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ELECTRICAL PERMIT-
C ! t L ®r ! I G A R D RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR20'J2-00028
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 3/5/02
SITE ADDRESS: 15858 SW UPPER BOONES FERRYRD BLD.0 PARCEL: 2S112DD-00701
SUBDIVISION: OREGON BUS. PARK II ZG;vING: I-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Install phone and complete cabling.
A. RESIDENTIAL B.CO__MMFRCIAL _
AUDIO & STEREO_ W AUDIO & STEREO: INTERCOM & PAGING: ^�
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENED: 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 J
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MOORE COMMUNICATIONS INC;
15350 SW SEQUOIA PKWY #300-WMI 20811 NW CORNELL RD
PORTLAND, OR 97224 STE 700
HILL.SBORO, OR 97124
Phone: Phone: 617-9800
Reg #: LIC 00076364
ELE 34-356CLE
_ FEES Required Inspections _
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 3/5/02 $75.00 2720020000 Elect'I Final
5PCT CTR 3/5/02 $6.00 2720020000
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 a,-cordance with approved plans. This permit will expire if work is
not started within 180 days of ;ssuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requiras you to follow rules adopied by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-.001-0010 through 'JAR 952-001-6080. You may obtain copies of these rules or direct questions 'o OUNC at (503)
246-1987.
Issued b /r 7/ Permittee Signature
OWNER INSTALLATION ONLY
The installation Is being made on property I own which is not intended for salt. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DAVE:
LICENSE NO:
Cal! 639-4175 by 7:00 P.M. for an inspection needed the next business day
11/01./2001 10:05 PAX 50359819t)o CITY OF TIGARD QnUO2/003
Electrical Pennit Application
" Ualc received:
City of Tig Mrd oject/a_ipl.no.; _ Expire date. -
Cityafngard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Do,eissued: 13 .V R_t _ip__rr
Phone: (503) 639171
Fax: (503) 599.1960 cars rile no.: Payrncnt r„
Land use approval: _
(] 1 &2 family dwelling or accessory RlCommercial/industrial 7 Multi-farnity D Tenant imptnvrmenr
7 New construction U Addition/Alinration/repl are menl J Other:_ :1 Partial
MrIUM Ilas
Job address: ' N Bldg.uo.: Suite no, Tax map/tax lot/account no.:
Loc: I Block: Subdi slop:
Ftoject.name i - u 1 �/ Description and location o1 work an premises: ,�
Estimated date of com letion/lia action:
Job not Fez M"
Business mune f c,
Description Qty. (m) Total no.imp
AddreGs: . , New residential-single or multi family prr
J �. ke _Aft—) dwelling niLlnc;edesetterl.,Jprare-
City: M, Stat% ZIP: Srryitsinclutle4L
Phon .Sc, cu l SZ,k,(? gf I E-mail: 1000+q.rL nr nut a
CCB no.: $lee.bus.lie.not _ Each addido tttl t>Dsq.ft or pardon thereof
Limited energy.rcaident3al _ 2
City/metro lc,no.: /A/U) IJmitedeurr y,non-retidawnl 3
Each manufactvnd hams or nodular dwelling
ro et su t n c e t■ aired) --Date Service and/or feeder 2
Sup.eleet.name(prinq: it r r
License no: "> 6ervleexorfeeders—installadom,
alleviation or relocation:
200 amps or leas 1
Name titlt): 201 amps to 400 ams _r _ 2 `
Mailin address: — 401 amp!to 600 amps 2
601 amps to 1000 ampt 2
City: State: ZIP: Over 1000 amps or volts 2
^hone: F'ax: E-lmlil: Mconneaonly t
Owner installation:'Ilse installation is being made on property I own Tentponu services or fttwlem-
which is not Intended for Rale,lease,tent,or sxchvtge according to installation,elteradon,orreloesdon:
ORS 447,455,479.670,701. 200 amps or less _ 2
301 am a to 400 amps__ __ 1
Owners sf attire: Date: 401 to 600 tuns 2
Branch cUcaits-new,slirretion,
er eatantlon per panel:
Name: A. Fcc for branch circuits with purchase of
Address: tervice or feeder fee,each branch circuit 3
City: State: Z)p: B Farfor branch circuits without purcheae
--
Photic: F•mail' o[serviea or feeder fee,flat branch circuit: 2
Fou
Foch additional branch circuit:
Misc.(Service or feeder not included)-
223
nc a ):223 ampetnmms"al U Hoslth-uuetudlity Each pump or irrigation.rrcle 2 _
O 5etvlce urn 320 amps-rating of 1&2 U Harardaut location Each slat+or outline lighting 1
family dwr111ngs U Building over IO.otlti square fen rt+uror Signal circuit(-)or o limited merry panel. �J y
Cl Sysutm over 6nO volts nominal more residential units In one structure alteration,or extension'
�J BuUding ovarthren statins U Feeders,400 amps or mom •Detcrition: _
U Occupant land over 99 persons U Manufactured su uctuirs or RV park Usch addlnnnal itnisvetles river the allowable In any of the above;
U ERrtasOightingplan IJ other. - Perinspecdon
Submit_gnu of plea ve)th any of the above. Invntipntlon ice The above are not eppUnble to temporary construction service. other
Nut all jurisNcdoa mrept matt cads,plow Coll jurismcdon fir maw infarr"dae Notice:This permit Application Permit fee..................
Z)Visa 13 M rurrCatd expires if a pertnit is not obtained plan review(at %) S
Credit cam manner. _ _ within I RO days after it has been State surr.harge(11196)....S
_. piner
ams a cs o du s.bowo on credit card` acceplyd as complete. TOTAL .............. .......•S _.
-- [ holder�ignnue Amoual 4404615(&IMCOMI
CITY OF l IGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
SUP
Received -__ .- _[)ate
Requested __ l .._-_. ASI PCI -_ BLIP
Location � Lcl-_�i 'I-&&zUW _Suite '- (�Ft - MEC
Contact Person __-_ _ — Ph(__ _ `�I - ° - PL.M
Contractor---- -- ____ -------- - - Ph( --) --- - SWR -
BUILDING Tenant/Owner -----_- ELC _ _-.--._-------.-_---
Footing --- - - - ELt;
Fr,undation Arcess:
Ftg Drain ELR �v✓�-
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -
Ext Sheath/Shear -
Int Sheath/Shear
Framing - - -- - - —
Insulation
Drywall Nailing - �-'t-- -----
--- --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - - -
Roof _ --
Other -..._--- -- ------ -
Final
PASSPART FAIL
PLUMBING -
Post&Beam
Under Slab
Rough-In
Water Service -
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain
Shower Pan
Other. ----
Final
PASS PART FAIL.
MECHANICAL -
Post&Beam
Rough-In - - - - - - -
Gas Line
Smoke Dampers - ---
Final
PASS PART FAIL - -
ELECTRICAL
Service _�_._______ --- ---------------_----------- �----
Rough-In -- - ----- - ----- - —
LIG/Slab-
Fire-Alarm
G/Slab
irF'-e Alarm - ----------------------- - ----
I Reinspection fee of$ _____--required before next inspectior. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIT.
Ij Please call for reinspection RE: Unable to inspect-no access
Fire Supply LineADA
Approach/Sidewalk bate. / (j �- laxr�wtCtpr �� 7 C_' _-ut_
Other:
Final DO NOT RIirP40VE this Inspection record from the Job site.
PASS PART FAIL