Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT •
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00192
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/15/2007
PARCEL: 2S 112DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: PAC STAR
Project Description: Data intallation.
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 STEELHEAD TECHNOLOGIES INC
15350 SW SEQUOIA PKWY #300 -WMI 11600 SE HAWTHORNE ST
PORTLAND, OR 97224 PORTLAND, OR 97216
Phone: Contact #: PRI 503- 255 -0364
FAX 503- 255 -3947
FEES Reg #: ELE 26- 1205CLE
LIC 168965
Description Date Amount SUP 3380 LEA
[ELPRMT] ELR Permit 6/15/2007 $78.00
[TAX] 8% State Surcha 6/15/2007 $6.24 REQUIRED ITEMS AND REPORTS
Total $84.24
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. 6.6699 or 1.800.332.2344.
gni
Issued B.. / / I Jj / Permittee Signature: A pp J- 'I]i 1
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.
Ipp I R 511?.007 11:07 5032553947 STEELHEADTECH PAGE 03/03
Electrical Permit AppiieatioR 1 Oi rl : i I F. 0\0
Received
. . ,s Formic No.: Le _ j� -aD l 42.
City of Tigard D� • • •
13125 SW 11x11 Blvd., Tigard, OR. 97225601U.; + j - 2 0 0 1 other Permit / i ei1! d
Phone: 503.639.4171 Fax: 503.598,19 ' " '
action Line: 503.639.4175 Date Nteady/By: m See Page z for
t,.; ^'t " inspection
,[, �.tiga[d-or.gOv CITY OF TIGARD Notified/Method: ' 1 , I ('s Su, nlemental
[aronoaan on
.. . :f i c • f _F, Lh } }r1 (! +I+q Gr i,1 n 1; �r �. f i i,f , l�i T� {II I } � r]�
ttRllii'71,,t i. rt +,, rl 1, pl In ' ii 1 �' t 111'n Ji J i'!•1 t,tr 1 11 1 1 1 t . e .j ,L, r : y r : {( , ; . L, r } ` I r. G .J, 11. J: fl ! :T :, � ,.i .1 : � i .1 . n1 .,. :�.,rr .., ',1,k schecked tI,
below)
I I
r11}1 •. , ,, r r • • r , r` • ' ' ,... 5 t Please check all that apply (submit 3 sets of plans w
[1 New construction ❑ Addition /alteration/replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current O Marinas and boatyards.
El DemOl f t ❑ Other T I J r y7 , 1 I I f T f r , 1 , t , " 1 1 ';i reeds 10,000 amps at 130 vies or D Floating buildings.
Q-„ . , i, l , 1 1 ! i ,:., 1. t . 1,. r 'i •, ,' I r . ' i; i • J rr, I , Vii, less to grou oe exceeds 14 agricultural
I,.r,li,�YJ11+h d , +�Y:`p ,1'!., a fI'tt„ I }t,h� , ti 'L,...7 "' „ -.. y I r 000 ❑ Commercial -user agr
❑ 1- and 2- family dwelling • • . etcial/industrial ❑ Accessory building amps for all other iristallatioos. buildings.
❑Pus pump. ❑ Installation of 751�V A or
❑ Multi-family D Master budder 1:1 Other. Q E "a 1-2","1. ty system. larger separately derive system.
{ 77'!".Z.1!::/:' ': , ! U r --r m, p I t 1 rr t: ! 1 1 J 1 .75 ' L "? (H ii r
} 1 w 1 , 1 . i 'f I41it r i l r i ° , i 1 ', . f _ . ' " , , (' ,'' . .f 1,., f . h e 'I le; '+ { 1 :0 Addi,6oa of new motor load of ❑ "A". 3n
G�1 1 , IA 1 iIl.?:Ir : F1 . i , ,, { 1 { ri,. + t.,,; . 0:1 {
1 1001 or more. occupancy.
n0.: Job site address: l 4 505 - s(,v Q. S' 0 ❑ Six or more residential Dolts. ❑ tiecrearinnal vehicle parks.
G Op CI g a o ca t io s. . 0 Supply voltage flu more than
City /StatdZ �/ J azatdous locations 600 volts nominal
Suite/bldg./apt. n • .: Project name C� I ❑ Service or feeder 600 amps or -pore
[ 7- - nl 1 1 µ1r. i , IQ r r
coy ' . ;} . i 1,i l 1 , ;( , . { '. f { ,. { ,. G,1..11 1 ,1, 1 , t . ;d {
t;
■
Cross street/directions to job site 1...60. o t v . Fee. Total R
Q A • 1 ' Dee New residential single- or maid- family dwelling unit-
( Includes attached garage_
1,000 sq. ft or less I 145.15 4
Subdivision: Lot no.: �, 33.40 1 • Tax map/parcel no.: > y .. • 75.00 2
(I}'_ 4;f'' i ' 1 I i,. l n '1•77,"11''137':''r:'''):71;':,: I rl r , �I , a l, r, 1� .11i f!. ii , ! - ; . -It. I t j } with above ft ;s
i. { i J l 1 (”1 d lr L.';,,;•,-.,';'_ 1 . ' 1 f 11 72, 1 , ,, r t I .1 r , ,1,,., r Ib :' 1 ... - ;...
;
fill, alit, I+ nrr11.. 11 , { . � r , � l � , lt 1 : . . , L: . , r 'I::,,,e
Limited energy, mlulti- fa,nily, 75.00 2
1 6Y {F, residential (with above s:t• ft
�� Services or feeders installation and/or relocation
200 amps or less
� 80.30 2
1R 11 r . 1 ,, + f 11 i1 1 . ' til+i , { ; ,r 11 rr rr.ir,. [ I 'm+Ih t t , 1+ ( l it IT l I �1- 111 aw sto400amps 106.85 2
, fi fr ri f ({ { ', t /
J1 f 1� �} . , J ( L f ..r I J .., ,.YI ■ !� ,+
) , 1,1.1 �. 1 ns _.. • -:. r�'L fl� I ',Ch 2
r
4ih1f111 - . La . .r.. � , l eu t II , r
16060 2
401 amps to 600 amps
i. 601 amps to 1,000 am 240. 2
Address: Over 1,000 amps or volts 454.65 2
. Temporary services or feeders installation, alteration, and/or
Cary /StateJZEP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 t 1
100.30 2
Owner installation: This installation is being made on property that I own which is not 401 201 atrpa to 400 amps to 594 amps 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - ne:w, alteration, or extension, panel
Owner signature: -Dates A. k e>e for branch circits ith
q4-1:1;•'f•'` - '77' ,4 :'1.1 I J r 1 ., j1 T 1 1 II( [ +1 i -`F- _ 4.il ln' t.: - - 1 , 1+ � : r l in P'1: p + :1 11 , : 1 1 1 1:{ abov se +ice o fe w fee,
Eliot fi Ii 1 .• ,1 , •- ale,., t,r 1.
ter, ._.1. J.'?" i ti ' i i , .. r l i tidal , uir„ { 1, . '01-,F2,: . i,::,:.. , . ,, i,t :.,r_. 6.65 2 • each branch circuit
Business name - s. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Each add'l branch circuit 6.65 2
Address:
Miscellaneous (service or feeder not incla� tied)
City/State/ZIP: Each manufactured or modular 90.90 2
domain_ service and/or feeder - •
Phone: ( ) Fax: : ( ) Recopnect•diily •`• _ . • . • 66.85 y 2
E-mail: . Pomp or irrigation circle 53.40 2
'. "1 i 1 1 7 r • 1;',11.{ 'I I T� n m , , ,. r 11r+ O'0,'.I'1 I1 .I i p r l I N - 53A0 2
1. 1 1 { 1 �:f1 ! ,:c•.',.:-1,) 1 I 1 '' rcu , o'� , n, . ..:4 :4.1„,:1.1 I , ,r .
`ir: i I : r Lc, r ,! i I;, 1 4.: tl, l { 1 .-4-,;:ii-:Y.,% r I' ..,. Ag fa °X cmtllne ,
; ;il�,l . I11,h ;t tr . t,111 ! 1 1 l � , t ' a l Business name: most cypaaircuits) el litmationted-
name: : w �� ■ • • a, • . / _ cnc[gel, alter, or
extension. Desertbe: Page 2 2
Address: • .r T s U _ % r. ` t� J _
Each additional inspection over allowable in any of the above
I
�-� /• Per inspection 62.50
Phone: ) - • Fax: (_., ) r e Investigation per hour (1 to min) 62.50
EMEIIMMI =MIME Supl-v. Lie.. „ Indust ..., :al plant per hour 73.75
• , J J c 1 n 11' t L _ ; s_ ;i 1 ' 1 l r. , '' `.' ,. ;, I{iiiiitT �, . it i
Suprv. Electrician signature, required: 16/i /eg Subtotal 7
/ Plan review (25% of permit fee):
Print name • ...m State State surcharge (8% of permit fee): _ -F40 (e .
Authorized signature: , / TOTAL PERMIT FEE: $
i This permit application =gnu if a permit is not obtained'nithin 180
Print name: �i� Date: • / s�' days after it has been accepted as complete.
s Plumber of inspections allowed per permit
I NNildinBganaita\ELGPerssitnco.doc 05/23/06 440- 1613T01 /05/coMAVEB
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELR2007 -00192
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611512007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I l ..
INSPECTION WORKSHEET FOR DATE: 8/10 /2007 TIME: 7:00AM PAGE: 70
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: Data intallation.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: STEELHEAD TECHNOLOGIES INC PHONE #: 503-2550364
Inspection Request Scheduled For: Date: 8//10/2007 Pour Time:
Code # Inspection Description
on it • Contact # Message
135 Low voltage ( 053721 -01 503-956-7344 N
1q q F; AL_ .
Corrections/Comments/Instructions:
. P - i.,0 brbyvtd.
rb R:e•L>A 12 esa►V►N W 14 6 cO .
D
Q
(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N W) Date: %I I 6 101 Phone #: (503) 718- *4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00192
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2007
Phone: (503) 639 -4171 �a �'If F °ill
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AIVI PAGE: 63
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: Data intallation.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: STEELHEAD TECHNOLOGIES INC IA A n fz \: PHONE #: 503- 255 -0364
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description on it Contact # Message
135 Low voltage 051592 -01 503-956-7344 `'` Y
Corrections /Comments /Instructions:
N 61 ' C. . IL 10 ] COL b N , `, l
*— OR.0%);DEr LiOE V6CVnt li vute‘,N1.. )
c e.v o Ap RAW AL,
rrvsi c, sov U A 1� Apr vAl,.
�� F -o- . i t U c,E Ill %
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • 0 OB a Date: 1( 1 69 Phone #: (503) 718 - 141.11