Permit r. a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 00224
TIGARD?. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 7/18/2008
PARCEL: 25101 DC -04603
SITE ADDRESS: 07405 SW TECH CENTER DR 140 ZONING: I -P
SUBDIVISION: SW COMMERCE CENTER LOT: JURISDICTION: TIG
PROJECT: SELECTRON TECHNOLOGIES
Project Description: Installing (1) protective signal system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
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: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WATUMULL PROPERTIES CORP SELECTRON INC
C/O NORRIS & STEVENS 7225 SW BONITA RD
621 SW MORRISON SUITE 800 TIGARD, OR 97224
PORTLAND, OR 97205
Phone: 503 -223 -3171 Contact #: PRI 503- 639 -9988
FAX 503- 684 -4357
FEES Reg #: ELE 26- 497CLE
LIC 64341
Description Date Amount SUP 974LEA
[ELPRMT] ELR Permit 7/18/2008 $75.00
[TAX] 12% State Surch 7/18/2008 $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 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 or 1.800.332.2344.
Issued By: w - Permittee Signature: i� /� •
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.
. , eP ical Permit Application FOR OFFICE USE ONLY
Cis of Tigard Received �7
1 Date /By: �A'a. / I +7 q� etmit N F1 5 y
° 13125 -
SW Hall Blvd., Ti OR 97 ' � /f )
n 100 Plan Review
Phone: 503.639.4171 Fax: 503.5 1, N D 1 Date/By: Other Permit .,..00(64
TIGARIJ Inspection Line: 503.639.4175 \ r+ 0 Date Ready /By: lulls, See ` Se
p for
Internet: www.tigard- or.gov \, 1 'A,4 G o, Notified/Method: / l f9 Supplemental Information
TYPE OF WOR1 II , .1j -- tC \Q PLAN REVIEW
t Pl check all that a I submit 2 sets of plans w /items checked below
❑ New construction Addition /alterati'4 0 .. •, =ma 400 y ( p ) v. ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: ����L� where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Conunercial -use agricultural
❑ 1- and 2- family dwelling VI Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A "E ", "l -2 ", "1 -3 ",
���� -7' 105 \ - k c h C -rx A � 100HP or more. occupancy.
Job no.: Job site address: -1 J
❑ Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: Ti � ❑ Health -care facilities. ❑ Supply voltage for more than
y 1 � �� - c] 1� � .L� ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: O Project name: .I kiron Tceh ' ❑ Service or feeder 600 amps or snore.
FEE SCHEDULE
Cross street/directions to job site: De 1 9t .'. 1 Fee. I Total I *
New residct,tinl single - nr multi- f :mify d.••-ii:.;g i:nii.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK ( with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
'n a11t.4 t a\Alil . • Muni' residential (with above sq. ft.)
i Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER grTENANT 201 amps to 400 amps 106.85 2
Name: �'` J 11 te+'L \_ 401 amps to 600 amps 160.60 2
GIG r 1- eu`heltIeS 601 amps to 1,000 amps 240.60 2
Address: `1-405 sw j „ Cz,vr6r. 3 )i4 Over 1,000 amps or volts 454.65 2
City /State /ZIP: -1---, a��� Temporary services or feeders installation, alteration, and /or
relocation
Phone: (5a ) . .... Fax: ( ) 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: , 1'a:1. add c
'l b,a ....i,c, .. i i 6.55 i 1
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal panel, or limited-
Business name: SELECTRON, INC
energy panel, alteration, or
Address: 7225 SW BONITA RD extension. Describe: 1 Page 2 75.00 2
City /State /ZIP: PORTLAND, OR 97224 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 639 -9988 Fax: (503) 684 - 4357 Investigation per hour (1 hr min) 62.50
CCB Lic.: 64341 Electrical Lic.: 26497CLE Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: �4 Subtotal: 75.00
Print name: JIM LEPPER Date: , Plan review (25 °/ of permit fee):
� I �° �( State surcharge ( o of permit fee): -67130 C3. 1A.)
Authorized signature: TOTAL PERMIT FEE: ___81-,00 s9, CX_)
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I: \Building \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T( I I /05 /COM /WEB
CITY OF TIGARD _
BUILDING DIVISION - .:1. PERMIT #: ELR? ?OO OOY)4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18
Phone: (503) 639 -4171 :�s- , ',, i' � I .
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1W2/2008 TIME: 7:O0AM PAGE: 42
SITE ADDRESS: 07405 � VV TECH CENTER DR 1.10 CLASS OF WORK:
SUBDIVISION: SW COMMERCE CENTER LOT #: TYPE OF USE:
PROJECT NAME: c'ELECTRON TECFINOLOGIFS
DESCRIPTION: Insi: lling (1) protective signal system.
OWNER: WATUMULL PROPERTIES CORP, PHONE #:
503-223-3171
CONTRACTOR: `DEL ECTRON INC PHONE #: 503,639.99813
Inspection Request Scheduled For: Date: 10l2120O8 Pour Time:
Code # Inspection Description Confirm # Contact # Message
I q FSN
135 Low voltage 076167 -01 503 - 619.9263 N
•
Corrections /Comments/ Instructions:
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PAS l I PARTIAL APPROVAL - ❑ CANCEL • ❑ NO ACCESS
❑ FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-- \) e ! Date: 10 Phone #: (503) 718 - I'Ll%