Permit 71 4 4 CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00338
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/10/2007
PARCEL: 2S 113AD - 01900
SITE ADDRESS: 16640 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 009 JURISDICTION: TIG
PROJECT: VERIS
Project Description: Low voltage cabling for data.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
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 CAPITOL DATA & COMMUNICATIONS
15350 SW SEQUOIA PKWY #300 -WMI 11401 NE MARX ST.
PORTLAND, OR 97224 PORTLAND, OR 97220
Phone: Contact #: PRI 503- 255 -9488
FAX 503- 257 -7121
FEES Reg #: ELE 26- 1054CLE
LIC 142457
Description Date Amount SUP 2834LEA
[ELPRMT] ELR Permit 9/10/2007 $75.00
[TAX] 8% State Surcha 9/10/2007 $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 • uestions to OUNC at - 2 • .6699 or 1.800.332.2344.
Issued B /J /� �/ // Permittee Signature: S Ip P(cif r
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.
09/10/2007 07:36 5032551966 CAPITOL ELECTRIC PAGE 02
:.; r For OFFICE USE ONLY
',et t><• ic al Perm 1 c . t t o [l a . Received qq� h • Date/By: -/ t/ Permit no,;E /*l Jyl 3v /
City of Tigard 2001 Plan Review w
13125 SW HALL 13LVU., TIGARD, OR 3 __ ', i � 1 � Date/By: Other Permit
Phnnc: (503) 639-4171 Fax (503) 598-1 0 :._; ° tC ITY Of TIGARD Date Ready /Ry: J sae Page z rnr
` � y
Inspection Line: 503 -639•d 7� e i �. < . _ L. - Notificd/Mcthod: sa Inf rmnli
Internet: www.ci,tigard,or.us�..- sr- ,-- ..s'... 4 I �., .
1fi J;; ..IVPSOF`WORK PLAN REVIEW
Nov construction LI Additinn /3ltcration/rcplacement Please check all that apply:
❑ Ikmolition ❑ Other. ❑ Service aver 225 amps, comm'I ❑ Hazardous location
CATEGORY OF CONSTRUCTION ❑ Service over 320 amps - rating n Building over 10.000 sq.lt.
LJ 1- and 2- family dwelling 1' Commercial /industrial [i Accessory building Of 1- and 2- family dwellings 4 or more new residential
Multi - fancily U Master Builder ElOthcr _ ❑ System over 600 volts nominal units in one structure
J06 $rrP. INFORMATION AND LOCATION r1 Building over three stories [_I Feeders, 400 amps or more
Job till.: C70352 Job site address; 16640 SW 72nd ❑ Occupant load over 99 persons ❑ Manufactured structures or
❑ Egress/lighting plan RV park
City /Slum /ZIP; TIgaed Or. 97224 U Health-care facility n Other,
Submit 2 sots Of plans with any of the above.
Suitc/bldgJapt. no.: Project name: Voris Expansion The above are not applicable to temporary Construction service.
FES SCHEDULE _
Cross Street/Directions to job site: Denerlpdnn J Qry. I Fee. I Totnt 1
New residential - single or multi - family dwelling unit.
Subdivision: l-o I no,: Includes attached garage.
1000 sq. it or less $ 145.15 4
Tax map/erect no.: Ea. Add'I 500 sq, R or portion 5 33.40 1
DESCRIPTION OF WORK Limited energy residential S 75.00 7
Limited energy, non - residential S 75.00 2
Each manufactured home nr nodular
LI PROPERTY OWNER 1 LJ TENANT dwelling, Service and/or feeder 5 90.90 2
Service or feeders Installation. alteration, and /or relocation
Name: 200 amps or less S 80,30 2
201 amps to 400 amps $ I06.115 2
Address: 401 amps to 600 amps $ t 6n.ri0 2
City/State/ZIP: 601 amps to 1000 amps 5 240.50 2
Over 1000 amps or volt. 5 454.55 2
Phone: Fax; Rcconnectonly S 60.85 2
501- 295 -5555 Temporary services or feeders Installation, alteration, and/or
Owner installation: Thin installation is being Made on property that 1 own which is not relncatinn
intended lbr sale. Lurie, rent or exchange. according to ORS 447, 449, 670. and 701 200 amps or less S 66,t1•S I
(loner signature: Date: 201 amps to 400 Itmpa $ 1 00.30 2
401 amps to 600 amps $ 133.75 2
Lr APPLICANT 1 1J CONTACT PERSON Branch clrcultn - new, alteration, or per panel
A. Pee for branch circuits with
Business Name: ncrvicc or feeder ree, each
branch circuil 9 5.65 2
Contact name: B, Pee for branch circuits
without service or feeder fee,
Address: mch branch circuit 5 46.85 2
Each additional branch circuit; _ S 4,65 2
City /5tatc/ /IP; Miscellaneous (scrvicc or feeder not included)
Phone; Fax: Pump or irrigation circle $ 53.40 2
Sign or outline lighting S 53.4U 2 •
F. -mail: Signal circuits(s) or limitcd-
CONTRACTOR energy panel. alteration, or
extension. Describe: Network Cabling 1 Pagc 2 2
Business Name; Capitol Data a Communications, Inc.
Ci nL•1Ct nalnC: ��� '/IOG!/!/Gt�.. Each additional inspect:on over allowable in any of the above
Per inspection S 63.50
Address; 11401 NE Marx Street Investigation per hour (1 hr min) ` S 62.50
Industrial plant per hour 5 73.75
ELECTRICAL PERMIT FEES'
City /Stale/ZIP; Portland, Oregon 97220 Subtotal 75.00
Plan review ( of permit fcc)
Phone: 503- 255.8488 Pax: 503. 257.7121 r
State surcharge ( 8% o pemcit fcc) 6.00
CCB Lic.: 14257 lEtlectricnl Lie.: 26 Io43CLE 1 Suprv. Lic.: 3132.5 TOTAL. PI.RMIT FEE 61.00
ThM wall application expires If a permil b ant WattledWattled within 180
Suprv. Electrician aiLmnnrM days application f
, required: . •r ran „ m p r e w
Print Name: Roy Younger Datc: 9/10107 • Fes mdhndology sat by 7ri- Canary Building Industry Sanice Board
• 'Number of inspectltna per permit ollowod.
Authorized signature:
Print Nance: Ray Young "1:41-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00338
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2007
Phone: (503) 639- 4171vt
Inspection Requests (24 Hrs.): (503) 639 -4175 1_..
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7 :00AM PAGE: 4Q
SITE ADDRESS: 1664() SW 72ND AVE 810 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: AR9 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: Low voltage cabling for data.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL DATA & COMMIUNICATIONS PHONE #: 503-255 -9488
Inspection Request Scheduled For: Date: 11/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0590750 971 - 506 -3396 ' Y
Corrections /Comments/ Instructions:
Asir PA c o� Ni Gds
K530 .p5
�.� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAI ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' ` •e:• LE"
Date: 6f 01 Phone #: (503) 718- 10
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELft2007 -003 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91/012007
Phone: (503) 639 -4171 ,1 VIII
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!� R__..
INSPECTION WORKSHEET FOR DATE: 9/14/2007 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: Lobe voltage cabling for data.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL DATA & COMMUNICATIONS PHONE #: 503.255 -9436
Inspection Request Scheduled For: Date: 9/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage C' L 1 N q v 055727 -01 503 - 597 -0705 Y
Corrections /Comments /Instructions: T. N 1 GK C?'�4Q �/ I
aktz•N IO £ a.Q.6S YI CAAVCJO bF C-- N ^Ofj
'PcuoJ% c..NQl AK T 1z1,.\Vlttcsmt61.
TS► %.. c., -t y re 1 5 10 41 ALL t • .
is `tA%5 A PlS2.1 v1 g iL.1 ? , ?
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . ' W C i e LE Date: R1 Phone #: (503) 718 - 2.400
1