Permit Ate CITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2006 -00214
DEVELOPMENT SERVICES DATE ISSUED: 9/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 350 ZONING: I - P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 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
Reg #: ELE 26- 1063CRE
FEES LIC 38868
Description Date Amount
[ELPRMT] ELR Permit 9/12/2006 $75.00
[TAX] 8% State Surcha 9/12/2006 $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 503 - 246 -6699.
1
Issued By: 447_ 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 Perm • iffi'od; FOR OFFICE USE O NLY
� . .
City of Tigard v, DDac�ed _ / PermitNo 421)(
13125 SW Hall Blvd., Tigard, OR 97223 I t �
g 006 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1 P 1. ; / ,e rei i'� Date/By:
Inspection Line: 503.639.4175 • t J_ _ Date Ready/By: ] vns: El See Page 2 for
Internet: www.ci.tigard.or.us b� \ �j Notified/Method: S' kr Supplemental Information
, YP. - W F ( 1 PLAN REVIEW
❑ New construction — 1/1 g dditton/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: • ['Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ['Building over three stories . ❑Feeders, 400 amps or more
['Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
Job no.: 8984 Job site address: 6650 SW REDWOOD LANE
❑Health - care facility DOther:
Submit 2 sets of plans with any of the above.
City /State /ZIP: TIGARD OREGON 97224 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: #350 Project name: Century West FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
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'I 500 sq. ft. or portion . 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK 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
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 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 l
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
El APPLICANT I ® CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: PROTEMP ASSOCIATES . branch circuit
B. Fee for service circuits es
Contact name: BRUCE BUTNER
without service or feeder fee, 46.85 2
first branch circuit
Address: 9788 SE 17 AVE Each add'I branch circuit 6.65 2
City /State /ZIP: PORTLAND OREGON 97222 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (503 -519 -6199) Fax: : (503- 238 -9767) Sign or outline lighting 53.40 2
E -mail: BRUCE @PROTMP.COM Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: SAME AS ABOVE a Describe:
THERMOSTATS Page 2 2
Address: Each additional inspection over allowable in any of the above
City/State /ZIP: Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
CCB Lic.: 38868 Electrical Lic.: 261063CRE Suprv. Lic.: 2613LEB ELECTRICAL PERMIT FEES*
Suprv. Electrician signature, required:
Subtotal
Plan review (25% of permit fee)
Print name: Date: 9/12/06 State surcharge (8% of permit fee)
Authorized signature:g TOTAL PERMIT FEE
fir
This permit application expires if a permit Is not obtained within 180
Print name: 7/2 d e... „ 0 0 . 1 .--,:- / „ Date: 9/12/06 days after It has been accepted as complete
� • Fee methodology set by Tri- County Building Industry Service Board
i:\Building \Permits \ELC- PermitApp.doc 12/03 440 -4615T(I0 /02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 :..� _ -
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 06650 SW REDWOOD LN 350 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CENTURY WEST
DESCRIPTION: HVAC
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624 -6300
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 5032336911
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038495 -04 503-519 -6199 Y
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N1016 Date: t6 6 Phone #: (503) 718 - J "1"