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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2009 -00146 1 3125 S H all Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/02/2009 IiGARD Parcel: 2S112AD01000 Jurisdiction: Tigard Site address: 7007 SW CARDINAL LN 135 Subdivision: Lot: 0 Project: North American Trade Project Description: Install restricted energy for voice /data. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Restricted Energy Permit 06/02/2009 $75.00 #300 12% State Surcharge - Restricted Energy 06/02/2009 $9.00 PHONE: Contractor: A BETTER ELECTRICAL COMPANY 16869 SW 65TH AVE STE 373 LAKE OSWEGO, OR 97035 PHONE: 503 - 753 -0836 FAX: Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: Y Fire Alarm: N HVAC: N Instrumentation: N Total $84.00 Intercom /Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N 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 throug OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling .6699 or 1.800.332.2344. Issued By:Nalletta S.. - .• _ l �� I _ , _ � . Permittee Signature: 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 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 Application . FOR OFFI USE ONLY City of Tigard - Received , / IIIII DateBv: Permit No.: . ° 13125 SW Hall Blvd., Tigard, OR 97223 JUN 0 2 2009 Plan Review � P hone: 503.639.4171 Fax' 503 598.1960 DateB : Other Permit. T I GARD Inspection Line. 503.639.4175 CITY OF TIGARD Date Ready/By: h o gm S See Page 2 for Internet: www.ttgard -ocgov Notified/Method nl nt fluor !'1lII � \CCIn ( . Supplemental Information � E fw `,N� -�' = = =>a . ,. � , rsx =:bya:� ,1 1 1 = t'. - .:tr i W 6 , - - - a ,�„ ,u.,�„ , ,. . 1. 4.0: ,,,- :.. ` 7 r TYPE OF'�VOftI,.4r . a;C ?,..::., .� ,..m F . • � ; P LA „ N , REVI : '' : , o - .�_, -. .x> �r�t�,lr1.�- #� "a „= ,. t�S: �?'s- ��. �. k. �.cx.�,+«x ^--- :..7�`i'�.�� »v>w' _ � F = �'-,•`a,..��.r .ltd r� *. zap` > =r;� w_ ". `� �a �'- 5�.. � �,. -. _a''''��' � '� a����a ��,dn�k _x-�- >m::vr' ' ax� ' ?r �.�,�,� -�. sv1- ,F,- '.�`,^'�N ❑ New construction ❑ A dition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. ?'`�''''y t ' -,:g.. ` "``r•`I`E exce eds 10 , 000 amps at 150 volts or ❑ ), -� �" ° �=;` "`�� � '.��GA�I'<EGORY OF COIVSTRUGTION�� _ "��"' "" `'�'" � P Floating �;fv ,n r ._ N :, =S' ' 'ro° ' >v:•..5? = <�. r ., ;?.z :;:;:. „.�•t� ; , '.;: F omm buildin gs. 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 ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or mar- ”. < . - u - s,,.. ,,, , r,-,-,, vvi,,,ty °. ,,,.: -.,,.< . ,;. ,-, :.r',.. -.., . . =t..: = w " - e,,, A ❑ Emer enc s stem larger separately derived system. ,JOB+.`ST E IN FOR IVIAT ION ANDt ... TION /: ` ' > " .} , y g p ' <� ft.'Sa��v,_ v: " � � srs�ay�a�-'��.. �::.�r.� � a s�,.�� �_ :�. . , ,._�#t: x. ;,t����,� Addition of new motor load of ❑ .. .< ,. „ Job no.: Job site address:70o 5 Ca (Gt''r?i .€LN 100HP or more occupancy. / ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ` / ((�J o., ❑ Health -care facilities. ❑ Supply voltage for more than �� ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: `j'� pp r ❑ Sery or more. Service or feeder 600 amps o NCr , r,VW n e 0 Ira c: . ry ..,: -. , <• o r SCHEDULE ., " ..w- , . r , & izs' r.„ �" ���:. hs' ��. i <:r.;:;�r...�..,.a...1,,.�.,.. ,.,. -.-..x .5ii _� #3#?�"�kf::s`t@� ?:s.�z�. ,� -z�:.� Cross street/directions to job site: Description I Qty. I Fee. I 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. add'I 500 sq. ft or portion 33,40 1 {- t., t . n,,:,,. : .: Limited energy, residential °fg ".'_ l t�,.�, .;� ;: g;, . l , ® 75.00 2 .. •' � ¢ ,, D ESG RI ,— - ,—. N:tOTx ,,,,,, R ; K ,,, '' ., IF u , : -- t v t is : :t •"-'`'„' (with above s . fr. ;;._.v = =t.. _.'tire- .a, ,��>_�'. ..,..,'ea_ -ti v x..,'re-u.a ,... .a_ „ x...r ;:*:,itwn¢ any': TM” k. +:' L+'' ti ra^ 3:` 4^, �` c= �E ( 9 ) DC Z-4- imited energy, multi - family 75.00 2 't y,,C.4-� CO ( 11/ 0/ residential (with above sq. ft.) v` Services or feeders installation, alteration, and /or relocation _ „....,:, ,,a. _f £ .^; , -M: 200 amps or less 80.30 2 71 4r PROPERTY : �:-.,.•, 4 ,, ,” tt? rP,' , i, , `; - ", -`�'. , , 'ta .. -,. .. ,, „ „k :3:...„ :,. ^ „.„4 .;,�OWi\TER „ sx n ? , TENANT. # I. i ., „,., s ; 201 amps to 400 amps 106.85 2 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 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 l 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 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ::: t`f _.;�§x`??' '� =�=k�' ` *'�Zro'q "' ", '" '_! - ...: ,x g ,� 3q �� ". .. ."+ t:�+s +✓".» :, �t < , ;; - 1 $ A PPLI CAIV 'T = i4 ,`.M -: ; "', ,e , 4,# CONTAC,L P)N RS O € � above service or feeder fee, q �._.. " >;,�.� � .,._. - .��, W , =me :. ... r.� i. �sv�sra. _. ^.�..'��,��,.., -_.� ,v,�'t`� >w,« 6.65 2 [� Business name: each branch circuit �G 1�!(�fS B. Fee for branch circuits without service or feeder fee, Contact name: .N uo) (4 0 /0 first branch circuit 46.85 2 Address: , og q i,./ 1, e `�' L Q f 7f7� Each add'I branch circuit 6.65 2 G - / - n/D � p / f Miscellaneous (service or feeder not included) City /State /ZIP: p 9-j' .- 02 — q 77 5--- Each manufactured or modular 90.90 2 //-�� 2 dwelling, service and /or feeder Phone: (7"3) b-- 4'Oa, F ax' : ( ..9 /) 5 OZO Z Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 �;�:,�„ -° �'� ,......,,;,�C(�NTI2ACTQ12: , t"'"` z ^� , Ya � ��` ., �s'z�� p °ti,; - Sign or outline lighting 53,40 2 2 `n", r. �:`- a�.;;n�z�?.. 'ti„ is.;:.;. *.» visa,,, a # � ZB.,. , _ .. ^..a:,� . '�„�. K; �a ",;?F`JS�`'^'.�z�t'. a- u'�Wz� ...... ;�ttn"^h'.,.-.. Signal circuit(s) or limited - Business name: 5/"IA. " .- , energy panel, alteration, or Address: extension. Describe: 1 Page 2 2 • City/State /ZIP: Each additional inspection over allowable in any of the above Phone: ( ) Fax: ( ) Per inspection 62.50 Investigation per hour (1 hr min) 62.50 CCB Lie.:.1' 7J/q4 Electrical Lie.: C - T - 2 Suprv. Lic.:3 ge 6,5 Industrial plant per hour 73.75 r ~: ;PARA `,a E ECTI2IC8,VOtRMitakt NAMM .$ Suprv. Electrician signature, required: Subtotal: ' . 03 Plan review (25% of permit fee): Print name: t t,J/\f GaC2A .1 Date: 6 ,-, -© / g State surcharge (12% of permit fee): q. C.?Q Authorized signature: .. - J.;, - TOTAL PERMIT FEE: Th is permit application expires if a permit is not obtained within 1S0 Print name. Date. days after it has been accepted as complete. . Number of inspections allowed per permit. • I:\Building\Perm its\ELC- PermitApp doe 05/23/06 440- 46I5T(I1 /05 /COM/WEB Electrical Permit Application - City of Tigard Other . Page 2 - Supplemental Information Total number of commercial systems: LIMITED ENERGY PERMIT FEES: "No licenses are required. Licenses are requir for all other installations 40.:S DENTIAL WO K ONLY" , y 'r Fee for all residential systems $75.00 combined Check Type of Work Involved: I Audio and Stereo Systems" I Burglar Alarm Garage Door Opener" Heating, Ventilation and Air Conditioning System* Vacuum Systems* I Other: C IVIMERCIAL WORK ONLY , ; . Fee for eacji commercial $75.00 system (SEE OAR 918 - 309 -0000) Check Type of Work Involved: Audio and Stereo Systems II Boiler Controls II Clock Systems Data Telecommunication Installation n Fire Alarm Installation Il HVAC I I Instrumentation Intercom and Paging Systems r i Landscape Irrigation Control" I I Medical Nurse Calls II Outdoor Landscape Lighting" I I Protective Signaling 1' \Bwldmg\Permits\ELC- PermitApp doc 03/23/06