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Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00209 .. I° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/18/2006 PARCEL: 2S 113AB -01201 SITE ADDRESS: 16535 SW 72ND AVE BLDG F ZONING: I -L SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: Thermostats A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES PROTEMP ASSOCIATES INC 15350 SW SEQUOIA PKWY #300 -WMI 9788 SE 17TH AVE. PORTLAND, OR 97224 PORTLAND, OR 97222 Phone: 503- 624 -6300 Contact #: PRI 503- 233 -6911 FAX 503- 238 -9767 FEES Reg #: ELE 26- 1063CRE LIC 38868 Description Date Amount [ELPRMT] ELR Permit 9/18/2006 $75.00 [TAX] 8% State Surcha 9/18/2006 $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. Issued By: . C � O� Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property 1 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. lectrical Permit App1 1 h � 1 Y FOR OFFICE USE ONLY City g of Tigard Received # m Permit t �� 0 v J� 9 DateB : a F • � . 13125 SW Hall Blvd., Tigard, OR 97223 0,—n Plan Review Phone: 503.639.4171 Fax: 503.598.1960 oc ' ',-t 2 0 e IA Date/By: Other Permit: Inspection Line: 503.639.4175 el l Date Ready /By: luris: ® See Page 2 for Internet: www.ci.tigard.or.us iii j j 1 1 0 Iii Notified/Method: 1/ir Supplemental Information .WITPINYRA 1 n ,IVITM PLAN REVIEW ❑ New construction ® Addition /alteration /replacement ' Please check all that apply: ❑Demolition ID Other: ❑Service over 225 amps, comm'l El Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi- family ❑Master builder ❑Other: 12 Building over three stories ❑Feeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park Job no.: 8978 Job site address: 16535 SW 72 " AVE ❑Health -care facility ['Other: Submit 2 sets of plans with any of the above. City /State /ZIP: TIGARD OREGON 97224 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: BLDG F Project name: OCE IMAGISTICS FEE* SCHEDULE Description I Qty. I Fee. I Total I '* Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular THERMOSTATS OF A/C UNITS dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ® APPLICANT 1 ® CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: PROTEMP ASSOCIATES branch circuit B. Fee for branch circuits Contact name: BRUCE BUTNER without service or feeder fee, 46.85 2 Address: 9788 SE 17 AVE first branch circuit Each add'l branch circuit 6.65 2 City /State /ZIP: PORTLAND OREGON 97222 Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (503) 519 -6199 Fax: : (503) 238-9767 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or Business name: SAME AS ABOVE extension. Describe: THEROMSTATS,WIREING Page 2 2 THEROMSTATS,WIREING Address: Each additional inspection over allowable in any of the above City /State /ZIP: Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 CCB Lic.: 38868 Electrical Lic.: 261063CER Suprv. Lic.: 2613LEB ELECTRICAL PERMIT FEES* f `_ �+ _ j Subtotal Suprv. Electrician signature, required: � _ /, _ ":› . J � V , Q � Y r Plan review (25% of permit fee) Print name: Ni\Co, ►V . / `/ ; S cd h�� ate: 9/6/06 State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE 7 / 00 This permit application expires if a permit is not obtained within 180 Print name: oce_ 6 v �Aj Date: 9/6/06 days after it has been accepted as complete * Fee methodology set by Tri- County Building Industry Service Board • _ i:\ Building \Permits \ ELC- PermitApp.doc 12/03 ' • 440- 4615T(10 /02/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #:Etik2006•4O2.Cti 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:91, 8/ Phone: (503) 639 -4171 /�mradp� I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: II- .06 TIME: PAGE: SITE ADDRESS: 115 35 SM 12t AU . g j & F • CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: Wvits OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message © Corrections /Comments /Instructions: .1 1.11&111■ �n ) ' V XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED — Inspector: • 38 LT. Date: 11 l' b 6 Phone #: (503) 718 -2.4i - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006`00209 . A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1 �.. INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7 :04AM PAGE: 91 SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK: . SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OCE DESCRIPTION: Thermostats OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300 CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 233 -6911 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038286-02 503 -519 -6199 N 1 I tar v.) \t Corrections /Comments /Instru ns: Ro vgllk - ;N •� 7 w '� a 4 6 - No`a' F7644--4 ---------w/M g l `' PARTIAL APPRO ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT'• N 043 LE Date: l o1 i -1 tt Phone #: (503) 718- 4‘0 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006 -00209 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2006 Phone: (503) 639- 4171�N Inspection Requests (24 Hrs.): (503) 639 -4175 �- I .. INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 92 SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OCE DESCRIPTION: Thermostats OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624-6300 CONTRACTOR: pROTEMP ASSOCIATES INC PHONE #: 503.3 233.6911 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Cod rtspe ' Description Confirm # Contact # Message 135 Low voltage 038286 -01 503 - 519 -6199 N Corrections /Comments /Instructions: a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY'• N6g Date: 1 I db Phone #: (503) 718- D w