Permit •
fk CITY O F T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT
:° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00466
,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/17/2007
PARCEL: 2S113AB -00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRY RD BLD.0 ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: EXELIXIS
Project Description: Voice and data wiring.
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
FEES Reg #: ELE CLE14
LIC 162394
Description Date Amount SUP 1496LEA
[ELPRMT] ELR Permit 12/17/2007 $75.00
[TAX] 8% State Surcha 12/17/2007 $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: Adz Permittee Signature: � CZ ela. ( 0 pi/ fj■•
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.
K 503 p 1
Electrical Permit Application 4 - �., a , r ' R b i i i` l E l :1 rl �wfi , , t
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City s. Tigard
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i 13125 SW Kill Blvd., Tigard. OR 97223DEC �v 2001 Peavey: 1 . ii /D 7 � , o�✓
l � Phone: 303.639.4171 Fort: 503.5 ` r / Pk., erncw
Qr 1 ��.11Y�''
Other Permit.
. i :) . Inspeuinm UPC.. 507,639.4173 p� d Yuri. I O Sea Pm 2 for µ.�: .. . ,,. � m
Intcet www ttearder.gov B u FiiN Dim dmdiMdb ): SoppwsW w
e. taren.tieo
TYPE OF WORK• ` PLAN REVIEW
❑ New construe:inn jril A.dditinn /ahermion/replacement rime check all do apply (4w32 sets aphids sr/irans chocked helerr)
❑ Demolition Other
C3 Service 01 fecdor400 (imps or more 0 Building over dime stories.
Wheat nu mw.7rbtc font cumin 0 Ma.;nin sad boatywds
CATEGORY OF COPBrut iior maids 10.000 papa at I $0 onto em 0 Ponta; bMadmp, .
lento raved ex tam* 34Men 0 Comteeretal-Ise arricultond
❑ 1- and 2- family dwelling tir Commcrdal/Industrinl ❑ Accessory building Mmes for au odmr invaltsaioes. buildings
❑ Multi-family ❑ Master builder ❑ Other: ❑Fire pump. DIroaltv.on KVA
JOB STYE INFORMATION AND LOCATION ❑ aon am. srnem. Ingo atrn.mty d n d mram
J / / 1.+ 1 a _ O M1dfit dditi on rotorly t
d Or ❑ "A ". F.`I- . "I -3
Job no.: lob site address:
143V/20 i ( OO 4) � � \ �71� � tOOJtra mare d.„,,, urns., •uana
C` ❑ s H eon nt+ 0 Rcn
an vehicle f.�tks
City /State/ZIP: ' - T 1 rt r 0 11 ) ' 3 0 l tt■eSA.* ..abas
e factions. 0 Swe tar .'o shim
) ❑ Haardow Iacufonc d4A vWI3 nommmnl.
Suite/bldg. /apt no.: ) (` Project name: E < l I x 1 a
T ❑ Straka a feeder am sops re Mort.
- - FEE SC7RDVLE
Cross men /ditectitns to job sire: 21 d j c, f — ' rMmerwrm 1 9n• C tea. - 1 'eat 1 -
New residential mingle- or rodd•amldy dwelling omit.
Iaelodea attnched peruse. _
Subdivision: i ( a no.: 1.000 sq. R or less 143 15 .. 4
Tax map/puce) no.: 1 Ea. Mel 500 ,q, ft. or portion 33.40 1
Limited eaag r eralddatlial 75.00 2
DESCRIPTION OF WORK (with mina tea A.)
j � k j i r L
n o Limited energy, mufti-family
01 C.P. Q, iii d t ide i r (with Maas sq. 4.) 7 5.00 r 2
`AI(/ it Stavtny or kedarl hatilhetiomatterstioa, amNm relocation
200 attq s or teas an 30 2
❑ PROPERTY OWNER 1 0 TENANT 201 amps to 400 amps 106 85 2
Name: X f ' y' 401 mnys to 600 Naps 160 an 2
(, P l 1 /� (� 601 amps to t.000 Imps 240.60 2
Address: Over 1,000 amps or votes 454 65 2
C d r , Temporary aeraieta or feeders luttaeatloa,'iteration, andtor
reloealioa _
Phone: ( ) 1 Fax ( ) 200 amps or las r 66 85 1
Owner inabilities:: This instal Iation is being made on properly that I own which is mar. 201 .mgrs to 4110 amps 100 2
intended for sale. kase, rent. or exchange. according to ORS 447. 449, 670. and 701. 401 anpla to 599 amps 133.7' , 2
Branch desalts - new, alteration, or mansion, per panel
Owner signature: Date: A. Fee for branch eirait with
• ❑ APPiaCANT . 1 ❑ CONTACT PISRSON above service or fccdct tee. 6.65 2
cacti branch circuit
Business name: R. Fee for branch circuits
"-- without service or feeds, fee. 46 85 2
Conant name: fuss branch circuit 1
Address:: Each eddl branch circuit j 6.65 _ 2
- MiueOan5oas Dada or feeder not tedaded)
City/Stale/ZIP: Each rolamfaented or mndaiar
fivelling, swain and/or feeder 2
Phone: ( ) ( Fax:: ( ) Reconnect only 66.83 2
E -mail: Pump or irrigation antic 53.40 2
' CONTRACTOR • Sign or ettaline lighting 53.40 7 ''
Busing name! L E 1 L� Signal coetaas) or limited-
� S �L �t�� � till �� I energy panel alteration. or ( P Z 1 2
Address: . ) L d ' ; `1 4 � l 5 1/{ f C 1 extension. Describe' 1
City /StateJZlP: H 1 b r d t) (4 Fade addd0nal inspection ONtr allowibie in Utile ahem
ft... ( �1 n ( Fax ( 51'3) 7 1 atippaioapar Per inspection 62.50
J' 7,21-1 3� `IS1'Lk{ imlra 0 ro , in) 62,50
CCB Lic.: 1 ( ( . { • 1 Metrical Lic.. cr LE 113 1 Supra. Lic.: industrial plant per lour 73.75
Supra. t Electrician signature, • ELECLRICAL PERMIT nu
Supra.
Est urc, required: Subtotal: ' 7 1.-5; t
Print name: i Dom: Ma review (2S % of permit fee)
Stine surdnarge (a% of penis fee): L U
Authorized signature: c i xt i 1.1e ( _ TOTAL PERMIT FEE: %) i '-D7-1 Print name: _ • j pate: r p ,7 1 nit peril* d .>!er w ..e penettb o,� e a Mlles 150
• Number rot inspections Illowtd der Penal,. 1.b8tnM n
lquy sae alg 5- vnn 4 15T1 VfaeCmaMPx
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007.00466
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12117/2007
Phone: (503) 639 -4171 IL4
Inspection Requests (24 Hrs.): (503) 639 - 4175 �'
INSPECTION WORKSHEET FOR DATE: 1/3/2000 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 16160 SW UPPER BOONES FERRY RD sBI.D.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: E.Y,B_IXIS
DESCRIPTION: Voice and data wiring.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 60'3-572-1827
Inspection Request Scheduled For: z Date: •1/3/2008 Pour Time:
Code # Inspection Description Confirm #�\ Contact # Message
135 Low voltage 062435 -01 ) 503 572 -1827 N
!g9 F-1 'JAL_ .
Corrections /Comments /Instructions: \_`
\\
(------, \
\.4 /
iv \
PASS ❑ PARTIAL APPROVAL l CANCEL ( l NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: & . N k..-. Date: ,' 3' A Phone #: (503) 718- 1-"1 r)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FE_R2007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1111 r /:.
Phone: (503) 639 -4171 . .
Inspection Requests (24 Hrs.): (503) 639 -4175 =' . `''� .
INSPECTION WORKSHEET FOR DATE: 17J24/20Q TIME: 7:00AM PAGE: 47
SITE ADDRESS: • 16160 SW UPPER BOONES FERRY RD BLD.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EXELIXIS
DESCRIPTION: Voice and data wiring.
OWNER: PACIFIC REAL1Y ASSOCIATES, PHONE #:
CONTRACTOR: HECKTEC - TECHNICAL LLC PHONE #: 503 -572 -1827
Inspection Request Scheduled For: Date: 12/2512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 062060-01 503- 572 -1527 N
Corrections /Comments /Instructions:
CLo 'el".0=
n PASS III PARTIAL APPROVAL ' a _CANCEL NO ACCESS
X FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: tA QV Date: 1 21 T1 Phone #: (503) 718 - 1.4_1_____