Permit 4
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C ITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00235
111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/18/2005
PARCEL: 2S112DD -01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 130 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: Low voltage - Voice /Data.
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 1520 NW 6TH CT
PORTLAND, OR 97224 GRESHAM, OR 97030
Phone: 503- 624 -6300 Phone: 503- 492 -2119
Reg #: LIC 159346
ELE 26- 1205CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/18/2005 $75.00
[TAX] 8% State Surcha 8/18/2005 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: '-V'2l s / Permittee Signature:, -e, ,fi
OWNER INSTALLATION ONLY `'�
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
•
Approved plans are required on the job site at the time of each inspection.
I
f ROM : STEELHEAD4TECHNOLOG I ES FAX NO. :5034926265 Aug. 18 2005 07: 46AM P1
04/11/2005 08:10 FAX 5055881960 C ITY OF T IGARD 100.1
E V ttical Permit Aroalication r. FOK (li1:10E i'SI; ONI.,
City
of Tigard Ili L. o e , - 0 Pere;tNa.: , a "00.23
13 125 SW Hall Blyd.. Tigard. OR 97227 Rea R Other Peradc
(nspovtion Line: 503.639.4175
Phone: 50].639.4171 ''axe 703.598.1960 - °' 1..: i.' — OOr a Sac Pay atir
` �`' '' 2005 1 4. 1 lo - - ^ .Y /8 r
No sdlMes eE: --- 71 (r 1 6a LA.re now
lemma; www.catiaardar .
• . - 4emenl Please check sit that apply: _
ow cvnstr tloa QCerv(te ono 22$ seeps, come DEI»zLdous Weldon
0Demolition ❑Other Q:esvieecm320amys - ttx Q Bidldn 8 over 10.000 R, •
• .. CA:04) • • OF. 40NSlRt?C aN. • . •: • • • of I. and 2- Lolly dwangs 4 Of mote new residential
CI Aeoeasory building [lsysxm OVER 600 voles nominal units it one mum= 1 -and 2-family dwelling CoeunerefaU,nslusorial 0 8 °Weinover three stories O2reedets,4e10 amps or wee
O Multi-family 0 Master builder 0 Outer. 00ocupant lead over 99 person ❑Ma nuf spumes or
JOB • alt >aiFORWFAIYON . At'(D ZLOC&'IioN • ; ' . 0Evessilistginit Platt park
VT" � a Reahh -dm facilsY D
Job no.: Job site addteSS: 5" . L" S ' ii'' AM i . - ,sets of plans widtar0(cft maowc.
/� • 's • *boneare= appl iabletotoupcoyacesnuctionsc [ vicc-
CItyJStvtelZlP: ' I Al 4 /� 1 NW SC itiE. '
Suite/bldr Ito.: I Project nen= V _ _ i • 1 f a* 1 rani i "
Cross sa tr di:eation+ to Job site: V Q 1 A P New rOlda single. s
t ea• r mu[kn mJ Ji
mtty dtlup auk.
InQeats attached Wade.
1o00 se. ft Of leis 145.13 O J
of no.: Ea_ adds' 500 54• it or portion MAO
$Subdivision: L Limited mew, midextttai 73.00 2
Tax r /parcel no.: Limited mac. non-resideatial 75.00 I 2
DESCRIPTION' OP WORK Each meatus :wed. er modular
�� �� dvrtfhnq. avc�eeR 3adJ0e feeder 90.50 2
W �O1- c�Q � e l (Z Mk Syrv[ eearahfeedersiam9adoa .altoratie
200 are re or less 30-3-61--1 2
lot a to 400 amps 106.83 I 2 ,
. pFrtiY OWNER Q TENANT _401 aMpStJ600areye 160.60 2.
Ham= \ \ / _ 601 amps tp l.� 240 -60 2
• c '� �' Over 1.000 ems Or volts 450.65 2
Ra ma=onl 6645 2
AMIM 'temporary services or feeders last do& alierltioo, aad!or
relocation
Phon4: 4 fax: ( ) 200 amps Or lea ass . t
tSo3�, - 630 I
Owner ioshdletione This installation is being made on property that I own which is not 201 asps to 400 amps ` 10030 2
nd
intended for sale. lease, te ot exchange, according to ORS 447, 449, 670, and 701. ' 401 tao 600 a L ' 133.751 2
_
Owner sign:Men! _ Date: _ Branch eareatta- atw , alteration, er ateasian-Def petrel
Q CONTACT Pl5RSOtt • l a pa for Moto cheeks with
C1 ApPldCA1V service or feeder fee, each circuit
BuSiness 6.65 2
m>a ne: b*eeb
" �� d --� B. Fcc for branch circuits
uits
without =Nice or feeds! fee. , 46.65 • '-
Contact name: J i� ee tx*natt cit wir l
Address: 5 (� 45_65 Z
Ea ch add' I Mach e.•inmi[
/A % Mrsedlaneeas (service or feeder stet included)
e irj /Srate2tp: �� v p ump i - chyle 33 - 2
u Sign ce wane lighting DAD 2
Phone:
5) ) r wane C''‘. . • Mt.% 51 1 etreoit(s) Or Smiled- • ■
E L t Al . '2 1 1 . 1L C ' ' ‘ . o„eray pall, *Iteration. or •
CONTRA !• O' e,tteagiott. DeacrtbC Page 2 t 2
v Q , C/ � I � l � �� a L ' Each additional inspection over allowable la any the above 1
Addreas: / At it.) , 62.50 1
u / ymntigationper hour (ttvau) i l 62.50 I � • City/State/ZIP: ' r___ lttdusttialPtateperh0ut TS.?i
Phony: (5.3Z) a 2. - 7- l.. • ' ' ` - - l CratCaL Motet Puts* l 8 2 13 b Elegttical Lic. ■ '� " - a :1:J% , - " S"°ro°i I cca Lied _
w I / J��'� Plan review (25% otpennit fee)
_
S�tPty. Hlectr(cian sgnadttti, required: _ / � �/ji /� - ( g9s efpcmai[ fee)
10
' ' � � 1' � mac � � TOTAL PERMIT vet
Th: par ePp a e� - * permlr b not sb - tea
Authorized sigrltltura - ear, niter tr to treat *coved as comical:
Gate: • Pee e+mtedelesy let 0 71 r/ Webs Nor/ semi= Board
• I Print name •
- M@e+erofirapovtiao per pe rak Arwood. .. . .
+ I R( tevi - e0MP.'Ea
i„eeente'- faed:AtO
•
OF TIGARD _
rILDING DIVISION PERMIT #: ELR2005 -00235
.,125 SW Hall :Ivd., Tigard, OR 97223 DATE ISSUED: 8/18/2005
Phone: (503) 639 - 1 1 1 i I
Inspection Requests ( < Hrs.): (503) 639 -4175 'LL.
INSPECTION WORKSHEET OR DATE: 9/712005 TIME: 7 :08AM PAGE: 133
SITE ADDRESS: 15575 SW S' IUOIA PKWY 130 CLASS OF WORK:
SUBDIVISION: PACIFIC COR' IRATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCPC INC
DESCRIPTION: Low voltage - Voic • '1ata.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300
CONTRACTOR: STEELHEAD TECHNOLI IES INC PHONE #: 503 - 492-2119
Inspection Request Scheduled For: Date: 9/7/2005 Pour Time:
Code # • section Description confirm # Contact # Message
199 Electrical fin 01. t 96-01 503-970-7540 N
Corrections /Commen ructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r1 1\168 Date: c tj h 47 Phone #: (503) 718 - Z14 .1
111