Permit C ITY OF T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00072
TI G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/31/2008
PARCEL: 2 S 112 DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: CAMBRIDGE INTEGRATED SERVICES
Project Description: Low voltage for 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: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ACS ELECTRIC LLC
15350 SW SEQUOIA PKWY #300 -WMI 19325 EDY RD
PORTLAND, OR 97224 SHERWOOD, OR 97140
Phone: Contact #: PRI 503 442 - 3938
FAX 503 625 - 1862
Reg #: ELE CLE102
FEES LIC 175877
Description Date Amount SUP 2564LEA
[ELPRMT] ELR Permit 3/31/2008 $75.00
[TAX] 12% State Surch 3/31/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 Notificati• • _ - ster. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 : • -s • 0. • -- - ' • • - •pies of these
rules or dir: t questions • OW at 503.246.6699 or 1.800.332.2344.
,.
Issued By: 116,, � ` � ` � �� Permittee Signature: '��L+4. =rf
_
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.
El
2 ectrical Permit Application FOR OFFICE USE ONLY
City of Tigard Date/By: Or
a/ D8 Permit No.: / A - oc� 79 ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Date/By: Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
T I It D Inspection Line: 503.639.4175 Date Ready/By: to ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
iew construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling , Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "l -3 ",
Job no.: 2 a Job site address: IV/5 . / y� IOOHP or more. occupancy.
/ ' 564 r "CV 4" (./ • Six or more residential units. ❑ Recreational vehicle parks.
f / / ❑ Health -care facilities. ❑ Supply voltage for more than
City/State/ZIP:
�Ol'WA,,.., / f� /� '9 722 y ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: �- �Y i ❑ Service or feeder 600 a mps or more.
` rvb r ;dye_ L FEE SCHEDULE
Cross street/directions to job site: Description 1 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
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family
f Y'6 ,/4 r ^ / 1-. '0 - 7 residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocatio
200 amps or less 80.30 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: � 4,..s 401 amps to 600 amps 160.60 2
! 601 amps to 1,000 amps 240.60 2
/l
. Address: / s _ �� 57 t f AAA ,. .Sd f �/ Over 1,000 amps or volts 454.65 • 2
City/State /ZIP: jr„ ,- � O c, 7 z [/ Temporary services or feeders installation, alteration, and/or
,-" G[ 7 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 599 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
A. Fee for branch circuits with
APPLICANT } ❑ CONTACT PERSON above service or feeder fee, 6.65 2
Business name: xe5 �� ,[ / /� Feehorbr banch branch c
{ p /�< < L (� B. Fee for branch circuits
Contact name: ✓ l�pS
without service or feeder fee, 46.85 2
first st branch circuit
Address: / 9 2 r A �, /& Each add'I branch circuit 6.65 2
3 — cow" Miscellaneous (service or feeder not included)
City/State /ZIP: /` /-40� Q,' 9, /C�e Each manufactured or modular 90.90 2
,�4 // // dwelling, service and/or feeder
Phone: (s7,3) yy2_3f3 Er Fax:: (5 a3)‘e5 - — A t 5P42_,.. Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRA OR Sign or outline lighting 53.40 2
Business name: �.//�� • //yy G� e .0 Z LC. Signal circuit(s) or limited -
v v energy panel, alteration, or
Address: /932 y extension. Describe: / Page 2 7'5''' 2
City/State / / � � /
Z1P: �hGe-� 9 7/4/6 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.j7577 Electrical Lic.:c Suprv. Lic.: Z,gyl'�1 Industrial plant per hour 73.75
?' ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: � .,, ... Subtotal: 76-_
Print name: Date: O� Plan review (25% of permit fee):
__is r State surcharge (12% of permit fee): 9
Authorized signature: 1�
Print name: Date: / TOTAL PERMIT FEE, ey ,-
// 0 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\ Building \Permits\ELC- PermitApp.doc 05/23/06 4404615T(ll /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
I COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
Fire Alarm Installation
❑ IIVAC •
❑ 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 •
I:\ Building \Pmniu\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELR200300072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3131/2008
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ''�—
INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AM PAGE: 30
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE t;ENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: Low voltage for fire alarm.
OWNER: PACIFIC REALLY ASSOCIATES, PHONE #:
CONTRACTOR: ACS ELECTRIC LLC g 0 - ., PHONE #: 603 - 442 - 3938
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Conhiim Contact # Message
1 Electrical final 068502 -01 503442 -3938 ` Y
Corrections /Comments /Instructions: (5 'i r 33 m'I �J
•
►� PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FATE ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" 1\%61E Date: ot Phone #: (503) 718- 44)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008- 00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 313112008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 4/1512008 TIME: 7:02AM PAGE: 53
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: Low voltage for fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: AC'S ELECTRIC LLC PHONE #: 503442 - 3938
Inspection Request Scheduled For: Date: 4/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 068289.02 503.442 -3938 N
Corrections/Comments/Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION i m ITIONAL FEES ASSESSED
Inspector: . , V dQ LE Date: S i • I Jr' 0 % Phone #: (503) 718- 01
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELR2008- 00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2()08
Phone: (503) 639 -4171N (z�
Inspection Requests (24 Hrs.): (503) 639 -4175 B
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:02AM PAGE: 39
SEQUOIA SITE ADDRESS: 15115 S ��/ �F�O1101A PICKY "10() CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMI3RIDGE. INTEGRATED SERVICES
DESCRIPTION: Low voltage for fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ACS ELECTRIC LLC PHONE #: 503-4413938
Inspection Request Scheduled For: Date: 4/1012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 068114 -01 503.442 -3938 N.. Y
Corrections /Comments /Instructions: - .
Y`\ 0 P lrL. &v1 C pMSD PR JIAi
Res 0LTs
C —► Pttllav io -r. ce.G 6 It, P (kNU__
U e
P� 0� e c 3T ectz4leit. RED I N cat fi AniD
pg-0,11zg. teNii v to ectEmcv,..
t\IfPl■
s (Ztki t■c..t) 4S3ch6 t_Ti tiA Fo(L
66S 1 6\ F 1 ��(L. IfV�b W jj5. t O.3 e>
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL y FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
l �
Inspector: Gm ` 16tE Date: j 40 Phone #: (503) 718- VA'
CITY OF TIGARD
1 BUILDING DIVISION - PERMIT #: ELR2008.00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31 /2(108
Phone: (503) 639- 4171 �t�:� i r�
Inspection Requests (24 Hrs.): (503) 639 -4175 °`'I L.
INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: Low voltage for fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ACS ELECTRIC LLC PHONE #: 503442-3938
Inspection Request Scheduled For: Date: 4/212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage ¶i67694N 503- 442 -3938 N
Corrections /Comments /Instructions:
G is ■ r Nk3 i4 ALL
LAA": Vt G-A7 voice b A - 'T -51ii .
IVC3 &%\l 1 --.,
SPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: •-•-'. Nd6 L7 " Date: 9'2' O1 Phone #: (503) 718 -1AIN