Permit CITY TIGARD " ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00297
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/20/2008
PARCEL: 2S112DD -01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SIRIUS COMPUTER
Project Description: Thermostats and wiring.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PROTEMP ASSOCIATES INC
15350 SW SEQUOIA PKWY #300 -WMI 9788 SE 17TH AVE.
PORTLAND, OR 97224 PORTLAND, OR 97222 •
Phone: Contact #: PRI 503 233 - 6911
FAX 503- 238 -9767
FEES Reg #: ELE 26- 1063CRE
LIC 38868
Description Date Amount SUP 2613LEB
[ELPRMT] ELR Permit 101201200E $75.00
[TAX] 12% State Surch 10/20/200E $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: _� • •• • - e Signature: 6 �'
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 � � / g ���.
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AUpll 1011 - FOR 0.Fi-rc E r O)Na: _
City of Tigard V W117571fr ' Permit No.: OL&J) :2R ... TA
: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: "
Plume: 503.639.4171 Fax: 503.598.1960 r / ND p
Tic :. h 6 Inspection Lint: 503.639.4175 t 1 1 • Dale Ready/By: l ( ,.____i 7"7' ( Ads: I RI See Page 2 for
Internet: www.tigard-or.gov O� • 0 iliabMethod: l (J /1 '7 /U /.7 C 1 � l h►forwattat
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TYPE OF WORK O T 51S t-t/`r l 8 Li...-- PLAN REVIEW
ID New construction ® Addition/ahe ration/ • � : • . � ' 1��+'' Pt,� all that apply (submit 2 plans �
of R� checked w1
1 1 4 ' ❑ Sacice or feeder 400 amps or more ❑ Building over three stories
Demolition ❑ Other: afire the available Ludt cmtent ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
El 1- and 2- family dwelling ® Commercial/industrial 0 Accessory building a to `gGO0Ola 1a wo ❑ buildings.
e;altise agricultural
amps fix all other ttaitdimgs.
❑ Multi- family ❑ Master builder ❑ Other ❑ Frre Pap" ❑ Installation of 75 KVA or
❑Emergency derived system.
❑ Ada of new motor toad of ❑ "A ", "E", "1 -2". "1 -3 ",
Job no.: 9428 I Job site address: 15575 SW SEQUOIA PKWY 10 or more. occupancy.
❑ Sitter more residential units. ❑ Recreational vehicle perks.
City/State/ZIP: TIGARD OREGON 97224 ❑ Health -cam facilities ❑ Supply voltage for more than
❑ Hmardons bettioas. 600 volts nominal
Suite/bldgJapt. no.: 180 I Project name: SIRIUS COMPUTER SOLUTIONS ❑ Servcee or feeder 600 anIPS or more. •
job site: FEE SCHEDULE
Cross street/directions to
J Description I Qty. I Few I Total I •
New real single- or mufti- family dwelling unit
Includes aged garage.
Subdivision: I Lot no.: 1,000 sq. R or less 145.15 4
Ea. addi 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with show sq. II)
Filed energy, multi-family 75.00 2
THERMO STATS & WIRE residential (with above sq. ft.)
Service' or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ 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 cv volts 454.65 2
City/State/ZIP: Temporary services or feeders imtalbdon, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amiss or less 66.85 1 1 _
Owner installation: This installation is being made on property that I ow 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 10 599 amps 133.75 2
Branch Owner signature: circuits — new, alteration, or extension, Qtr panel
A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: first service or feeder fee,
46.85 2
first viravtit
Address: Each addi launch circuit 6.65 2
bfaoelianeour (service or feeder not included)
City/ State/ZIP: Each manufactured or modular
90.90 2
- dwelling, service and/m feeder
Phone: ( ) I Fax: : ( ) - Reconnect only 66.85 2
E - mail: • Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.4() 2
Business name: PROTEMP ASSOCIATES Signal circuit(s) or limited
euergy panel, alteration, or I D+--
Address: 9788 SE 17 AVE ems ,]
emersion_ 2 2
STAT &WIRING
City/ State/ZIP: PORTLAND OREGON 97222 Each add'itionat inspection over allowable in any of the above
Phone: (503) 519 - 6199 I Fax: (503) 238 - 9767 Per;mi no 62.50
lavesii,vlirm per hour (1 hr min) 62.50
CCB Lic.: 38868 I Electrical Lic.: 261036CR Suprv. Lic.: 2613LEB Industrial Plam per hour 73.75 _
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, rcquircd: .0 Subt otal: ---
Print name: MONTY SCHROEDER Date: 10 Plan review (25% of p ermit thee):
State surcharge (12% of permit fee): 7. 'u
Authorized signature TOTAL PERMIT FEE: H
Print name: BRUCE BUTNER Date: 10/13108 XI* perinit ' 0O expires a a mix is not ob edible 180
days after it has been aoeeored as oomaletss
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CITY OF TIGARD , f
BUILDING DIVISION ''' PERMIT #: EI-R1008- 00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2008
Phone: (503) 639 -4171 F
w . I 1 I �a
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7:OOAM PAGE: 39
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SIRIUS COMPUTER
DESCRIPTION: Thermostats and wiring.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.233 -6911
Inspection Request Scheduled For: Date: 10/21/2008 Pour Time:
Code # Inspection Description /onfir Contact # Message
199 Electrical f inal \ 076956 -01 503.519.6199 N
Corrections /Comments /Instructions: \ ..
z
`,
\--....._
PASS ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` N 66 L Date: I tit 2-1( 01 Phone #: (503) 718- 4 2-44)
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