercial-use agricultural
0 1- and 2-Family dwelling El Commercial/industrial 13 Ac tn. cessory building amps for all other insiglatirms. buildinga.
0 Multi-family . 0 Master builder ,. 0 Other: 0 Fire pump. 0 installation of 75 KVA or
, . .. 0 Emergency system. larger separately derived sytem.
:.: . tilL i kft 001040..40*t0.081 :;:!;..: .:!::::. 0 Addition of new motor load of
10014P nr more. ocempancy.
Job no.: 74195 Job site address: 16600 SW 72 AVE 0 Recreational vehicle parks.
0 Six or more residential units.
_
City/State/ZIP: PORTLAND. OR 97224 a Health-care foeilitl. 0 Supply voltage for more than
0 Hazardous lecntionLt bon volts nominal.
Suite/bldg./apt. no BLDG A Project namc: ROCKWELL COLLINS 0 Service or feeder 600 rtmps or more,
400.0.1110.;:.::*■
Cross street/directions to job site: Detcsiption r Ot7: I Fat. ( Total i •
_
- New residential single- nr multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less
145,15 4
E. addl 500 sq. ft, or portion 33.40 1
Tax map/parcel no.: Limited energy. residential ,
5.
:::",. :.: • :''• '' ' ' .. . ' ''' .:11fEttlatbirdebt WORK ..,:. -: :•:: .. i';;'. . :. ' ., . . . : (witil above sq. 6.) 7 00 2
Limited energy, multi-family
PAGING ' 75,00 2
residential (with above se, It)
—
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
.
:1:01icipt rev.:0wso.:.!.::.::... :.1::: : ::... .., .,:o.:Ttio.07r .. . ....;...:.......,. :.. 201 amps 10 400 amps 106.85 2
Name: . 401 amps to 600 amps 1 60.60 2
601 amps to 1,000 arflpS 240.60 2
Address: Over 1,000 amps or volts 454.65 2
- Temporary services or feeders installation, alteration, andior
City/State/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less ' 66.85 1
Owner installation: This installation is being made on property that I own w 201 arnps to 400 nmps 100.30 2
is not .
intended for sale. lease. rent, or exchange, according to ORS 447, 449. 670. and 701. • 401 amps to 599 arnps 133.75 2
Branch circuits - new, alteration. or extension, Fr
Owner signature: Datc: A. Yee for branch circuits with
• Hi ::;., . :.: a :Akitsdiejot v; .: , :,i:::1: : A:1: cOliff,*ier .::. . ,..: .. . above service or feeder fee. 6.65 2
each branch circuit
Business narne: TECHNOCOM INC 13, Fee for branch circuits
without service or feeder fee,
Contact name: JEFF SANDNER 46.85 2
first branch Cintlit
Address: 7929 SW BURNS WAY, STE F Each add'l " -• branch circuit 6.65 2
Miscellaneous (service or feeder not Included)
City/Statc/ZIP: WILSONVILLE, OR 97070 Each manufactured or modular -
90,90 2
- dwelliiisetvice and/or feeder
Phone: (503) 682 Fax: : (503) 682
Reconnect only 66.85 _ 2
E-mail: j.sandner@GOTECHNOCOM.COM Pump or irrigation circle • , 53,40 _ 2
: r , :..: ;,: : , : :•,: :...; • .: : • : .•coritAclim:::,::,:•:: : •:: • .. !!":. ,: :: ." . : • , ,,, Sign or outline lighting 5340 2
Sienal circuit(s) or I imited-
Business name: SAME AS ABOVE energy panel, alteration, or 1 75.00
extension. Describe; Page 2 2
Address; PAGING •
City/Statc/ZIP: Each additional inspection aver allu;lible in any of the above
- Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour ti fir trtlii) ... 62.50 ,
CCT3 Lie,: 73872
17cctrical Lie.: 34-269CL Suprv. Lie.: 2281LEA Industrial plant tier hour 73,75
.. ..': FEES • .
Suprv. Electrician signature. required: A j
Q • ' ':: ":t:MVECTRIC,A1L TERM" ! ..
Subtotal;
Plan review (25% of permit fee): 75.00
Print name; JEFF SANDNER Date: 09/06/07
State surcharge (FM of perrnit fee): 6.00
Authorized signature: Jidne4----..--' — TOTAL PERMIT FEE; 81.00
bl
This permit application expires if a permit is mat obtained within 180
Print name: JEFF SANDNER Date: 09/06/07 • days nftrr it hni been accepted as complete.
0 Number ofinspeetions allowed per permit.
rAF,111■14Ing■PmnItAlil.C-PermitAr7p.doc OfF23/00 4411 WI/MN/WED
CITY OFTIGARD
BUILDING DIVISION PERMIT #: ELR .007 -00335
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. 9110007
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 9/25/2007 TIME: 7:00AM PAGE: 70
I TO
SITE ADDRESS, 16600 SW 72ND.AVE 1310 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: ROCKWELL COLLINS
DESCRIPTION: Low voltage cabling for intercom and paging.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: TECHNOCOM INC. PHONE #: 503.6032 -4195
Inspection Request Scheduled For: Date: 9/25/2007 Pour Time:
C_ # Inspection Description Confirm - # Contact # Message
199 Electrical final 056190 -01 503- 750 -1356 Y
1q:\
•.rrectio - /Comments /Instructions:
\\
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
F FAIL 1 I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1y6e) L� Date: ct O Phone #: (503) 718-