Permit . i
n1 rr ^ {s ''''
: ' IT �� TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 -00294
TIGARDi DATE ISSUED: 11/30/2006
l.. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA
SITE ADDRESS: 06650 SW REDWOOD LN 330 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
Project Description: Voice and data cabling.
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 CSHARK NETWORKS
15350 SW SEQUOIA PKWY #300 -WMI 5111 FIRWOOD DR.
PORTLAND, OR 97224 WEST LINN, OR 97068
Phone: Contact #: PRI 503- 697 -1818
FAX 503 -697 -1818
FEES Reg #: ELE CLE23
L1C 164236
Description Date Amount
[ELPRMT] ELR Permit 11/30/200€ $75.00
[TAX] 8% State Surcha 1 11301200€ $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. Y.0 may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: , ( G� � Permittee Signature: - A i
r
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.
,- , r .T. •
Electrical Permit ApplickafiCEIV ED . - ,..„ , F . .,' ' P ' ' ' . ••,- ;;;.' '• ,:g■ , :4'4', ''.' ' • L • , o'.! 4;•4 .f,:, .%.y..0:0'.M fr
' „' ''''''' ' ''' "'''' : ''''' ' I'd lawl„,lef 'CS E. '0 itiltii',;•,',' 'N''"' 1 l'
, -, _,..„ , .. ,,, ',, ,. .,.• : ,,,:, - .- • ...--.,,, ,..• ,,,,, '‘,,,;.,;;,,',,, ;•,....:. . ! , T0.4 , ,,V. 41,a, Pe" t ',!; ( 1,4;;;1",i;,,
' :*: t:' ' '' 1' 4 : :"^ -47-, City of Tigard ReceiVed i
av 6 0 2006 0 1
Date/By 1 0(9 vp ; CIEILai - 0 ..
• ', ' ' '''' q 13125'SW Hall Blvd., Tigard, OR 912..... Plan Review -
• i'l:' , q " IN t
Phone: 503.639.4171 Fax: 503.5213:M0....- .
I Ul - TIGA Other Permit:
RD Date/By.
Inspection Line: 503.639.4175 Li. 1 Y Date Ready/By:- Jurk....- See Page 2 for
't BUILD
, f+' Internet: www.tigard-or.gov Notified/Method: Supplemental Information
ING DIVISION
• ACI)e0F WORK - A f-:. / %A: , -4... P,LA1V 'REYIEWP:.
,
Please check all that apply (submit 2 sets of plans wiiternSchecked below):
0 New construction 1:1 Addition/alteration/replacement O Service or feeder 400 amps or more 0 Building over three stories
0 Demolition .Other: 4C)_0 1 2)e„.7 - 4 - 7r e t, CO be, , where the available fault current 0 Marinas and boatyards.
: • - - ,t° 1,,i -, , CATEGORY OF 'CONSTRUCTION ,'',, , - , •4• • if ,, ,, • exceeds 10,000 amps at 150 volts or 0 Floating buildings .
less io ground, or exceeds 14,000 0 Commercial-use agricultural
ID 1- and 2-family dwelling gCommercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
.. 0 Emergency system. larger separately derived system.
- 40B.TE INFORMATION AND 1:,0,
• . : ,,,.; --.: • - .'4 - ' - -- ' ' ' -'' " ON . - " 7'-'7.1 ''''' -''' • •
.‘T „":":„.: _. , C • A :. , T", - - ,,, ..i4 0 Addition of new motor load of
100HP or more. occupancy.
Job no.: Job site address:
''‘..--A. ..cl..4 ) 1'y" A J. 0 Six or more residential units. 0 Recreational vehicle parks. • .
.
: --.r- ---
e 0 Health-care facilities. 0 Supply voltage for more than
City/State/ZIP: ( 4i ?2 , ■C 9 ?2.S 0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: ",30 Project name: /4-"41i----.` /11 , 1.... ,_...4, 1 _,--., , o Servicecifleeder 600 amps or more
' FtE:i'S,C11$0141..E... ::,.'....."4.;:'.
Cross street/directions to job site: Description I QtY. I Fee. I Total I •
New residential single- or multi-family dwelling unit.
57 Qv, e .). 4 _ /C.4 . , - Jr-7,1J - . includes,attached garage.
•
Subdivision: Lot no.: 1,000 sq.. ft. or less 145.15 4
Ea. add'I.500 sq. ft. or portion 33.40 1
Tax map/parcel no.: as 4 > 7.,4 —.. e..) /.4i 2)--6 . Limited energy, residential
. , ,„-- , ,„ , ,- ....,„ •, 75.00 2
,, '.?DESCitikTICiN01F .W , WORK - ', - - 7f'',7_,... :',-' ,,. ,..YZ2:' i ; (with above sq. ft.)
. ed enery, mlti
d /e0 r Limit g u-family
,f cqr residential (with above sq. ft.) 75.00 2
•
. Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
X ": Ty ....,,,;,,:.,,.... ,t-- : , ,, t 4, _. la t-TEIN1ANF * ,,,, , ‹tyt$ i, 201 amps to 400 amps 106.85
Name: 401 amps to 600 amps . 160.60 2
601 amps to 1,000 amps 240.60 2
• Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
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 599 amps 133.75 2
. Branch circuits - new, alteration, or extension, per
Owner signature: Date: A. Fee for branch circuits with
if APPLICANT r: ` '`` ---'... - ;I. CONTACT PERSON • . j ' - above service or feeder fee,
6.65 2
each branch circuit
Business name:
t. Z< 212 c. B. Fee for branch circuits
____,, • ,
without service or feeder fee,
Contact name: ,.,.,, ,.....< er-4.e.A.\-__- . first branch circuit 46.85 2
Each addl branch circuit 6.65
Address: .... ,5"/// 7----,e,.c....yeb- - .-- , 1..; .
Miscellaneous (service or feeder not included) 2
• City/State/ZIP: , z ___ m i, z ) e , qi> 663 - Each manufactured or modular
90.90 2
• ... /., dwelling, service and/or feeder
Phone: (5;0 .....--, 0 6 (.../ Fax: : " Reconnect only 66.85 2
E-mail: ( , ) ,-/ -- VC, @ ' ,C chtg.:/->e< . A.//‘- 7- Pump or irrigation circle 53.40 •
2
CONTRACTOR -,: . - „..;., `:: :„.—j ,.. Sign or outline lighting 53A0 2
• Signal cireuit(s) or limited-
Business name: 11.5,--/ 11% 'energy panel, alteration, or
" c--
. • Address: 5 / ,__ e. extension. Describe: Page 2 2 1 ,, <..... c)c)1 1 :),;‹
City/State/Z1P: //1. ...- ; ''"--' /. ,1"/I4, 6;l 9 . .cse.,c6 .
Eaca na
.,--- , , h dditiol inspection over allowable in any of the above
Per inspection
• Phone: (” 7,09_06/Z_J Fax: c' , Investigation per hour (I hr min) 62.50
f .
. . CCB Lic.:/ Electrical Licaz: Suprv. Lic.: Industrial plant per hour. 73.75
y
• ;'r.-*T-:,:::: :, ,'",„ .- ELECTRICAL
• • Suprv. Electrician signature, required: 1 '1 t e s/ Subtotal:
. Plan review (25% of permit fee):
Print name: Date:
State surcharge (8% of permit fee): c \
Authorized signature: TOTAL PERMIT FEE:
• This permit within 180
application expires if a permit is not obtained
Print name: / .,,.-ST.,-(-4,4‹,(133 Date: - days after it has been accepted as complete.
• Number of inspections allowed per permit.
• 1:V361161ns \ Perrnits \ELC-PermitApp.doc 05/23/06 440-4615T( 1 1 /05/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
•
LIMITED ENERGY PERMIT FEES:
'RESID ONLY: ;om `. • � 7'777
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems* .
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other.
V COMMERCIAL WORK ONLY: , „ ,.,
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
El Audio and Stereo Systems
El Boiler Controls
❑ Clock Systems
E l Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
•
for all other installations
I: \ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OFTIGARD 4110 • BUILDING DIVISION PERMIT #: ELR2006 -0029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639 - 4171
Inspection Requests' (24. Hrs.): (503) 639 - 4175.. .
INSPECTION WORKSHEET FOR DATE: • 12/1/2006 'TIME: 6 :68Am PAGE: 33
SITE ADDRESS: 06650 SW REDWOOD LN 330 CLASS OF WORK:
SUBDIVISION: ' PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: FRED MILLARD
DESCRIPTION: Voice and data cabling.
•
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CSHARK NETWORKS PHONE #: 603-697-1818
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time: .
Code ;# Inspection Description - Confirm # Contact # • Message
1 _ 040545 =01 603 -467 -6190 N
t '��►1.
-c ions - • - . ctions :.
•
•
•
PASS ❑ PARTIAL APPROVAL. ❑ CANCEL n NO ACCESS
n AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: aT • +1\ 6 LE' Date: It. 12• I • (A Phone #: (503) 718 -.