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Permit '' CITY OF T I GA R D ELECTRICAL PERMIT - RESTRICTED ENERGY ,_, jii 4 c DEVELOPMENT SERVICES PERMIT #: ELR2005 -00019 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/31/2005 SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 PARCEL: 2S112DD -01600 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P BLOCK: LOT: JURISDICTION: TIG Project Description: L A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: THERMOSTAT. X TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES PROTEMP ASSOCIATES INC 15350 SW SEQUOIA PKWY #300 -WMI 9788 SE 17TH AVE. PORTLAND, OR 97224 PORTLAND, OR 97222 Phone: Phone: 503 233 - 6911 Reg #: EiilB- 23876063CRE LIC 38868 SUP 2613LEP FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 1/31/2005 $75.00 Elect'I Final [TAX] 8% State Surchart 1/31/2005 $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 rules or direct questions to OUNC at (503) 246 -6699. Issued by ; , •+_ Permittee Signature< 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day ilf.CEIV Electrical P .rmit lication FOR OFFICE USE ONLY city of Tigard AN 3 ' Date/B ed — D 5' I Permit No. / ' ___000 I 13125 SW Hall Blvd., Tigard, O 4{�'3(�F TIGARD Plan Review `� �, Phone: 503.639.4171 Fax 5034898./ 9b�6 75gUILD DIVISION ' i+ p 4 Other Permit: G Inspection Line: 503.639.41 ■ �' Date Ready/By: tnrb: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: 11(I - Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction LkAddition/alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: ['Service over 225 amps, comm'l ['Hazardous location ['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 ['System over 600 volts nominal units in one structure El 1 - and 2- family dwelling LJ Commercial/industrial ❑ Accessory building ❑ 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 Job no.: $Sy' Job site address: / S y S 5 ' � � S' v Uoi ❑Health care facility DOther: y Submit 2 sets of plans with any of the above. City/State /ZIP: / ;_f.A ®A,-e-- The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: go rY)q Project name: S'eC.Uiii y CO, La 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 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 L t✓ d 11 / 1 e. etic o j I'll v w r w Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 . iZ. PROPERTY OWNER . ❑ TENANT 201 amps to 400 amps 106.85 ail 401 amps to 600 amps 160.60 2 Name: / A 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 ja APPLICANT I CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each Business name: �� I "f• �SS QG ,e 5 branch circuit 6.65 2 B. Fee for branch circuits Contact name: 4 ,(, j cam — A J N , 4 , , without service or feeder fee, 46.85 2 Address: re- each branch circuit 9 7 O O E_ / ? ( /9 //- - Each add'l branch circuit 6.65 2 City/State /ZIP: P6A7—L �1).... 0 A . ,e_ 9 72Z.,L Miscellaneous (service or feeder not included) Pump or irrigation circle I I 53.40 I I ,2, Phone: 6)3 ) 6 C / g 1 I Fax: : 6:03 23 g' ) 4 , Sign or outline lighting 53.40 2 . E - mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or i ti extension. Describe: Page 2 - *2- Business name: S 41 #P49, e,` _ Address: Each additional inspection over allowable in any of the aboye� Per inspection 62.50 City/State /ZIP: Investigation per hour (I hr min) 62.50 Phone: ( ) I F ax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic : .: ��!! Suprv. Lic. c� , S - �� I�6 � Electrical Lic •CIO � �� I Su p � 1 y 82e4 Subtotal Suprv. Electrician signature, required: �4 Plan review (25% of permit fee) Print name: Y , �,(� �� Date: /... 0--0 S State surcharge (8% of permit fee) b - TOTAL PERMIT FEE �� no Authorized signature: 34 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: A R. 0 C L ( t) ./G.,._ Date: / 0- • Fee methodology set by Tri- County Building Industry Service Board i •• Number of inspections per permit allowed. - t ■ i:\Building \Permits \ELC- PermitApp.doc 12/03 440- 4615r(l0 /02/COM/WEB 1 1 CITY OF TIGARD , - • • BUILDING DIVISION PERMIT #: ELR2005-00019 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 1/3112006 Phone: (503) 639 -4171 A �� , lhkl llll ,� Inspection Requests (24 Hrs.): (503) 639 -4175 l- ° s__.. INSPECTION WORKSHEET FOR DATE: 3/21/2005 TIME: 7 :10AM PAGE: 57 SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE: PROJECT NAME: SECURITYCO,INC. DESCRIPTION: Low voltage to stat. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 -233 -6911 Inspection Request Scheduled For: Date: 3/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 'S , ry NI L, 002297 -02 503 - 519.6199 Y Corrections/Comments/Instructions: 54.-5)-(c C' (----- 1 FA-ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4`'A-%"`� Date - aZ ( `)‘--, Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELR2005 -00019 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2005 Phone: (503) 639 -4171 . u �� o Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:08AM PAGE: 1 SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE: PROJECT NAME: SECURITYCO,INC. DESCRIPTION: Low voltage to stat. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 -233 -6911 Inspection Request Scheduled For: Date: 3/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 002599-02 503-519.6199 Y Corrections /Comments /Instructions: • l] PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: en ' 6 (( Date: 7I Z O+ Phone #: (503) 718-