Permit ~�
7 ' a CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00380
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/4/2007
PARCEL: 2S112DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: WESTLAKE CONSULTANTS
Project Description: Low voltage for fire alarm.
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: X 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: 503- 624 -6300 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 10/4/2007 $75.00
[TAX] 8% State Surcha 10/4/2007 $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 or 1.800.332.2344.
Issued B : 0 �' /� Permittee Signature . 4 ��/
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 Permit Applic . i �, ® FOR OFFICE USE ONLY
r ~� \ , ' @@�� el A1` r}� teed
City of Tigard +� Permit No.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
y 67 ��
ie
i C Phone: 503.639.4171 Fax: 503.598.19Np r rt Date/By: ther Permit:
((,. 2001 D ate Ready/By:
T 1 G A R D Inspection Line: 503.639.4175 L i eady/By: Ju ' ® See Page 2 for
Internet: www.tigard- or.gov �, Notified/Method: Supplemental Information
�
��
s � Y ��
j � �� ` n �� PLAN REVIEW
❑ New construction � e 4 11! Pe r /I*GeDI VIS1 ®1 A V Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
- less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling mmercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition n
ddition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: / L IOOHP or more. occupancy.
/ r5 7i. �7 W S l° (,/ A- ���!/� ❑ Six or more residential units. ❑ Recreational vehicle parks.
Clty/State /ZIP: p�,(� U ❑ Health -care facilities. ❑ Supply voltage for more than
�1 q .f - Q (/ 1 7 2-)._ T ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: / t- 7 I Project name: w.e.d f L kic. e 0 914 L - Q ` �- 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. i Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 l
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
�j , IC d /kifriQot ail 9".4o&_ residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 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/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
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 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Busi name: S ,+„ /'Q /`p c l B. Fee for branch circuits
Con ct name: without service or feeder fee, 46.85 2
�- d l N f first branch circuit
A ss: 6 l 6ev S W Li.,
r- Each branch circuit 6.65 2
` S Miscellaneous (service or feeder not included) )
Ci /State /ZIP: ��,Ll4, F 7 2./ Each manufactured or modular 90.90 2
dwelling, service and/or feeder
one: (5 2 cJ ?G ,/ Fax: : Fax: ( ) Reconnect only 66.85 2
E -ma 1: ? 5e c•fl f i Y- N/`�
• CiBO1ts ao goic.e.., 7, t = /� o-7,'• Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Signal circuit(s) or limited -
energy panel, alteration, or
/
)ty dress: extension. Describe: Page 2 2
Cafe_ H t 2M
/State/ZIP:
one: ( ) Fax: ( ) Each additional inspection over allowable in any of the above
Per inspection 62.50
Investigation per hour (1 hr min) 62.50
CCB Lic.:/ 6 , 694 Electrical Lic.: Suprv. Lic.:! s - -LE/'q. Industrial plant per hour 73.75
Cl ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 75• as •
Print n. e: • r Date: Plan review (25 %of permit fee):
' _� - 'v ; State surcharge (8% of permit fee): 6 . �°
Authorized signat = �; ���� TOTAL PERMIT FEE: Oo
r _
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 46t5T(11/05 /COM/WEB
Electrical Permit Application -City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES: ' ��' '
RESIDENTIAL WORK ONLY: �1
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
•
❑ Audio and Stereo Systems*
❑ Burglar Alarm •
•
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260) •
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
•
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting* •
❑ Protective Signaling
•
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
•
1:\Building\Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00380
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1014/2007
Phone: (503) 639-4171 '
"Iv A A
Inspection Requests (24 Hrs.): (503) 639 -4175 'I ..
INSPECTION WORKSHEET FOR DATE: 2/27/2008 TIME: 7:00AIVl PAGE: 13
SITE ADDRESS: 15115 SW SEQUOIA PKWY 160 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: WESTLAKE CONSULTANTS
DESCRIPTION: Low voltage for fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 6246300
CONTRACTOR: STEELHEAD TECHNOLOGIES INC R /o i sR 7 PHONE #: 503 -255
Inspection Request Scheduled For: Date: 2/27/2008 Pour Time:
Code # Inspection Description Confirm- Contact # Message
199 Electrical final 065740 -01\ 603. 910.9440 Y
\\ ��-
Corrections /Comments /Instructions: 9 3 0 -r
N l
\ s'i c\
r\
V/17
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G— N 061.- Date: .2 /1 1 1 • / 4 Phone #: (503) 718- 2J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007.00330
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1014/2007
Phone: (503) 639 -4171 Uarµjl�
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 7126/2008 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CFNTER LOT #: TYPE OF USE:
PROJECT NAME: WESTLAKE CONSULTANTS
DESCRIPTION: Low voltage for fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 624 - 6300
CONTRACTOR: STEELHEAD TECHNOLOGIES INC PHONE #: 503 - 255 - 0364
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Eloctiical Final 065604 -05 503-888-0214 N
Corrections /Comments /Instructions:
I0 LAUre. W 1 La I3 1 U ESS
e 2s:sJ\O -A buGZ.. C'itt 1 • A ce..ss
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL iyo NO ACCESS
7 4 t i FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6-1 Date: �- Phone #: (503) 718- 2-14It•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007.00380
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /01412007
Phone: (503) 639 -4171 4,* Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/13/2008 TIME: 7 :81AM PAGE: 12
SITE ADDRESS: 16115 SW SEQUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC (X)RPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: WESTLAKE CONSULTANTS
DESCRIPTION: Low voltage for fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: STEELHEAD TECHNOLOGIES INC PHONE #: 503-255-0364
Inspection Request Scheduled For: Date: 2/13/2008 Pour Time:
Code # Inspection Description - • • ' # Contact # Message
199 Electrical final 064960 -01 503-585-4474 N
Corrections/Comments/Instructions:
NO 00
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ot 1 u) (40 I) 1\1.
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•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
*FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G` � LG
Date: 2 - • 1 3. Ot Phone #: (503) 718- ti