Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I6, DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00175
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/4/2006
PARCEL: 2S112AD-01000
SITE ADDRESS: 07007 SW CARDINAL LN 185 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
Project Description: HVAC.
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 8/4/2006 $75.00
[TAX] 8% State Surcha 8/4/2006 $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 22466 -- 6699
Issued By: ��� il .� „_ s�4L�G Permittee Signature:
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 AhiCaoki . ": . . FOR OFFICE USE ONLY .
ed
City of Tigard Received � —
Date/By. % ' Permit No. , t7 l)
JUL 21 2006 / /R� Review
I7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 I Date /By: Other Permit:
Inspection Line: 503.639.4175
CITY Q y A � 4� I,. Date Read /B ® See Page 2 for
Internet: www.ci.tigard.or.us ��� LI Of Notifi Method: 1 /U Supplemental Information
M� >, � � ' �R E ,O'F"�WORK <;� • '" � `P RE .
,E
❑ New construction ® Addition /alteration /replacement Please check all that apply:
❑ Demolition 1=1 Other: ❑Service over 225 amps, comm'l EHazardous location
EService over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
y 'CATEGORY. OF CONSTRUCTION ':• of I - and 2-family dwellings 4 or more new residential
❑ I - and 2 family dwelling ® Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure
El Multi family 1=1 Master builder ['Other: ❑Building over three stories ❑Feeders, 400 amps or more
rsons red structures or
;;: , ;. ; �., %�:, „,,J�QB`. ; INFORMATIO :'A ND, ; IOCAT ONi = ..: ' ' ; ` ' ❑ E 99 tu gress /light Egress/lighting plan V park
9
R
EHealth-care facility ❑Other:
Job no.: 8941 Job site address: 7007 sw Cardinal lane
Submit 2 sets of plans with any of the above.
City /State /ZIP: The above are not applicable to temporary construction service.
a
Suite /bldg. /apt. no.: 185 Project name: Common Wealth i' ' '`` - ; '" / FEE * ',':;:,r' *,
Description Qty. Fee. Total
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
r ;` energy, non-residential 75.00 2
'4.48..4P, A° t DESCRIPTION.OF °:WOKK"7i <2t,..
.. -,.,,.:,.. ; Limited l r y n n en 1a
_... _ i ., - ._.�i� ,• .. " :- ._��;�.,��„ . -���.. ;�_;�,,,: , , ,.a -..<. __ �
' Each manufactured or modular
Thermostats & wireing dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
;,` i.LTROPERT:Y ::OWNER. -F ;,, v TEINANT'
„ - amps to 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 1
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
°. °' °" �°"'" -
®= ,APPLICAN'C r;�- � � � '`'CONTA Td'''1' �`� ' yY 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)
Phone: (503) 519 - 6199 Fax: : (503) 238 - 9767 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
- .:. :� •
; ; ; .. 1 % r; ., ; :f (',,n�;,,•„ energy �° - � `, ,:: , ;: CONTRACTO)3� ° &< •: ° := ;:,�,.:. >''_: ;,,., , gY P anel, alteration, or
extension. Describe: 1 Page 2 2
Business name: Same as above 1
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Investigation per hour (1 hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
' �tfi ELECTMIGAL, PERMVIIT FEES *. I _,
CCB Lie.: 38868 Electrical Lie.: 261063 CRE Suprv. Lie.: 26131eb Subtotal
i Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee) •
Print name: Date: 7/21/06
TOTAL PERMIT FEE
r
Authorized signature: This permit application expires if a permit is not obtained within 180 _
days after it has been accepted as complete
Print name: i Date: 7/21/06 * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
is \ Building \ Permits \ELC- PermitApp.doc 12/03 44046 15T( I 0 /02 /COM /WEB
CITY OF TIGARD
. BUILDING DIVISION PERMIT #: ELR2 0G -00175
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/41200 y
Phone: (503) 639 -4171 ��'ub
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7 :02AM PAGE: 71
SITE ADDRESS: 07007 SW CARDINAL LN 185 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
• PROJECT NAME: COMMONWEALTH
DESCRIPTION: HVAC.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624- 6300
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 5l13- 233 -6911
Inspection Request Scheduled For: Date: 8/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
C Ire - ctisz, + v o . 034438.06 583 - 519.6199 Y C % V►sapt —°
• ns /Comments tructions:
\
-..
�1
,\
PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C'S' \111 d8 Date: g• 1' Phone #: (503) 718- 2.44