Loading...
Permit f•� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I COMMUNITY DEVELOPMENT Permit #: ELR2009 -00192 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/21/2009 Parcel: 2S113AC00103 Jurisdiction: Tigard Site address: 7204 SW DURHAM RD 300 Subdivision: Lot: 0 Project: Consumer Cellular Project Description: Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Restricted Energy Permit 07/21/2009 $75.00 PORTLAND, OR 97224 12% State Surcharge - Electrical 07/21/2009 $9.00 PHONE: Contractor: OMNI WIRE INC. 15621 SE MORRISON PORTLAND, OR 97233 PHONE: 503 - 906 -6356 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 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: MA✓ Perm ittee Signature: 5k (PPL ICn T?eJi✓ 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. 07/16/2009 16:38 5832562133 �' EDEX OFFICE 5153 PAGE 01 • "' Electrical Permit AAA_pplication 'JUL 1 6 2000' Fol )1,1 osE. ONIA. , Er city of Tigard Received s Date/13 : Permit No.: 1L r 4 t 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503,639,4171 Pax; 503.59s.19 CITY OF TIGARD in Review ILDING DIVISIO DateiB OthorPennit: Inspection Line: 503,639.4175 Date Ready/By; low !a See Page 2 for Supplemental Information Internet: w'ww.ti/tard- or,gov Notlfed(Method L.�'� "I,p ; ; I'�' ' I'r I�' ;''i l �;�nal. l i i � d� I�l, Iy�y pp�;.p it rl' I I I "l I' I I ! :i jl' it '� I )� I "i 1 ' '' 1 . ' !' I i i I I' . . I ' '' l :' I : 1 ..�. �,. i ,�.. I I. �1 :1'r1 "Inl1�. aEl'. x ar11�',, it' LIJ. 11.'1 1' 11 !I I: I� I, I . :I. I'I o .� i. i; '••• � ! � H. y I '�'�� II i� !. � I ',� I � � :� i i'.. I illi��',l II111� �I��u4��N,� �A. I ,i i '; : °: � p �� I'ill'I�,�a�,��l:., �; � �l� I�III1' d�l! ��i�ll���lEl�� {�Ili���:�;i '; Ill Please check all the: apply (submit of plans w /{tams chocked below). ❑ Ncw construction ® Addition /alteration /replacement ❑ Demolition Other: 0 Service or feeder 400 amps or more ID Building over three stories. whore the available fault current ❑ Marinas and boatyards. ' ii I'� f'I I ; ' ll l ii i" �' ", y 'a,`, f,i1i.Vd a� 1` t1 iii Y ' •I I i 1' I i� I� 11 IT l' II . I '" ; exceeds 10,000 t,m a at 150 volts or u '� � � • .. t . � . �, ' ' , ' 111;11'', p �I.FlosilnR buildings, ❑ I_ and 2- family dwcllin lees to ground, or exceeds 14,000 0 Commercial -use agricultural $ ® Commercial /industrial ❑ Ac cessory building amps for all other installations. hoildings. Ci Multi-family Fire pump. 1 Y ,;, lW l' I V'�L© M �i��YYt Yv��1 lk !:.'1!.1!,,'W''': V'I''''I'I: I' Installation o£ ly KVA ds stem. builder ❑ Other: D or ', dly 1 ' �.1'> 0 I ',i :I,'I I 0 Cmcrgcn o 3 system, tar r l n 1-2", derived y Job no.; � � 100HI' or anew motor load of � �<A `�F ••1.3'•, Job site address: 7204 SW Durham i d more, occupancy, - -- 0 Six or more residential units, El Recreation vehicle parks, City /State(Z,JP; Portland, OR 97224 0 Hoal•h -cnrc facilities. 0 Supply voltage for more than Q Narardous Iocathm.s, 600 volts nominal, Suite/bldg. /apt. no.: Pmjeel. name: Consumer Cellular 17 Service or Feder 600 amps or myo�te, fl l �e 1 I Cross street/directions li�il II', �1� Il l i' III1; �W.,1; �'i l '�i. ' C 1 V ' 6 ,' ' '.''.i'�I I; II II to site: 1 � a . (III .l Description I • . Fee. Total am New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.; 1,000 sq, ft. or les;_ 145.15 4 Tax map /parcel no.: Ea. add'1 500 sq. ft. or portion 33,40 1 Limited energy, residential V li,''! 1,;' i';i,; "ia Yl�tll ":'11`i i�;: .I':;'.I':I!' ! 75.00 . '.I . ii 1,; , , 1 ! ' Llll I,.. Ili _ (with shave 2 ft) 2 ' Data Installation l..in tited energy, multi- lltmiiy residentiallwnh above a.. ft, 75.00 2 Services nr feeders installation alteration and /Dr relocation f 1 I�ryk' I��51 I'',I I "'' a I: j 4 �� � 200 amps or less 80.30 INIM �I. 1'.11 1. III e ICI, . !': '1 I !;� , 1!,I I' oso I.i :11'11,1.111f li I'', '1l :!1 201 amps to 400 amps 106,85 NM Name: 401 amps to 600 amps 160,60 in Address: — - — - 601 amps to 1.000 amps 240.60 Over 1,000 amps or volts 454. City/State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66,85 I Owner installation: This installation is being made on properly that I own which is not 201 amps to 400 arms 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 ir, 133.75 2 Owner signature: W , Date: Branch circuits — new, alteration, or extension, i er panel : y i , �' ' : , �,•�����..�. y' II," I 1.1 ^ ii.� 11 l'4� h' A . Fee for branch c:'reuits with 1 �!, ,, : �d 1'Yrid"A.kMtt.L''i1dV'tl'11 „1'.,111 i 1 I 1:iii 1 II ,II. 1i ill 7`111 tii l Il;' 111 b �' I : ' above service or seder fee, fi:65 II Business name each branch circuit B. Fee for branch circuits Contact name; without service or feeder fcc, 46.85 first branch circuit 2 Address: Each add'l branch circuit 6.65 2 City/Stale/ZIP: Miscellaneous (service or {ceder not included) Each manufactured or modular Phone: ( ) Fax: : ( ) .. dwclline, service and /or feeder 90,90 2 Reconnect only 66.85 2 J I E -mail: yl ; 1 . 1 Pump or irrigation circle _ 53.40 r : !. 1 lI I' ':1 ' r 1, tt1Io tiA oitil iiir II I'I i I'I:' i ; ?`I!:i;'';!' I I'l' "r',I ?I.'1 II'.1,'I I '411: Sign or outline lighting 53.40 2 Business name: Omni Wire Inc Signal circuit(s) or 1 :mired. energy panel, alteration, or Address: 16521 Se Morrison St extension. Describe: 1 Page 2 75.D0 2 City /State /ZIP: Portland, OR 97233 Each additional inspection over allow in an • of the above Phone: (503) 516 -6262 Fax: ( ` Per inspection _ 62.50 set ` Lrvestigation per hour (1 hr min) 62.50 CCB Lie.: 151222 " Electrical Lie,: 26 -1132C Suprv, Lie.: 36551 EA industrial plant per hour 73,75 Suprv. Electrician signature, required: 1 I', l i ll f i ! l.' 11 �dFi~1i1'�'R 1Yfl'I 1” 1 '7 77 7 " i' .!'I'. Subtotal: 75.00 Print name: Mark Schulz Date; 7/16/09 - Plan review (25% of permit fee): Authorized signature: • State surcharge (12% of permit fcc): 9.00 .c 7 fG 0 ' TOTAL PERMIT PEE: 84,00 Print name: r, This permit npplicnt;l, expires if a perrult Is not obtained within ISO Date: • days after it has been accepted no complete, 1:\ au llping \PermltalntC,PermliApp_dna 05 /23/06 * Number of inspection allowed per permit. 440.4615 T(1 1 /05 /COM/ W5g .�mt -\ 1 CG O - r Pe(MI - � 0 pera� ion5 mrl\ tti3lrC.lrlC,• C6M