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Permit
! CITY OF TIGARD ELECTRICAL PERMIT 71 ° PERMIT #: ELC2009 -00059 COMMUNITY DEVELOPMENT DATE ISSUED: 2/13/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA 00800 SITE ADDRESS: 15115 SW SEQUOIA PKWY 200 ZONING: I - SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: LINGO SYSTEMS Project Description: (2) branch circuits for server room. Job No. J43145 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES WEST SIDE ELECTRIC CO INC 15350 SW SEQUOIA PKWY #300 -WMI 1834 SE 8TH AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Contact #: FAX 503 - 231 -9987 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c [ELPRMT] ELC Permit 2/13/2009 $53.50 LIC 13306 [TAX] 12% State 2/13/2009 $6.42 SUP 4654S Total $59.92 REQUIRED ITEMS AND REPORTS 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 .• • - • _n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules =re set forth 'n OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct qugstions to OUNC at 503.246.6:99 or 1.800.3 • , Issued = -4/u 1//k Permittee Signatur :4 . _ a(/1' 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: NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ . /C., e ra 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. . . Electrical Permit Applicatio (; D FOR OFFICEUSEONLY l _' a ' a . :MeV City of Tigard Received ' 13125 SW Hall Blvd Tigard, OR 97223 i'.3 13 2009 D n� /13v a �3 0 9 , /� Permit No.: f,�Cactp9' 000 9 I ', ' Plan Review 6.,t Phone: 503.639.4171 Fax: 503 Dalcl13y: Other Permit: ' 4, "''��" ' Inspection Line: 503.639.4175 �py� tiTLGARD: CITY OF TIGARD Date Ready/By: lei ,a m Sec Page ?fur +..S an ... Internet: www.tigard or.gov Notified/Method: Supplemental Information I3IJILDINr DIVISION TYPE OF VORK PLAN REVIEW ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked helms): ❑ Demolition Service or [ceder 400 amps or more ❑ Building over three stories. ❑ Ot her: where the available guilt current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial-use agricultural ❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder p ❑ I nstallation of 75 K or n ❑Other: ❑fi re pump. r, JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition ofnew motor load of ❑ " /s" "fi" I -2 I -t" Job no.: 343145 Job site address: 15115 SW SEQUOIA 100D' or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: TICARD, OR 97224 ❑ health -care facilities. ❑ Supply voltage for more than ❑ l hazardous locations. 600 volts nominal. Suite /bldg. /apt.no.: 200 Project name: LINGO SYSTEMS U Service or feeder 601) amps or more. Cross street /directions to job site: FEE SCHEDULE nescriptton I Qtt. I Fee. 1 Total I • New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map/parcel no.; Ea. min 500 set. ft. or portion 33.40 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family (2) OUTLETS FOR EQUIPMENT IN SERVER ROOM residential (with above sq. ft.) 7 5.0() 2 Services or feeders installation• alteration, and /or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER © TENANT 201 amps to 400 amps 106.85 2 Name: LINGO SYSTEMS 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 15115 SW SEQUOIA, S'FE.. 200 Over 1,000 amps or volts 454.65 2 City/State/ZIP: TICARD, OR 97224 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)224 -2256 Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that L own which is not 20 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 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: 13. Fee for branch circuits without service or feeder fee, I 46.85 9 Contact name: first branch circuit 46.85 Address: Each add'l branch circuit 1 6.65 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular - Phone: dwelling. service and /or feeder 90.90 2 ( ) Fax: ( ) Reconnect only 66.85 2 E Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: WEST SIDE ELECTRIC CO. Signal circuit(s) or limited - energy panel, alteration, or Address: 1834 SE 8 til AVE. extension. Describe: Page 2 2 City /Stale /ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in any of the above Phone: (503) 231 -1548 Fax: (503) 231 -9987 Per inspection 62.50 Investigation per hour (I hr lain) 62.50 CCB Lie.: 13306 Electrical Lie.: 26 -135C Suprv. Lie.: 4654S Industrial plant per hour 73.75 _ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: � e. c -e /' 1 / `- � Subtotal: 53.50 Print name: RANDALL ROBERTS Date: 2/13/09 Plan review (25% of perm fe e): State surcharge (12% of permit fee): 6.42 Authorized signature: TOTAL PERMIT FEE: 59.92 Print name: Date: This permit application expires Ira permit is not obtained within ISO days after It has been accepted as c plete. • Number of inspections allowed per permit. 1:tnuituinv'l vnniuN:LC•I'ennibtpp. by 1r5/23i(Hr 440 .46 15T( I I /05 1COMAV1 tt Z/ Z 6013Z 1. -Zo Ze :£h:ZZ L966 L£Z£OS i CITY OFTIGARD BUILDING DIVISION PERMIT #: El 02009. 000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13/2009 Phone: (503) 639 -4171 iltorh , . i J i t, Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 2/111/20 TIME: 7 :00AM PAGE: 9 SITE ADDRESS: 1Ea115 SW SEQUOIA PKWY 200 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: 1..111G0 SYSTEMS DESCRIPTION: (2) branch circuits for server room:. Job No. J43146 OWNER: PACIHC REALTY ASSOCIATES, PHONE #: CONTRACTOR: WEST SIDE: ELECTRIC CO,) INC PHONE #: 503-231-1548 Inspection Request Scheduled For: Date: 2/18/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 080604 -01 503 - 231 -1648 N Corrections /Comments/ Instructions: OCZC� O D a;L No\ . • � cZOVap>r A cmes k® lT �(k.C)1t ® *act. E t4 (SWC1 CM ., The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918- 271 -0030 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL - ❑ NO ACCESS IA FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: K �� LLE Date: 2-1 ` Phone #: (503) 718 - 2.1i116