Permit rri CITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00081
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/19/2007
PARCEL: 2 S 113AC -00103
SITE ADDRESS: 07228 SW DURHAM RD 0800 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: BRAND INNOVATORS
Project Description: Low voltage for voice and data. Job No. 074047
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 TECHNOCOM INC.
15350 SW SEQUOIA PKWY #300 -WMI 7929 SW BURNS WAY # F
PORTLAND, OR 97224 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503- 682 -4195
FAX 503- 682 -2781
FEES Reg #: ELE 34- 269CLE
LIC 73872
Description Date Amount
[ELPRMT] ELR Permit 3/19/2007 $75.00
[TAX] 8% State Surcharl 3/19/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Pen - nit 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 e ; '1.332. 44.
Issued B �/� Permittee Signature ite
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.
- 4 A
Electlic Applicatiop FOR OFFICE USE ONLY
r
II c1,ity,, S W Hall Blv Tigard Received „y
Date/By: ..„9 /..5 e7 0 j Permit No.: E-4/ZAJO 7 —060 S'y
" W Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 5f3 ItLI 96'0.
Li E ■__)
NE a Date/By:
TIGARD Other Permit
Inspection Line. 503.639.4175 % I[E, Date Ready/By: lui2s El See Page 2 for
Internet: www tigard-or.gov Notified/Method • Supplemental information
iti " II 0 gri l ' :#*-* 1 0 *rek:Fill1111.7.42„ 's I: 422:,w: ':;.,i,p,41,,,;; 48TiEw ' ,;,,
0 New construction
yLAddition/alter ation r/ eptacerneinto Please check all that apply (submit 2 sets of plans w/items checked below)
kii I I VI - 1 h'Ar/' 0 Service or feeder 400 amps or more 0 Building over three stories.
E Demolition 0 Other: R! 111 Mn 17.)M5,91\I where the available fault current 0 Marinas and boatyards.
.Aiie '''-,,'fai exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling M-Commercial/industrial 0 Accessory building amps for all other installations buildings
III Multi-family ['Master builder [II] Other: 0 Fire pump. 0 Installation of 75 KVA or
- 0 Emergency system larger separately derived system
N
1, : TS'I'nott'rgiiiIgiiiiti4AtibPAIViViliUTioN4;:"'"'-" , -Wli 0
.,,..t - . , ,n.,-: '..,,,: ,„..,-,, Addition of new motor load of
Job no 07 4.6 41 Job site address: 72 2_S •tityAr44,/ I 00HP or more.
0 Six or more residential units. occupancy
0 Recreational vehicle parks
City/State/ZIP: - II rillid 1 or 17 2-24- 0 Health-care facilities.
0 Hazardous locations. 0 Supply voltage for more than
600 volts nominal.
Suite/bldg./apt. no : g Project naVnii),L -r--
n noVa-178- 0 Service or feeder 600 amps or more
' ;,IRN0 SOE
Cross street/directions to job site: Description I Qty. I 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
Ea. add'l 500 sq. ft. or portion 33 40 1
Tax map/parcel no.: Limited energy, residential
75 00 2
mF. (with above sq. ft.)
Limited energy, multi-family
Voice, Data Cabling residential (with above sq ft ) 75 00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
EriliiiEllii 11:71- 15 i1:1 tiSr "''"':'"'': 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
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: ( ) Fax: ( ) 200 amps or less 66 85 1
Owner installation:
201 amps to 400 amps 100.30 2
thiltilgcul...ircluloltyotliligagttlsatd191uxp 401 amps to 599 amps 133 75 2
, ,..!...0 ,,...... -.--, '0i
40 „. A ,,, - --,a5r,; ,,4-00, .: 1 %d ".. - : ; 11!: - • , - 4 • .
Branch circuits - new, alteration, or extension, per panel
Owner signature' Date: A. Fee for branch circuits with
. 04,4t8-:$1 Itf: ''Z d iafrOW:4:00**1111 above service or feeder fee,
6.65 2
each branch circuit
Business name. B. Fee for branch circuits
without service or feeder fee,
Contact name. 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90 90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E Pump or irrigation circle 53 40 2
L:, ',' ;*,.: ;'ii=A:::',V:66141,14(rcifirtg-W-Xig;Vati ,n, Iii Sign or outline lighting 53.40 2
S
Business name' Technocom Inc. Signal circuit(s) or limited-
energy panel, alteration, or 75.00
1
Address: 7929 SW Burns Way (Suite F) extension. Descrjbe: . . Page 2 2
volatti cub
City/State/ZIP: 97070 ach a ition inspection over al wable in an of the above
Per inspection 62.50
Phone: (503) 682 Fax: (503) 682 Investigation per hour (1 hr min) 62.50
CCB Lie.. 73872 Electrical Lie.: 34269CLE Suprv. Lie.: 2281LEA Industrial plant per hour 73.75
W qta F
.....
Suprv. Electrician signature, required: .-' ,,d Subtotal: 75.00
Print name: Jeff Sandner Date: 267O)6/ Plan review (25% of permit fee):
State surcharge (8% of permit fee). 6 00
Authorized signature: x. TOTAL PERMIT FEE 81 00
application expires if a permit is not obtained within 180
Print name: y Date: 03115 foi This permit days after it has been accepted as complete.
* Number of inspections allowed per permit.
I \Building \Permits \ ELC-PermitApp doe 05/23/06 440-4615T( I I/05/COM/WEB
•
CITY OF TIGARD_.
BUILDING DIVISION PERMIT #: ELR2007- 000131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007
Phone: (503) 639 -4171 / riMiu�mtlP�ll� I\.
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �.
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 07228 SW DURHAM RD 0800 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: BRAND INNOVATORS
DESCRIPTION: Low voltage for voice and data. Job No. 074047
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: TECHNOCOM INC. PHONE #: 503.6132 -4195
Inspection Request Scheduled For: Date: 3/30 /2007 Pour Time:
Code # Inspection Description Confirm •! Contact # Message
199 Electrical final 046709-01 503 -454 -7379 N
Corrections /Comments /Instructions:
r %cA
' V
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G' Date: 3 ' 0 Phone #: (503) 718 - Z44-10