Permit 7 , ,,,,, 'ai OF TIGARD
/1 ELECTRICAL RESTRICTED ENERGY PERMIT a. CITY
- COMMUNITY DEVELOPMENT
PERMIT #: ELR2007- 00413'
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/8/2007
PARCEL: 2S1120A- 01400
SITE ADDRESS: 06650 SW REDWOOD LN 355 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: BROKERS MORTGAGE
Project Description: Low voltage for data.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: ME DICAL:
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 STEELHEAD TECHNOLOGIES INC
15350. SW SEQUOIA PKWY #300 -WMI 11600 SE HAWTHORNE ST
PORTLAND, OR 97224 PORTLAND, OR 97216
Phone: Contact #: PRI 503- 255 -0364
FAX 503- 255 -3947
Reg #: ELE 26- 1205CLE
FEES LIC 168965 •
Description Date Amount SUP 3380 LEA
[TAX] 8% State Surcha 11/8/2007 $6.00
tELPRMT] ELR Permit 11/8/2007 $75.00 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 Notificati. e Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or .• ect questio • : ■ C at 503.246.6699 or 1.800.332.2344.
Issued ; y: L . do , / , i l_ 4 l Permittee Signature: J // 3 , 1
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 y 4�y 6 ;r t ' ,. '; °3� F OR OFFICE USE ONLY ,',` , H ', L" +, � ,
'AO ,, ^ 45 •,,c 5j5 mq ! „+4 , a,
+, , rP `+. I i ,•i,,,
ipg City of Tigar Received Permit No.: ( O7 .`C 9 t
Plan Re ;
° 13125 SW'Hall'Blvd. Tigard, OR 972 Plan Review
Phone 503:639.4171 Fax: 503.598.1960 Date /By: Other Permit:
Inspection Line: 503.639.4175 Date Ready /By: Juris: l' 65 See page 2,for
TIGARET
, i, ' : Internet: www.tigard- or.gov Notified/Method: Supplemental,Information
- . w 441. , r 4 „
' Fr, 4 'L
, .' / :, _y. r ° TYPE WO RKa s . _1,” =4 ;^ .�b S ,,. - ; . a ,,V' a ,� P P REVIEW -. r_ ? .
.m�^ .tzi � _ �. � . � r .na .fir 0
:is New construction ❑ Addition/alteration/replacement • Please,check alI.tbat•.a I (submit 2 sets of plans w /items'checked below):
❑ Service or feeder 400 amps or more ' ❑ Building over three stories
E. Demolition ❑ Qther: where the availablaaulf ❑ Marinas and boatyards.
`' sA" � ' -4 CATEGORY OF CON3TRTO
UCIN .,'� „ r,, ', , w , � 3 less to ground, or exceeds 14,000 ❑ Commercial -
2= s A , r Li4 r , y exceeds 10,000 amps at 150 volts or ❑ Floatin buildings.
;. om r w
use agricultural
❑ I- and 2- family dwelling Commercial /industrial Ell Accessory building amps for all other. installations. buildings.
❑ Multi- family ❑ Master builder ❑,Other: ❑ Fire pump. ❑'Installation of 75 KVA or
T tE ° "t°JOB - STTE INFOB.MATION A LOCATION '
, ❑ Emergency system. I larger separately derived system.
's. , .,�, _,''a.e _ �t � . � .. �, ate-,.. .&- � , ,...ter:, , , • r• ,, . , .�-.�c -r>-:. -.- g33 t , s, . �'�a_ 5 ❑ Addition of new load of I❑ "A", "E", .« «
Job no.: Job site. address:( ( A2 D Jt 100HP or more: occupancy.
sO6G p€O�
l►e3s' ❑ Six or more residential units. ❑Recreational vehicle parks.
City /State /ZIP: ?e �2T o.. ❑ Hazardous locations. , Supply voltage for;more than
2 � ❑Hazardous locauons. 600 volts nominal.
Suite /bldg. /apt:14: SS Project.name: p
❑ Service or feeder 600 amps or more
`CX I ft StCfA GPO .. , `w ` FEE SCHEDULE 2 _ ,, ., ' '. : �
Cross street/direc Ons t0. job. site: tVt�� t Description 1. Qty I Fee. I Total I CJJ�� I New residential single - or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000,sq. ft. or less 145.15 4 ,
Ea. addl 500 sq. ft.. or portion 33.40 1
Tax map /parcel no
_ Limited•energy residential
I'3 P/ DECRIPTIO 3 O F WO RK• u 7 "° f, � ` - a 75.00 2
� (with sq. ft )
� a a � �..,. �i ate, .. rr�.� . S,".zra�x.& .a f'4t�- a"!a4 -
' Limited energy, multi family ' 75.00 2
Pt Woe, residential (with above sq. ft.)
..Services or.feeders'installation „alteration, and/or relocation
•200 amps or less 80.30 2
. ' , : ' ? 7 , '° ,11 x `, PROPERTY OWNER 0..: 4 ❑ TENANTI' 1 } . & s , 4 201 amps to 400: amps 106.85 2
Name: P Pe G "r (2- a C , 401 amps to 600 amps 160.60 2
9” J 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 madeon'property that I own which is not 400 amps 100.30 2
201 amps to
intended for sale; lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 40,1' amps to 599'amps 133.75 2
Branch circuits, — .new, alteration, or extension, i er panel
Owner signature: Date: A. Fee for branch circuits with
V 0 ' APPLICANT fi; t P4` ® , CONTACTPE s above service or feeder fee; 6.65 2
each branchscircuit
Business name: B. Fee for branch circuits •
without service or`feeder fee,
Contact name: • first branch,circuit 46.85 2.-
Address: Each add'l :branch circuit 6.65 2
Miscellaneous (service 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 , 53.40 2
* •'e �'°` a k' k ` : ',.t, Sign or outline lighting, 53:40 2
.3 M '• , w ; -.rs, , , `: °.-.CONTRACTQR ,. 6> x � .n, g :
Business name:. L C� 1 �D G (f (i !�
exe nsio circuit(s) or.limited-
, l /' �i energy anel, alteration, or /
Address: 11 (0 5:E (.41„ e j — t -,. M 6 7 C C� - Desc�r' t/ . { Page 2 Y /' 2
City /State /ZIP 1 : e )(2 - 1 - LA N\ l 0 q '7 1/69 Each additionah / pection over allowable in any of the above
- Per inspection 62.50
Phone: ( ) f f Fax: ( ) Investigation perhour (1 hr min) 62.50
CCB Lie :: / b `( 6C N �a Electrical Lic.: star Suprv. Lic.:33 0 Industrial plant per hour 73.75
�
n e r'fiSi ELECTRI.cALtPERMIT F , i;c .
Suprv. Electrician signature, required: ...,,./ Subtotal:
Print name: e7 n p ra / Date: ( / g Plan revtew:(25 % -fee):
o
Statersurcharge (8% of permit fee): t 'OD
Authorized signature:. TOTAL PERMIT FEE: Q, / , ,,
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- 46t5T(11/05 /COM/WEB
Electrical Permit Application - City of Tigard
, Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL" WORK,'ONLY ? ' :. °m
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
n Burglar Alarm
n Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
❑ Other: ,
yCO ,ME AL WORK;rO A : "k
Fee for each commercial $75.00
system
(SEE OAR 918-309-0000) .
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
n Clock Systems
M Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
n Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control* , .
❑ Medical
❑ Nurse Calls ' - :
n Outdoor Landscape Lighting*
n Protective Signaling
El Other
Total number of commercial systems: ( . .
*No licenses are required. Licenses are required ' •
for all other installations
1:\ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD -,...-..: •
BUILDING DIVISION • ar, , PERMIT #: ELR2007-00413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/82007
Phone: (503) 639 .,,It
Inspection Requests (24 Hrs.): (503) 639-4175 — --
INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7:00AM PAGE: . 9
SITE ADDRESS: 06650 SW REDWOOD LN 355 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER •LOT #: 002 . TYPE OF USE:
PROJECT NAME: BROKERS MORTGAGE
DESCRIPTION: Low voltage for data.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: STEELHEAD TECHNOLOGIES INC- PHONE #: 503-255-0364
Inspection Request Scheduled For: Date: 11/30/2007 Pour Time:
Code # Inspection Description ir-m-.# Contact # Message
199 Electiical final 060584-04 503-956-6290 . N
Corrections/Comments/Instructions: _--
ika .11-s. -1 tv e tA oil vi .
. 4 c4 R..)
■ * C,
?itlit—i ■ 6N AV P141 6-i cAL bAirylAy Wa. 3 o, Lk-
,6 V Iko•i ? RATE %iip A S bli7F-7 0..r1) ■ 0 Aa.
csiF• -5-vt .16* (%) (tA[' al 6A fkicleN pi.k6 s■ (A
7 top.•:e •
AR so(:). VA .
0 PASS El PARTIAL APPROVAL fl CANCEL 7 NO ACCESS
3 FAIL %CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
• Inspector: G \1 I:1 1.— Date: Ili SO( 01 Phone #: (503)
CITY OF TIGARD • .--•r =� :;
BUILDING DIVISION PERMIT #: ELR2007- 004
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 , i 1 °, . ,, ?i' ‘ A.
Inspection Requests (24 Hrs.): (503) 639 -4175 '`''_i— i.
INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7 :0 PAGE: 26
SITE ADDRESS: 06650 SW REDWOOD LW 355 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: BROKERS MORTGAGE
DESCRIPTION: Low voltage for data.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: STEELHEAD TECHNOLOGIES INC PHONE #: 503- 255•03eA
Inspection Request Scheduled For: Date: 1214/2007 Pour Time:
Code # Inspection Description Confirm_ # Contact # Message
13 � Low voltage _ th 07313 p1 5,03 970 7 0 N
Corrections /Comments /Instructions:
Ls D 4. .
1
Na m w . ,1
n PASS ❑ PARTIAL APPROVAL ] CANCEL NO ACCESS
XII FAIL 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- . 02 LE Date: 1 Z " CTI Phone #: (503) 718- 1.4140
CITY OF TIGAR®
BUILDING DIVISION PERMIT #: EL.R2007 -00413
13125 SW Hall Blvd., Tigard, OR 97223 - - DATE ISSUED: 11/81200 7
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 .. _: °-
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7 :02AM PAGE:
SITE ADDRESS: 06650 SW REDWOOD LN 355 CLASS OF WORK:
SUBDIVISION: F >ACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: BROKERS MORTGAGE
DESCRIPTION: Low voltage for data.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: 9TE.ELHEAD TECHNOLOGIES INC PHONE #: 503 - 255 -0364
Inspection Request Scheduled For: Date: 11/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 05963x3 -01 503- 956-6290 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL • n CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: l7" • NIA Date: 1 141(`) Phone #: (503) 718- 2-11"01