Permit I OF IG ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007- 00027
TIGARD'
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/1/2007
PARCEL: 2S112DA- 0.14.00
SITE ADDRESS: 06650 SW REDWOOD LN 365 ZONING: I - P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
Project Description: Voice /Data.
A. RE SIDENTIAL 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 DC ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 1146
PORTLAND, OR 97224 DALLAS, OR 97338
- Phone: Contact #: PRI 503- 623 -3912
FAX 503- 623 -4606
FEES Reg, #: ELE 27 -79C
LIC 154465
Description Date: Amount SUP 4999S
[ELPRMT] ELR Permit 2/1/2007 $75.00
[TAX] 8% State Surcha 2/1/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81
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 morethan 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: c/
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.
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'6'' ! Received n
� 1 r„ �, cit of'Ti arli n f C Pernntt No . ' / / 7 0d �
i Date/By:� Air rr ` ° 13'125 SW 'Hall B1vd., Tigard, OR 972 pla
Phone: 503.639.4111 Pax 503 - 598 . 3 001 DatelBy: e ther Pent'tt.
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la . Inspection Line: 503.639.4175 Dat Ready/By: r s: g Sec Page 2 for
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❑ New construction ht Addition /alteration/replacement Please check all tri9tt1trpl 2 sets iof plans wlitcros checked below),
0 Service or feeder 400 amps or more ❑ Betiding over three stories.
exceeds 10.000 amps At i 50 vol
❑ `Demolition ❑ Other; whore tiro Available fault current El Marinas and boatyards.
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# E E' :" e ,r l I ,r , a i ly+iptt a r I ✓rN,t ` 7 ` `a'tdiray 1 tSt l ' ?r ) 1(t r {Q ai ° r a #! a' i3 , `,! I $ j t ? t ' . 1' ts or El Floating buildings.
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k ll r #,nl, r „ #, �� ?,t�w r , .;..: ✓;r. I (f�.li0s�rs:s.tufttu,lsf rr rrr +t nlauf„ �i
I ra�, .n1,.N ,t�r�i {rerrrl� r.tlrl,ti . 1 i Ct• di , : f + 1' •a • less ,aground, or exctx+ii5 4 0 Commercial agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps £or aU other installations. buildings.
❑ Multi family 1=1 Masterbullder •❑ Other: ❑ Fire pump. 0 lesransiion of 75 KVA or
-� +; i .1 ..: tn:t t ° ¢ : `!k 1!uu }�<t� tdm u1, r,c », wu ;(t t i tsi mart r ..f:d r c s y WSi Pl, p r { .1 " .F lea . r I ` El Eiitergency system. larger separately derived system.
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1001.1V er more: occupancy.
Job no.: Job site address: 6650 S W Redwood Ln ❑ Six or more, icsidertial' ❑ Recreational vehicle parks.
City /State /ZIP: Tigard /OR/97224 • J l ealth -care facilities, ❑ su vo nominal.
more than
❑ hazardous locanops
Suite/bldglapt. no.: 365 1 Project name: Low Yoltage`voice /data Q Service or feeder -boo amps or more
r l lif j itif ! i f NtiT 1 rli l Wkl " eIli ri' !if i i,4 tl li itgriq t fil'
Cross street/directions to job Site: n Qt Total •
~~^' New residential : sing)e. or mold-family dwelling unit_
Includes attached garage.
Subdivision: 1 Lot no.: 1000 sq. ft or less 145.15 4
. - $s. add'! 500 sq. ft. or portion 33.40 1
Tax map /parcel no rr[ Limitedtncrgy;:reSidential 1
! ” 4 , ; !lP.!'I, } ', t1;fYi"i { , ?;?i�il t(,J { erYlrTl a igna ,l tig rrt}t jll riiti4 ikr1,11 i 1 Stf if } {i � 1f +p 1 : t. 1 r ild( ( 4 ) 75.00
:iii, �r , , I l{ra�lalia c r Ii1 t Pl. e ;teeilIftw, : . ikt t l ,,' f .Es bi t ilt t� ii ; : ;'� : till ll.. c 1;11:?i E r t rl , wi h $ bove sq. ft. —
Lim energy, mu 75.00 2
Low voltage'voice/data system residential (with above sq, ft) _
Servlcesor, feeders, installation, alteration, andlor 'relocation _
200 amps or less 80.30 2
` I .. aillE 44, J r ra :sr to rtilraula tirM1<37 { i lz l a4:t a tl! # l r }� ( ! ! !!.l!tadl l g : di J t + 1011ur fir" # A IAN! ' II . ' .'' ' ■ ∎ l U6 - ts5 2
i r # i+ fli a Ta it 1 il , u1;l i,,itir', #} P% F i7IF It) ( built', ri C1„ I q; #1! i la N` , s ' ,roa r1 si { 111 { i 11 1 1 llli ' : 201 a a mps t0 400 amps
—1......,,,.;,.., .;,.., ;l1� { t fl F, f G 4 r f l i i , lay..; 3} tt 1 1 3
Name: Future'Electronics 401 am to,600 am 160,60 2
- 601 amps to 1.000 amps 240.60 2
Address: 6650 SW Redwood Ln
Over 1;000 amps or Volts 454.65 2
City/State/ZIP: Tigard /OR/97224 Temporary services or feeders installation, alteration, and /or
•relocation
Phone:-(503)507-9740 Fax: (' ) 200,amps or less, 66.8 ._.1__!
Owner installation: This installation is being made on property that ! own which is not 201 amps'to 400 amps 100.30 2
intended for sale, lease, rent, or extehange;.according to ORS 447, 449, 670, and 701. ' 401..ampslto 599 amps 133.75 2
B ranch ,eireults ,new,, alteration, or extension, per panel
Owner signature: Date: A. Pee for branch'oircuits with
'4tgpii r:{ § f iE ii1 li {' + J}ri; AU lYf I lt # {i I { {� i1 Eii [pis 4 di f. > , { ,t utuu1'iiei1.,lts rrrx r 1 {r r l:' l fi,1 {r above service or feeder fee
taikil iftla1111:at3:1;i,{ : ;;ii ,ti,liiIl ii, mf. g, i:illlllIlifi1l:,1iii..,111 # # 11 11 1 � tfrk; , lit t k <>its!uu riutu { Iful.roiiiiiiEutzi;1 Il11l -; i each branch: Cifcuit 6.65' 2
$usiness name: 13:-Pee for branch circuits
Contact name: Autumn Barton we st branch service or feeder Pee, 46.85 2
first branch circuit
Address: p0 Box 1146 Each add'l branch circuit 6.65 2
. Miscellaneuus (service or feeder not included)
City' /State /ZIP: Dallas /OR/97338 Each manufactured or modular 90:90 2
- dwelling, service and/or feeder .
• Phone: (503) 623 -391 I Fax: : (503) 623 -4606 Reconnect: only 66.85 2
-
E -mail: Pump o ur irr circle .53.40 --- 2
t+ ...1 .. Y tt 111; }ll , l!f a l , j ; ?i i ,iE'iE l t � i t <1 �, ;e4.,; �,r �r >r,t t t G 1;1: f 17 "n l • .w , I r `' #Ell ' e d [ s i u l it .. Si Or OUt lineli tiri $3.40 2
]liltIli�11, f 1fgi Y:lvl:.lt; lint: iti,ICi. #fi fi #iliilitl ,? ,1, , !,,,1: li:l r :g!11 igig igl> 1 ;.lE thug ii : lh {lill�1I:I7 fIiN i g
Busintss name: DC Electric Inc • energy : panel, erarion, or rliitiited
ellcrvy pang, alte
•
•
Address: PO =Bore 1146 extension. Describe: Page 2 2
City /State /ZIP':Dallas /OR/97338 Each additional inspectldn over allowable in any of the above
Per inspection 62.50
Phone: (503) 623 =3912 l Fax: (503) 623 Invcs er hour (1 hr min 62,50 50
b P ( )
CCB Lic.: 1'54465 Industnai lant per hour Electrical Lle,: 27 -79C Suprv. Lic.: 4999S _ P 73.75 MIMI ,
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Suprv. Electrician signature, required: Subtotal: . 75.00
•
Print name: Justin Moore Date: 1 -31 -2007 • Plait review (25% ofpermitfee):
State surcharge (8% of permit;fee): 6,23
Authorized signature: TOTAL PERIvfIT PEE: 81,23
This, permit application expire® if a. permit 'is hat obtained within 180
Prtnt,name: Date: days after it I as been accepted as con.plete.
- a Number of inspections allowed per permit,
ttsulydsOOerams\E c- hnaitnrp:aoe mattes 440- 4.6iSTi11 /05/COM/WEB