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Permit a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ' C OMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00260 Ttcnttb_ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/11/2008 PARCEL: 1S126BC -01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 420 ZONING: C - G SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG PROJECT: ASSOCIATION FIELD SERVICE Project Description: Install low voltage for data. Job No. 84110 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PORTLAND OFFICE ASSOCIATES TECHNOCOM INC. BY TC PORTLAND, INC 7929 SW BURNS WAY # F 8930 SW GEMINI DR WILSONVILLE, OR 97070 BEAVERTON, OR 97008 Phone: Contact #: PRI 503- 682 -4195 FAX 503- 682 -2781 FEES Reg #: ELE 34- 269CLE LIC 73872 Description Date Amount SUP 2281 LEA [ELPRMT] ELR Permit 9/11/2008 $75.00 [TAX] 12% State Surcha; 9/11/2008 $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 rule : - se • . h in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.24. •699 or 1.800.3' . . Issue By: I /, Permittee Signa re: 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. 1 ,09/10/2008 10:33 5036822781 TECHNOCOM PAGE 01 Electrical Permit Application FOIZ (4.1.1(-1.: 1 !.I: (}m.) City of Tigard Received B : 9 tt 0 i permit No.: ftdftj7'O8 004266 14 ■ 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review m' Phone; 503.639.4171 Fax: 503.598,1960 r3ate /S : Other Permit: Inspection Line: 503,639.4175 Date Ready /8y: tuns: id Sc c Page 2 far T I -, ;\ 1 l? Internet: www,tigard -or,gov Notified /Method! y I . ll' i ',l ', .'; !i . I II. : li „ i q� ,y am. c , i 'I. , ,, ; . ,'1 � l'f� i' � 1 ° l� 1i;i J` dC �A.., I00. ,,,1 I ; i 11 Ili 1 4 1 :. :i i c � ' 1 i I El New construction 1F-r Addition /alteration /rcplaccmcnt Plcaae check all that apply (submit sets of plans w /items checked below). CJ Service or fender 400 amps or more ❑ Building ovcr thrcc stories, ❑ Demolition ❑ Other: wh the t iilahle fault current 0 tvtnrines and boatyards. I 1 ,l ,' if , I , ) 1 I), ' . ,i ��'t4 �;r , !' !' exceeds 10,000 nips al 150 volts or ❑ Floatilia huildiegs. �'14JXQI� (, 1 " Idl��,i, � � �) � ' l � ,;,! l 1 � 'A ' less to ground. or exceeds 14,000 ID Commercial-use n/reiculrursl ❑ 1 - and 2- 1ilmily dwelling . Commercial /itldustrial ❑ Accessory building amps for M1 other installations. buildings. ❑ Multifamily ❑ Mastcr builder 0 Other 17 Fire pump. ❑ installation of 75 KVA or ❑ 1Emergcncy system, larger separatcty derived system. . ^ I : l.. i il, ,,,,,i 1; m „ '11G' N ;AL to£."ATT A , 1 } :i,,: �.. ' .0 :: ,., ❑ Addition anew motor load of ❑ A , F , I -2 . i•. Job no.: Job site address �, 1 001.11' or more. occupancy. ..� 1 , , , f g , u ❑ Six or mon residential units. ❑ Recreational vehicle parks. City/State/ZTP: c172-2_3, X 0 Health -care facilities ❑ Supply voltage for more than t/1�r </ I ❑ Hazardous locations. 600 volts nominal Suite/bldg./apt. no`�I /1 � • J Project name: � 4 lf� iii 0 Service or feeder GOO amps or more .. ! �i� (iihlilnil( ii111, � 1Iintj PI �1 n , .1 ' y 11�� t :f10K; ii,'iliii Cross street/directions to job site: .4 ne 0 Dercnption l' Qtr, I Fee 1 To l r " New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: j Lot no.: 1,000 sq. R. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 • Tax map /parcel no r _ Limited energy, residential 2 , I �i - ititit iiitil'' WO (with above sq, ft.) o0 �� Limited energy, multi - family '/0 i residential {with above sq. tt.} 75.00 2 Services nr feeders installation, niterntton, and /nr relocation 200 amps or less 80.30 2 i;l"11`)rNA\T • Pf gR '!, .„, TY oWI�R ; f 201 400 10685 2 amps to amps . -Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240,60 2 Address: Over 1.000 amps or volts 454,65 2 Tempnrary services or feeders 'Installation. alteration. and /or City /5tatc /ZIP: relocation _ Phone; ( ) i 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. ]ease.. rent, or exchange, according to ORS 447. 449. 670. and 701. 401 amps to 599 amps 133.75 2 Branch circuits. - new, alteration, or extension. per panel _ Owner signature; Date: A. Fee for branch circuits with .i .'i; j l ! ..'I tkit • , ' I ' ; ; �y 9 1 ' 1 i' OttiSit4' ,. above service or feeder fee, • - each branch circuit 6 65 2 Business name:12 � 1 p YV1 1 � B. Fee for branch circuits � JJJ 1 J �o 1- wirh our service or feeder fee, 46.85 2 Contact name: a � fi rs branch circuh Address: ---7 l� = i 11,S c 1 Q / .)"I' Each add'l branch circuit 6.65 2 `� '� -" 7 J / ! Miscellaneous (service or feeder not included) City /State /ZiP: ' ( L • f SA d Each manufactured or modular 90.90 2 dwelling. service and /or feeder Phone: p 0 ) m+ Fax:: ( i r i . Reconnect only (6,85 2 E - mail: . A It ,1 . . / j A • a 11 Pump or irrigation circle 53.40 2 . : ; , . , , ; t.. Sign or Outline lighting 53.40 2 � Business name: f� f� -� ✓1,r n , a i., � ��1� Signal circuits) or limited- t/i ' t/` energy panel, alteration, or Address: . extension. Describe: Page 2 2 City /State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) A - I Fax: ( ) Invostigation per hour (1 hr min) 62.50 CCB I,ic.: L-A Icctrical Lie -:1 5 Suprv. Lie.: Industrial plant tier hour 73.75 i,. ,, ,i :I `;(thilE IVICAL P ERPiffil !?EY S,i i, Suprv, Electrician signatur , equired: y( ( Subtotal: -75• ©U' • j ! Date: n Plan review (25% of permit fee): Print name: -„r ` / ' / �� State surcharge (12 °/n of permit fee); G j� - Authorized signature: '7 'TOTAL PERMIT FEE:1 (f OD i /� � 7769 permit ApplicnnOn eSrtirC9 if n permit ie not ahtnincd within tall Print name: ` if a.�. ..../ ` i Da . - ,r tJ days after it has been accepted as complete. * Number of inspections allowed per permit. 1 .,(- re,,,,11App,enc n5/23/06 • , 410-4f15T(11 /05 /COM/WEN ' '` . CITY OF ��nn m m�'m� num�|�� BUILDING DIVISION PERMIT ~°~°"^~��""°~° ~~"°"~~"~~"~ � ELR200H'00260 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9y11/2008 Phone: (503) 639-4171 Inspection Requests (24Hraj:(5O3)G30'4176 ° , �-- ~ INSPECTION WORKSHEET FOR DATE: 9/25/2008 T|K�E� PAGE: � 3/��OU� TIME: 7:O8AKA � 38 SITE ADDRESS: CLASSOFVVDRK� � O902O SVVVVASH|NGT[)NSQUAR[R[)42U � SUBDIVISION: N� &4 LOT #: � TYPEOFUSE� � ONE EMBASSY /- C PROJECT NAME: � ASSOCIATION FIELD SEP.VICF. DESCRIPTION: � |noLaU iow voltage tor data. Job No. 84110 \._-.'~' OWNER: � F* PHONE #: �RTLAN[)OFF|CEA��0C1AT��. CONTRACTOR: PHONE #: ' � T[��MM0C0hN|N(�. 6D:3-602'4i36 Inspection Request Scheduled For: Date W26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 075899-01 6U3 MO- 1263 N Corrections/Comments/Instructions: . . SS — PARTIAL � C�CEL � [�A�BG _ _ MI FAIL -- CALL INSPECTION 0 ADDITIONAL FEES ASSESSED _ / � / r . � � -� _� r~ Inspector: , � � ~ Data� ~ �� ^~4 Phone #: (503) 718- / CITY OF TIGARD - A , BUILDING DIVISION PERMIT #: EL1� xC1Ut31702%�0 c � 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .. , i1/2000 Phone: (503) 639 -4171 � �� Inspection Requests (24 Hrs.): (503) 639-4175 .�- .61- -__.. INSPECTION WORKSHEET FOR DATE: 9/2312008 TIME: 7:Ot]AP11 PAGE: 1 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD ¶8 CLASS OF WORK: SUBDIVISION: ONE EMBASSY CENTER T #: TYPE OF USE: PROJECT NAME: ASSOCIATION FIELD SERVICE DESCRIPTION: Install low voltage for data Job No. 134110 OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: I NCHIVOs �C >1Vd INC. PHONE #: 50"x- 682..4195 • Inspection Request Scheduled For: Date: 912312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 l _ow voltage 075800.01 503 - 7511.1356 N Corrections /Comments/ Instructions: . VI PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS (l F' FL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G'' (1\ Date: gill 0 Phone #: (503) 718- 2 ► 1t