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Permit CITY OF TIGARD j • ',, COMMUNITY DEVELOPMENT ELECTRICAL RESTRICTED ENERGY PERMIT Permit #: ELR2010 -00031 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2010 Parcel: 25101 DC04000 Jurisdiction: Tigard Site address: 7550 SW TECH CENTER DR 220 Project: Cochran Subdivision: Lot: 0 Project Description: Data telecommunications and security systems. 2/3/11, reprinted to correct suite number from 250 to 220. Contractor: COCHRAN INC Owner: WALTON CWOR SOUTHRIDGE 12 LLC 626 SE MAIN ST BY TTA/EPROPERTYTAX DEPT 325 PORTLAND, OR 97214 PO BOX 4900 SCOTTSDALE, AZ 85261 PHONE: 503 - 234 -6564 PHONE: FAX: 503 - 238 -2098 FEES Description Date Amount Specifics: Restricted Energy Permit 02/12/2010 $135.68 12% State Surcharge - Electrical 02/12/2010 $16.28 Type of Use: COM Class of Work: ALT Total Number of Systems: 2 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: y Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: Y Other: N Total $151.96 Other Desc: Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in ac • = ce - approved plans. This permit will expire if work is not started within 160 days of issuance, or if work is suspended for more the 180 days. ATT ' ION: Oregon law re• ' es you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0 0 through OAR 952 -0 -0090. ou.may obtain a copy of the rules or direct questions to OUNC b . or 1.800.332.2344. Issue, By: r ' Permittee .�I ex 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. CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT `,: COMMUNITY DEVELOPMENT Permit #: ELR2010 -00031 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/12/2010 Parcel: 2S101 DC04000 Jurisdiction: Tigard Site address: 7550 SW TECH CENTER DR 250 Subdivision: Lot: 0 Project: Cochran Project Description: Data telecommunications and security systems. FEES Owner: WALTON CWOR SOUTHRIDGE 12 LLC Description Date Amount BY TTA/EPROPERTYTAX DEPT 325, PO BOX Restricted Energy Permit 02/12/2010 $135.68 4900 12% State Surcharge - Electrical 02/12/2010 $16.28 PHONE: Contractor: COCHRAN INC 626 SE MAIN ST PORTLAND, OR 97214 PHONE: 503 - 234 -6564 FAX: 503 - 238 -2098 Type of Use: COM Class of Work: ALT Total Number of Systems: 2 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: y Fire Alarm: N HVAC: N Instrumentation: N Total $151.96 Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Required Items and Reports (Conditions) Nurse Calls: N Protective Signal: N Security Alarm: Y Other: N Other Desc: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: � �� Permittee Signature: ®/j7 �7D� 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 503.639.4176 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. FROM COCHRAN —BROADWAY (FRI ) FEB 12 2010 12:58 /ST- 12: 58 /No. 7500000582 P 1 Electrical Permit ApplicaECEIVED FOR 01:11(1: l'.SI: 0■1.1 CI of Tigard Received ml No. n 020/0 - oa 03/ Iii G QQ ' DatDate/By: .Z /O L./` I3125 W Hall Blvd., Tigard, OR F B 1 2 2 ' O Plan Review / 0 Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit pa0/•0 00020 TIC :1 R () Inspection Line: 503.639.4175 CITY OF T1GARD Date Ready /By: Ju ® See Page 2 for Internet www.tigard Notified/Method: www ti o S upplemental Information g g ,i��; Dl � Su PD • = TYrE g :: vl�lora x r R W _ _. ❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans wriiems checked below): ['Service or feeder 400 amps or more ❑ Building oser three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. r ' ' 8.r pp exceeds 10.000 amps at 150 volts or ❑ Floating buildings. (0 = a • ^^ ' a = - 5 _ Y less to ground, or exceeds 14,0 ❑ Commercial -use agricultural ❑ 1- and 2- fancily dwelling Commercial /industrial ❑ Accessory building mnps for all other installations. buildings. ❑ Multi- family Master builder 0 Other: ❑Fire pump. ❑ Installation of75KVAor �• ❑ Emergency systete. larger separately derived system. JOB SITE INFORMATION A ND LOcATIONz = . CI Addition of new motor load of ❑ "A" F" ' 1 -2 "I -�" Job no. :0�'� Job site address: T _ f y, / 100HP or more. occupancy. t 1)00.0026 , 314,0 Leck Ce 1t_' �� ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: --\--4-Axcl ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg./apt.no.: X5O 1 Project name: 0 /X1\v r 1 ie • ❑ Service or feeder 600 amps ormore Cross street/directions to job site: Description I Qty . I Fee. 1 T otal 1 • New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 168.54 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.92 1 I Tax map /parcel no Li y _ m energy, residential ._ "s-?_.t� ` . x:< 11.0ItOF r r W. ._. bo " (with sq. R.) d 67.84 2 _ - Li mited energy, multi - family 67.84 2 S.C.1,t /�- u p ( residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation • 200 amps or less 100.70 2 4 . 0,. - :',' T ` -z *X--5- " - : .1 ; ;;;J' = w"2?- g 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1.000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: , ___ _ Date: A. Fee for branch circuits with p-pp C*N - ' i _� V )g r F above service or feeder fee, a -.r. each branch sin uit 7.42 2 Business name: .Si vnZ a s Corte' y- B. Fee for branch circuits Contact-name' without service or feeder fee, 56.18 2 first branch circuit Address: Each add'I branch circuit 7.42 1 I 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling. service and/or feeder 67.84 2 Phone: (On I) .....054-24.5 Fax:: ( ) Reconnect only 67.84 2 E -mail: Pump or inigation circle 67.84 2 i GiOhT31 AG r r 4• "' Signor nut linelighting 67.84 2 Signal circuit(s) or limited - Business name: sLh r a In I V C . _ energy panel. alteration, or Address: (OZr, LSE 1 AL, t s extension. Describe: t Page 2 2 City /State/ZIP: pc) {4.- ta d, OQ... 9 4 Each additional inspection over allowable in any of the above _ Per inspection 66.25 Phone: (Se - / Fax ( ) Z Se) 3 Ip �( o 4 3 g , -eq / Investigation per hour (1 hr min) 66.25 6 I CCB Lic.: "-( 29 4-2_1/Electrical Lic.: 375¢( K Suprv. Lic.: 344-1-5 ✓ Industrial plant per hour 78.18 -- '' crRiK : T -IFS f� Suprv. Electrician signature, required: <�` `g' Subtotal: 135 61S K�� N � --r Date: 7///y O Plan review (25% of permit fee): Print name: r f� _ Slate surcharge (12% of permit fee): 1 t;:i- a Authorized signature: TOTAL PERMIT FEE: 1 57 , 9 LO ✓ This permit application expires If a permit is not obtained within 180 Print naive: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 440-4615 I OS COM WEB 1 Budding Pennns cI.C- Pe,mitApp.doc 1001:09