Permit M ! CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
• COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00275
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/14/2006
PARCEL: 2S 113AC -00103
SITE ADDRESS: 07204 SW DURHAM RD Q300 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Consumer Cellular - HVAC Job No. 9041
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 #: PRI 503- 233 -6911
FAX 503- 238 -9767
FEES Reg #: ELE 26- 1063CRE
LIC 38868
Description Date Amount
[ELPRMT] ELR Permit 11/14/200€ $75.00
[TAX] 8% State Surcha 11/14/200€ $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 y: ) ittZu 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:
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.
Electrical Permit Application FOR OFFICE USE ONLY
'City Of Tigard I . --- CEN ED Received
Date/By: / /4 l (73-0 Permit No.:ta _0_0,975
13125 SW Flail Blvd., Tigard, ON' - . 4--
Plan Review
Phone: 503.639.4171 Fax: 503. i, 9:. •.0 , ii .1% 4'x Date/By: Other Permit:
Inspection Line: 503.639.4175 1 la 6 ,....„„_34.- ell., Date Ready/By: .111:15 See Pa e 2 for
Page WI
Internet: www.ci.tigard.or.us gov i 4 LA NotifiecVMethod: • / a Supplemental Information
rVitirgr77,1! FART 1:rrTPWr:rgtqqy:;r7'Zi;:',fl:::'
Pl
D New construction 43/81110$6 rep acement ease check all that apply.
0Service over 225 amps, comm'l fl Hazardous location
0 Demolition 0 Other:
['Service Service over 320 amps - rating 0Buildng over 10,000 sq. ft.,
43.1kPiliMinj 2 !AlliflanbirlA of 1- and 2-family dwellings 4 or more new residential
D 1 and 2 dwelling E Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
E Building over three stories OFeeders, 400 amps or more
0 Multi 0 Master builder 0 Other: ['Occupant load over 99 persons OManufactured structures or
'4:441, ,' ';;V 1 1 11 :1 4 7 6 . 1 i 1 MiO4 8 iXIWA I : 1 0A0,6ifieRTIS , 7757:41 El Egress/lighting plan RV park
El Health-care facility CJOther:
Job no.: 9041 Job site address: 7204 SW DURHAM RD
Submit 2 sets of plans with any of the above.
City/State/ZIP: TIGARD OREGON 97224 • The above are not applicable to temporary construction service.
14'**N
Suite/bldg./apt. no.: Project name: COUMSUER CELLUARL
Description Qty. 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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non-residential 75.00 2
Each manufactured or modular
REPLACE (9) THERMOSTATS dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
201 amps to 400 amps
ttifir ii:Aafle.OA* -:' ;:t4r1 . 106.85 2
' ''' — " '' 401 amps to 600 amps 160.60 2
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 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 10 600 amps 133.75 2
Owner signature: Date: Branch Circuits- new, alteration, or extension, per panel
MO% VEllAftWaSiiVriN42*y. 44 A. Fee for branch circuits with
" service or feeder fee, each
6.65 2
Business name: PROTEMP ASOCIATES . branch circuit
B. Fee for branch circuits
Contact name: BRUCE BUTNER without service or feeder fee, -
46.85 2
first branch circuit
Address: 9788 SE 17 AVE .
' Each addl branch circuit
6.65 2
City/State/ZIP: PORTLAND OREGON 97222 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (503) 519 Fax: : (503) 238
Sign or outline lighting 53.40 2
E Signal circuit(s) or limited-
klitrtirranzeir 4 ene rgy pan alteration, g ration, or
Business name: SAME AS above - 0104"a 4 i Pa e 2
2
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Investigation per hour (I hr min) 62.50
Phone:.( ) Fax: ( ) Industrial plant per hour 73.75
filiZR'''SgtOL : , ::',0-1
CCB Lie.: 38868 Electrical Lie.: 261063cre Suprv. Lie.: 26131eb ‘;
..) Subtotal
Suprv. Electrician signature, required: r . r ..., 0..,c9eis-10,
r— Plan review (25% of permit fee)
, -'• Date: 11/14/06 State surcharge (8% of permit fee)
Print name: M c A ew i ( ;
fr-Ot.-1) e"....
' 7 i TOTAL PERMIT FEE
Authorized signaturee _46€44---- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name:.6/Nct_ ejrAic,„___ Date: 11/14/06 * Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed.
i: \ Building\ Permits \ ELC-PermitApp.doc 12/03 440
- V-
CITY OF TIGARD
BUILDING DIVISION . f PERMIT #: ELR2006-00275
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006
Phone: (503) 639 -4171 /4,0 l
Inspection Requests (24 Hrs.): (503) 639 -4175 t�'_
INSPECTION WORKSHEET FOR DATE: 11/152006 TIME: 7 :07AM PAGE: 50
SITE ADDRESS: '07204 SW DURHAM RD 0300 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONSUMER CELLULAR
DESCRIPTION: Consumer Cellular - HVAC Job No. 9041
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC R\ ) C : . , 0 , SIN'S) PHONE #: 603 -233 -6911
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Ins ection Description - Confirm # Contact # Message
183 Electrical final 039769 -02 5 503- 619.6199 Y
Corrections /Comments /Instructions:
,PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
ii-ir 04
Inspector: --- R, NAL1C Dated - Phone #: (503) 718- 244