Permit fid y - a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00221
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2008
PARCEL: 2 S 112 DA -014 00
SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: ASSOCIATED BUILDING MATERIALS
Project Description: Installing (1) data system.
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 STEELHEAD TECHNOLOGIES INC
15350 SW SEQUOIA PKWY #300 -WMI 11600 SE HAWTHORNE ST
PORTLAND, OR 97224 PORTLAND, OR 97216
Phone: Contact #: PRI 503- 255 -0364
FAX 503- 255 -3947
FEES Reg #: ELE CLE142
LIC 181413
Description Date Amount SUP 325ILEA
[ELPRMT] ELR Permit 7/17/2008 $75.00
[TAX] 12% State Surch 7/17/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 2- 001 -0100. You m .y obtain copies of these
rules or direct que ' s to OUNC at 503.246.6699 or 1.800.332.2344. /
Issued By Permittee Signature: AmigLtfta.Jig!,
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.
07/17/2008 09:18 5032553947 5) STEELHEADTECH PAGE 01/03
. 15
,. , Electrical Permit Applicati \ 1 I:oR (11w 1:1(. r. i i
. .. (lull
City of Tigard � A O a Received i4 ' i�
13125 SW Hall Blvd-, Tigard, OR 5 7223 `` \ 1 �
IN g , Phone: 503.639.4171 Fax: 503.598.1943 9 Other Permit: )f Ipa i cog.
1 1 i, A 1:1, Inspection Lino: 503.639.4175 ` •
��` �� , M See Page Z for
Internet: www.tigard- or.gov ` , ` 3 lementallntormatlon
�.. :57;W, - � � a ..0? „, ', c "`i?t' ^ . °r Y - :7 .'" d ki- : I , r r r •• I . • 1 ,1 1
n q 1 t r n ; F' , E -- 1 5 f F }
m f , _ � i 1 1 �.� �ati,, �� 4 ,: � 5.'uh . �. t �i: t�i� r 1 � ( �'l. w. ti.,f„ �s � = - ix�c.^:�r: ?�rrr _ _�w�fi:I' . =
1, � .el..,iu:,�tSelm .} I r' _'�J1 . ,1� it :.,,,::1• I , h.'"i7- '!..... 54°` t . : ,_::+ .. j �z +-+ C
4 New construction ❑ Addition/alt • . replacement Male check all fast apply (submit J, seta of plans w /henna checked below):
El Service or fordo: 400 amps of more ❑ Rmlding over three etor*es.
❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyards.
nii q , a 1 ,ylli 1 f f , I i r1 ' i l ,wf i + . iii!, '1 i1 rT x i , j ` ' rT I q t r T •'� ti 73,; :Ti', r? � , CI 10,000 amps at 130 volts or Floating buildings.
$;.,1 7.
,,4„ ,1 ,,.,. E�6 L .I a l L , a ; . :x+..*7,e,. f; r2c , t rr -zhl ,�s r- _ _ t t 't: t4 � . n _- : lest to groum, or exceeds 14.000 ❑ Commercial -use agriwfloral
❑ 1- and 2- family dwelling G •mmercial/industnial ❑ Accessory building amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑ Othca: ❑ Fcc PUmP. 0 Installation of 75 KVA or
, r ^-t'. -�' - ^7- ATr t r n. t 4 { 7. r tt s„ rrt11/ 1 f-r i r . 1 - -39 - ❑ Emergency system larger separately derived system.
. , . i - r , : 9 ',:.i_ I [t'!_! 5 4 i . k t . 4 i ro:t%:.«:,�. t:,-r �, L3r'r..�., ..._. .,...,4..., : � t , .. -{ * ,t ,... ., ill ❑ Addition of sew motor load of ❑ „A„ "E", "1-2", " 1 „
Job no.: Job site address:[ .6-3 _s .34 G(,/ Si or more. occupancy.
0
❑ sia >< or or more residential units. . Recre2tio ®1 vehicle parks.
City/StateiZiP: - (as' ❑ Health-care facilities. ID Supply voltage for more thin
El Hazardous locations. 600 volts nomrneL
Suite/bidg. /apt no.: f Project name nU B;L /1 and '� ❑ Service or feeder 600 amps or more
J Cross street/ditections to job site: naiowm ki'1 EN
o
New residential single- or multi - family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less I 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
_ Limited energy, residential 75.00 2
II I
cr n lti di `� P n n -, c i t r r 7'C 471: f C i r ^r,
°@ pI. 1 + y I S r�l, w r " kn ITir t ' 4 • (with above sq. R)
�� 4 . 1 _.,-�.�r . �._.t,�.�.[tiitia�= � ^ .a...ml:,xd3a - -- (t�,:i
L imited energy, multi - family 75.00 2
if p ( Us o claim. _ residential (with above sq. R)
Services or feeders installation,, alteration, and/or relocation
200 amps or less 80.30 2
. . 7 . ap t T. 7 1 N :e c? 1 , t 1+ w! i
.I, ..,i+ +f 1�i :. n s .rv .. + } T' ' �,liiil �'.dl , 1 I r.., i .. �,a i.[v, I3r J,+ e;. ° 201 snips to 400 amps 106.85 2
f1._.- t ,...i1.v?..- J- .;a-ta , r � 1 r,ri-`���iL, .. ai�'i. __�t1.kZ:1i �,h...r :.f.:ii .: n a. -�:i
/ 401 amps to 600 amps 160.60 2
Name: � - -�� 4l �'�' 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 l
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 mops to 599 amps 133.75 2
Owner si acute: Dace: Branch circuits - new, alteration, or extension, per panel
P>n A. Fee for branch circuits with
_ u. , y � . /t .,.:i r + lit t r -` S- r h trt .1 .•p t t t �
'L r r ,'f y r� 1 h c 1 : -. 1. { d` t i t jly i LS. i . c� , rF h 1;t 4 c above service or feeder fee,
hiicL .r_.: 1... ±..�6I_.aL ..u.,,t,!..il.,,, a._ : , jI .vg . . 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name without service or feeder fee, 46.85 2
lust branch circuit
Address: Each add'[ branch circuit 6.65 2
Miscellaneous (service or feeder not Included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 2
Phone ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
t ��
^, rd.{ [ ". �' a # ifilni '' } L10, ,?� 1 T I , 7 3 i r Tk) Sign or outline lighting 53.A0 2
T i , f.. :.� 1[ /Y y r..t} 1_..,. . • . r...tl.:....r. sw iw ;w -[ t +�C �... ...,..�.; •J..:.u,.-
Business name: k�Lkea 4 el, Signal circuit(s) e r to, limited-
.tl C.� energy panel, alteration, or
Address: , k( co c . extension. Describe: Page 2 2
City/State/ZIP: Do `_• se OCSR's OIL I t Each additional inspection over allowable In any of the above
Phone: ) of.SS - ix) 6 / i Fax. ) SS - 3 L Per investigation 62.50
investigation per hour (I hr min) 62.50
CElecical Lie. a ( uprv, Lic. eg ture, required: '' r ' Subtotal: .
Print name:'tic 5 k J k Date: 7 _ 1 I -Z _ O $ Plan review (25% of permit fee : _
T State swcharg _ : io of permit fee): IIPIW C(„12) 4.
Authorized signature: TOTAL • ERMIT FEE: ,+4 " O'
Print name: I Date: This permit application expires if a permit is not o. . + d within :',
days after it has been accepted as complete.
' * Number of inspections allowed per permit.
1: 1Bullding \PermltsiELC- rennitapp.doc 0523/06 440
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: , M
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171a�11
Inspection Requests (24 Hrs.): (503) 639 -4175 � `' I I t ab0 ?-6. z
INSPECTION WORKSHEET FOR DATE: . '7 j . ° TIME: PAGE:
SITE ADDRESS: F 5 5 60 s W sp a 0\ 4, • 1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1).Z , . B Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
lei
\\./
v
, PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G— • mar Date: 1 � Phone #: (503) 718- 2
•
CITY OF TIGARD - �� "?"' ''•
BUILDING DIVISION PERMIT #: ELR O08.002t1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/20011
Phone: (503) 639 -4171 .'�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ....._. a.
INSPECTION WORKSHEET FOR DATE: 7/23/2006 TIME: 7:02AM PAGE: 42
SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: ASSOCIATED BUILDING MATERIALS
DESCRIPTION: Installing (1) data system.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: STEELHEAD TECHNOLOGIES INC PHONE #: 503. 255.0364
Inspection Request Scheduled For: Date: 7/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 073046 -01 503956 -7344 N
Corrections /Comments / Instructions:
Peca it c�ftJ
[ ea f0\
O Cr e_.s se ce e,
•
❑ PASS ❑ PAR APPROVAL ❑ CANCEL NO ACCESS
CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7- 2. 3—Y Phone #: (503) 718-
i
CITY OF TIGARD
BUILDING DIVISION '•' ‘ PERMIT #: ELR200B-00221
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2008
Phone: (503) 639 -4171 4u
Inspection Requests (24 Hrs.): (503) 639 -4175
___21 ' 4 I..
INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: ASSOCIATED BUILDING MATERIALS
DESCRIPTION: Installing (1) data system.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: STEELHEAD TECHNOLOGIES INC PHONE #: 503.255 -036
Inspection Request Scheduled For: Date: 7/18/2008 Pour Time:
Code # Inspection Description Confirm -# Contact # Message
135 Low voltage -' -\ 072852 -01 503.970-7540 N
• Corrections /Comments /Instructions:
•
PASS ❑PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: E . r v 6 Q � Date: 1111 OA Phone #: (503) 718- 1_4 1