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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00305 TidXRO 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/28/2008 PARCEL: 2S112DD -01600 SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 ZONING: I -P • SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: SIRIUS COMPUTER • Project Description: Low voltage for access control. • 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: PROTECTIVE SIGNAL: INSTRUMENTATION: - OTHER: ACCESS X TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES HUSER INTEGRATED TECHNOLOGIES 15350 SW SEQUOIA PKWY #300 -WMI 1313 NW 17TH AVE - PORTLAND, OR 97224 PORTLAND, OR 97209 Phone: Contact #: FAX 503- 227 -5941 • PRl 503- 227 -6688 FEES Reg #: ELE CLE134 L1C 177227 Description Date Amount SUP 3609LEA [ELPRMT] ELR Permit 10/28/200E $75.00 [TAX] 12% State Surch 10/28/200E $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 Taws. 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: Permittee Signature: / '� 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: Cali 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. From:HUSER INTEGRATED TECH 503 227 5941 10/28/2008 15:02 #212 P.001 /003 Electrical Permit Application FOR OFFICE USE ONLY City g of Tigard Received - rj ,� ;la r 17atrlB . Permit No.: , .. .a • � 0 s-- NI 1 3125 SW HaII Blvd., Tigard, OR 9722 too Plan Re ' 1114 t: Phone: 503.639.4171 Fax: 503.598.19 q � , Date/By: t)therPt Permit: I 1 G A IZ U Inspection Line: 503.639 �. tl `. a ReadyBy: Juris: ® See Page 2 for ■ Internet: www.tigard- or.gov _: ,,■-• etbod: 77C Supplemental Information ER"-' .RL.:'_�T .t -- -_ _ .� ClllUc� .: 3::f - - -i-1"... __ r..�•_,_ 4LN_' ^� - AL'S. 'S�_� _3 ' •_ r El New construction ®Addition/alteration/rep Please check all that apply (submit 2 sets of plans w/items checked below): �'i sn ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑Other. where the available fault current ❑ Marinas and boatyards. - _ -- �;�_,,. _ _ _ - - -- r.::z•_.-:- -..,.. _ -. _.:-_a = — • �_• . a ;� AT Wi : exceeds 10.000 amps at 150 volts or El Floating buildings. _- _i = "a:�s:t�T.— ��������-- ���`���� ®]� r= 3imic's 6'm �'x �ca ® Commercial /industrial Accessory building amps old or exceeds 1000 00 ❑ Ctmm ace agricultural ❑ 1- and 2- family dwelling ❑ ry g arms for a0 other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ['Fire pump. ❑ Installation of 75 KVA or - .-.._.._..__..._. - - - : -- -- ,___ � __ .. __. :_: :::; �_t __n__ ■ - _ ..t •_ � : _: ❑ Emerg system larger separately dtT1,©d system. = - _ - _ = -- F;.: T{311r -1 E ` ._ x4 :2 - ._ - ono � �5.'.,:__ �__ _:: I _; _:: : • - - - -- - --- - z-Y-z ❑ Addition of new motor load of 0 "A ", "E ", "1- 2 ", "I -3 ", Job no.: I Job site address: 15575 sw sequoia pkwy mote or «cupa ❑ Six or more residential units. ❑ Recreational vehicle parks. City/ State/ZIP: portland, or 97224 ❑ Health -care facilities. ❑ Supply voltage for more than \\ ❑ Hazardous locations. 600 volts nominal. lll...III Suite/bldg./apt. no.: / ' I Project name: sinus ❑ Service or feeder 600 amps or mo z.7'L4 re- r s - __az; aIF _ _ - l . Y -cr xw_ - Cross street/directions to job site: _Description Qty. I Y T Fee. I Total I • 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 no.: En. add'I 500 sq. ft_ or portion 33.40 1 _ _ _ _ u Limited energy, residential =3 — a n � S _. _ = . = 75.00 2 6 �_ r1 ia�.- � ei .]^ Q __`.^ E, o°= -'- -. (w a sq. 1 access Limited energy, multi - family ccess control installation residential (with above sq. R) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 _ k - �.� t �L = _" - . Eh 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 snips 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 1 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 panel Owner signature: Date: A. Fee for branch circuits with =te ~0 ?� 3- E 3Y PEBSQL, : above service or feeder fee, �,_,..�. "' -'" "' each branch circuit 5 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 i Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90'90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 __ '-- - - `" -- :, -�`"• -- Si or outline li htin .40 2 : s., s, ��; L��:_-. .t�- _._._�i31'�fR =- � .� �� r� —: _=; =���. �.;�= _•�__: r S 8n 8 8 53 Business name: Kuser integrated Signal circuit(,) or limited energy panel, alteration, or Address: 1313 nw 17 ave extension. Describe: I Page 2 75 2 City/State/ZIP: portland, or 97209 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 227 -6688 Fax: (503 -2) 227 -5941 Investigation per hour (I hr rain) 62.50 CCB Lic.: 177227 Electrical Lic.: 67549 Suprv. Lic.: 3609Iea Industrial plant per hour _ 73.75 Suprv. Electrician signature, required: /2" V `�� Subtotal: 75.00 Print name: loo amadoro Date: 10/28/08 Plan review (25% of permit fee): State surcharge (12% of permit fee): 9 Authorized signature: ri/ / TOTAL PERMIT FEE: 84.00 ' � This permit application expires if a permit is not obtained within 180 Print name: lou amadoro Date: 10/28/08 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:1Building\Pcnnin\ELGPe miiApp.doc 05/23/06 440.4615T(11/05/COM/WEB INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: e_-_g- oa US REQUIRED ON GREEN INSPECTION CARD. ✓ Code I Inspection Description I PASS Date I By I ✓ . Code Inspection Description PASS Date I By • BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing • 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry x 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping - 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper _ 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final • BUP - Fire Protection System Permit • 905 - Sprinkler underfloor /slab 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough -in 305 Plumbing underslab 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -in 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection . I: \ Building \ Forms\ InspCard- AOP- Blank. doc 02/02/07