Permit CI TY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00398
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/26/2007
PARCEL: 2 S 112 DA -0140 0
SITE ADDRESS: 06650 SW REDWOOD LN 190 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: DEPT OF TREASURY
Project Description: Voice /data
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 AZIMUTH COMMUNICATIONS INC
15350 SW SEQUOIA PKWY #300 -WMI P.O. BOX 508
PORTLAND, OR 97224 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503- 639 -0110
FAX 503- 639 -0115
Reg #: ELE 36 -94CLE
FEES LIC 145828
Description Date Amount SUP 2312LEA
[ELPRMT] ELR Permit 10/26/2007 $75.00
[TAX] 8% State Surcha 10/26/2007 $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. X 1 I
Issued By: �'� /�
Permittee Signature: uV v
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.
AfAlk
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Electrical Permit A lication FOR OFFICE USE ONLY
City of Tigard HE GEVE f . o ed. w 07 ,3b
Permit N i .p7 — ad 3,2? 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 I
i i 11- - Date/B . Other Permit:
Inspection Line: 503.639.4175 __a 1 ' I Date Ready/By.. Jurist El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF FIGii i Notified/Method Supplemental Information
T Ie 1 4(WVISIOI' PLAN REVIEW
❑ New construction Addition/alteration/replacement Please check all that apply:
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['Service over 225 amps, comm'l ❑Hazardous location
ID Demolition Other:
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling pi Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
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Job no.: Job site address: 6650 S p�OL D LAI ❑Health - care facility ❑Other:
Submit 2 sets of plans with any of the above.
City / State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: / To Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
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'I 500 sq. ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential r 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
Va I �� dwelling, service and/or feeder 90.90 2
rT1 at Services or feeders installation, alteration, and /or relocation
• 200 amps or less 80.30 2
❑ PROPERTY OWNER TENANT 201 amps to 400 amps 106.85 2
500 401 amps to 600 amps 160.60 2
Name: // C 0 7 ) 7 � A 5. 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 to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT I 04 CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: A Zi M U T ( M M U y I I LA- l UA/ S branch circuit
Contact name: t co g U Le & �6 B. without for service circuits
tviihout service or feeder fee, 46.85 P 2
,1 each branch circuit
Address: /� t �V Each add'l branch circuit 6.65 2
City/State/ZIP: I (A) LS 6 N i )1 .1 F. be '?C") b Miscellaneous (service or feeder not included)
Phone: (5�) 7 �'3 - . )ggq Fax: : (503) t' 3�i _D Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
A-2;
extension. Describe: Page 2 2
Business name: V�tZI In i l e /y1 IA id 1 CA - AJ
Address: p V J )1 Sbg Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: j' 1LShnl Ole -1 )o) b Investigation per hour (I hr min) 62.50
Phone: (St) 1,3q- p (° Fax: (5 3 ) L 39 . D // r Industrial plant per hour 73.75 -
ELECTRICAL PERMIT FEES*
CCB Lic.: 14 5 61 Electrical Lic.: 36 - CI q c Suprv. Lic.: 23 1 2L - C Subtotal
Suprv. Electrician signature, required: ati Plan review (25% of permit fee)
Print name: gee-,-7-7, Le &----26 ate: , 1/ O '7 State surcharge (8% of permit fee)
TOTAL PERMIT FEE T i. O p
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tti- County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\ Building \Pennits\ELC- PamitApp.doc 12/03 440.4615T(10/02/COM/WEB
Electrical Permit Application - City of Tigard
Page2 - Supplemental Information, • • •
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
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Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
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❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
rCOMMERCIAL WORK ONLY:
Fee.for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved: •
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❑ Audio and Stereo Systems
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❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation •
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:.
*No licenses are required. Licenses are required
for all other installations
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i:\BuildingTemiitskELC-PermitApp.doc 07/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00398
13125 SW Hall Blvd., Tigard, OR 97223 •— DATE ISSUED: 10/26/2007
Phone: (503) 639 -4171 Atli , 1 I
Inspection Requests (24 Hrs.): (503) 639 -4175 A `1 1.
INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7 :00AM PAGE: 11
SITE ADDRESS: 06650 SW REDWOOD LN 190 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 042 TYPE OF USE:
PROJECT NAME: DEPT OF TREASURY
DESCRIPTION: Voice/data
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: AZIMUTH COMMUNICATIONS INC PHONE #: 503-639-0110
Inspection Request Scheduled For: Date: 11/8/2007 Pour Time:
Code # Inspection Description Confirm it Contact # Message
199 Electrical final 059296 -02 \1 503.956.6290 N
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Corrections /Comments /Instructions:
N VLPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C.5 N L Date: it • in Phone #: (503) 718 - � 1'�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007.00398 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10126/2007
Phone: (503) 639 - 4171;
Inspection Requests (24 Hrs.): (503) 639 -4175 - __ �''I L I
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 06650 SW REDWOOD LN 190 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: DEPT OF TREASURY
DESCRIPTION: Voice /data
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: AZIMUTH COMMUNICATIONS INC PHONE #: 503-639-0110
Inspection Request Scheduled For: Date: 11J712007 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
199 Electrical final 059202 -01 503- 956.6290 N
Corrections/Comments/Instructions:
t2AN v 0 V -- R.a N t• tir RiOc per. ARC .800 . t Ot
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 8 N 68 II Date: I t 1101 Phone #: (503) 718 - 1-4 1.00
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00398
13125 SW Hall Blvd., Tigard, OR 97223 At-... DATE ISSUED: /0126/2007
Phone: (503) 639 -4171 a rl L
Inspection Requests (24 Hrs.): (503) 639 -4175 i �..
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 80
SITE ADDRESS: 06660 SW REDWOOD LW 190 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: DEPT OF TREASURY
DESCRIPTION: Voice/data
OWNER: pAGFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: AZIMUTH COMMUNICATIONS INC PHONE #: 593- 639.0)10
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description irm Contact # Message
135 Low voltage 056707 -01 971 - 506-5408 N
r--...
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
17{TC ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i 1\ 10/6 1.- Date: 1 °(1, I 0 9 Phone #: (503) 718- 2-q LH)