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Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT rr DEVELOPMENT SERVICES PERMIT #: ELR2006 -00042 '�! . 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/2/2006 PARCEL: 1S136DA-02600 SITE ADDRESS: 11140 SW 68TH PKWY ZONING: C -G SUBDIVISION: MLP1999 -00011 LOT: 002 JURISDICTION: TIG Project Description: Voice /data cabling. 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: WEBSTAR VI, LLC ESP TECHNOLOGIES 610 GLATT CIRCLE 7929 SW BURNS WAY STE. F WOODBURN, OR 97071 WILSONVILLE, OR 97070 Phone: 503 -981 -0155 Contact #: PRI 503- 628 -4195 FEES Reg #: LIC 73872 ELE 34- 269CLE Description Date Amount [ELPRMT] ELR Permit 2/2/2006 $75.00 [TAX] 8% State Surcharl 2/2/2006 $6.00 REQUIRED ITEMS AND REPORTS 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 y obtain copies of these rules or direct questior OU - .t 50.- 246 -6699. Issued By: Permittee Signature: _ „V-4 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. I � � MM Ele Permit Appl ' • ° i • ►.-' FOR OFFICE USE ONLY City of Tigard FEB Received i �p� PennitNo -a DA ��7� 13125 SW Hall Blvd., Tigard, OR 97223 B O 2 10 ! Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 , . A ...,... " \ Date/By: Other Permit: 1 '� I Date Ready/By: 3 El See Page 2 for Inspection Line: 503.639.4175 CITY OF TI' ''''----^ ` Internet: www.ci.tigard.or.us 11 � tF 11 1 Ii I. Notified/Method: Supplemental Information ,yy' 'r '� 4, ut�� ; Y . ,u', „�rr —. ,. '4 .t 11�', .,• •' ff 9 '.. I 4 9:f E- , a9 1.ty e : kA , t;.. 4 , S ..- t� A) � : :,3, , :._1 � 0. . . WIZA N ,..,l l : , . + tJ ( , iP 4, " :J • ❑ New construction ❑ Addition/alteration/replacement Please check ail that apply: ['Service over 225 amps, comrn'l ❑Hazardous location ❑ Demolition ❑ Other ['Service over 320 as - rating ❑ Buildng over 10,000 sq. ft., a, / r , ,. G '. . c r° r 75Y' a f J^ i af `' - • ;',.4. ge r ,. - gi 9 + ° ;F o i t r © i i' :. 1, of 1- and 2- family dwellings 4 or more new residential ❑ 1 and 2 - family dwelling 2■ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ['Building over three stories ['Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ['Manufactured structures or ,r + : a's' 4- '' ��, k . o • ." •I •': °i RV park sq-1 }, ,,41p ',vwt�i►r.a l' a r `TI... [ r"y s,,` r= t; ❑Egress /lightingplan p - fiSka. - +t$ awls;,., it_w .w mrr - M- . vaJ!K4 k�sn _ . ,..11 �yy �.y y ❑Health -care facility ❑Other: Job no.: WO L� l Job site address: ``�l`b W �Q ( (J Submit 2 sets of plans with any of the above. City/State/ZIP: VLVZ The abo are not applicable to temporary construction service. •• ` • Suite/bldg./apt. no.: Project name: � ���c J ' r ptloo I Qty. I Fee. I Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax reap /parcel no.: • Limited energy, non - residential 75.00 2 " ,,_, t0. °AN - aNi` .. �.Y tY N I o ` iittl t � ��• �Q r .� r..� `z 764y/t} ; to 9 ,:' . i t ,�, i Each manufactured or modular U �� dwelling, service and /or feeder 90.90 2 `�O LQ � w Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 r w r *. , r,� ;°� r {fii a' b + r , 201 amps to 400 amps 106.85 2 , e i na' „ V ' i' t b4 ' L441 , t *Wi �. t . :t 4 ,,o- ..:,._ .... t 'x.,.r r. ' 4, 401 amps to 600 amps 160.60 2 Name: �r f� 1N(L�, f `.k_') 601 amps to 1,000 amps 240.60 2 Address: \\ \ 4,D ' \ � f,( Over 1,000 amps or volts 454,65 2 Reconnect only 66,85 2 City/ State/Z1P: \ \ ,• n A1 Temporary services or feeders installation, alteration, and/or " relocation Phone: ( ) 1 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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel a .. r • , '° I;r .r-a w . A. Fee for branch circuits with b 4 U _. A Y.,, , :— `• "s ° 7`a o "`.a . � "` . LP, A ' service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit Address: Each add'1 branch circuit 6.65 (:.) City/State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - .- '"vm�r ,i , �t"'+ f �t r ' '�' ? , ► + e . ,q r,, ^;:a #' ".�:r8 .,1 "c) energy panel, alteration, or nel r., �.,at .a { t, 0 r .. •£- , - �� extension. Describe: Page 2 '3s 2 Business name: E.5"?..7 7 � ' r 4 z - I above qq Each a inspection over allowable in any of the above Address: 7I , �- e3 Sc at ic_ r — �r r ! , Per inspection 62.50 City/ State/ZIP: £ ) / /r OK Investigation per hour (1 hr min) 62.50 � `� �, � �/ Industrial plant per hour 73.75 Phone: 9 Fax R� )6,v 2 7'J / du t o } 5 ;� — i..� / su a�iv� �C3 ) vZ � L' g u':"', i`. �et:WO 4!lil4ty ,� 'L'f?,:__...,':,.. CCB Lic.: 73 57 2_ Electrical Lic.:3{_ 2.6.4ut Suprv. Lic.: 2211 LE: L.E. Subtotal - )57,0 CD Suprv. Electrician signature, required: 00i-- - ,E,.._-r..e_. _ Plan review (25% of permit fee) - State surcharge (8% of permit fee) (0,.0 CD Print name: J F. -' a ' C am .. Date: J -3o —� �l `D0 TOTAL PERMIT FEE 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 •• Number of inspections per permit allowed. i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COMIWEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: P ( 1 �, ? 66 �'{{ b- � ,. p V Fp �pi'J t '�(j�'���'{._S.F_ . ��-�W - !H .1 d 6 .� P tP' CIE .la ` �'� f� �Yw-: �� '�'i" Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) • Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i. ' Building Tamits 'ELC- PrnnitApp.doc 04/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006- 00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2 /2006 Phone: (503) 639 -4171 ufe I r Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 615/2006 TIME: 7:02AM PAGE: 67 SITE ADDRESS: 11140 SW 66TH PKWY CLASS OF WORK: SUBDIVISION: MLP1999 -00011 LOT #: 002 TYPE OF USE: . PROJECT NAME: CASCADE VETERINARY REFERRAL CE DESCRIPTION: Voice/data cabling. OWNER: WEBSTAR VI, LLC, PHONE #: 503 - 981 - 0155 CONTRACTOR: ESP TECHNOLOGIES PHONE #: 503 Inspection Request Scheduled For: Date: 615/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031079 -01 603 -454 -7379 N Corrections /Comments /Instructions: NAL A) *ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 6- -t 1 Al Date: di Phone #: (503) 718- ' le • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200G•00(i2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2/70(I(; Phone: (503) 639 -4171 ZIT?' Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 2/7/2008 TIME: 7 :()2AM PAGE: 47 SITE ADDRESS: 11140 SW 60TH PKWY CLASS OF WORK: SUBDIVISION: MLP1999.00011 LOT #: 002 TYPE OF USE: PROJECT NAME: CASCADE VETERINARY REFERRAL CE DESCRIPTION: Voiceldat.a cabling. OWNER: WE :E* TAR VI, LLC, PHONE #: 603 - 1.381 -0165 CONTRACTOR: ESP TECHNOLOGIES PHONE #: 603 Inspection Request Scheduled For: Date: 2/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 13 6 026397 -01 603-209-9297 N Corrections /Com ons: Rco QC)i \14) \N N.)93 SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS � PA FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ti Qk Phone #: (503) 718- 149