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Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 4rr DEVELOPMENT SERVICES PERMIT #: ELR2006 -00032 '' I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/20/2006 PARCEL: 2S 113AA -00600 SITE ADDRESS: 16126 SW 72ND AVE B1 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT: 00B JURISDICTION: TIG Project Description: LV Data/Telecommunications. 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: PACIFIC REALTY ASSOCIATES STEELHEAD TECHNOLOGIES INC 15350 SW SEQUOIA PKWY #300 -WMI 1520 NW 6TH CT PORTLAND, OR 97224 GRESHAM, OR 97030 Phone: 503- 624 -6300 Contact #: PRI 503- 492 -2119 FAX 503- 492 -6265 FEES Reg #: LIC 159346 ELE 26- 1205CLE Description Date Amount [ELPRMT] ELR Permit 1/20/2006 $75.00 [TAX] 8% State Surcha 1/20/2006 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: Permittee Signature: F1 l OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. A, FROM :STEELHEAD- TECHNOLOGIES FAX N0. :5034926265 Jan. 20 2006 11:23AM P3 16CtCiCa 1'ID1L H lti axwa -_ _ n City of Tigard — IVE I ' , 020 _ �� P Posit 114 13 t zs SW Hall Blvd. Tigard. 0 9 • 152•- - SeeY Phone: 503439.4171 Fax 50359$.196D 1 m _ ,. % 8° ifbr t } _4175 — •i ssipleaevml WormatM„ ;, .yt T! !�!'�' a r; .. t 11ganrice ova 1u amps, cumin dfaz ZOOS booboo New cbtom 41 r° i ' - ova 320 sups —towns Drug 0,0 ova :00 s4 t�. [I Demolttloa a r l' -= : a, a . a a .Q. • r � aid 2•frzok/ aweless 4 or rsm now width:die ❑gy;tan over 600 volts waded noire sae smutUte ' :r mtaettsaViadusttlal ■Accessory building wi over three stories treed. 400 Naps*: more O 1. $tti- 2- t'Satily d'xeilits8 p . } ova 99 p ersons O cw:ed structures of • ❑ it builder �� P p Multi-fatuity : • ". On ting � • ... 'ri _,;,IOB 414414 upFflRi►sATiiDi�f. ;r- oCantsrf �:�� ' . �0 7`+ [�ltts•esae faoAitY Clothe,: Job site address . J tarok 2 sets oNum with soy of the above_ /ob Cit /St The aDOVO a:e aetcyylicabk to temporary construction ten^". Proje et names t y, j nw.e,pe Qv �7 S�,ite/bldg lapt. ao : _ – New raideatial stn ff or mottrt natty d.rolli .$ torte. Cross eVdYteetietts 1°b site: r ',dodo attached - 1,110024 ft sclera MEMO ja Lot 230.! r_... add'l 300 s4• ft- or Portion 75.00 NIMBI 31 1111•111111 • Subdivision: Liar+aodeam&Y,resid ®tin! - p/pa:cel t%o.: aa •• .. t d 75.00 Limited tae�esie>onslat MINIM Toot sae • ozacraprri91 •:OP•WoRK: . •., ,. ' • . . dra serYixad ular 90.90 MN ' D E49/14 — ' S.e .. or feeders lk feede ametztiou.md/or relocation � p 200 or km 80.30 El :. t . �, l 101 s m 400 amps 1 04- 33 11111111111111 401 sums to 600 stoPs In - 160.60 IIIEI Noma Over l,ano arms er rolV -��© Addle sS; Moamar may 66.65 - selviees or strains iesenllatioe, thermion, atulfor City/State/ZIP: //ZIP' - F ( ) 200am•socless 66.85 1 • • s ( ) atc that j Own wbit:h is not 201 •. •• to 400ImPs OM 100.30 -E1 • • etc for Sale, liaise, This installation exc al is , a c e rain O ORS 44 sad 701 m 600 aa>a� 133 -7s �© intended fee sale. lease, teat a according to ORS 447, 449, 670, 401 Burps Date Pttteeb t 'etI a — sew. a or . 6/2314156 * per paaet i Owner sigltatrac _ A. Fee for branch dra with I -- n.1►> iAt_ - ANT • . .... .-. ©• conu.cr- rem?! ... . tams-ice er fender tae, each 6.65 2 . Drumm circuit Bilsitigs taaisto: B, F« for branch (Anvils wit/tee m:tries or feeder fee, 111111111111 Contecctrarnr ,,. , � etchenoehcircuit 645 �© Earth add, bands Gait - A�a (service or feeder aotloclnded) City/State /4" ` � - pumper ,, ..• drat 5349 2 Fax: : ( ) L G z - 7. st 6 53.40 pltotte: ( Z 3) 1-' ,21 Signal t(s)ot limited- ' ' 2 y e,ysart',''°xsa°m,os �s 2 l: -mom E01Q1RiCi0& : , e mansion DosaThC Page 2 • Business name: / �/ a[ 4 1 j� Rath ad inaniaf las • - • • ova s11awabte in • Of the above • t� C� 62.50 MEI Address: !' , e M �., O n+we > . - he.0 ta•arh4 62.50 UMW pity/State/ZIP: ^ �� ? 73.75 Phone: VII) a0'.d -a Pax'(5i) ,a1 --'(0 _ • ..= tJt>t' Smr CCgLic.: 3 ., : Plan tttvieeer(2S%6aaCDcn►kfee) �. Subtotal * $uprl. $le4ttte>iaa signature, required: Step satrbesge (8%efpnenrt ) A/ Da TOTAL MOOT FEE Print scant: - �'. 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