Permit CITY OF TIGARD YARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00079
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/19/2007 PARCEL: 1S126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 510 ZONING: C -
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: MAKENA MORTGAGE
Project Description: Low voltage for voice and data. Job No. 074049
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:
PORTLAND OFFICE ASSOCIATES TECHNOCOM INC.
BY TC PORTLAND, INC 7929 SW BURNS WAY # F
8930 SW GEMINI DR WILSONVILLE, OR 97070
BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 682 -4195
FAX 503- 682 -2781
FEES Reg #: ELE 34- 269CLE
LIC 73872
Description Date Amount
[ELPRMT] ELR Permit 3/19/2007 $75.00
[TAX] 8% State Surcharl 3/19/2007 $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 fo i ore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those ru - are set fo • in OAR • 2- 001 -0010 through OAR 952 - 001 -0100. You may obtain opies of these rules or direct questions to OUNC at
503.24 :.6699 or 1.800.3 . • .
Iss d By: k / ' j/ _ ,,. Permittee S¢gnature: Je i
•
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 Application FoR OFFICE USE ONLY
---`..
City of Tigard Received Permit No �P
`J Date/By �� / .1 . era
SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone 503.639 4171 Fax 503 598.1960 /1 "44,01 II Date/By Other Permit
Line: 503.639 4175 .
Date Ready /By Ju ® See Page 2 for
Internet www.ci.tigard or us Notified/Method /el Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction Al Addition /alteration /replacement Please check all that apply
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location
"'Service over 320 amps - rating ❑ Buildng over 10,000 sq ft .
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling ,Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi- family 0 Master builder 0 Other:
['Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park
Job no.' Job site addres Wadi-all-hi' ['Health-care facility ['Other
o��o�q �� S(,� Submit 2 sets of plans with any of the above
City /State /ZIP. T 1 , or q7 2..?2 R The above are not applicable to temporary construction service
FEE* SCHEDULE
Suite/bldg. /apt. no.. Project name: � 1 /W / /
.510 � .. Description I Qty I Fee. 1 Total 'w
Cross street/directions to job site: ' New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq ft. or less 145.15 4
Subdivision: Lot no.: Ea add'l 500 sq ft or portion 33 40 I
Limited energy, residential 75 00 2
Tax map /parcel no
Limited energy, non - residential 75 00 2
DESCRIPTION OF WORK Each manufactured or modular
V Ot cl / // dwelling, service and /or feeder 90 90 2
L ^t Services 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
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240 60 2
Address Over 1,000 amps or volts 454 65 2
Reconnect only 66 85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66 85 I
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 600 amps 133 75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 2
City /State /ZIP• Miscellaneous (service or feeder not included)
Pump or irrigation circle 53 40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53 40 2
E -mail. Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 7.6 DD 2
_
Business name: I PC h r7GCom / >7 C l
Address. '1 9 Zq S Vi 80 „, -, - 5 - wa ! j / - .0 I. ---, Ech additional inspection over allowable in any of the above
"I Per inspection 62 50
City /State /ZIP: NI Jso n V i ))e, op et 70 7i Investigation per hour (1 hr nun) 62 50
Phone: (')b 3) (Li Sr) C../(C 5 Fax: (5,33) 6/,?S 0 .9 78 t Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES*
CCB Lie.: 7 3s 7:3 Electrical Lic..`f - G([( Suprv. Lic : Subtotal 76",Q b
Suprv. Electrician signature, required: ;, A '..E 'o--+ ..!—.-- Plan review (25% of permit fee)
Print name Z-A--P F SQ^e,P
^,-- r Date' 3/15/07 State surcharge (8 % of permit fee) 6p, 00
r TOTAL PERMIT FEE 81, 00
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date * Fee methodology set by Tn- County Building Industry Service Board
** Number of inspections per permit allowed
I \Bwldmg \Permas\ELC-PermitApp doc 12/03 440 -461 ST(I0 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00079
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007
Phone: (503) 639 -4171 Aro, , , �, I
Inspection Requests (24 Hrs.): (503) 639 -4175 ,414- °'f L
INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7 :00AM PAGE: 68
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 510 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: MAKENA MORTGAGE
DESCRIPTION: Low voltage for voice and data. Job No. 074049
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: TEt:HNOCOM INC. ZOU G- PHONE #: 503 -682 -4195
Inspection Request Scheduled For: Date: 3/20/2007 Pour Time:
Code # Inspection Description = m Contact # N Message
135 - 045050 -01 503 - 750`6125 Y
Ia SAW
• - - ' - • - -; • - a I • ctions:
1 • . ' • l d
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
� 1 Q
Inspector: ' ` " Date:3( qo t , n ` Phone #: (503) 718-
,