Permit F
INI . :., . ��� ®� �� ® ELECTRICAL RESTRICTED ENERGY PERMIT
-' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00399
1T, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/26/2007
PARCEL: 2S113AB-00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRY RD BLD.0 ZONING: I -
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: EXELIXIS
Project Description: Install low voltage voice and 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 HECKTEC TECHNICAL LLC
15350 SW SEQUOIA PKWY #300 -WMI 3484 HILLSIDE CT
PORTLAND, OR 97224 HUBBARD, OR 97032
Phone: Contact #: PRI 503 -572 -1827
FAX 503 -981 -0478
Reg #: ELE CLE14
FEES LIC 162394
Description Date Amount SUP 1496LEA
[ELPRMT] ELR Permit 10/26/2007 $75.00
[TAX] 8% State Surcha 10/26/2007 $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 .uestions to OUNC at 503.24. 6699 or 1.800.332.2344.
/r
Issued By: , A / ' L. J Permittee Signature: A i wf i an
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. ELECN: 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.
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00399
AJI 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/8/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Data /Telecommunication.
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:
WASHINGTON SQUARE LLC DEANE COMMUNICATIONS
BY THE MACERICH COMPANY 6063 S VINEWOOD ST
9585 SW WASHINGTON SQUARE RD LITTLETON, CO 80120
TIGARD, OR 97223
Phone: 503- 639 -8865 Phone: 303 - 798 -9565
Reg #: LIC .155346
ELE 37- 1058CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 11/8/2005 $75.00
[TAX] 8% State Surcharl 11/8/2005 $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 a.. able laws. All work will be done in accordance with approved plans. This permit will expire if work is not
start:. within 180 •: s of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
yo to follow rules ado. = :. , t - Oregon Utility Notification Center. Those rules are set forth ii• • ; R 952 - 001 -0010
thr.ugh OAR 952 - 001'0 '. may obtai copies of these rules or direct question ./ 503- 246 -6699.
Iss - d By: 1 _ � �� / L/ Permittee Signature:x
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.
- Kevin Heck AV 503 -981 -0478 p.1
Electrical Permit Application uO F , t- i 5 , (i l t a Ol 1 1� 1 1; ( ►N11 . , ; ;,
Received
Ci o f Ti �� 21e�0� . S .. Permit No. E ?tom 163
7 Date /By: t
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Citi
'C 0 ., Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
'''' '•' '' '' '?' Inspection Line: 503.639.4175 D ate R eady /B y: lu
.rit;AltD c/ ® See Puge2fur
. Internet: www•.tigardor.gov Notified/M ( ' Supplemental Information
TYPE OF WORK FIEGF-.),;i:i. F PLAN REVIEW
Please check all that apply (submit sets of ms checked below):
❑ Nev construction ® Addition /alteration /replacement PP y bi a plans wiite
P
2 5 / ❑ ' S ervice or feeder 400 amps or more ❑ Building over three stones.
❑ Demolition ❑ Other: n r, 2 T where the available fault current ❑ Marinas and boatyards -
CATEGORY OF CONSTRUC'T1ON , seeds 10,000 amps at 150 volts or ❑ Floating buildings
I { , / or i ( .71�Ry "Km to ground, or exceeds 14,000 ❑ Commercial -use agricultural
El 1 and 2 family dwelling ® Commercial/industrial ❑ Accessor�, �,t� ([
tiu Ii.�i� Sit' forallotherinstallations.
L L 1t l tom+ buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ F ire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger seporalely derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I.3 ",
Job no.: I Job site address: 16160 SW Upper Boones Ferry Rd 1 or more. occupancy.
CI Six x o or r more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: BLDG C I Project name: C X i h .... 1 )(// !) ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:
J Description 1 Qty. i Fr. 1 Total 1 •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or Less 145.15 4
"Tax map /parcel Ito.: Ea, add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq) ft. )
Voice &Data Limited energy, multi - family
residential (with above sq. ft.) 75.00 2
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
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: ( ) I 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, least, rcnt, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps I 133.75 _ 2
Branch circuits — new, alteration, or extension, eer panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: Noun without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Hubbard, Or 97032 Each manufactured or modular 90.90 2
Phone: (_5(13) 572 -1827 Fax: : ( ) dwelling. service and /or feeder
Reconnect only 66.85 2
E -mail: hecktec @msn.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Hecktec Technical LLC Signal circuit(s) or limited -
energy panel, alteration, or
Address: 3484 Hillside Ct extension. Describe: 1 Page 2 75.00 2
J
City /State/ZIP: Hubbard, Or 97032 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 572 -1827 I Fax: (503) 981 -0478 Investigation per hour (1 hr min) 62.50
CCB Lic.: 162394 Electrical Lic.: CLE 14 I Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 75.00
Print name: - Date:
Plan revi (25 %of permit fee):
State surcharge (8% of permit fee): 6.00
i ,'
Authorized signature; 1 / ' I J , , TOTAL PERMIT FEE: 81.00
-1 This permit application expires if a permit is not obtained within 180
Print name: Rachel Heck Date: 10/25/07 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:U luilding1PernitslELC- PenmtApp,doc 05/23/06 440-4615T( 1 I/05/COM/WEB
Electrical Permit AmAl �ti � FOR OF17ICI USE ONLY '
City of Tigard l Date Q
® ,, v ! 7 Permit No.. / /
13125 SW Hall Blvd., Tigard, OR 9722 1, Plan Review
Phone: 503.639.4171 Fax: 503.598.15 ,J y 7 2020n; - ,, 1 Re
Date/
j Other Permit:
J I Dat
Inspection Line: 503.639.4175 J . Date ReadyBy � El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method. 4 / � Supplemental Information
CITY OF T!GARC
B V@Fr '�l N PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'I ❑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 OSystem over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: q c.. 104. e kill) ❑Health -care facility ❑der:
`--' • Submit 2 sets of plans with any of the above.
City/ State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: �ti2'7� ), rt �L S
FEE* SCHEDULE I I .•
'-'�1 Description Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. add'I 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
-- dwelling, service and/or feeder 90.90 2
j - /9T� Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
'PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: LZ,A 1..._‘___Q_ 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
Phone: (5b5) 1 Z, -so S Fax: ( ) relocation
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 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, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circutt(s) or limited -
CONTRACTOR energy panel, alteration, or
Describe: / Page 2 2
Business name: J EA l_.(J N t-1 u a3 L e l (),s — 7 - )61-rft
Address: Lob 3 � � � Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: kk �(.�r! -r. 1) 0:-l.J . Investigation per hour (1 hr min) 62.50
Phone: `. J
r �{� 7 Fes: ( ) Industrial plant per hour 73.75
7 9 „ ?sips-- ELECTRICAL PERMIT FEES*
CCB Lic.: I 5 3' 6 Electrical Lic.: 37. l- prv. Lic.: Subtotal �S a
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee) • 0 d
TOTAL PERMIT FEE
Authorized signature: f . , ' This permit application expires if a permit is not obtained within 180
�/ days after it has been accepted as complete
Print name: X ` e Y 4 / ,,,<5/?1) Date: 81 / /o5 • Fee methodology set by Tri- County Building Industry Service Board
/ ` Number of inspections per permit allowed
i:\ Building \Pennits\ELC -Pen itApp,doe 12/03 440-4615T(10/02/COM/WEB
Kevin Heck 503 - 981 -0478 p. 2
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
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*
❑ Othcr:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 - 260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Othcr
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
hilu+Wing1Pe niulELC- PermitApp.dot 03/23/06
CITY .OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/76/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 57
SITE ADDRESS: 16160 SW UPPER E300NES. FERRY RD BLD.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: Exams
DESCRIPTION: Install low voltage voice and data.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 603 -572-1827
Inspection Request Scheduled For: Date: 1Q030/2007 Pour Time:
Code # Inspection Description Confirm # j Contact # Message
135 Low voltage 058588 -01 503 -572 -1827 N
• -. •ss /Comments /Instr , ons:
N P *ArP sl i aw. O N ) ci7
`p, PAS 1 1 PARTIAL APPROVAL _ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: CY ' X 66 L Date: 1110109 Phone #: (503) 718-1144
CITY OF TIGARD f,
BUILDING DIVISION PERMIT #: ELR2007.00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1(/2(/2007
Phone: (503) 639 -4171 ��° � ��F �l
Inspection Requests (24 Hrs.): (503) 639 -4175 ;� ---
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7 PAGE: 3
SITE ADDRESS: 16160 SW UPPER BOONES FERRY RD 13LD.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: E ;XtLIXIS
DESCRIPTION: Install low voltage voice and data.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HECKTEC TECHNICAL I.LC PHONE #: 503-572-182i
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time:
Code # Inspection Description ( Confirm - 4 Contact # Message
136 Low voltage 068548.01 503-406-5791 N
Corrections /Comments /Instructions:
R.0 v i0 a G-ko QX11) 1'6 YVv17 isk , osc
P aO‘ IV,.
„� PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: c�''"h 1 `+ bb L Date: 1012411 Phone #: (503) 718- 011N
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00399
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 11/8/2005
. Phone: (503) 639 -4171 4 '
Inspection Requests (2 Hrs.): (503) 639 - 4175 "'�: ;k
INSPECTION WORKSHEET OR DATE: 11/15/2005 TIME: 7: 02AM PAGE: 106
SITE ADDRESS: 09359 SW SHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTO SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: Data/Telecommuni,. ion.
OWNER: WASHINGTON SQUA` LLC, PHONE #: 503.639 -8865
CONTRACTOR: DEANE COMMUNICATI • S PHONE #: 303 - 798-9565
Inspection Request Scheduled For: Date: 11/1512005 Pour Time:
Code # Inspection Description Co firm # Contact # Message
135 Low voltage 0211 : 01 971 -218 -6186 N
1c vi �± � � 82130- 0 J
Corrections /Comments /Instructions:
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
!❑ FAIL ❑ CALL FOR IN PECT • ❑ ADDITIONAL FEES ASSESSED •
Inspector: / Date: Phone #: (503) 718 - .