Permit r a CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT r • PERMIT #: ELR2008 - 00242
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/14/2008
PARCEL: 2 S 113A B -012 01
SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E ZONING: I -
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: CONSUMER CELLULAR
Project Description: Installing (1) low voltage system for HVAC.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES OREGON HEATING & AIR CONDITIONING
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 241
PORTLAND, OR 97224 DUNDEE, OR 97115
Phone: Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: ELE LHR40
FEES LIC 172126
Description Date Amount
[ELPRMT] ELR Permit 8/14/2008 $75.00
[TAX] 12% State Surch 8/14/2008 $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 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.
Issued By: �„ / Permittee Signature: . _ ` / 75
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.
N. - ...eRECEIVE
D t3l;ii- 537 -21 72 p 1
nectrieal Permit App
2008
. �` e FOR. OFFICE t.tiF. 0N'L1
City of Tigard AUG 1 Received
z ' 131255W Hall Blvd., Tigard OR 97223 Dal e rB : ; / i ; JI 1
Phone: 503.639.4171 Fax. Pla n d e.nct.
Fe
sos_s9a T1GARD
7I <iARD 4151 /CationLine•!03639.4175 �F i]ye•Bv Other +mb
Internet: www.n arts N ISaIONthtePt :rd r ,. r ,
F -0t•pOv BUILDING • Notlt - md/o .od ® $ee�Ce % rite
— :
C.0 Surirnemcnmi r.r
TYPE OF WORK
PLAN REV w
Q Ncvl construction ❑ raJd'timliritcroti :
On pl ease c ell that apply (sobroil P cdr or plrss ....liens ebeelo:4 below,:
�Cm011gon 0 Other; Q se vteorr :cdor CV arms o: nemc Q Building aver tree rane ee
where a available rMd ; current ❑Metres lad hn,ryerd.,
CATEGORY OF CONSTRUCTION cuceds I0,00o Amps 4.i ISO wits x
QFloolue brOtllnEK
le
D 1- and 2 dwelling an ro Crnu, w r�rsed.1 KM°
$ CgmmereiallindtlsRial ❑ Aecessorybiltldirtg
❑Cammeteitl �ce nu}ieuhurei
0 Multi•famli amp to nl{ nd thdins tnnldnr;s
1 Master builder 1:: Other' ❑Fir, pnai
' JOU STIE INFORMATION O 'war r i
e Dtlo y or 75 XY� a
TJOIY J.ND L OCATION G n mergency sytecm I
. sepuairly culvert syeron,
_„ 1::] A Atli ition or . ae.. rwur Ind or
t3J 1:1"A".-E", . h 2 ,... 1 t .
Job no.:
Job s ttc SWIM' 0 , ,/ • ❑ I nORP or clam eerupunry.
CrTy�5lale:zrp �P - J ON. crmorc eridenrlal ru C Rrcrcuioeel velii.kpar .
r± ❑ Ilealllr •care facilitlee. Q Rupp vd-rge form.ee then
Suite/bldg./opt no,: Ptoi name: [! ❑Hardoustoeader% i0Pv:]taoorr.mnl_
a� 1 . 1 : . . 1 e,1 10.001.1 a Serviccor Scc G404rnpc
Crns6 stoeettdirectiaIts to job site. _ TEE SCHEDULE
•■--• Deuri ion Or• Fra Teul ]
New reside mini fi ogle- or tnutli.J:tmity &reline unit,
!mimics eCtllehed garage.
Subdivision:
I Lot. no.: 1 CDO!
q. R.wJess _ 14$.I. 4
Tax—nap/parcel no.. Ea. add'! 500 sq..3 or pnAicn MI 33.40 1
DESCRIPTION OF WORK Limited energy, tesi drrtin)
14 i 1...bIllteri nh above It
i 5 00 2
residential fib ,hove t.. 0. 73.00 2
Services or feeders installation, *Amain a. and /or feloentims
1:1 PROPERTY OWNER amps or less MI 80.30 d
❑ TENANT 201 amps 10 406 nm,s 104.85 2
Name: `'D-y�c I re r 401 amps to 600 amps 1UO, 2
�lrldress e s � a 501 mpg to 1,000 amps_ 240 60 3
•±N.ilc•' gal it Over 1.000 amps or veins 454.65 2
Ctry,Sta :e Z1p, /
TemlwRry serviera or Reader installation, Okla r ob. and:or
PBOrte ( ) relotarico
Fax ( ) 100 amps or less `66,S?
Owner installation: This installation is being made on propcny that 1 awn which i3 not 20! amps to 400 apps + 100 3� I Z
intended for so e. (ease, rent. or exchange, occordiap to ORS 447.449, 670. and 701, 401 amps to 599 amps i )33 74
Owner signature: _ 2
Date: �� 13raneh a rceI td -anew, � RI 1et71tfon. or ettcnsian, er and
❑ APPLICANT It Fee .Tor branch cireuas with —
❑ CONTA(`T P!✓RSUN above =Vim tv feeder fee.
Buciacssntrntc: c2d i brstdleircult G.05 2
A, Factor branch circuits
Conflict name: wrd'atrr service or feeder fee,
- _ Grstbra>tch circuit Al 2
Address: - Each add'L brunch circuit � -
6.Si 2
C.ityJRmterT IP. Miceccanenus (scrvicc or feeder aril included)
Each manufn_l,ured or modular
Phone: ( .) F at:: ( ) dsvoJJn service endlar feeder 90,90 7
E -mail' Reconnect only
6615 3
Pomp or Irrigation ureic 53 4.0 1 2
cONTRACxoft Sign outline tioltln
Ausincss name: g 53.40
Signal circuit(S) or lirr
+
Address: ` + energy pans/, al.eratinn, or 1I !� �"
- Y.} extension. D:ac:lbe I Page Z J J Z
ct �s t tltcrzfP; — _l______
F.och additional inspection overalloswlbk in any orlbeabove
'" .> �37 --aI �ainspe�ti
e :Cr1 3 � '3` S Fax ' 62.4
Phon
CCB Lie.: 1 f ) ntenigatin n per h our([ lirrain) [52.50
I Z Zk Z � i Efectricol Lic..'1 --'� �C f Suprv, Lie.; Lath vial plait per hour l 73. —
Sus-r. Eleetr,cisn signature. required it ► G ELECTRICAL P,BRMIT FIRS
Tr' .►. .`� ` l!� Subtot -- TS - 75 - C , clan review (25% ofprJrnit feel ;
Print name,
_ � 1. - G_ -? ; I _SAS
tiuthor:scd signature. / State curChraAc (J 2 %fr -Writ fe e':: ' q . 0 0
IOTA', PERM r- TEE: I
t
Print name.: C' l r-Cer-.1 I` Dat4: ` Tab rarna npdiun
tiaetpiree if a permit i. net elm. aed w LSO 1
��- . � day, after it bne bean tie t
7Vrrildin Ne-aio.F74. r+-T ed a. cnmplera
! rt rrsrhtpt toe olRUfd aer..ge151 r/n71p),s.WE* - Humber of nrAecr :ens PI rewcdpcperoit
d ZL 6Z ON )s. 6uiq,ee uo6e o dLO: LO 80 tit 6ny
CITY OF ��mo o ��m uo�m�mn���
BUILDING DIVISION PERMIT #: ELR200800242
13125SVV Hall Blvd.. Tigard, OR07223 ' DATE ISSUED: 8/14/2008
Phone: (503) 639-4171
Inspection Requests (24Hmj: (503 639-4175 At
INSPECTION WORKSHEET FOR DATE: 9/12/2088 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 10260 SW UPPER L300NES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PAC1 RUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONSUMER CELLULAR
DESCRIPTION: Installing (1) low voltage xyotem for MYAC,
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON HEATING & AIR CONDITIONING PHONE #: 503
Inspection Request Scheduled For: 9112/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical U1 ) 503.846-8162 N
Corrections/Comments/Instructions: ``--~-
"\\\) /
~^ S PA�OALAPPRDVAL � �CANC�EL NO ACCESS
�
| | FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
Inspector: 0J 6 is Date: q x�� Phone #: (503) 718-
� � ~ . .
� ` .„ � . ` `