Permit .
111 u CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00122
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/11/2007
PARCEL: 2S 10X8 -02300
SITE ADDRESS: 13240 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 008 JURISDICTION: TIG
PROJECT: PACIFIC MEDICAL GROUP
Project Description: Security systems and voice, data cabling.
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: X
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS:
Owner: Contractor:
PACIFIC PROPERTIES TECHNOCOM INC.
BY MARTIN JOHNSON 7929 SW BURNS WAY # F
13200 SW PACIFIC HWY WILSONVILLE, OR 97070
TIGARD, OR 97223
Phone: Contact #: PRI 503- 682 -4195
FAX 503- 682 -2781
FEES Reg #: ELE 34- 269CLE
LIC 73872
Description Date Amount SUP 2281LEA
[ELPRMT] ELR Permit 5/11/2007 $150.00
[TAX] 8% State Surcha 5/11/2007 $12.00 REQUIRED ITEMS AND REPORTS
Total $162.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: iir ig 11 /' // , /.. Permittee Signature: jet /,191/(r on
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• ' 05/1 1 /2007 10:26
4 511 01.
5036822781 TECHNOCOM PAGE 01
Electrical Permit Applicar e-% L-7 1 •$, 9' : • ,,,,, „,.,,:,,,„ , :s.. ()NEN
• " See Pagc 2 for
2 W Tigard
lig
City of 1 s Hall g d r
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; • ' Phone'. 503.639.4171 Fax: . T:oc ooR3,599782.12,3p i ta v L. D LI • 00 (
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pi atc/B an Rayi inv
Date/8 .: Permit No.:E: • i •• - Z . Z .
Other Permit:
Inspection Line: 503.639, i 2007 Dale Res
,.. siy/Thy : ES
TIG 4175 1 Irk i AR1) Notified/Method: Erl Supplemental information
Internet: www.tigard-or.gov ._... _ , •
_ • . • - % . IP . ID • °— ... .: .:../ . . • • 7 •Y• ..',. :::::Lit;;.:• :;-i:: :..ii:::':::'••'' '''.. : • '9;
• • • .: :.:;': : ......s.; :: .,•!;., 7 ::': ...:'!..:•::■ i s ,
i 101011. :„...,....,.......,.... 4 „..::.,..,—„:.: ,..: : :.:,:::-.... i _s.„..... ,, ,,..,, , ..,..„.., ? „....!,....:, .
aki , Please check all that amity (submit a sets crf plans w/it h eked below):
0 Ncw construction IN Addi • teTa tientrep acerneri n SCrYlCC or lbcder 400 amps or MOM I:I Blinding over dime stcrries,
El Demolition 0 Other: where the available fault current D Marinas and boatyards.
—
• ;. : , '... t '-'... :•,.: 7 ".•;64, - . ' - V. ;044.1,66,iisTitesiiii,N,.:...: 7: . : ,.• : ...,..,. , ,•••• • :.•:.:••:!:.: .;:.....: exceedi 10.600 amps at 150 volts or 0 Floating buildinse,
0 1- and 2 dwelling (81 Commercial/industrial 0 Accessory building nmps for all other installatiens. building'.
0 Multi-family 0 Master builder 0 Other: 0 rim p 0 Installation of 75 KVA or
. .. ... C1Emcmency system. larger separately derived system.
..: „":;'..-‘. : :::' ... ::: . 1 , ' •.:•-• ':• ,4Y.A•00.W~ , :: :......;:::: :. . 0 Addition Of OM Meter IMO of 0 "A'. "E", "1-2",
100HP or more. occupancy.
Job no.: 074080 rob site address: 13240 SW PACIFIC HWY 0 Si% nt more residential units, 0 Recreational vehicle parks.
City/Statc/ZIP: TIGARD, OR 1DHealth-care facilities:. Cl Supply voltage fbr mote than
0 Hazardous locations. 600 volts nominal.
Suitabldg./apt. no.: Project name: PACIFIC MEDICAL GROUP 0 Service or Reda 600 amps or more.
- - " • , • • ,.:,.......;::.-.. :::!..." • ...,...
Cross street/directions to job site: beertintloo r Qt7. 1 rte. teed •
- New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: i Lot no.: 1.000 sq. ft. or less 145.15 4
En. add'l $no sq. ft. or portion 33,40 1
Tax map/parcel no.: Limited energy. residential 75.00 2
• : :. : ...:,. : .::; . i::: i.:!:•••• • • ::::::'' ::::!?"'.::. -: . ,;,.....,:,..',. ..-: .' :: (with above sq. it.)
Limited energy, multi-family 75.00 2
Voice, Data Cabling residential (with above sq. A.)
Services or feeders installation, alteration, and/or relocation
_ .
SECURITY SYSTEMS 200 amps or less 80.30 2
. .
!tailiili:rplaIt* :; :: ::7?: :1:: • ... ::.:. !:•': :. :-::.•!0:• . .....:...:.:•:'.......:.:':..:! 201 amps to 400 amps 106.115 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
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
• relocation
Phone: ( ) I Fax: ( ) 200 amps or less L 66.85
Owner installation: This installation is being made on property that I own which is not 201 afros to 400 amps 100.39
intended for sale. lease, rent. or exchange. according to ORS 447, 449, 670, and 701. 401 arrant tO 599 amps 133.75 11
- Branch circuits- new. alteration. or extensinn. per panel
Owner signature: Date: A.Fee for branch circuits with
. ''• '::'::':..:; :: :.! qtr 114 ...:::'...!..*:': :; : • ".....4: ‘,:l.i.. :.::..!..:' : .:::,, above service or feeder fee, 6.65 2
each branch circuit , ..
Business name: Fr. Fee for branch circuits
without service or feeder fee.
Contact name; 46.85 2
first bnindi dretlit
Address: Bach addi branch circuit .., 6.65 2
- Miscellaneous (service or feeder not included)
City/State/VP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66,85 2
E-mail: Pump or irrigation circle 53.40 2
; :: : :•:• . .;: : :. :: ir...... , ...: .: ::.:: : .... ; •i: :'.• . : • • :. , ,:.. ...,;001FR I AGTOR - :: : ::. :!-: .. : . ...:" i Sign nr outline lighting 53 40 2
Signal circuit(S) or limited-
Businws name: Technocom Inc. enema panel, alteration. or 2 75.00
Address: 7929 SW Burns Way (Suite F) extension. Describe: Page 2 2
. ,
City/State/ZIP: WILSONVILLE, OR 97070 Each additional inspecdon over allowable In any of the above
Pcr inspection 62.50
Phone: (503) 682.4195 I Fax: (503) 682-2781 Investigation per hour (t hr min) 62.50
CCB Lic.: 73872 [Electrical Lic.: 34269CT..F. LSuprv. Lie.: 2281LEA Industrial plant per hour , 73.75
....::•:;':::: . : : ,ELECTlitilrIAL:PERMIlfolSBES:!:: •.,::::;;•
Suprv. Electrician signature, required: 10/1 j Subtotal: 150
Print namc: Jeff Sandner Date: 05-11-07 Plan review (25% of permit (he):
— State surcharge (8% of permit fee): 12
Authorized signature: . /A447 TOTAL PERMIT FEE: 162
This permit application expires if a permit it not obtained within 180
Print name: JEFF SA > rj • / I Date: 05/11/07 der. after It has brim accepted as complete.
• Nonthcr of inspections allowed par permit,
IASuildinguhmilsw,c-reimhApp.dac 05/23/a4 een-idt 5T( I I/05/COM)WER
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11 /2007
Phone: (503) 639- 4171t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 59
SITE ADDRESS: 13240 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 008 TYPE OF USE:
PROJECT NAME: PACIFIC MEDICAL GROUP
DESCRIPTION: Security systems and voice, data cabling.
OWNER: PACIFIC PROPERTIES, PHONE #:
CONTRACTOR: TECHNOCOM INC. PHONE #: 503- 682 -4195
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description I Confirm # Contact # Message
1 99 Electrical final 050744 -01 503. 454 -7379 N
Corrections /Comments /Instructions:
N
PASS ' ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: v ' °CS L' Date: b'ZZ 1 Phone #: (503) 718- _04L
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: ELR2001 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2007
Phone: (503) 639 -4171 �ogNl
Inspection Requests (24 Hrs.): (503) 639 -4175 A- 1—
INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 13240 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 008 TYPE OF USE:
PROJECT NAME: PACIFIC MEDICAL GROUP
DESCRIPTION: Security systems and voice, data cabling.
•
OWNER: PACIFIC PROPERTIES, PHONE #:
CONTRACTOR: TEECHNOCOM INC. PHONE #: 503-682-4195
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description # Contact # Message
135 Low voltage 6.01 503- 454 -7379 N
Corrections /Comments /Instructions: \� -
d �Z t41
ALL i N v sSD c f-ter.
• U
MCA ., a p__ _ Leg Lax Ot- . x\ S'T r, N b.► ci■BLar A 5
V ts1 N acL. EAL, 3"f k cic v S•+± AND
s o ∎ ,a )%s 1 l.g C■27- 4100 bF.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r 0142)(
` 142) ( --- G Date: 51 1 7101 Phone #: (503) 718-14r