Permit , q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
`� ° COMMUNITY DEVELOPMENT PERMIT #: ELR2009 - 00050
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2118/2009
PARCEL: 2S 112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: STERLING COMMUNICATIONS
Project Description: Alter existing burglar alarm.
•
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X 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 ACTION TECHNOLOGY SYSTEMS
15350 SW SEQUOIA PKWY #300 -WMI 835 SE 17TH AVE
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Contact #: PRI 503 231 - 1992
FAX 503- 231 -1402
FEES Reg #: ELE 26- 775CLE
LIC 157630
Description Date Amount
[ELPRMT] ELR Permit 2/18/2009 $75.00
[TAX] 12% State Surch 2/18/2009 $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: k V j (j Permittee Signature: ao \1 OQO�
���777 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.
Feb 18 2009 1:58PM RctionTechnologiSystems 503 -231 -1402 p.1
Electrical Permit Application NOISIMO JNIOIIf1
City of Tigard at om O A-UO. Reodved el per mit No.:
Date/By; Q �+��
Man Review
1
13125 SW Hall Blvd., Tigard, OR 97223 - ( `�' - • El ^� -r'��
B UU U` Phone: 503.639.4171 Fax: 503.598.1960 7 j S3� p tie/g � other NEWT!
tc;n-1; Inspection Line: 503.639.4I75 DateReady /By: /wit: lid See Pete 4for
Internet: www,tigard- or.gov • ot ina/Method: d
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"i ! w.e t " r Supplemental Information
`� , r f +. r� ( to Ia r»6 H c i t2Eaa4 :n 4 a ���� �g.��,f.�T '� '. It, i',Slru r'• 2"d S '.c E • `• t ti d t] d ' 1 �� #.t�,,E7 p `r� •w
.,. �. .
'
MI New construction 07' Addition/alterati` eltlenl Please check all that apply (submit j sate of platy wilt ems checked .slow);
i Demolition Other: ❑ Service or feeder 400 amps or more • ❑ guildin over three stones.
:C
Y. where the 0vailabk fault curter ❑ Manners and boatyards,
i' . p .,• , c,.r�,��n, �t�yrasa - x�+�a�ry� \�• :n ;r S ;'
:' +.. ti ■,'��� ., �{9i'k�. 'l�,`�� hR !''�:„ a. ��n'� �;�i�.�di� �1, �' �'. �..• 1JD�'�C,���`�J�.t;',Ni,,�f,;;i, ; � , . r.rie ; : - r:r�.>i V. � . �� f exceeds 10.000 amps at 1!0 volts or ❑ Floating buildings.
1 - r" r . " " leas so round, or axe cede 14,000
NI
I. and 2- family dwelling CommerciaVindustrial 8 ❑b buildings,
❑ Accessory building amps for all other fnstelletiona. baildinga,
0 Multi - famil ❑ Master builder ❑ Other: afire pump. 0 !allellationof75KVAor
' aCr. .. s oul
'¢• `� 's i• . '' I r 1" a 'S i ra S o 1 n! i (i G �/;!; ' `" '.i.. r Emge system. larger t uatel derived stem
•
�f. ,. • . a a dcnx usual ..: ? •il
::.. �.'� ; � �::...• i
, ,.,,...li. � Additerielt of ncy now major land of ❑., .• ,.
Job no.: 1546 b 3 Job site address: j il �5 6� �j IOOHP or more. Reore anoy.
U17f SIa or more residential units, 0 Revealonal vehicle parks.
City/ State/ZIP: • if . o R C 7,
f O_ 7cJ DHeallh.are facilities. 0 Supply voltage rot more tltau
Suite/bld Je t. no.: l 0 � Project name: .' 4 0 Se w r ice O e locations.
00 0 amps or mere. 600 volts ninnies!.
g P - , / le li • 7- I07-104445' ❑ Service Of p 6� i 0
• ,tr9 g • ti+ • m• � 1 r • ro 51 nr' ?vs 1 . 1:',%:! ;
Cross street/directions to job site: , ;1 r W'I ,.J b� "_�'.:',Iilvh �° �Jsr��:i
Degadadon CST. F. Illlii== •
' New residential single- or multi - family dwelling unit.
Includes attached : rage,
Subdivision: j Lot no.: 1,000 sq. R. or Ices 145.15 4
~ Tax map /parcel no.: Ea. add'I 500 sq. ft or portion 33.40 I
,tf� • ' r ,r,. 1 ; ►1 r, : ., � Y ; Limited energy residential
, 'tr:R!!1n.�,i `' i ti A 1 tl t o + 4y°rt , e t a °2s1. ;',; 75.00 2
l
. _o . ••� IIt� •Czii,A ? \ ::h= ;It`;' �:� ��. :• � : " . :.I : : (w shave vq. a.Z
Limited energy, multi- family ■
hAir�ows 71v t (Sr!NC�_ INTR�sfoN �41AR -01 residential etth above sq,a) 75.00 2
Services or feeders Installation, alteration, and/or relocation
r: ".5':" v;l >T��ir "� .+'. l .. tic. : 1 ' ; . n,,; >w .,, 200 amps or legs 80.30 2
e�0 'Ca /4 e..:` f.•1'r' %„ :�,:,.'' ,, ;1;t Ltiu `:n . {.i,a;!iiii .S 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 T 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary cervices 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 am •s 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
Owner signature: Date: Branch circuits •- new. alteration, or extension, • panel
�.c ;,�rYi a gy qtr : rim A. Fee for branch circuits with
i:::'aL` ;? •`fi' k i : a . :. iiS ly j,,; i • Elu�1'�; :41:,,I:, ^ � 1 i above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name:
without service or feeder fee, 46 .85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
• Miscellaneous (service or Rader not Included)
City. State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90 90 2
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump r irrigation gallon clncle 53.40 2
' "r' a:' k h' ' .a. ' e "•4It (F .; ,~i')7t3,^ : ,r,:,' ; r V.
business name: Action Technology Systems LLC energy panel, alteration, or
Signal circult(s) or limited-
Address: 835 SE 17th Ave. 1
CityiState/ZIP: Portland, OR 97214 . Each additional Ins ection over allowable In an of the above
— Per inspection 62.50
Phone: (50 i - . e Fax; ( • ) _
•
Investigation hour (I hr mln) 62.50
CCB Lic.: 157630 Electrical Lic.26- 775CLE Supr Lie,: 1OOLEA Industrial
Suprv. )electrician signature, required: 3 [ .,4,VA r to _'
Subtotal: 5 5,00
Print name: pate; Plan review (25%ofpermit fee):
J ame.8 , / r State surcharge (12% of permit fee): �i Qa
�
Authorized signature: /" /IG
TOTAL PERMIT FEE: $ v., DC,
Print name: Rena rkland Date; ‘,//41://99, 1 abl This permit applice eeptree If a permit Is not obtained within I80
days after It has been accepted as complete.
• Number ofinspeotiona allowed perpe emit.
I:V 3uildlrap 'ctinit,VELC•permbADp•dec 05/23/06 4d6461ST(I t COa4WBa
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2009-00M0 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2009
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/2/2009 TIME: 7:00AIVI PAGE: 4
SITE ADDRESS: 1'i94& SW SEQUOIA PKWY 1 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME:. COMMUMCATIONS
DESCRIPTION: Alter existing burglar alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ACTION TECHNOLOGY SYSTEMS PHONE #: 503.231 -1932
Inspection Request Scheduled For: Date: 3/2/2009 Pour Time:
Code # Inspection Description m # Contact # Message
199 Electrical fin al 080950.01 503.231 -1992
Corrections /Comments /Instructions:
JA "
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Noe Lc Date: 3 .7' 1 Phone #: (503) 718- 2444