Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
•; '- COMMUNITY DEVELOPMENT Permit #: ELR2011 00244
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/01/2011
Parcel: 2S112DA00700
Jurisdiction: TIGARD
Site address: 7000 SW REDWOOD LN
Project: Northwest Engineering Service Inc Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Data telecommunications system.
Contractor: JUNIPER TELECOM Owner: PACIFIC REALTY ASSOCIATES LP
2147 N EMERSON ST ATTN: N PIVEN
PORTLAND, OR 97217 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 285 -0002 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 12/01/2011 $75.00
12% State Surcharge - Electrical 12/01/2011 $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. ATT ' • '. + egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -01 0 through OA' '52 001 - 0S! : You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332233
Issued = : 1 �:L 1 4 • Permittee Signature: C--C
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.
08/03/2011 14:30 5032853 JUNIPER #0081 P. 001 /003
'Electr Per mit l A I ,�� i:OR OFFICE USE ON i:,Y
City of Tigard �� Received , / _
U 13125 SW fla11 Slvd., Tigard 1 KIM dr _AI
DateB : 4
503 - 598.1960 �
Phone: 503.718.2439 Fax. Othcr Permit:
Inspection Line: 503.fi39.41�� � , ! '.: e
'.! 1 C: P.IL ( Ready /By: .. S ee Pngc 2 fpr
Internet: www.tigard-or -gov Notified/Method: • / Sapptemental laformation
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❑ New construction E Addition/altcradiOn/ Please check all that apply (submit 2 sets of plans checked below);
❑ Demolition IG ARD
lans w /itc over i ion ❑ Other: : UIL 1 k /Iv.. Ilk 'wh � ava bl efa�cnrrento Building. and boa tyard
1 °r „ J1r s �f'iP , O' I f l lNtl ' r v 1'r ', p ❑
,,, Yin.... ,. stn ' kc M F : rl 1W x f r: ° }ry d ri, ^' , ) yin + r rl , t exceed 10,000 am s at 1501 volts or
, ,.. .. - . «,ter, dustnal Accessory ...... r, r . , p ❑ Comm ia
1- and 2-family dwelling Commercial / -in lass s o orall o t e rcxeeods ons. ,
❑ Commcmdsl -,•� cultural
❑ building amps for all other installations- buildings.
❑ Multi - family ❑ Master builder CH Other. ❑ Fire pump. ❑ Installation of 75 KVA or
r till SrY�.ry „v C,ttr:nx. l rd x..aw...... ... , r.,...:•.'••,..r- rJW .',:'-.::.:r: n : J d
,, g rFrt,+ �o f 4'4 Y 4i0ii* r y , " , A „ a 1 " 7 r u td : 0 fimergenc new m. "A", "5 , "1-2", "1 - 3 derived ayatem,
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., ' ,. r r „v" r hd. .... . ..�1, , a � d ... rr 4r 1 ¢,,:,• p.ltJ,!n�n ,r �;� .: :w•,, ❑ Addition anew motor load of O .. A ., :�» « ..
Job no.: Job site address: 7000 SW REDWOOD LN tOOHP or more. ooctra
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite/bldg./apt. no.: Project name: NWESI (4 J Io ❑ Service or feeder 600 amps or more r Cross street/directions to job Site: • i - • ' ' "�I . New residential si x lc or multi mil dw I I 1 Vii`
o f r
Fee.
�+` y
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map /parcel no add' 800 sq. R. or m . . as , :r a q t r n u ^ .,va,.a .,r Limited energy, residential 33 42 I
ii " i a,la r ''.
' a "r ': ,, x as ins 1 1 e rx a ' r,ri,: dd '1 1 (with above sq. ft) 75.00 2
�
Limited energy, multi- family
network / data cabling residential (with above sq, ft) 75.00 2
Services or feeders installation, alteration, and/or relocation
ur wti sir 200 amps or less 100.70 2
r A x A�` x dRd�'M, p ''e p ti bh e,h ' ' °',xi ii,; ktdr lair�' `$ x,,i f v r2i, aoe
r. rr,W >• ,rx,atdrld '., dlr.a,.,.. �t'rnr',lta „ !.w,l,d a><gii t, ° y � r,n,, 4F it :i:g, ",, !,. 401 amps to 400 amps 133.56 2
401 amps t 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City /State/ZIP!
Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less _ 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, , r panel
Owner signature: Date: A. Fcc for branch circuits with
a o.
r q a aa u ,1 .,, ,....', J '..::, above service or feeder fee, 7.42 2
each brtmch c
Business name: B. Fee for branch circuits without
Scrvicc or feeder fee, first 56.18 2
Contact name: , branch circuit _
^' Each add'I branch circuit 7.42 2
Address:
— Miscellaneous service or feeder not included
City /State/ZIP: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fa ( ) Reconnect only 67,84 2
E -mail:
Pump or irrigation circle 67,84 2
tr' w q ' r' x , ' "�,?' Ja r�Or "ur ra "IrF, P14 �' "' 1 � i1! t" ^ + it Sign or outline lighting 67.84 1 2
5x49 +,r ..+' , ,,., i. ;,i0.' i 'i ' - / / i L r , , r ',i, r I '.'r I l i
. -. , ., " " +,, , -•�. Signat circuii(s)orlimited- energy
Business name. Juniper Telecom Ile
panel, alteration. or extension. 1 Page 2 7S 2
Each additional inspection over allowable in any of the above
Address: 2147 N Emerson St Additional inspection (I hr min) 66.25/lir
Ctty /Statc/ZIP: Portland, OR 97217 investigation (1 hr rui 66.25/hr
Industrial plant (1 hr min) 78,18/ hr
Phone: (503) 285 -0002 I Fax: ( ) Inspections for which no fee is
specifically listed (%1 hr min 90,00 / hr
CCB Lic.: 191388 ,/1 El ectrical Lie.: CL 27 : },!< �: ;:'i' ±'!;':��!';i`'? d �t . a " ! . M i `' '; , .
� E 0 Suprv. l,lc 1 O191.EA, � �i,., , ;, ' # " ': "..:. ,r, '� ^6 •
Suprv. Electrician signature, required: Pi Plan review (25% of permit ic
Print name: Eric Goranson Date: 11 -30 -2011 State surcharge (12% of permit fee): 9
-
Authorized signature: TOTAL PERMIT FEE: 84.00
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Date: 1 1 - 20 - 2011
Print name: Eric Goranson Number of inspections allowed per permit.
T:1 EUildias\Pvmimlf.C- PmmitApp4Q2 07/01/10 440 461srtIl/OS1COMIWEB
08/03/2011 14:30 5032853 JUNIPER #0081 P. 002/003
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
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Fee for ail residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
El Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other
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Fee for each commercial $75.00
system
(SEE OAR 918 - 309 -0000)
Check Type of Work Involved;
❑ Audio and Stereo Systems
❑ $oiler Controls
❑ Clock Systems
►/ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
•
❑ Intercom and Paging Systems
❑ Landscape Itrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1: 1Bw1dinglYermics \En.GeamitApp.000 a7roll10