Permit • .
• CITY OF TIGARD ELECTRICALPERMIT -
RESTRICTED ENERGY
Zil ftc DEVE ICES (503) 639 -4171 DATE PERMIT #:
: ELR 2003-00031
13125 SITE ADDRESS: 06650 SW REDWOOD LN 150 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: Voice. d tea_ Cor..o,.wKI C Y s &w,. .
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:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ESP TECHNOLOGIES
15350 SW SEQUOIA PKWY #300 -WMI 7929 SW BURNS WAY STE. F
PORTLAND, OR 97224 WILSONVILLE, OR 97070
Phone: Phone: 503 628 - 4195
Reg #: LIC 73872
ELE 34 269CEP
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 2/4/03 $75.00 Elect'I Final
[TAX] 8% State Tax 2/4/03 $6.00
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 throuc
Issued by Permittee Signature c it/ e..4 0
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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
I Uy/tj /,. (lUl Uy:lz 1 DU33y61911U t•.111 Vr' LLhAlcll vt../ UV •r
. 460,, a
Electrical. Permit Application D amreceived: Q Permit no. r 2 , 00.5 . 4 )60 3
R ojctt/appl.nv.: Expire date:
� 1 -°lye' City of Tigard r Receipt no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued:
City °f 7 igard Phone: (503) 63917 Payment type:
Fax: (503) 59S-1960 RECEIVED
Land use approval: mCk1/111
1 YPE OF PERMIT
FLIN 0 Multi - family 0 Tenant u Cotr �[rl d i% :∎ I- r . ` s t0 Other.
O.1 & 2 family dwelling or accessory r � �����f� � .� t. _ :.� r acement
0 Now construction
JOB SITE INFORMATION
Job address: e l Bldg. no.: Tax map/tax lot/account no.:
' '�'
Lot: Block:
name: . ' Description and location of work on premises: /. ■
Estimated date of c ompletion/inspection: I'FL SCIIEDIJLL
- �•~— r- ��•-• ---- •�UNTR,�LTUR•aPP►.ICA[ION- - - --
— -._ - -- .
Fee
Job no:
D Pi ( a) Ng pin
t New residential - single or muld-family per
-jq �(� - �tA, • ; ie.l.n 0-1. Si e dwelling attached gar
Addre S,ervice included: e
� ZIP: Cj' • " 1000 sq. ft. or less •
Each additional onal 500 ft, or portion thereof ==—
CCB no.: . e '7 2 Elec. bus. lit. no: • '3 i 2
Z4, 7 L� lD o3 limited energy. non- residential
City/metro AK .... lie. no.: 661) t! _ / — 9 — � 3 ■■
Sign Each manufactured home or modular dwelling 2
a Service and/or feeder •
u•" (sing electrician (required) D $ervlRSOr feeders — hestallation. .. ■
CJernsano: , +. L E
alteration or relocation:
PROPERTY OWNER 200 amps or less ,
201 amps to 400 amps M=_ 2
Name g address: 401 amps to 600 tun's �- 2
Mailing address: 601 am 1
snips to 1000 amps 2
State: ZIP: Over 1000 amps or volts ___ 1
Phone: E -mail
Temporary services or feeders - - -
_ .
Owner installation: The installation is being made on property I own Tempo empo on, alteration, or r elocation:
which is not intended for sale, lease, rent, or exchange according CO No a mps or less
III
ORS 447, 455, 479, 670. 701. 201 amps t° 400 amps 2 NMI
Date: 401E0 600 am • s MIME
Owner's signature: _ _ — B eircvlts - new, alteration,
ENGINEER or emersion per panel:
Fee for branch circuits with purchase of `
• service or feeder fee. each branch circuit ii
A.
City:
Address: B. Fee for branch circuits without purchase n
PLAN
City:
® ZIP: of service or feeder fee, first branch circuit: _I♦
Fax: IIT Service or feeder not uded):
REVIEW (1'lCSlSC, check all that apply) ch pump ourigoscommercial O Healthcarefaciliry �
O Service over 225 amp 0 Hazardous location a
O family i dw over i 20 amps-suing of l &2
Si cal circuits) or a limited energy panel. 2
dwellings 0 Building over 10 ,o00aquam feet fouror altgetation.orestcnsion` i
0 System over600 volts nominal more residential units in one structure � r
O Building over three stories 0 Feeders, 400 amps or more 'Dcacri • lion: D over t�eallowable to any of the above
O Occupant load over 99 persons Q Manufactured structures or RV pork Each additional Inspection 1111.1.11110111. O Other p inspection
O Egrt~s/lightirtgplan
Submit _ sets of plans with any of the above. Investigation fee
O ther S �
The above are not applicable service. ale to temporary Permit fee ��
,aids plat c all Jur for more infarrnaooa• Notice: This permit application Plan review •
(ar. %) $ ----
Na all jurisdictions expires if a permit is not obtained Pl a[e eview (at (3%) $ _ �, •
cr Visa O MasterCard stetGtd ' / within 180 days after it has been TOTAL $ t —� —�
Cree�t cam Daman: E accep os complete.
Name of rar�noldrl a shown on t cud $ Qdp 0615 (6 Oo/CbM1
A ��—
Cardholdu slenarure
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