Permit ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2005-00076
DEVELOPMENT SERVICES
CITY OF TIGARD
' x 4 `f� , DATE ISSUED: 4/5/2005
� --•.' 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S 113AC -00102
SITE ADDRESS: 07250 SW DURHAM RD BLDG J -100 ZONING: I -P
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT: 025 JURISDICTE1.
Project Description: Data /Telecommunications. u iiE I
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 C3 COMMUNICATIONS INC
15350 SW SEQUOIA PKWY #300 -WMI 10950 SW 5TH
PORTLAND, OR 97224 SUITE 110
BEAVERTON, OR 97005 r-- g�
Phone: 503 - 624 -6300 Phone: 503- 643 -1922
Reg #: LIC 117658
ELE 24- 373CLE
FEES SUP 994LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 4/5/2005 $75.00
[TAX] 8% State Surcha 4/5/2005 $6.00
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 NIL
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: ,) � ,v r ite. 7; Permittee Signature: .Z c2) 4� ��
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.
Inspections Required for: ELR2005-00076
✓ Code Inspection Description PASS Date I By ✓ Code Inspection Description PASS Date By j
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect
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 X 135 Low voltage
260 Tilt -up panel 195 Misc inspection:
265 Masonry X _ 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing MEC - Mechanical Permit
810 MFG - Structure set -up
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 PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 _ Plumbing rough -in
998 Alarm final 325 RP/backflow preventer
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 \Budding \IVR \InspCard -AOP doc 02/02/2005
FROM C3-COMMUNICATIONS 503 (TUE)APR 5 2005 10:45/ST. 10:38/No. 6807695424 P 2
Eleoirical Permit AprittGaE ED „ - - I l„,, ,,, t , , I , '.i „..., , . .'..., , .
. , ..
City of Tigard _-
-e- . r A c . " .....
dr -p t....., k Pcrmil No.:L■6 i A.0 'Oa a
13125 SW Hall Blvd.. Tigard, OR 97223 APR 5 1005 Alio Plan Review • Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960
Inspection Line: 503.6394175
CITY OF 1 ...,,t III_ rxe.R.iyiby: ign RI See Page 2 for
I otemet: www-ei.tigard.or.Us Notified/Method: $uppleinea hum
tal Inhumation
IvisIgol ..._______..._
. i . ; , • ' . • L , .;_i:AllyricAg .-. .,-„ ,... . . , : ,, .....,,, ,,,, . : ....,,..,.. , , ,. , . . • . • , PLAN , • . ; : " - .. .. : ." ., •., ,
0 New construction 1M Addition/alteration/replacement Please check all that apply:
OService over 225 amps, comni'l °Hazardous location
111 Demolition 0 Other: °service over 320 amps - rating OBuildng over 10,000 sq. ft.,
..
• "., 'l • •: ; '.' ; ',. .:', CATEGOitY :01v:CONSTRUCTIOPik . .• ' .1 . ; ...: . - ;: :.. of 1- and 2-family dwellings 4 or more rim residential
9 1- and 2-family dwelling RI Commercial/industrial 0 Accessory building • OSystent over 600 volts nominal units in one structure
°Building over thnze stories Ei Feeders, 400 amps or more
G Multi-family El Master builder 0 Other: , load over 99 persons 0Manufactured structures or
':-$06.:arr.c.:RaFoatiliirtaiiiiipicio ; '''' , .:*".. :: :•.-:.: , '...‘: .. ClEgressilighting plan RV park
.......
DHcallh-care facility °Other:
Job no.: 1 Job site address: 7 5u 3 v ugiwity i RD. sk. 10 0
Submit 2 sets of plans with any of the abOve
City/State/ZIP: - r s)jz., q 7 224 The above arc not applicable to temporary construction service.
. '0 , .. •, iElr"SailliVill.V. ' •. ' ' ! ..:.
Suite/bldg./apt no.: 'Do i Project name: S. . -rr _Co . , Description I Qtr. I Foe. I Tout I "
Cross street/directions to job sitc: c op 0 F. --o t.kit..piiwc i . 0 ," - . New residential etial singl or multi dwelling unit.
Includes attached garage.
. ,
i-rtEtt.E... W AMC-104W- _low a4 ••••147.
- 1,000 sq. ft. or less 145.15 4
Subdivision: . I 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
. .
''.'','"... " ';', - '• ' • ' '' ''' 'braCRIP . OP :WORK: :...: j.' '" . ... ''''.:'; Each manufactured or modular
dwelling, service and/or feeder 90.90 2
_L----W171fcCaS '!=m1SSaitInsSAJSIALJA°1 services or feeders installation, alteration, anClior rclocation
200 amps or less 80.30 2
,
" . ... . , , . . . , . . . - ,. 201 amps to 400 amps 106.85 2
nizittirEirrysbwpagw. . •... ......, .. '.., - ,... .; 121roorto • .7 ......., : :. ,
.. . _ - 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/Z1P: Temporary services or feeders Instalhttlon, alteration, and/or --
relocation
Phone: ( ) I Fax: ( ) - 200 amps or less .
66.85 1
...
Owner nstallation: This installation is being made on property that I own which is not 201 amps 10 400 amps 100.30 2
intended for sale, lease, rent, or exchange, are.ording 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 _.
.:;. . ; :APPILIPOrr ..... ,-) . • ', ' : : ' a cOrrrAcr: rzasotl •: :: • A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit .
• • . ., .
a Pee for branch circuits
Contact name: without service or feeder fee,
. 46.85 2
each branch circuit
-
Address: , 2
Each add'l brunch circuit 6.65 .
• .
City/State/ZIP: Miscellaneous (service or feeder wot included)
Pump or irrigation circle 53.40 L 2
Phone: ( ) I Fax: : ( ) 2
sign or outline lighting 53,40
.
E-mail: Signal circuit(s) or limited-
energy panel, alteration, or
extension. Describe: / Page 2 7.5 .'''' 2
Business mime: .:
-.. , : I *. - ..
Each additional inspection over allowable in any of the above
Address: 109;SO 64....) 4 1.ir . 21- i 0 .
. Per inspection 62.50 1 ..,
City/Statc./ZIP; ; •• L • . Investigation per hour ( I Iv min) 62.50
I. %. ... C.... 1. • I- -
Industrial plant per hour 73.75
Phone: ( ) (q % - [.- 2_2_ Fax: (5 ) 443 - / 2.03 • ,
ELECITUCAL PERMIT PEEP ' ' '; • .f ' ..
CCI3 Lic.: i , 5 8, Electrical Lie.: t i,. Suprv. Lie.: • '41-1-FA Subtotal
.
't - . _..
Suprv, Electrician signature, required: AERIE ...tr_ Plan review (25% of permit fee) .
of State surcharge (8% ot permit fee) 4.'. •""
Print name: ,z; q Date: o' (40S .. -. ' W TOTAL PERMIT PEE W e-e-
Authorized signature; t.% 4 0C.Ir"'
'this penult applleadon expires if a permit is sot obtained Within 1
days after It has been accepted as complete
Print name: aotit K et.x.. . A. Date: 0q 05 1 o s--- - Fee methodology set by Tri-County Ratting
g Industry Service BOH
i •• Number of inspections per monk allowed.
i \Building\ PermitAELC-PannitApp.doc 12/03 4404615T110102/WWW RH