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Permit q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT - :��` COMMUNITY DEVELOPMENT Permit #: ELR2009-00292 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2009 Parcel: 2S113AC00103 Jurisdiction: Tigard Site address: 7204 SW DURHAM RD 300 Subdivision: Lot: 0 Project: Consumer Cellular Project Description: Low voltage for fire alarm. FEES Owner: PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Restricted Energy Permit 10/06/2009 $75.00 PORTLAND, OR 97224 12% State Surcharge - Electrical 10/06/2009 $9.00 PHONE: 503 - 624 -6300 Contractor: T & L COMMUNICATIONS INC PO BOX 87387, 2800 NE 65TH AVE SUITE A VANCOUVER, WA 98661 PHONE: 360- 737 -9725 FAX: 360 - 737 -9648 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: N Fire Alarm: Y 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 acco .. ^A ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is d for more the 180 days. A TION: Oregon law re• ires you to follow the rules adopted by the Oregon Utility Notification Center Tho rules are set forth in OAR 952 -0 -0010 through OAR 95201 -0100. Y: ay obtain a copy of the rules or direct questions to OUNC by calling 503.246.66 •r 1.805.332.2344. sued By: 1 / Permittee Signature: tee..*-7---` 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 Applicati Received FOR OFFICE USE ONLY City of Tigard Date/I3 : /Q �/ Permit No.: „,?...„),A ill! " 13125 SW Hall Blvd., Tigard, OR 972a� p 10 2009 Plan Review Phone: 503.639.4171 Fax 503.598.19 Date/B Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready /By: Jur ® See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified /Method: 4 Supplemental Information rya l �,� - -_ ? . _. :i� .:.. .... ... .... dad :.3r '.. ,:���. NG DlUISION•� , , : -: kn,.. ....t�,- �.-- .. <.. -s...» YPE. -Ol � i• ^ai,„ g1'I:AN:�RE�'IEW ❑ N ew construction Please check all that apply (submit 2 sets of plans w /items checked below): ® Addition /alteration /replacement El Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ask;. �A �EGORY�OF'�CO1VSTitUGTI ?: :. " exceeds 10,000 amps at 150 volts or El Floating buildings. less to ground, or exceeds 14,000 El Commercial-use agricultural ❑ 1- and 2- family dwelling © Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: El Fire pump. ❑ Installation of 75 KVA or e'r'< A.W '4 i, `' -, : ,;,.,," • - El Emergency system. larger separately derived system. " ; JOB" S1'1'E� INE °AIVD I;OCATION :c "':r`' ; " „s'vr >. ,.:. : '3;a3 3 ; * . �.:?_ ,.... � "•:»,,.- ,r.,. =. -, s .__��...�.. >•�:� »,«�„�:�....__- - ...._ ��`'�� «?1 ":6�:��:1�,.,, .� El Addition of new motor load of 11 "A" ,. „ ,. Job no.: Job site address: 7204 SW Durham Road f or or more residential Recreational El or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tualatin, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than El Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: 300 Project name: 1:16-eet'tflar El Service or feeder 600 amps or more. C� L 4- .. .. :t, =:a, =:;4;:,:- >��� =� �.�` :�.� >fiEE�SCIlEDi7LE� ;��; ~.�, ;. '��:i,�- �r�":a.,;. Cross street/directions to job site: Description I Qty. I Fee. I Total 1 * , New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 :,, ,;,.. I)ESRIPTION�`OF�3WORKa ��i , (with above s . ft.) �. .... . ;.- s »�z,; :,.a - .a.;. �. ,�_ �.,�.mxe��- ,�� :_ ,_ .�.K��:�mi� «���:� s al q Limited energy, multi- family 75.00 2 fire alarm modification for tenant improvement residential (with above sq. ft.) ' Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 :Plt kPE T1'» �a :,;. >a ,.,, t) R 'OVU1VE12 °'�= «� ®;.'FENANT:A�``.< "' ' "`�:�' ».....,:, 201 amps to 400 am s 106.5 2 m � 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 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 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with , , . >;, ",f , ,.... :-;;' feeder , 6.65 2 a. ❑ APPLICANT:, CONTACT PERSON (' v::.; ` � above service or feed ee each branch circuit Business name: T &L Communications, Inc. B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: Ross Bushaw first branch circuit Address: PO Box 87387 Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Vancouver, WA 98687 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( 360 ) 737 -9725 Fax: : ( 360) 737 -9648 Reconnect only • 66.85 2 E -mail: office@tl- communications.com Pump or irrigation circle 53.40 2 ' �, ?:r. -- ,N::, gin:; -� -�� -: .,., „_ -,� . , ��:.<,3 . ° ON:1'I2ACTOR' ,.. � .� ,m . � �� �-R; ” • -�a - . _, - . e . -�,. �C � �,. . <,�.a ,. .,�., Sign lighting 5340 2 ' ' �� = �•'� � �� -;�,• or outline h Signal circuit(s) or limited - Business name: T &L Communications, Inc. energy panel, alteration, or ,. Address: p0 Box 87387 extension. Describe: 1 Page 2 7,." 2 City /State /ZIP: Vancouver, WA 98687 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 360 ) 737 -9725 Fax: ( 360 ) 737 -9648 Investigation per hour (1 hr min) 62.50 CCB Lie.: 67787 Electrical Lie.: 37- 428CLE S pry. Lie.: 684LEA Industrial plant per hour 73.75 A „. :, ELEGTRICr1L';W RMI'I` :-FE_E_ S-' , f R ;” ` 1 Suprv. Electrician signature, required: Subtotal: f� Print name: Date: 09/08/2009 Plan review (25% of permit fee): �— Larry Bushaw State surcharge (8% of permit fee): 9. DO Authorized signature: / TOTAL PERMIT FEE: $L./ , eo This permit application expires if a permit is not obtained within 180 Date: 09/08/2009 Print name: Larry Bushaw days after it has been accepted as complete. * Number of inspections allowed per permit. I:',Building\Permits\ELC- PermitApp.doc 05/23 /06 440- 4615T(11/05/COM/WEB