Permit v OiF CIT
TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: ELR2007 -00111
A,mt a+ ,a,: DATE ISSUED: 4/30/2007
y IGARD 13125 SW Hall Blvd. Tigard, OR 97223 503.639.4171
: Ttal oy ; +' PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 160 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: STAPLES CONTRACT & COMMERCIAL
Project Description: Low voltage structured cabling.
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: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES CACHE VALLEY ELECTRIC COMPANY
15350 SW SEQUOIA PKWY #300 -WMI 9315 SW NIMBUS AVE BLDG 10
PORTLAND, OR 97224 BEAVERTON, OR 97008
Phone: Contact #: PRI 503 431 - 6600
FAX 503- 624 -1436
FEES Reg #: ELE 26 -1 I35CLE
LIC 148222
Description Date Amount
[ELPRMT] ELR Permit 4/30/2007 $75.00
[TAX] 8% State Surcha 4/30/2007 $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 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.
Electrical Permit Application ,. " 1 , " u 6.4 . 4 k .,:; , f , :F C E r " US E ON' a,4, i. .
..--- -t—. �t ,u a ^t? 4 ,wm4 .� 1 F nt. t«SI to itw;Y
' x a City Of Tlgard Re eiv d Permit No.:
° 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Ph one: 503.639.4171 Fax: 503.598.1960 Date /B : Other Permit: 6l) 2 a — O. / . 6
TIGA 2 D
lnspection Line: 503.639.4175 Date Ready/By: 7uris. ® See Page 2 for
I. 1, ,,ig Internet: www.tigard- or.gov Notified/Method: Supplemental Information
',Zs,. TV ,0OF WO '- s ;ate ° / z IliMi EtvIFW : , . w ,
❑ New construction ® Addition /alteration /replacement Please check all that 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.
r s ° "`V ex,0 amp v ❑ Floating ngs.
CATEGOR +Y OF, CONSTRUCTLON ,
� "" ' t less to ceeds groun or e xceeds at 14150 ,000 olts or ❑Commercibuildi - us e a
❑ 1- and 2-family dwelling El Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
g J ,•;�,,- „.;„,» 7 - ,�, ti „.. 6 ❑ Emergency system. larger separately derived system.
OBiSITE I
,NFORMATION 14 LOCATION
�b �,�� z .r �,� �. , _,,. ,,� i. �. � ❑ Addition of new motor load of ❑ "A”, "E”, "1-2", "1-3",
Job no.: 42380 Job site address: 6650 SW Redwood Lane IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Portland, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: 160 Project name: Staples Sales Office ❑ Service or feeder 600 amps or more.
4 , a1 FEE .010 ILE e ,
Cross street/directions to job site: Description 1 Qty. 1 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 no
Limited energy, residential 75.00 2
. ,. DESC OF,t„I N W 1 ( with above sq. ft.)
low voltage structured cabling Limited energy, multi - family 75.00 2
g g residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
,PROEERTY OWNER r ri, M TENANT " ° b7 ` 20 amps to 400 amps 106.85 2
Name: 401 amps 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 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
n A C;: T , : 1 , c M i CONTxACT PERSON above service or f fee,
rcew. 6.65 2
each branch circuit
Business name: Cache Valley Electric B. Fee for branch circuits
Contact name: Vanessa Martin without service or feeder fee, 46.85 2
first branch circuit
Address: 9315 SW Nimbus Avenue Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Beaverton, OR 97008 Each manufactuo
dwelling, service red or and /or m feeder
Phone: (503) 431 -6600 Fax: : (503) 624 -1436 Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
i V , ,: s ,, p Conk CTOk ', , .>vk , . { ' " Sign or outline lighting 53.40 2
Business name: same as above Signal circuit(s) or limited -
energy panel, alteration, or
Address: extension. Describe: 1 Page 2 1 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: 148222 Electrical Lic.: 4129LEB Suprv. Lic.: Industrial plant per hour 73.75
?' „ „ELECTRICAL PFRMIT FEES ; ,.
Suprv. Electrician signature, required: Subtotal: 75.00
Print name: Rob Fandrey Date: 4/27/07 Plan review (25 % of permit fee):
State surcharge (8% of permit fee): 6.00
yr _.
Authorized signatuce: TOTAL PERMIT FEE: 81.00
T his 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 l /05 /COM /WEB
ELE 210 // 35CL E
CITY •F Mt 71i W
BUILDING tIVISIO i ! , PERMIT #:LRZ007.001 )
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 ,I ��yp (ri
Inspection Requests (24 Hrs.): (503) 639 -4175 4
INSPECTION WORKSHEET FOR DATE: 1 1.1%. O % TIME: PAGE:
SITE ADDRESS: 6 6 5 0 $ W (Z,-zD w cot i_o * 164 CLASS OF WORK:
SUBDIVISION: — TOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1•1-i' 0 i Pour Time:
Code # Inspection Description Confirm # Contact # Message
t(;\ F3(4AL
Corrections/Comments/Instructions:
al PASS 1 PARTIAL APPROVAL CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: . N4) Le Date: 1' A " Phone #: (503) 718- 1 t _v
•
•
CITY OF TIGARD'
B
• •
UILDING DIVISION PERMIT #: ELR2007- 001•11 •
1`31 SW Hall Blvd., , OR
'97223 , . DATE ISSUED: 4/30/2007
Phone: (503) 639 41;71 .. •
Inspection Requests '(24 Hrs): (503) 639- 41.75.
;INSPECTION WORKSHEET FOR DATE: 6/16/2007 TIME 1 :02AM'I PAGE: 02'
•
•
SITE ADDRESS: 06650 SW REDWOOD LN 160 CLASS OF '- WORK:: •
SUBDIVISION: • - PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT'NAME: STAPLES CONTRACT & COMMERCIAL
DESCRIPTION: Low voltage,structured °cabling. •
OWNER PACIFIC REALTY ASSOCIATES, PHONE •#
CONTRACTOR: :CACHE VALLEY'ELEC'TRIC COMPANY PHONE # 503.431 -6600
Inspection. Request Scheduled For: Date: 6/16/2007 Pour Tirne:
•
Code # Inspection Description Confirm # Contact # ,. Message
136 Low voltage 91/•( 050269 -01 97=1 - .235945 Y
Corrections /.Cornnents /Instructions:
•
•
•
•
•
1 'ASS • ❑ ; PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
•
ns p ector: A Date: (o ` . 1 Phone . #: (503) 71 -'
CITY OF TIGARD „ 0 .
BUILDING DIVISION PERMIT #: ELR2007- 00111
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 4/30/2007
Phone: (503) 639 -4171 �°d4p� ii�lt�il
Inspection Requests (24 Hrs.): (503) 639-4175 _! -
INSPECTION WORKSHEET FOR DATE: 5/18/2007 TIME: 7:02AM PAGE: 48
SITE ADDRESS: 06650 SW REDWOOD LN 160 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #:. 002 TYPE OF USE:
PROJECT NAME :. ` STAPLES.CONTRACT &COMMERCIAL
DESCRIPTION: Low voltage structured cabling.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CACHE VALLEY ELECTRIC COMPANY PHONE #: 503-431 -6600
Inspection Request Scheduled For: . Date: 5/18/2007 Pour Time: ' 0
Code '# Inspection Description / --- Confirm # Contact #' Message
135 Low voltage �0486t1 -Q1 ' 971- 235 -952 N
Corrections /Comments /Instructions: .
CD GZ®a o� GZN cl, PEKt A tt - $00.10 0
CARL ' EvNrvt 1u r tAlso Pfa t'14 PG-. RE :vi ct anet`I` S_
,- f. i -1 o :1 (1J
•
I 1 PASS ❑ PARTIAL APPROVAL . ❑CANCEL ❑ NO ACCESS
)FAIL X CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: R 0 81,e"
L,G Date: 6 1 1 0 Phone #: (503) 718- Fb