Permit r n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' ". I. - COMMUNITY DEVELOPMENT Permit #: ELR2013 -00137
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Date Issued: 06/24/2013
Parcel: 25101 DA01500
Jurisdiction: Tigard
Site address: 7150 SW FIR LP 100
Project: B & B Management Subdivision: 72ND BUSINESS CENTER Lot: 5
Project Description: Low voltage for voice & data
Contractor: PROCOM TECHNOLOGIES LLC Owner: DNS LLC
PO BOX 22288 15 OAKWOOD AVE
PORTLAND, OR 97269 NORWALK, CT 06850
PHONE: 503 - 797 -0000 PHONE.
FAX: 503 - 233 -8052
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/24/2013 $75.00
12% State Surcharge - Electrical 06/24/2013 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data & Telecommunications: 1 Fire Alarm: 0
HVAC: 0 Instrumentation' 0
Intercom /Paging 0 Landscape /Irrigation 0
Landscape Lighting 0 Medical. 0
Nurse Calls' 0 Protective Signal: 0
Security Alarm: 0 Other: 0 Total $84 00
Other Desc Required Items and Reports (Conditions)
This permit is i - • • .u• - o the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be done in • cordance with ap • •ved pl. • _ This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days A ENTION Oregon law -• sires y• • to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 -00 0010 throu • , OAR 952 -00 / X490 Yo may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 32 2344
1st ued By:
- / (e/a yo �k, Permlttee Signature: l
/ 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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Electrical Permit Amilica E D FOR OFFICE USE O LY
City f Tigard R "_..eJ w��/� ' „ 7
Y g 1)..te Rs • ./," ,f / F B I . A c, /
13125 SW Ilan 11451, Tigard. OR 97223 Pins Rain+
Phone 503 7 18 2419 1 503 591 1 1 L n O 1 s Doe ma tither Permit
'rIGARD Inspcei ion line 501(,394175 . NI L `T c 1 1../...re Real, 13s 3s El See Page 2 far
lnlerttet ants tisnrd -.r got �} 's mlied Y.,J_,J Supplemental Information
TYPE O • F0ITUAR1) — PLAN REVIEW
El New construction 5 3 • AddlB� 1�11�t5ION 1.1.1x• inch all that arils (suhmn 2 sets of ptate s rl mu cneeke l helms)
❑ Sms tee orfeder 4,M amts or ,Ore ❑ nmldmJ me, three stones
❑ Ihmollti011 ❑ C)thcr ,.true ih:.,s.ski• e Ix.r arre= ❑ Lmnas-r-b.'4'-,1"
C'.\l'E(ORYOFC'ONSTRI'CTION titi,t•1 np.alto.rL..r 01-: .1m.z1,2J.-:.
's,t. u0,,,t ❑;•„rr-,::i.t,i- ,.:._•r;rr�_
❑ I - turd 2- Ianllh' dwelling (A. ComnlerciaUindustnal ❑ Auessor■ building arm, for all .hers taaatImrls buddr2a
❑ Multi- family ❑ Master builder ❑ Oilier: ❑ I•tre pump ❑ IrraaIklies st Ito 1.\'A or
❑ F.n 'rg:nes ss,tem Inger sts.._ le signal ,.wens
30R SrrE INFOR.\1A'I1ON AND LOCATION ❑ 's Lnnn m: ms a , _or lard ml
❑ - A - - li - 1.2 I -i •
Jab no Job site address -1 L e+ ore
',..up. me,
1 1 JQ t 14J R L. ❑ Srs rr awn: re- drmul units ❑ Reeremon -' s:h.r'• p,rks
l' ltc /SlIi Jell' '{ / n -� /� t ❑ I tealih -1 1a..hs. ❑ srypl..,.ha_, her more than
1 t e'l'�t l! 1 (/'� t f ( ZZ� ❑ I IaiarJan I.0 .umru 600 whs Ismma d
Stn(e/bld_ /.ipl no (00 I Project name '(b j E ms r ❑s.,.i.e,•r Cei.r wt) ,;rl,or
Cross slteet/duecuons to lob sne. 1 Om, ® 0
\en resident(al single- or multi - family duelling unit.
Includes allxlred garage
Subdivision Lot 110
Ill
(0011 ,q, n 168 54
or less - -- _
1 I a add") 510) sq 11 or portion 33 0 I
I•:1\ nidp/p.ircel no
I muted rncnl, mvd:mial 7500 12
DI.SCRIP•11ON OF WORK Isithalsov.sq Il) I
\ ��� I tmtl -d energy. nndh -1)md) 75101
U O\ 4 residrnital )talk also,: aq li)
Reneunble Enrr)!o I ❑ See Page 2
Sen is es or feeders installation. alteration. and /or relocation
❑ PROPF :RTY OWNER ❑ TENA.\'1 2>85 amp, or less I 10070' 2
201 amps to 40) amps 133 56
Name: 401 angrs to 6041 amps _ 2011 14
Address. 601 amps to 1.0(10 amps . 04 2
t her 1.000 amps or volts 1 552,26
I tI ■/SIald /IP
I Temporun sets ices or feeders Installation. antral' , and/or
2
--
Phone.( ) Iva\ ( ) rrlocation
200 amps or Ism I 5o 2), I 1
Olt ner installation: Rlls i is being made On prupertt Mat I own u Inch is not I 2(11 atig,s to 300 amps ( 25 Ox _
intended liir sale lease rent, or :\change according to ORS - 1.17.449- 670, and 71(1 401 amps to 590 amp, 168 54
On ncr SIT11:i101 e Date' Branch citruits - tien. allrra • . or estetnion, •r panel
❑ APPLICANT I ❑ (Y)NrAcr PERSON .\ Fee for Martell t tenits ma,
also, o sal ice or lia -der I,-e. 7 32 _
1 i11s111e>titi 11:11110 Pi6C -- - - t'ra o _-
wch h nu
_ _ - I I I e•, for hraneh eu.mu tt akmd
C onLotct 1051(102 cll'cc or fader le. lint N, IS `
Inanch atr.ml
Address lash addl branch circmt 1 7 42
11iw•ellanesms (service or feeder not Included)
C /SIO1 . I-ach manufa.lund or modular
dnclhno.. n ice and or feeder 67 %J -
Ihotte' I ) Lax.. I ) --
Roeonn.et salt 67 84 2
I _III :III. Pump Or irrigation stn lc 67 84 2
CONTRA( "1'012 Sign or outline lighting 67144 _
? w Signal ireonts) o hm iled- ,zings Se:
I Itistness name `A 9 �r
panels ahisalinn. or extent( an. ( Paso 2 1 2
Address 1 ?2 - 222ea Each additional itnpectlon m er alluuable in gun "[the abuse
.\ddltonal iroladunt ( 1 hr mint GG 25 In
Cut /StatJ /.I I' �n .
oRr,02t �I
1UIPq p. tri
In, tiulim(I hr min) GG 251E
Phone 1 5 ) 7c1_ _pay Fa\. (50 3 h �33 • $O 5 z !miasmal plant ((lu into) 78 IS hr
l—
I Inspceuons for slush no hx a 90 00 hr
CCI1l,1e Igt.tziet ' I lectncdll.lc cLEZ$Z i Supn Lic ttitur-A , pontiealh listed l' In min)
EI.E(TRICAI. PER'\IIT FEES
Sups' I:lctlnu signature. lemuret ��� _ _ sub-tout. --1 -
'riot name
� i �
PL.) review (25 ^o of periwig lee)
I ' g e� Date
-- w" �+1 �a-- -�+ff- -� _ - Z SIa1c s urcharge t 1 p•o of penntl tee) - - 9
- -
Authonad signature ._____ (..., l:: , :'/ 4,........._.._./ e 1 ._
The. permit application ehairee If a pe•mrlt is not untamed mahm 180
Print name
4 z... 1),de: (0 - - 5 der ),. after it has hero areptedascomplete
\umbel or mnp+ vdlm„N ins p.m ■
I PuJdn; Pemms 1 ,' ('.n•imtpp LIII 181 .6. Itn•0' 21 Nn 411- 101,111 0,,'/514111