Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2009 - 00036
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/14/2009
PARCEL: 2 S 112 DA - 01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 190 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: DIANA HARRISON CPA
Project Description: Installation of low voltage for security system.
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 SONITROL PACIFIC
15350 SW SEQUOIA PKWY #300 -WMI 8220 N. INTERSTATE AVE.
PORTLAND, OR 97224 PORTLAND, OR 97217
Phone: Contact #: PRI 503- 223 -5822
FAX 503- 973 -7773
Reg #: ELE 26- 370CLE
FEES LIC 53535
Description Date Amount SUP 3628LEA
[ELPRMT] ELR Permit 1/14/2009 $75.00
[TAX] 12% State Surch 1/14/2009 $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: /�\JJiJf\L ( �� Permittee Signature: C ∎ . • � tOth DV
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.
J A N - 1 4 - 0 9 04:27 PM SON I TROL-PORTLAND 9737773 P . 01
S ,
Electrical Permit AnplicatiorRECEIVE Isk ived FOR OFFICE USE: (MIA' ;. 1
Ciiy of' Tigard
i .i one. W.09.-1171 Fax: - g 11125 SW flail lilvd., Tigard, DR 97:-'23
I li
l'h 503.598.1'1w Rece
JAN 1 4 1 ` i.) Vis
Nan Ill;Vit;W ..- , .arc..
Nu Mil Nf.Xig_ , .....
Otlivr Nunn. 1
.. • tit.A-PZ.O.Pq:.0 2 - • '
Ithpvetion Line: 50413 CiTY OF TIGAR 1):,0":
... ..._
• Date Kt:tidy/By: 1.1 - 71 Page /for
1 16ARD ' • : •
IllIonvl. www.iiinird.or.yov _ BUILDING Dmsi 0 .‘ if,„1,,,,„„ . ....--t_i_G S"1 larormattun . .
____ __PU
- _
• TYPE OF WORK PLAN REVIEW :
......__ _
0 N m
ew cuticiclion g Addition:alt m
eration/replaceent rivasu chvul: un thin upply (mit sub 1 sin, or pilith 161e111.tchccicd tic lim) '
'
0 sigt icv oi ivcdcr 4U) 4110., tit limn: El Buildups nwr IhNv soujefi, . I,
0 !2!! Other: when: (ha Jr:16111r malt vtni,ni 0 NItirink. and kvily
_ -----
CATEGORY OF CONSTRUCTION enued:: !ROW amp l I .in vull, ni LI Hominy builiina,
---_—_____-----,......—.--... It.•S% lu ground. wt c‘cuuLls 1000 r.,..1 Culinnurct41.114it 3itrictiliunil
0 I- and 2-family dwelling a Commerc ialiindustrial 0 Accessory building amps hr all other installationi, building. ■ 'l
0 multi.himil p Niititer builder 0 Other: 0 Pin: pomp. 0 InAlalialimi 0'75 10. or I .
: I
-- __________ 0 lilllefilvIlLy sy 3011. NOM scp.iratels-acroed system.
.•.... JOR SITE usTolom AND LOCATION .
0 Addition iirlico, Ionia toad or
----
tot II' nr num: utTupalley •:
Job no .:101 0001 Trl;silt: a■kli'ess: Isss s v j 5 4 , itio I,
.../ 0 iiA tor IlIn 112
tl; ,ItICIllial unit. . EJ lirctuall;mal whir liAtark$.
— . . . . . .. . .
City'Slate.'ZIP! P r 41 "4 _c) _ft c't "7 2 2 LI 0 Ilealni.vale fariliiies. D suppis voltage rot more than . 1
El I limakluu.; IltvallollS. NM %mil!: nnininal. 1 :.
R P 'It 11 IL! !opt no.: tCh 0 I Project 11:11111.:: Oia .k af i jin cp o Svrviccur li•uLltr WO ally, ul Illun
,_,.....„..---. . . .. . .
— FEE SCHEDULE
Cross strcerdireet ions to job site; ,. iimriviim - - — -----
i • - 1 - 4_,. I h• r. I I oat t • ! :
___ .. . . . .. . ........... ....._......___..... . ...__ _ . • • - • • -
Nov residential single- or mold-fondly doelling unit.
Includes attached garage.
_. __ .... . ._ .. .
Subdivision: I Lol nO .: 1,000 less
-----
- - . Ea. add'I 500 sa.11 or portion 3140 I ..
-.,—_. ------ ' ,
Tax map/parcel no.: _ Limited energy, residential
___--._-______------- 75.00
II.:i:f'zr.: DESCRIPTION OF WORK (with abiike_.11.) _ __... - .. - ---
----
Linntjd unergy. multiquitilly
) tV4. 11.. ... A'co.P.C.I.V—i-Y .S -i--er&, rside
.. ..--- ential Nith ahovv ski. a.) 25,00
-
Services or feeders Installation, alteration, nnWor relocation ; c
200 amps or les 1) t1.30 2 i '.•
..-',...-,: • • 0 PROPERTY OWNER 1 0 TENANT . 201 amp; lo 4(10 amps ..... 10G.85
2 ..
41)1 unIN to (m amps _ 160.60 2
Nome:
— 601 amps to I .f HH) amps i 240.60 2
-- • "
Address: Over 1.000 ;anti or volts I . 454.65 2 ; ..
Temporary serviers Wie:edirs liZnation and/or :
City/StutelZIP:
relocation
----.
Phone: ( ) [ Fax: ( ) 200 amps ur less
- 1110 ups
Owner Installation: This installation is being mode on property that I own which is not __ 4nt ps tu m 2
1 t {
401 to 509 an ips 133.75 •
intended for sole, lease, rent, or exchango, according to ORS 447,449, 670, and 701. umps 2
Branch circuits -new, alteration, or exiension, per panel
Owner signature: . Daw: -- -• . • •• --- * A. Fee for hrancr eireidis with . •
•
.. ,
- : • , 0 ‘PPLIC
' _1 ID CONTACT PERSON above SVINItIC or re,dvr I've,
((5 2 - -
--- each brunch circuit
Business name: 13. Fee for brunch circuits
_ ..... .. .. . . ... . ..... . .
ivithou/ service or limler ky,
: s
Contoet n01111 • 1irsi hunch circuit 46.85 2
.. —
Address: Fitch add] branch eireuit 6.65 2 .
._ _ .. . ... Miscellaneous oervire or feeder not included) .
. .
City/Stale/ZIP F.ach manufactured or modular
90.00
dwelling. 1:1 ■ icuAtIfor rce(Icr _ _ __ ... _ .......__! ., , •
Phone: ( ) I Fax: : I. ) Ficcunnect only 66 85 2 r.
— -
E-Mail:
-- Pump or irrigation circle - 53 40 2
-;:. • ,...- ' CONTRACTOR . in or outline lighting 53.4(1 2 - -
._._
Signal c hi:MI(0 or limited.
BUSiness name: 50 .---r fla 1 c.... energy panel, alteration, or
•
.___..._ _ —
Address: q no N. * InA -4 -irS AV. ., extension. Deseribe: Page 1 2
, . , i
City/Stute.'ZI I': Po r 4.1odikot 0 12-es 9 1 147 Encn atlaitunioi nktyquiin■yr nliniyiiiiic in any untie strove
— --- .t . Per inspection 62.50 , .
Phone: (SOIS) p,2 s iranSligillion pur hour (I h
.5 2 2 IF m (gos.) 973- ........._
hr Mod 62.50 .. .
. .
..--
CCD Lie.: 5355,5 11,..etri,„1 Lie.: atto • 510C oprv. Lie.: 35(01 LEA Industrial plant par hour 73.75 ' '• • i
—.., .. a ELECTRICAL PERMIT. FEES , • H.,'..;: "4 1 .:
supi.v. Electrician signature, required:
lf3P-.." -
Subtotal: 7 5,
__,...
, ......._ .........,___._
l'IIIII Tc•view et 544. Ill namil 11,1- • •
pnnt name. &Or dt.C1%,, 0(,) \k?■.... Date: I.. 14.01
Slaw. surcharge I I 2 aim mil fee i: i ...
Authorized signature: 'fal'Al. PERMIT HI':
_ _ ______._______._- --.. . — • --
T permit a
his per pplication ciptrcs Ir a permit Is not obtained ■vithIn 160
Print name. [- Date: dins aflrr II has been uremia as caMpiCIV.
• Nundwr n1 inveclionN all■INN ed per purnul. • ; •
1 ,
lAulklinel'unni, II U. Pcurol Anil Il.q. OW.' ill' .140 41
i
.i. ;
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: F 0(Ths. pcc REQUIRED ON GREEN INSPECTION GARD.,
✓ •Code Inspection:Description PASS Date ..I By ✓ Code . Inspection Description.'.. • PASSDate . By
•
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
• 415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drams 135 Low voltage
220 Slab' 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall •
250 Roof nailing • ELR - Restricted Energy'Permit
255 • Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry k • 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 'Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping •
• 899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection:
315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain •
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin •
410 Fill 350 . Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection •
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
•
CITY OFTIGARD
BUILDING DIVISION PERMIT #: S1 y tt p)6®36
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 _V/1
INSPECTION WORKSHEET FOR DATE: 1,_ 9 ,t Q TIME: PAGE:
SITE ADDRESS:' 5 Q.0 0I40 I • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
Vcm Gam -��
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1-24 - Oq Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
\ \.
IV
y t, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G'-1 N 6i ( Date: �- ' 9 ' Phone #: (503) 718- J44b
JAN -14 -09 04:28 PM SONITROL— PORTLAND 9737773 P.02
Electrical Permit Application - City of Tigard I
Page 2 - Supplemental Information
•
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
i f
Check v of Work Involved; ,
� t
❑ t
Audio and titcrau tit',tcnlS*
❑ Burglar . \l ii m
E
(.;;tre Do O
❑ I bating, Vouilatiun and : \it (:< ditiuiiing System* t
i
❑ Vacuum Systems*
❑ (idler;
I
� I
COM MERCIAL WORK ONLY:
Fee for tab commercial $75.00 j
system
(tiF ?1: (). \R 9 IH- 3u0-uuu ))
Check Type of Work Involved: j
❑ , \u\lui and
Stem) SvAtems _
❑ Buller ( :unn.ola
❑
Clock Systems
I
❑ Data I L•IccunlnuulicaItc In.I:tllsti0n
•
❑ fire :\i„,.,„
❑ ln;trununtatiun {
❑ Intercom and Paging Systems
i
❑ I.;tndsc•ahe 'irrigation Control* I
❑ Medical
❑ Nurse (: :tllti •
❑ Uutd ii.n Landscape Lighting* I
Prom: live Signaling
❑ Other
Total number of commercial systems: I
*No licenses are required. Licenses arc required
for all other installations
I INuIId �C ! j! iI,•I I �' r.•, mi : \pi, ! qb1 �.iq .