Permit 1
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
. l DEVELOPMENT SERVICES PERMIT #: ELR2006 - 10032
DATE ISSUED: 3/30/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S113AB -01400
SITE ADDRESS: 07324 SW DURHAM RD BLDG H ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Security, Data & Fire Alarm.
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 3
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PERFORMANCE SYSTEMS INTEGRATION
15350 SW SEQUOIA PKWY #300 -WMI 7759 SW CIRRUS DR.
PORTLAND, OR 97224 BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 641 -2222
FAX 503- 641 -1464
FEES Reg #: ELE 34- 522CLE
LIC 150747
Description Date Amount
[ELPRMT] ELR Permit 4/6/2006 $225.00
[TAX] 8% State Surcha 4/6/2006 $18.00 REQUIRED ITEMS AND REPORTS
Total $243.00
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.
Issued By: iL ^ i Permittee Signature: c>\13 I
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.
-..
Elect Per mit Application - FOR OFFICE USE ONLY
' r ' . • Received _.
Cit of Ttgard ' EGO r ' ) Date/B • ' --11 --- ittf , i 1 .ennit No.: 6, .., --
4 4
. ,
13125 SW Hall Blvd., Tigard, OR 97223 • ' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 11 A Date/B : Other Permit:
Inspection Line: 503.639.4175 r 1 4 , 1 i
mo, 3 ,- - -_, Date Ready/By: WM El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
t;:: ' '' ' •';' '' ':, '::' ','-'," : - 1 7 : 6 +,;;; ', n . F, ' ';
0 New construction .AdditionigiteilAtion/replacement Please check all that apply:
['Service over 225 amps, conun'l ['Hazardous location
D Demolition 0 Other:
Service over 320 amps - rating EBuildng over 10,000 sq. ft.,
t' 2
0
:N uF"TkPNi'4104, [' of 1- and 2-family dwellings 4 or more new residential
0 1- and 2-family dwelling SCommercial/industrial El Accessory building ESystem over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
0 Multi-family 0 Master builder E Other: „ DOccupant load over 99 persons CI Manufactured structures or
'it ''' 4iii 'sde iktitiiffir614 - ;"- ( ze't-4Ni'K , " El RV park
i,,.-i.•;47-A,-..„.,i „ , :,--! „ , ,t ,,._ !,, t , Egress/lighting plan
OHealth-care facility ['Other:
Job no.: Job site address: 137 i ( ..4 Tpdi , Submit 2 sets of plans with any of the above.
City/State/ZIP: - 1 - 1 G 0,27 , 0 ., The above are not applicable to temporary construction service.
' iTirl ikt*Pc
Suite/bldg./apt. no.: Project name7
11/4-ive-4...." ../....s.: ' Descron
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
1j
4",14 . ... , -.4'Esdifiyilost , OF v - ?
W ORK ii-k 4 Each manufactured or modular
r.;...: r .6 . .!''.4, ' '4';`, 4 ' TV -,,i
4.4 ,..iV,,,r . _ ,„..,„,. ',.. ,- ,,, V:Al'r, ,.,',4, ; ' 4 u?,re'..' M,',:;7ri.$":
,,. dwelling, service and/or feeder 90.90 2
5- r,„.,- .,9- l e' 74_/ Services or feeders installation, alteration, and/or relocation
(.H lee 471-QA., I
igagni,W <6,1"tV°0"garignitfiiI,MatififigWilkNjt,gi,174ft:i 200 amps or less
201 amps to 400 amps 80.30
106.85 2
2
- - '" - ''''"' '''"' '''''' - r - ' '' "---"' ' " ' .."-"' "-' ----". ' ' '" - --"-."-•••''-'" ''' 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: ( ) I 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 to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
:-lrdtr:V:164PPtICA*:*Ai-n,F' : ‘,...,;-; - ;',.::,-;i : ,-3.1 i m „:10:Srf,:■ c t PERSON, , A. Fee for branch circuits with
service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
85 2
first branch circuit 46 . •
Address:
Each add'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
£. ,,'., .*. A pr*o w energy panel, alteration, or
' extension. Describe: g Page 2 2
Business name:
Each additional inspection over allowable in any of the above
Address: 4.151/ 51.4) 6t - Per inspection 62.50
City/State/ZIP: - 2 .0.-7 - tkj 4?___ 6 / 700 8 Investigation per hour (1 hr mm) 62.50
Phone: (j2)) ki-gr-- Fax: (5 1944 --) :'
PO Industrial plant per hour 73.75
' :*,74,3aEITST ,RW:7:80.TEWAVEEKSti*g - -,!'..., , i,
CCB Lie.: /5 7-41- Electrical L .: 1 Suprv. Lic.: 5415,Z, Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
„..-V'i:&---
. • State surcharge (8% of permit fee)
am
Print name: Date: 3
a re , . LA ...wi . , / e
WA ir TOTAL PERMIT FEE
'-
Authorized signature: V ---Willir This permit application expires if a permit is not obtained within 180
-. • • ,,--- --..
days after it has been accepted as complete
Print name: ' . 577i,6) Date: 5
, . Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed.
i:\Building\Perni.its\ELC-PermitApp.doc 12/03 440-4615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION :, =-- - PERMIT #: ELR2006-10032
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3130/2006
Phone: (503) 639-4171
ii
Inspection Requests (24 Hrs.): (503) 639-4175 Jzol i.
INSPECTION WORKSHEET FOR DATE: 4/2612006 TIME: 7:03AM PAGE: 73
SITE ADDRESS: 07324 SW DURHAM RD BLDG H CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: PERFORMANCE SYSTEMS
DESCRIPTION: Seculity, Data & Fire Alarm.
OWNER: P CI FIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: P-OFORMANGE SYSTEMS INTEGRATION PHONE #: 503-641-2222
Inspection Request Schedule. or: Date: 4/26/2006 Pour Time:
Code # Inspection Descriptio Confirm # Contact # Message
199 Electrical final 028E08,5-01 a/3-969-6949 Y
Corrections/Comments/Instructions:
f - 44 A- Tea); I%) "Ic15r - LAAL.vv‘. i fkAO .
Pcval,04:1/4. (3 to '% , ILID1‘..) 1)Oksise
."..... .
PASS 0 PARTIAL APPROVAL fl CANCEL NO ACCESS
I I FAIL El CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
- Inspector: ...-- N oe) (...6 Date: Llti 2-6( 04 Phone #: (503) 718- 2°441
CITY OF TIGARD = " .—gaios•or-veorr
BUILDING DIVISION PERMIT #: FLR2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006
Phone: (503) 639-4171 :volt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 74
SITE ADDRESS: 07324 SW DURHAM RD BLDG H CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: PERFORMANCE SYSTEMS
DESCRIPTION: 'Security, Data & Fire Alarm.
OWNER: PAC1FiC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATION PHONE #: 503-641-2222
Inspection Request Scheduled For: Date: 4/20/2006 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 020341-01 503-641-2222
Corrections/Comments/Instructions: SOt (- 01
1_:i kr ik (lama)
IA PASS n PARTIAL APPROVAL H CANCEL NO ACCESS
El FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
f4NL,
Inspector: N ti6 L Date: 1 .- 0 1 db Phone #: (503) 718-