Permit ELECTRICAL RESTRICTED ENERGY PERMIT
. ` PERMIT #: ELR2007- 00020
1, COMMUNITY DEVELOPMENT DATE ISSUED: 1/22/2007
T IGAR D 131'25 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA-01400
SITE ADDRESS: 06650 SW REDWOOD LN 365 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
Project Description: Relocate thermastats.
A. RESIDENTIAL B. COMMERCIAL
AUDIO &STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PROTEMP ASSOCIATES INC
15350 SW SEQUOIA PKWY #300 -WMI 9788 SE 17TH AVE.
PORTLAND, OR 97224 PORTLAND, OR 97222
Phone: Contact #: PM 503-233-6911
FAX 503- 238 -9767
FEES Reg #: ELE 26- 1063CRE
LIC 38868
Description Date Amount
[ELPRMT] ELR Permit 1/22/2007 $75.00
•
[TAX] 8% State Surcha 1/22/2007 $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 riot 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.questie s to OUNC at 503.246.6699 or 1.800.332.2344.
. G Permittee Signature:
Issued B y . ' B..��.�_ � _ .�_� ,cr
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 SU PR. 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 the job site4until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electribal Permit E l FOR OFFICE USE ONLY
"✓ a, •
Dat / B a ` ... ,, d �t � • 3 7
CI of Tigard Permit No
13125 SW, Hall Blvd., Tigard, OR 97223 1 NI 2 2 2; Plan Revie
Phone: 503.639:4171 Fax: 5031598.1960 J P `N �u 11 A DateB : Other Permit:
Inspection Line: 503.639.4175 3GA� � `J pate Ready /
CITY ®F` By: LZ See Page 2 for -
Internet .www.ci.tigard.or.us RI►ttDINC QI IJI ®N Notified /Method: SupplementalInformation
F; `'4.9 Vl ' l ` P :,rl + r r, 7 + .. a ," . �. illi. _ , r✓ ,mw z „uu'4u'E tlVKOh , 4 , ir. ." w `' w y 5. 'y ` s i . .. },. y w f vi .. ate, , 'At ,v. P , as
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L W .
❑ New construction Addition /alteration /re ❑See he check all
2hSamp
® lacement P
comm'l ❑Hazardous location,.
El ['Other
S X Q I Wb ,
Demolition
Is, � � � w� r � � H ur � ❑Service over 320 amps:- rating ❑Bulldng over 1 sq, ft.,
st'; " : +7 ����' �. r, W '44 a CATEGORY OFt`�CONSTR1JCTION drrr ��) i, ., r '''''i ' ' , d p1 ,dG�l,u� of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial /industrial IN Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other: ['Building over three stories [Weeders, 400 amps or more
ai ih II p , ,I Occupant load over 99 persons ['Manufactured structures or
., 4 . "t t JOB SIT • "i hl e , °'I, iw ,5 9, " 7 % I ❑'Egress /lighting plan RV park 1.
Job no.: Job site address: 6650 SW REDWOOD LN. ❑ Health -care facility ['Other: •
Submit 2 sets of plans with any of the above. .
City /State /ZIP: TIGARD OREGON 97224 The -above arenot applicable to temporary construction service.
,' 11; V ' ',1'lliR .:, ,1:* l$,OEDULE a lIVAr ”` > ",
Suite /bldg. /apt. no.: WSW& Project name: FUTURE ELECTRONICS •
Description Qty. I Fee. Total
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'I 500 sq. ft. or portion 33.40
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited;energ
. ii r m � �� u _ y; non - residential . 75.00 2
"� 5,44 ir ' " ' r ai DESCRIPTIONSOF '' i ,l a . I"I' rl �,m �„
M� al r+ rr "„ "a �� tl�l " „� , i�, �I� , I � �.�„ �.�� . •��.., .� .. a” a �� .. "' � � �
x xv. ...a , , U u. � �" R mar. « „mr��llyd� I!'�! lG,u,.�, Each manufactured or modular
ADD OVER RIDE AND RELOCATE THERMOSTATS dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps'orless 80.30 2
1 :� k ' I�� i?PROPERTY QWN,ER � 4 ” I "i � F < �! l 1N�T amps to 400 amps 106.85 2
. 5
" 1' „, ” ”' " u ' "": ` ` ' 401 201 amps to 600 amps 160.60
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 ORS447, 449, 670, and 701. 401 amps to 600 atiips 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
, �a rP x �,� q r p °d t t i,� � ~ng, � q „ a , � . " °"aa•• � � 1"st� A. Fee for'branch circuits with
AL i i ” , „® r LI,CANT d R ; iii < ..1.. * jr, F P,,,. ry 1. ® ., C ACTx PER30N .,IN.,«
service:or feeder fee, each 6.65 2
Business name: PROTEMP ASSOCIATES 'branch circuit
B. Fee for branch circuits
Contact name: BRUCE BUTNER without service or feeder fee,
46.85 2
Address: 9788 SE 17 AVE first branch circuit
Each add'I branch circuit 6:65 2
City /State /ZIP: PORTLAND OREGON 97222 Miscellaneous (service or feeder not,included)
Phone: (503),519 -6199 Fax: : (503) 238 -9767 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E- mail: - . ' Signal oircuit(s) or `
'extension. limited -
G ,sw,a7 �I 1 s r', i rgn �n r ;, tl r A to + " ener e r,
��.�wa,u a' ,�Il)i ,�, , I . �., I 1 " � .,, s ; �,�CONTRA'CTOR r �;, ." l� ,�'�r,yg � ����I�.�..� „�,. a ; i� t tl�m , I rW � `
a, ” � gY Panel
on. Describe: Page 2 2
Business name: SAME AS -ABOVE , THERMOSTATS . I
Address: Each additional inspection over allowable in any of the above
City/State /ZIP: Per inspection 62.50
Investigation per hour (1,hr 62.50
Phone: ( ) - Fax: ( ) Industrial plant per hour 73.75
CCB Lic.: 38868 Electrical Lic.: 261063CRE Stuprv. Lic.: 2613LEB " ^'' ,. ,'k' II l 1, ItII ( ELECTRICAL '$PERMIT4FEES *R w rill
Subtotal 7 S
Suprv. Electrician signature, required: � .,, -,
`�� Plan review (25% of permit fee)
tname: Via Air/ a. Date: 1/19/07 (8% 1 ,,S �
Print ILO w.. / State surcharge (8 /a of permit fee) 6,s
TOTAL PERMIT FEE q 1
Authorized Signature:�� f 'li
This permit application expires if a•permit is not obtained within 180
Print name: "Q ec tie_ .e_. 1� _)7 - .1.11-- Date: 1/19/07 days after it has been accepted as complete
* Fee methodology set by Tri -County Building Industry Service Board
i:\ Building\Permits\ELC- PermitApp. doe 12103. 440- 4615T(I0 /02 /COM/WEB