Permit . CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2011 -00172
[ CARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/20/2011
- T
Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 300
Project: Aeroteck Subdivision: Lot:
Project Description: Data telecommunications system.
Contractor: SERVICE COMMUNICATIONS INC Owner: WISCO REAL ESTATE EQUITY FUND I
4120 SE INTERNATIONAL WY A -109 1501 SW TAYLOR ST STE 100
MILWAUKIE, OR 97222 PORTLAND, OR 97205
PHONE: 503 - 723 - 6415 PHONE:
FAX: 503 - 723 - 6416
FEES
Description Date 0 Amount
Specifics: Restricted Energy Permit 07/20/2011 $75.00
12% State Surcharge - Electrical 07/20/2011 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: Y Fire Alarm: N
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N Total $84.00
Other Desc: Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a co• of •irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _ Permittee Signature: r i -
i L4111.
/ 7
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Jul - 19.201112,45 PM Service Communlcatlons,h563- . 416 1/3
rl :A../ D v L
Electrical Permit Application 1,(n: 01.1.1 0.: USE ()NI A'
City of Tigard JUL 19 2011 Road
13125 SW Hall Blvd. T( ord OR 9722. Date/II • 7 i �I ?omit No : J: ,
! g . Pl aoRevi an / � ��' ._coo ._coo ` ' ` Phones 503.718.2439 Fax; 503.598, I- ,1 .1 Or TlCad� n D p ' bo te/B . Other Parrott: rU / i1 -15
t 1C, �tctr rnttpoctionlana: 503.639.4175
BU II DING DIVISION 3)...11...4 :y; rt rlt sc. Page 2, for
Internee www,tigard -orgov Notified/Method: ,j Supplemental Information
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❑ New construction ® Addition/alteration/replacement Pl ease chock all that apply (submit am. of plans %Wa ne attacked below):
❑ Demolition ❑ Other: ❑ 6etvica or feeder 400 amps or more ❑ Building over three stories.
Whom the ova1Iabla fault current ❑ Marines and boatyards.
p ? +t � ••7,y ,, o' }.. F{ � ` f I exceed, to 10,000 amps exc e o 130 wits or ❑ Floating buildings
1 a 2-family dwelling Commercial/industrial leap to ground, or exceds 14,000 ❑ cammarelal•use agrioultvrat
❑ y g ® ❑ Accessory building amps for all other Installations, b0ildinga.
❑ Multi- family 0 Master builder 0 Other: ❑ We pump, ❑ ant allatton of 73 KVA or
', =}3?4 . `n• , 1 ' 4:•. ^ fv i -. K' V 4'r.
%",,�,, ,�° �.k �,zwx' y:.saxst�. �r•4�`"�,4y.����� � � ; �-,;x, Drrcrgctreyaystam. largeraapuatefydarltrodayatem.
8.. ^k'» �«�. y ,akt f:v,- t , S � , :1 °b� ' f) wt r:,1Lt » ,
; �... s.:�.rrl;.lr..=rv;�_a-:r,.�..y }..�.3s�at;:.u,.. n.tr..... .�,.. 3.44 .�... ��,.� ❑ a dditi on of motor load or ❑ A' , ° E ° , . „ 1.a , 1.3 ",
Job no.: USSTR13149 Job site address: 9020 WASHINGTON SQUARE ROAD looks or more. occupancy,
❑ ax or more roeidentlal untie. ❑ Recreational vehicle parka,
City /State/ZIP: TIGARD, OREGON 97223 ❑ Ha otth -care raellain. ❑ Supply voltage fbr more than
❑ Hazardous Inratjane. 600 volts nominal.
Suite/bldg./apt. no.: 300 Project name: ALLE . ROUP k ❑ S,rvice or (Cedar 600 area or morn
Cross street/directions to job site: D., I t t e :=� n ;iif4 ` {,r
Dest 9t Fee. TOW •
Now residential single- or murlti_famlly dwelling unit.
Includes attached garage,
Subdivision: Lot no,; 1,000 sq, ft, orlon 168.54 4
Tax map/parcel no. M. add'I 500 sq. ft. or portion 33.92 I
�?o-� � y Lintitod anorgy, residential 73.00 2
"' -0t ._ ' 4La'ro? . ' r:: ° 7 Z,L j ; S : ^,,, re si n r � r (with ahava sq. ft.)
Limited energy, multi - family
INSTALL, VOICE AND DATA CA13L1NG residential (with above an A.) 75.04 2
Services or feeders lnstallatio alteration, and/or relocation
_� � 200 amps or leas
100.70 2
x, . W . :i [, - a 2 0 f0 . rk �x y�"s41d71"� s
'6. ` b . 111 , ,' as 2
�, � , �-° ��„ 201 amps to 400 aims 133.56
Name: 401 amps to 600 nova 200.34 2
601 amps to 1,000 amps 301.04 2
Address; Over 1,000 amps units 552.26 2
City /S tatC , ' m. Temporary services or feeders installation, alteration, and/or
rase: di/1n
Phone; ( ) Fax: ( ) 200 OMB orless 59.36 1
made o property
201 amps to 400 amps 125.08 2
Owner installation: This installation is being p party that I own which is not 401 amps to 509 amps I68.54 2
intended fbr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - now, alteration, or oxtsoalou, per panel
Owner signature: Date; A Foo for branch clteulte u/th
?asses %z . 4 ; ;. 40`:k.1. ;.:tri v c{ { ' /..b.i '•'. a above arch or o l lt. foe, T.42
r. :�� �� �� onoh branch omait 2
Business name: B. Fcc for branch circuits xithorr
service or feeder fco, tint 56.18 2
Contact name: branch olrouit
Each add'l branch circuit I 7.42 12
Address; Miscellaneous (service or feeder not included)
City /State/ZIP: Hach manufactured or modular 67,84 2
dwelling, ac vlco end/or feeder
Phone: ( ) Pax:: ( ) Rceonnoot only 67.84 2
E-mail:
Pump orlrtigotion circle 67.84 2
E • t. } u . Signor outline lighting 67.84 2
.T.Or �-x''� »r...f3 E, .e r , , Signal ot tvutt(a) ordimited•cnomy
Business name: SERVICE COMMUNICATIONS, INC. panel, alteration, or extension. 1 page 2 1 2
Each additional inspection over allowable in any of the abov
Address: 4120 SE INTERNATIONAL WAY SUITE A109 Additional inspection (1 hr min) ! j 66.2S/hr
City /Statt /ZIP: MILWAUKIE, OREGON 97222
Investigation (1 hr min , 66,25/hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 723 - 6415 Fax: (503) 723 -6416 Inepoationa for which no Ere is 90.00/ hr
Cal Jas: 90175 acid! llatod A br ash
Cal Electrical 3365 irk , W .., ,k,; T ° ° i cf »..
Suprv. Electrician signature, required: � r /L►./��rre,1 subtotal: 75.00
Plan review (2595 of permit fao): p
Print name: Damn DeCoster Date: 7/19/2001 State surcharge (12% ofpornult iho): _ 9,00
Authorized signature: TOTAL PERMIT FEE: 84,00
This p ermit application expires if a permit is not obtained within 180
Print name; BILL, KRATQ 'A= Date: 7/19/2011 days nnern has been accepted as complete.
• Numbarar par permit,
1511Wid1ygl onnitelELC•PonatApp•doa 07/01 /10 440.44 IST(ll/05/COM/wl8
Jul -19. 20111245 PM Service Communications, Inc. 503. 723.6416 2/3
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT PEES:
3 .:•. , ... r. 2 4w:.: h.. tc. � a. . iti• za.- yu-_.: t:,',.. 9.: f- ro .,�"....,33''Y3�:.,:a..F�x.. -.
Fee for all residential systems combined....,,,. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
[] Vacuum Systems*
[] Other:
1- '- .'xS,s$`2 .t rr '°
Fee for lash commercial $75.00
system
(SEE OAR. 918 - 309 0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
® Data Telecommunication Installation
❑ Fire Alarm Installation
O HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
lauilEfnePumiLSSIX- PwmitApp.doo 09/01/10