Permit C TY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
i6 DEVELOPMENT SERVICES PERMIT #: ELR2005 -00172
•V' DATE ISSUED: 6/28/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DC -04603
SITE ADDRESS: 07405 SW TECH CENTER DR 140 ZONING: I -P
SUBDIVISION: SW COMMERCE CENTER LOT: JURISDICTION: TIG
Project Description: Low voltage to expansion of access control /intrusion & data.
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: 1
Owner: Contractor:
WATUMULL PROPERTIES CORP SELECTRON INC
307 LEWERS ST #6FLR 7225 SW BONITA RD
HONOLULU, HI 96815 TIGARD, OR 97224
Phone: Phone: 503 - 639 - 9988
Reg #: LIC 64341
ELE 26- 497CLE
FEES SUP 974LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 6/28/2005 $75.00
[TAX] 8% State Surcharl 6/28/2005 $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 95 01 -0100. You ma btain copies of these rules or direct questioI =.o OUNC at 503 - 246 -6699.
Issued By: ,�� ,,�.c -_i Permittee Signatu _ =,_ ..
/
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.
Elect ic l e. 16 � ED ,. , > -QR.o rrc u oar - - .K L : > ,.,. £
Pemu r`
~' Recei
City o Ti%;ardi / � y � I ' r �—
\ Date /Fly:r % D� I S —G� 7
13 i 25 SW Hall Blvd., Tigard, OR 17223 Plan Revie •
Phone: 50:.639. i 7i Fax: )03.59S:tl k 2 8 2005 r' Date/By: I Other Permit:
Inspection Line: 503.639.41 75 " " •d, IV Date Ready/By: I 0 See Page 2 for
Internet: ww .t'd.
w.ci.tigtor.us CITY OF TIGARD Notified/Method: illq Supplemental Information
F BU1IP ! PLAN REVIEW
New construction ' ❑ Additionialterationireplacement Please check all that apply:
L ❑Demolition ❑Other: ['Service over 225 amps, comm'I ['Hazardous location
. _ _ — — EService over 320 amps - rating ['Bulldog over 10,000 sq. ft.,
� CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
PE I- and 2 family dwelling `1 Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
I ❑ Multi , 0 Master builder ❑Other.
['Occupant load over 99 persons ❑Manufactured structures or
f— ,JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
EHealth-care facility ❑Other: __
I Job no.: 35 - 4 1 Job site address: -N., fe 1--' 1 ec., C .-rfe
5 ' • Submit 2 sets of plans with any of the above.
City /State /ZIP: rg 9 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project n me: FEE* SCHEDULE ,.� . i • Description Qty. Fee. Total
' Cross street/directions to job site: 3 - New residential single- or multi - family dwelling unit.
Includes attached garage.
I 1,000 sq. ft. or less 145.15 I 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 I 2
Tax map /parcel no.:
Limited energy, non - residential i 75.00 2
DESCRIPTION OF WORK Each manufactured or modular I
� dwelling, service and/or feeder I 90.90 I 2
` X h Li _S' L _ ee.CS r ut.r+ro 1 1 rl +r . .v.. Services or feeders installation, alteration, and/or relocation
F
4 L-4
-4., 0 PROPERTY OWNER I 2
❑ TENANT 200 amps or less 30.30 I 2
201 amps to 400 amps 106.85 I I(
I 401 amps to 600 amps 160.60 2
Name: 240.60
601 amps to 1,000 amps 2 I
Address: Over 1,000 amps or volts 454.65 I 2
! — Reconnect only 66.35 1 I 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66 35 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 I 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps I 133.75 I 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with I
service or feeder fee, each .
6.65
Business name: branch circuit
. B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 ?
each branch circuit I
Address:
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) 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
extension. Describe: ! Page 2 ✓� 2
Business name: C � 1 �:. ,T '\& 1ti
Address: `J') -)<_• ��� � 1 ' 7 Each additional inspection over allowable in any of the above
% Per inspection I 62.50
City /State /ZIP: --- ? h , i 4_1., ( y 01),_ or Investigation per hour (1 hr min) I I 62.50
Phone: ('Sj;3 )L- q o t
Fax: 63 )--1.17-4:?---a4=6---2 VI-4-� 6j� Industrial plant per hour 73.75 I
C ELECTRICAL PERMIT FEES*
CCB Lic.:1..�13*,1 I, Electrical Lie.: )L_ Li q rr 1 Suprv. Lie.: C(7.4 LE Subtotal --- /y , CD
Suprv. Electrician signature, required: /i' Plan review (25% of permit fee)
= '1 State surcharge (8% of permit fee) 1 ,p0
Print name: L VPP:,( • I Date: I ,
v IV n TOTAL PERMIT FEE 1, Cpl
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 Tri -County Building Industry Service Board
i — Number of inspections per pemut allowed.
' Rm:3isg'Ferrms.ELC•Pem,iApp doe 12103 140- 1 bl5T/I0 /02 COM/WEB
Y - OF TIGARD
B UILDING DIVISION PERMIT #: ELR2005-00172
1 3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2005
Phone: (503) 639 -4171 iiiit l° l
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' f / /iI4lml
INSPECTION WORKSHEET FOR ' DATE: 7/22/2005 TIME: 1 :09AM PAGE: 50
SITE ADDRESS: 07405 SW TECH CENTER DR 140 CLASS OF WORK:
SUBDIVISION: SW COMMERCE CENTER LOT #: TYPE OF USE:
PROJ CT NAME: SELECTRON TECHNOLOGIES
DESC PTION: Low voltage to expansion of access control /intrusion & data.
OWN WATUMULL PROPERTIES CORP, PHONE #:
CONTRACTOR: . ELECTRON INC PHONE #: 503.639.9988
Inspection Request Sche•. led For: Date: 7/22/2006 Pour Time:
Code # Inspection Des '•tion Confirm # Contact # Message
135 Low voltage 0' ( 159.01 503. 519-9257 N
I qei p 1 2.O 2 9. 0 I
Corrections /Comments /Instructions:
F10 Pl.. ' Lc s05 00 4
i ffi \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1V
Inspector: LIE Dater 2 46 - Phone #: (503) 718- 21 \ ti `