Permit CITY OF TIGARD RE TRIC DPERMIT
ENERGY
,�yjl�;a DEVELOPMENT SERVICES PERMIT #: ELR2004 -00233
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/27/2004
SITE ADDRESS: 15575 SW SEQUOIA PKWY PARCEL: 2S112DD -01600
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Tie in waterflow & tamper on new fire panel. Add horn /strobe to each tenant common area.
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: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HONEYWELL INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA
PORTLAND, OR 97224 STE 100
PORTLAND, OR 97224
Phone: Phone: F- 968 -3398
Reg #: Stiff8- 330041LEA
LIC 150191
ELE 26- 207CLE APP. SAYS CI
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 7/27/2004 $75.00 Elect I Final
[TAX] 8% State Surchar€ 7/27/2004 $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 j -p ,
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 6394175 by 7:00 P.M. for an inspection needed the next business day
. . '
, ... -..,
Electrical Permit Applicatiok9 FOR OFFICE USE ONLY
City of Tigard < jS- % I. A lit Received
Date/By: 7;27 �L/ 1 r
Penult No.: 6,L1L..180 V - AL 2 53
13125 SW Hall Blvd., Tigard, OR 97223 CS' C) ■ it\ r„. .." P Review
' -; ,\
Phone: 503.639.4171 Fax: 503.598.1 , !, 1. ''',A.2"./11'/' Date/By: Other Permit:
Inspection Line: 503.639.4175 <Z, `e ,/••• , „.■411.- 6711. Date Ready/By: Juris: , ra See Page 2 for
Internet: www.ci.tigard.or.us ‘‹ t Notified/Method: - 1 . \ (. Supplemental Information
.: : ;I ...;:;■:7 - .' - :: . ,. :, '::. ; rrykk, OF 1/4) ' - •.;.,'• -,,', ,.:-:) .r ';), ' -.,:: :.' - k':, '•-• .•-'-' • •
o New construction VAddition/a194fdreplacement Please check all that apply:
CI Demolition 0 Other: to OService over 225 amps, comm'l 0 Hazardous location
, 0Service over 320 amps - rating 0Buildng over 10,000 sq. ft.,
'-
=•''=;: • =-:-2 :,--, CATEGORY OF e -:-: 1
'• '' of 1- and 2-family dwellings 4 or more new residential
.• ''f.t--_.- : :.t.: .:. : . . - •!-... '- ,..• ., -•, ..-... . -.• • J , '; , ";'m::' , : -:. ':ij..:
o 1 and 2 dwelling t Commercial/industrial 0 Accessory building 0System over 600 volts nominal units in one structure
0Building over three stories :Weeders, 400 amps or more
0 Multi 'I:Master builder 0 Other: . 00ccupant load over 99 persons 0Manufactured structures or
_ ..,,--- .,
'•:4,;'•;';.• .;.:0:t 'A.:;. t•. :MN:. 4PPL9cA1.1. ::::-',`•: :t...;- , - g ,I:,":" 1:Egress/lighting plan RV park
Job no.: Job site address:15616 5 \Ai 6e1tt f) l wim\I 0Health-care facility 00ther: _
Submit 2 sets of plans with any of the above.
City/State/ZIP: 1 --) I be onzi-i The above are not applicable to temporary construction service. •
Suite/bldg./apt. no.: Project name: '?? Ai ( e . Ceittekr - --....: • . Fctigii.0
I :'. •• '
Description I Qty. I Fee. 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'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
:.: ' ..- ; ,:' . ' :' - ' •:' '
DESCRIPTION OF' WORK ' :-." ..:-:.,, .-. :,, _:.- ' Each manufactured or modular
& ni
, A r alteration, an
dwelling, service and/or feeder 90.90 2
In A-61-4--tow k -ravyttzr cm new 41Y4 PAN ia Services or feeders installation, d/or relocation
k ViVyt ICAy1106 +u, e,Acki --\--.01/ati_i- wyvi dyk -ilvi 200 amps or less 80.30 2
`^ .'-'•-• 0. iii6iiRTv ' " - - " ' ' " - ' :in ITNAIsiT • " ' ' 1 . .,,1 7 201 amps to 400 amps 106.85 2
. • s • ,. ,
. . . • . . . 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/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
,..".:3 .:71' i ;.01.1.16 t'.77, :7. ':,`:--' ...1 ,:-; -... :-. El.to'Nf ;p640 - ' .: A. Fee for branch circuits with
service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
2
each branch circuit 46.85
Address: Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E Signal circuit(s) or limited-
,,c.:: I, '::::.,:;:ti,-:,'',. -.,,.-, ;,-.... '•,-.2f ?! cbstgActoR , . , ,:- :;;:•.." ‘,;,..,--:: --•:.; - : ; ,._ 4. ,: : - •: .1 ;;.,.,. ,...., energy panel, alteration, or
extension. Describe: 1 Page 2 13 2
Business name: t4-t
, Each additional inspection over allowable in any of the above
Address: 16 5 s Al Gain p pl # iDo
Per inspection 62.50
City/State/ZIP: porltdind oz 0n27,4 Investigation per hour (1 hr mm) 62.50
Phone: (i5b5) q tpg,5500 Fax: (9 ql, 3 - 831 g Industrial plant per our
" ..,•'• ,... 'EatoticAL.rtiRmq
CCB Lic.: 15 0 n I Electrical Lic.: u- cm suprv. Lic.: GI 41 L- . Subtotal - IS
(w
Suprv. Electrician signature, required: • / Plan review (25% of permit fee)
c
Print name: 51 • MOreAPLUVI&e, Date: 4.1g-q- 104 State surcharge (8% of permit fee) to
,... TOTAL PERMIT FEE ti (
Authorized signature: 1 /"---
This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete
Print name: friekte, (Y1,61r..0114\/0 Date: 7 la-1-104 • Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed.
i: \ Building \ Permits \ ELC-PerrnitApp.doc 12/03 440-4615T(10/02/COM/WEB
CITY OF TIGARD 24 -Hour
BUILDING . Inspection Liner (504.639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested k\`� A PM BUP
Location I C5 '7 5 �� L 'O , Ya Suite MEC
Contact Person Ph ( ) ( —. VA 141 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR 1 1.'0 0 ' ,;)3-3
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In CF
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS RT FAIL
Service
Rough -In
UG/Slab
Low Voltage
Fir= larm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date O i 6 ' Inspector Al . A / . Ext
Other:
Final DO NOT REMOVE this inspection record m the J i site.
PASS PART FAIL