Permit it ". CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00108
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/2/2008
PARCEL: 2 S 112 DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: PACIFIC STAR COMMUNICATIONS
Project Description: Installing (1) low voltage access control system.
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: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: ACCESS X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ADT SECURITY SERVICES, INC
15350 SW SEQUOIA PKWY #300 -WMI 2815 SW 153RD DR
PORTLAND, OR 97224 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 5/2/2008 $75.00
[TAX] 12% State Surch 5/2/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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: `: C .�� rmittee Signature: S,� - e / 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'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.
.
' May 02 03 10:42a Stephanie Pate 503469 p.1
i 6
Electrical Permit Application � � FOR of rl< b: 1:51:: cl..l.N'
,.,
ri Received
1 t 6 Phone: - • 125 W }lall Blvd., Tigard. OR . 7223 •„ 2 2oQg I'L•Mils Uarc! Rwsew
! �� j
Mils one: 503.639.4171 tux: 503= 598.1960Mp. _ Ceara Critel
r I C;,� t? D Inspection Line, 503.639.4175 car [ ., , 0) !)ate RendYIBy Jam' la tier rage: for
Internet: www.tigafd- or.gov �� /'1,'f. • l117tr ` , t1toot Supplrmrotal Information
�, 11 r1a Yt
TYPE OF � t r11t C b ltv ` - PLAN REVIEW
0 New construction ® Addition/alt tf'r placemcm '
Neale check :ill that apply (submit /sets of plant wliseuts ettttiked below):
❑ Service or fonder 400 amps w more Q Building over three stories
❑ Demolition ❑ Other: when: tits avaiNble ratit cuiwni CI M.vinas and ttua ad ,
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground, or screeds 14,000 0 Commercial -use agricutnual
❑ I - and 2- family dwelling ® CommereinUindustrinl ❑ Accessory building ,nits Wail olhnr installations. buiminip. •
❑ Multi - family ❑ Master builder ❑ Other: °Fite pmtp, C installation of KVAoc
JOB SITE 11 \>F(11tMA'I'fON AND LOCATION ION D Emergency Byrom, larger separately derived system.
❑ Addition of new motor load of ❑ "A" "E ". "1- 2 ", "I -r
Job no.: 83 go$1 Job • site address: /SOBS $ fG 0 i la Pew ft /00 IODHP or more. occupancy. Y ❑ Six or room residential units. O Recreational vehicle parka.
City/StahJflP• TIGARD OR q i a,f ❑ tteshh-cam fscitioc. D Supply volta c for more than
❑ 1 Unseal n s tawnnns. 400 volts nominal.
SuitcJbldgJapt /Q0 Nrojax name: / A C ST/i " 0/v .v - ce orr ' a _ hoo , _ m p� .orn � .
°-'-"- -- FEE SCHEDULE
Cross street/directions to job sits: th.r.itnin. I Qsr i rr., 1 TIad 1 -
' New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 1 Wt no.: 1,000 sq. ft, or kss 145.15 4
En. adii'I 500 sq. R. or portion 33.40 t
Tax map /parse) no.: _ _ - q,imited energy, residential
DESCRIPTION OF WORK teidt above ,q. 8 -) 75.00
Limited energy, multi - family
/�,�n q 75 2
G1L. . _ . _ r _ residential (with above selt:l
_ ti prcinw nr feeders in%tallson, alteration, a nd/ or rctocntion
200 umps o r less - ti ...., 50.30 2
❑ PROPERTY OWNER 0 TENANT 201 anti* to400amp 106,85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1.000 amps or volts 454.65 2
City /StatrJZ11': Temporary services or feeders installation, alteratinn, and/or
r
1 --- relocation
Phone: ( ) I Fax: ( ) _ . -- 200 amps or less 66,85 1
Owner installation: lltis instillation is being made on property that I own which is not 201 amps to 400 amps 100.50 2
intcndcd for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133,75 2
Owner signature: Date: Branch circuits new, alteration, or extension, per panel
A. FCC foe branch circuits ,verb
0 APPLICANT • LR CONTACT PERSON above service or feeder fee, 6.65 2
• Rosiness name: .- .- -7 ) each branch r braid .
lS. Far list braid CirCOilS
without service or feeder fee,
Contact name: first branch circuit 446.X5 `
Address: Each add') branch circuit 6,65 2
- Miscellaneous (service Or feeder nut ineludtd)
City /State/ZIP: Iota manul nxured Or modular
-- dwelling, de
servitx and/or feeder 90.90 2
Phone;
(SL) 7 z, Fx:: ( ) Reconnect only ()fr,x5 2
J -mail: Pump or irrigation circle 53,40 2 ,
CONTRACTOR Signor outline lighting 53.40 2
signal Cifcuittsl or IimitM-
Business name: ADT S)ECURTTY energy panel. edto:diem, or
Address: 2815 SW 153 DR. extension. Describe: t Page 2 75.00 2
City/State/' %UP: BJr AVER'TON OR 97006 Each adrlittional inspection over allowable in any of the above _.
4 Phune: (503) 469 -7212 Raac: (403) 469 - 7114 .-. ,.._ ,_. _ .. -..- _. Per inspcction 62,50
err.(. _� lnv per hour (1 hr min) 62.50
CCR Lie.: 59944 Elel,trical Lie.: 26209CLE , Suprv, Lie.: 1EA389 Industrial plant per hour 73.75 -
ELECTRI( :AI.. PERMIT FEES
Suprv. Electrician signature, rim ut � � tiuhtotal: 75,(x)
L , t Plan review (25% of permit fee):
Print name: KEN KRAUS ^ T � I Dater O
f, _ — State. surcharge ('12% of per fee): 9.00
,•; Authorized signature � ��� TOTAL PERMIT FEE: 84.00
, , This permit appi'aanun expires if a permit is nor obtttiard within 140
!" name: nae. KEN KRAUS Da slays after it has helm accepted wv enmpletr.
• Nwnllt+r of mspcttitonn:dlowal par perrnit
I hrildiatN'ermimid- C- rernitArp doe • .,
V , e. — - cr ,,vro, „,S,COMAVF11
�► CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 -00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 502008
Phone: (503) 639 -4171 y
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC STAR COMMUNICATIONS
DESCRIPTION: Installing (1) low voltage access control system.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7212
Inspection Request Scheduled For: Date: 6/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071319-01 503 - 4637212 N
Corrections/Comments/Instructions:
t■ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: uV o• Date: 6 1 3 Phone #: (503) 718 - ��