Permit ! M
7,
v w CITY OF F T I GA R`� ELECTRICAL RESTRICTED ENERGY PERMIT
° ' ` COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00376
TIGARD 13125 SW HaII Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2007
PARCEL: 25101 DC -04601
SITE ADDRESS: 07409 SW TECH CENTER DR 100 ZONING: I -
SUBDIVISION: TECH CENTER BUSINESS PARK LOT: 002 JURISDICTION: TIG
PROJECT: FAXBACK
Project Description: 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:
WATUMULL PROPERTIES CORP CABLE RUNNERS
307 LEWERS ST #6FLR 10500 SW BOONES FERRY RD
HONOLULU, HI 96815 PORTLAND, OR 97219
•
Phone: Contact #: PRI 503- 245 -3669
Reg #: ELE 26-951 CLE
FEES LIC 122854
• Description Date Amount
[ELPRMT] ELR Permit 9/26/2007 $75.00
[TAX] 8% State Surcha 9/26/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: - Permittee
ca d L e..die.._ 5 =1..6 = --
Signature: , /�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
09/25/07 TUE 14:49 FAX 503 846 3993 WASH CO. BLDG SERVICES 001
Utrf.0/ LUU S 1.4:G4 ritA UUL
Elect t ai Permit hcat,on
Mit I.rftld rural
Washington Coogty. 15$ N. 1 AV, Suite 3$0, INS 12. Hillsboro, OR 97124, p
% Phone: 503 816- 3470,1re %: 503- 846 -3993, ` �' 7 ' 3 7_4,
• - Inspection Requests; 5Q3- 846 -3699, www,co.wxshingtun.ur. s Permit #
TYPE OF WORK PLAN REYIEYIT y
❑ New cwtclructinn Addition /alterution /replaceinenl in 011tr '; Please chock all I at apply:
❑ Service or feeder 400 amps ❑ Hnsardaus locations
CATgOORY OF CONSTRUCTION or more wgcre the ava tlablc[] ServeoeorfpodpE,tlltam more
rhult current exceeds
❑ 1 • and 2-Ibunily dwelling 1:3 Commercial/in/Jo .. • • • - caw/ hd din 10,000 amps at 150 volts ern Building nos ends three stories
ID Multi-family mund, ur ceeeet�t ❑ marinas and '
rods
y ■ t leas to Cr ❑ Other: g ❑ mooting buildings
1 6,000 amps f6r ell ether
JOB INFORMATION AND LOCATION latinns. ❑ Commatciul "use agricultural
Job nu.: Ina addroas:' ❑ Emerge I:] Fire • hulldinge
7 91 S1 4. / t'` ' t'_ eA 727 Q 4 P system ❑ Installation of75 KVA or lemur
City/State/ZIP: .- /( A p D /` 2 23 ❑ Addition f now meter y derived system
load of HP or mutt ❑ ..F.,...1-2...,..63,. ueealpsn
Suile/bldg. /ttpt. n.: 5 7 L /60 Project name: = A,� &cC/ ❑ S' •, tcc i0ntial units ❑ Raw vehk:lc parks
Crass streetldi : lions to job site: Ith -cure fkclliucs 0 Supply voltage bur mom than
600 volts nominal
lamas —' FEE �FIBDULE
—
Desert • nos „
Subdivision: I 'a 1111161
Tax tnap/rytrcel au.: ' . •
4.11- ' 1i` g ra ll ai / 72431 lr
- IP -N OF WORK Pe, • d•1 500 sq. ft or portion _ 42.on
D / _ 1 A _ Limited energy, residential -
withabore 60 . 2
Limiter[ energy multi -(lsm
residential (with above sq. ft.) n6,110 2
[] PROPERTY OWNER I ❑ TENANT Semites or renders bielallation, alterntiun, and /or rebindlan
Name: 200 amps or lets On o 0 2
Address: 20 amp, to 400 amps . n 7o.on 2
401 amps m 600 001.3 1110.00 2
City /State/ZIP: 601 amps to 1,000 amps Mil 270,00 r 2
Phone: ( )
Over 1,000alllpenrvoila mere 2
Fax:( ) Temportry venires or Reefers InMMllyllo atle
Owner sasses ■bent i'b . in.ldladon is bans made eu residential m Dula 2 0 0 amps
r. rstiuo, sad/or
m immedinie Ipmit Th r property owned cur I e .r a ru.ser (i r or 200 amps or IBS
Y poverty v a s intended tin s dc, mchango or sutra Kitts Kitts 677.39 I) rod 47v.56n ). r 76.00 2
Owner signature: Date: 201 amps to 400 amps t0e.rra 2
401 amps ro 599 amps 150.00 2
❑ APPLICANT C] CONTACT PERSON Broach clrculta - new, alters/1m . or extension,
per eel
Business nnrne A. Fee bur braac circuits with
above service Or lecdcr fee, a.sn
Contact ntrme: each hranch acre I 2
B. Fee for : h circuits
Address: witimtt servico or feeder 60.00
fee, first brunch circuit 2
City/State/ZIP: Each add'1 broach circuit I 0.50
Phone: ( ) + Mlaeetlaaroae to:Mee or feeder not included) ! ax: ( ) Each manuflwturud or modular
E dwellin:,service.und /nrfeeder 102 2
. Reconnect only 7m.no
r CONTRACTOR _ Pum• or irrigation circle 60.00 2
Business name: L.iiLL �.�J� �S Sign ur outline lighting 60,00 NM 2
Address: / Signal circuit(s) ar limited -
l 0 S U'L-� S (Al E e S / y�'� Jr cagy pencil, alteration, or
exlet191oh. Describe: / 60.00
City /StatefZlP: ��/lr 1 ` - - /el
2
Phone: (_Sc -8 ) 7 S 36 C.' lax: (.52:J3' ) `L — S 76 _, Each eddlnonal Iaspecrinn over allowable In an albs above
Per ins ; lion 90.60
E .Lc c- f•gn/lcrsc--e.ar4-4.yr4, 'R tic. no.: 1 L ' aS _ y ► I �
Electrical lio. rto.: •� -( S ^! C L e e City or metro tic.: other
Supervising electrician . 7J job ELECTRICAL PERMIT FEES Algaarure, required: o Subtotal
Print name: 00: 4-f � /IL/ h , ♦ 1 Date: e'-' ' s ' Plan review (25%of permit fee)
Authun. cd � Stale surcharge (8% of permit Ice) •
signature: - � 'TOTAL PERMIT FEE f ,
Print
nuke: '' l (� (, ) � t
'� Date: ��� T his permit applitetlen expires if a permit If not o . brat)
r f .✓ )
Y / /L g / w1this 180 days after it has been accepted as complete
• Nwnbn orpnpoetiorrs elln.ced per permit. kovieunr On/26/06
•
•
CITY OF TIGARD _
BUILDING DIVISION J V` PERMIT #: ELR2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2007
Phone: (503) 639- 4171ra +�
Inspection Requests (24 Hrs.): (503) 639 -4175 I —
INSPECTION WORKSHEET FOR DATE: 10/0/2007 TIME: 7:00Atri PAGE: 02
SITE ADDRESS: 07409 SW TECH CENTER DR 100 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: FAXBACK
DESCRIPTION: Data
OWNER: WATUMULL PROPERTIES CORP, PHONE #:
CONTRACTOR: CABLE RUNNERS PHONE #: 503- 245-3669
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
_!.. voltage 057103 -01 503 -957 -5421 `' Y
1°1c\ Fv0oe,
•erections /Comments / n st , ctions:
C.41 6
Ilk
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:, (Z I.- Date: c) Phone #: (503) 718- Z