Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00234
TIGARD,, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/6/2008
PARCEL: 2S113AC - 00101
SITE ADDRESS: 16655 SW 72ND AVE 800 ZONING: I - P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: 029 JURISDICTION: TIG
PROJECT: COPYTRONIX
Project Description: Installing (1) data system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
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: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HECKTEC TECHNICAL LLC
15350 SW SEQUOIA PKWY #300 -WMI 3483 HILLSIDE CT
PORTLAND, OR 97224 HUBBARD, OR 97032
Phone: Contact #: PRI 503 -572 -1938
FAX 503- 981 -0478
Reg #: ELE CLE14
FEES LIC 162394
Description Date • Amount SUP 1496LEA
[ELPRMT] ELR Permit 8/6/2008 $75.00
[TAX] 12% State Surch 8/6/2008 $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: / ` 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.
Aug 04 08 11:43a Hecktec Technical 5039810478 p.l
' , Permit Application „� t ,;. :` f' ,.''� ; Y� �' °�
' FOR OFFICI •IUSE ONLY 1 _+„ `�° �,- .. • .., yt . "k t .a. sr . .�• « . r", 4, ir'lP :t, �kk: ;t ,t_.t ,tdi; °.eye / r ` _ C ity of Tigard t ` r t ti , coolik,4 A rermtt N,• �Gteator` (�,,// t 13125 SW Hall Blvd., Tigard, OR I ^ Plan Rc:Ien / ! " .i '� +i A� ��1e.5 w ti Date PA. , .nherPcrnvt _P� ` ji
5t ?- =: �'r l" Inspection ection Lirte: 503.639.4175 Phone: 503.639.4171 Fax: 503.59 I nw
TtI RD p I^ ♦ i�ratc kearh by !t�tc+ El See Paget for
v. >x Internet: ww�.tigard- or.gov P �� d&Method: Supplemental information
TYPE OF WO - \'VI �r �\4 �•J
W PLAN REVIEW
❑ New construction ® Addition / alteratio t n Please check all that applr - .suhnut 2 set.. of plans Items checked below.
❑ Service or feeder 400 amps or more 1:3 Building over three stories.
ID Demolition El Other: where the available fault cuncnt ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground. or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Firc pump. ❑ Installation of75 KVA or
JOB SITE INFOR\IATiON .aND LOCATION ❑ Emergency system. I.reer separateh dem ea system
❑ Addition ofncw motor load of ❑ "A ", "E ", "I -2 ", "I -3
Job no.: Job site address: 16655 SW 72n Ave 10014P or more. occupancy.
❑ Six or more residential units. ['Recreational vehicle parks.
City/ State/ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: `'' 6 Project name: &fi ° r
V `� K ❑ Service or feeder 600 amps or more.
� �/ j - r FEE SCHEDULE
Cross street/directions to job site: Description 1 Qtc ea
I I ro 1 e 1
�` New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or Tess 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF IVORI: (with above sq It i 75.00 2
Voice and Data Limited energy, multi- family 75.00 2
residential (with above sq. 11.)
Services or feeders ins-titillation. alteration. rind /or relocation _
_ 200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name:
401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 I 2
Address: Over 1,000 amps or volts 1 454.65 I 2
City/ State/ZIP:
Temporary services or feeders installation, alteration, and/or
relocation _ _ _
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I I
Owner installation: This u)stallation is bent, made on property that Town which is not
201 amps to 400 amps 100.30 2
intended for sale. lease. rent. or exchange. nccordin, to ORS 447. - N9. 670. and 701. 401 amps to 599 amps I 133.75 12
Branch circuits - nett, alteration. or extension, per panel
Owner signature: Date: A. Fee for branch circuits w,rrr
❑ - , ,PPLIC:ANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: 13. Fee for branch circuits '
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'I branch circuit I 6.65 2
Aliscellancous iservice or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only . 66.85 2
E -mail: Pump or irrigation circle 5340 1 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuits) or limited-
Business name: Hecktec Technical LLC
energy panel, alteration, or
Address 3484 Hillside Ct extension. Describe: I Page 2 75.00 2
City/ State/ZIP: Hubbard, OR 97032 ( Each additional inspection over allowable in any of the above
Per inspection 62.50 I
Phone: (503) 572 -1938 Fax: (503) 981 -0478
l� y( /atJ.- Investigation per hour (I hr min) 62.50
CCB Lic.: 162394 , Electrical Lic.: L� /q Suprv. Lic.: CLEM Industrial plant per hour 73.75
�1 /t/ / ELECTRIC AL PERMIT FEES
Suprv. Ele rrgttian/sPgrlat 7/ / ure, required: t i i i lid Subtotal: 75
Print name: Date:
Plan review (25% of pct it tcc):
46k, State surcharge (12% of permit fee): 9.00
Authorized signature: / p TOTAL PERMIT FEE: 1 84.00
This permit application expires if a permit is not obtained within 180
Print name: Rachel Heck Date: 8/4/08 days after it has been accepted as complete.
A
CITY OF TIGARD 4
BUILDING DIVISION • PERMIT #: ELR2008 -0023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/612008
Phone: (503) 639 -4171 ,116 ■i��
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 8/29/2008 TIME: 7 :00AM PAGE: 5
SITE ADDRESS: 16655 SW 72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPY TRONIX
DESCRIPTION: Installing (1) data system.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 503572-1938
Inspection Request Scheduled For: Date: 8/29/2008 Pour Time:
Code # Inspection Description nfirm - # Contact # Message
135 Low voltage 074881 -01 \ 503 - 572 -1938 N
Corrections /Comments /Instructions: /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL f NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • N Date: 5 1 - z9 • s Phone #: (503) 718- 14'11 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200B 00234
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 816/20013
Phone: (503) 639 -4171 �� i a' I +�
Inspection Requests (24 Hrs.): (503) 639 -4175 ��1 1, ' 1 ..
INSPECTION WORKSHEET FOR DATE: 8127/20(i13 TIME: 7 :0OAM PAGE: 7
SITE ADDRESS: 16655 SW 72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PACTRU ST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: Installing (1) data system.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 503 - 5711938
Inspection Request Scheduled For: Date: 8/27/2003 Pour Time:
Code # Inspection Description ( • Contact # Message
135 Low voltage 074729 -01 503 - 572 -1938 N 1'
Corrections /Comments /Instructions:
, C,el L
1 G4' -. (tvi m vi st A (
yt16 LEA
II PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FA i ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � (1
Date:' 1 ' Phone #: (503) 718- liffici
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008- 0023'4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 816/2008
Phone: (503) 639 -4171 w
Inspection Requests (24 Hrs.): (503) 639 -4175 .,'.'+I'll..
INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 16655 SW 72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PAC1RtJST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: Installing (1) data system.
OWNER:. PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #:• 503
Inspection Request Scheduled For: Date: 8/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage '074667 -01 503 -572 -1938 N
Corrections /Comments /Instructions: N
Sv C C. 6l p AN'. 300 k •
•
ri PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
U FAIL e igl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Nte, L1' Date: %'2- 1 Phone #: (503) 718 - 2M