Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
i *�Ij; DEVELOPMENT SERVICES PERMIT #: ELR2002 -00063
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/8/02
SITE ADDRESS: 06650 SW REDWOOD LN 235 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: Install Data/Telecommunications.
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 MOORE COMMUNICATIONS INC
15350 SW SEQUOIA PKWY #300 -WMI 20811 NW CORNELL RD
PORTLAND, OR 97224 STE 700
HILLSBORO, OR 97124
Phone: Phone: 617 -9800
Reg #: LAC 00076364
ELE 34- 356CLE
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 4/8/02 $75.00 2720020000 Low Voltage Inspection
5PCT CTR 4/8/02 $6.00 2720020000 Elect'I Final
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 thri ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by ,j _ / Permittee Signature all afing
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATEEXP!RED
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 0'11 0 -00) DATE:
LICENSE NO: // lam.
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
O,- '08/02 MON 12:31 FAX 503 6179898 Moore Communications 11001
1 \d /2001 10 :05 FAX 5035981960 CITY OF TIGARD R1002/003
s
Electrical Permit Application
• Datereceivcd: /i, 0 7.- Permit nv - ie 'OU®,fQ3
k ,' 1Ijl` City ry. ig : jo • ' , k 1 r . , Project/appl. no.: Expire dart:
CityafTigard Address: I31 SW ` �- + • n . . te , ' dl • , ►l � Date issued: 13y: (613 I Receipt co.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 i i - r .� raf12 C:lsc file no -: Payment type:
Land use approval: � , . ,- :. 2 s, is
_ j s.
TY1'I.1 OF PER 'I1T
❑ 1 & 2 family dwelling or accessory commercial /industrial O Multi- family O Tenant improvement .
0 New constructiotl 0 Addition /altenition/replaeetncnt ❑ Other: ❑ Partial
.toe sun:. I Nl-oln t,V l ION
Job address: (0(o50 Su) • LA DOO Bldg. no.: Suite no. :cTi Tax map /tax lot/aeeount no -:
Lot: I Block: (Subdivision:
Plvject name: Oja Faso - 1 - 1)-00 e.r I Description and location of work on premises: 69-f& Tom! •C_ (,c. rr. r -
Estimated data of com.letiorWii r ' ection: 9 - -I5-0a_
('w.)N'i n. \( :\1'1'Ut :,1TlON -- . III. sun EDItr
.fob no: . a'1 13 °L .. Far: Mat
B u9itless name: MOO r C � r1n.i�r..U- -i'\ i ctlf1 OY‘$ �-r�C . _ Neff �'• , (.l Total no- io p
�1 co( ^ New rt 'sideffial singlooruazhi - fenUy r
Address: b l , . f o t�o1'1ti• i 1 1c aweningunit - Indudmatteebedgsrnggs '
City: + I 1 SloUlc0 I OK I ZIP: q 7 I a . L i Service included:
Phone: (oil —64.$4310 1 Fax : 617 C(n' 'E-mail: malo - [6ns-}1 000 sq. ft or leas 4
1 Elec. bus. lie• no: 2 — 3 S (.Q CA.,_,
ESA a diti nd 500 sq. R or portion thereof
CCB no.:
t (D 1 �' I ( Limited energy, re 2
City /mclxo lit:_ no.: 0000145 i 0 Limited energy, non- residlattiat 2
j/ ■/f F Lk -8 -0e-h manufactured home or modular dwelling
51en�retu e 1sin electric (required) Date Service endlorfeeder ^ 2
Sup. elect name (print): S tit. c Liicensano: i 14 Services er feeders
eti —installation.
alteration or eeknotio o:
200 amps or lees
Name (Print): 201 amps to 400 amps 2
Mailing address: 401 amps to 600 niter 2
$ am
601 ps to luau amps 2
City: I State: rZ[P: Over 1000 amps or votta 2
Phone; I Fax: I E --- ttcconncctonl 1
Owner installation The installation is being made on property I own Temporary services er feeders -
which is not intended for sale, lease, rent, or exchange according to Utstallation, eltern°°e, o ""''Homer:
T00 neaps or less 2
ORS 447, 455, 479, 670, '701.
201 amps to 400 atopi 2
OWnet's sigeoturct Date: 401 to 600 tort
Branch clrcait9- new alteratioh,
or err audoa per panel:
Name: A. Fez For branch eyeu its with parchaec of
Address: ecrvice or feeder te, each brunch circuit 2
City: I State: I ZIP: 8. Fee for branch circuits without pureba
Phone: Fart Email: of service or testier fen, first branch circuit 2
Each additional !mach circuit
Misc. (Service orfcrdecnot included):
0. CetvService <
over 125 ampsommetclul ❑ Fioalth•tdrefuciljq Eac pomp or irrigation circle 2
O service over 120 amps - rulin of 1 & 2 . l 7 liar-adobe location Each sign or o Wine lighdnp. 2
famil dwellings 0 Building over 10,000 square feet four or Signal circnit(i) et a limited cncrh7 panel,
O 5yctem over 600 volts nominal mote tesidrttJal units in one structure alteration, or extension* 1 `25 95 z
O Building over Or= stories O Feeders, 400 snips or more •Descdpdon:
❑ Occupant load over 99 persona ❑ Menutaetu ettueaucs or liV park Each addlttonal ire peciJon over the allowable in any or the miaow;
o E Cl Other. Per inspection I i I I
Submit sets of plans with any of the above. investigation fee
The above are not applicable tie temporary enns11-0c1:1on service. Other
'Nut tilt junsatcdom o-eept vest cards, pkase c.0 ,Watticllea for snore ioturmat;un Notice: This permit application Permit fee $ i� ._
2'fvisa ❑ MasterCnr expires if a permit is not obtained' Plan review (at _ %) $
tetltt cam umber; MIIIMI within 180 days after it hag been State surcharge (8 %) .... S to -00
Ztetz e #1,1$ / PO Q(/ aloe, Cc vrlo7 Vrr /04117 f.TercE'r acceptedpscomplete. TOTAL $ "I .00S —_
Nana of .bower on nadir c.rd D O .
.0..l- n/ 7'n ;trA, ' s ' 7
` Cardholder cigt,anoa ntoouat - 040.4615 (WWICOwrI
EXPIRED