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Permit ill .e CITY T GARD ELECTRICAL RESTRICTED ENERGY PERMIT : . : ._ r ., COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00045 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/3/2008 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 530 ZONING: C -P SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG PROJECT: HARRIS & BOWKER Project Description: Installing low voltage data telcommunications system. 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: SHORENSTEIN REALTY SERVICES PROCOM COMMUNICATIONS INC ONE SW COLUMBIA ST #300 2316 SE CLATSOP PORTLAND, OR 97258 PORTLAND, OR 97202 Phone: Contact #: PRI 503 -233 -8037 FAX 503- 233 -8052 • Reg #: ELE 3- 397CLE FEES LIC 109929 Description Date Amount SUP 1172LEA [ELPRMT] ELR Permit 3/3/2008 $75.00 [TAX] 12% State Surch 3/3/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 or 1.800.332.2344. Issued By: i. - s ! fA , Permittee Signature: SP 7- 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'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. 2/28/2008 3:27 PM FROM: Procom Procom TO: 503 -598 -1900 PAGE: 002 OF 009 r a . + t. Electrical Permit Application f 1•-c,lrc)r I sl: uNl:� . xecrn rd / �� i � , �� j �� City of Tigard Date In 3 ©1! ' Permu No . N 111 13125 SW Hall Blvd., Tigard, OR Q Plan Review Phone' 503.639 4171 Fax: 503.5 8.1960 q % �� © V Dale PA. Other Permit - �' , ,, r - �1 , 1 i .` i . I , Inspection Line: 503.639.4175 1 C ' � e Reath Lio !ur, RI See Page 2 for /— Interne: www.tigard'or.gov' , At ll ti` tiethisd ti ipplemental Information TYPE OF W01 O ,�RS PLAN REVIEW - ❑ New construction ® additionialterati . L �4 C.: ® Please cheek all that apply isubm 112 sets of pleats a dens .hrckc4 silos i ❑ tier\ ice sa kaki di anips or more ❑ Building over three stories. ❑ Demolition ❑Other. B' where the available fault current O Marinas and boatyards CATEGORY OF CONSTRUCTION eatceeds I 0 '4 ours ii I51 or 0 Floating buildings 1 - and 2-family dl\Clllll less to wound, or exceeds 1 4,0(17 ❑i ',,,,,,,,,,,,j,,, ,,,,,,,,,I00.,/ ❑ El industrial ❑ Accessory building amps fur all other installations buildings [] Multi- fancil ❑ Master builder ❑ Other. ❑ Fire pump ❑ Installation of 75 KVA or ❑ Emergency system larger separately derived ci stern JOB SITE INFORAIATION AND LOCATION D Addition of new motor load of 100HP or more, occupancy Job no.: l Job site address: 10300 SW (:reenburr Rd. 0 vehicle CI SIX or more residential rats parks ❑ health -care facilities. ❑Suppls s oltace f mote than City' /Stale /LIP: 97223 ❑ Hazardous locations 600 volts nominal Suite bldg. apt no.: 530 1 Project nenic' Rallis & Boss her ❑ Service or feeder 60) amps or mote. FEE SCHEDULE Cross street/directions to job site: unanption I lig,. I Fee. I loa+l 1 • - New residential single- or multi- family dwelling unit. Includes attached garage. halxln isttnt. Lot no : I.1(4K) nq. 11 or less 145 15 4 Ea add'I 5(10 0q ft. or portion ;3 4(1 l Tax map /parcel no : Limited energ5, residential DESCRIPTION OF % ORI: (witt t h 1 75.00 ' Limited energy, multi- family 75 Voice and Data residential tw nil above sq It) _ Services or feeders installation, alteration, and /or relocation 2110 amps or less 80.30 1 D PROPERTY OWNER I ❑ TENANT 201 amps to 1110 amps 10635 a Name. *11 amps ui 6110 amps 160,60 2 . 601 amps to 1,18111 amps 240 60 2 Address: f i t em 1.0011 amps or t nits 4 ?4.65 C ity /StateZIP: Temporary serv ices or feeders installation, alteration, and/or relocation _ Phone: ( 1 ( Fax: ( ) 200 amps or less 66.83 I Oss per installation: This installation is being made on property that I own which is not 201 amp to ton amps 10030 intended for sale. lease. rent. or exchange. according to ORS 447. 449. (170, and 7111. 40) amps to 5 amps - 13:.75 _ Branch circuits - new, alteration, or extension. per panel (Tv per signahur: [)ale: - .Fee fur branch cucuiu a nh ® APPLICANT I 0 CONTACT PERSON aln.A e :tersue or feeder tic. 6.6 each branch circuit - Business name: ProCom Communications, Inc. R. Fee for basalt circuits o ,hart service or feeder tee. Contact name: Shawn Giles 46.85 - fast snitch circuit Address: 2316 SE Clatsop Each add') branch circuit 6.65 i Miscellaneous (service or feeder not included) City /State/ZIP. Portland, Oregon, 97202 Each ntanufactursd or modular 9 019(1 ? d\vAim service and to feeder Phone: (503) 2334037 I Fax, : 1503) 233 -8052 Recwmcet ads 66.85 a E -mail: shawng `alprocomcommunications.com Pump or irrigation circle 53.40 0 I _ CONTRACTOR Sign or outline hulling 53,411 _ Business name: ProCom Communications, Inc. Signal circuit(s) or limited energy panel. alteration, or Address. 2316 SE Clatsop extension. Describe: l Page 2 7 >.00 2 City /State/ZIP: Portland, OR 97202 Each additional inspection over allow in any of the above Phone: (503) 233 - 8037 1 Fax: (503) 233 - 8052 Per inspection 6, - Im estioatton pet hour ■ 1 Er num 62.50 CCB Lie.: 109929 Electrical fie - 3- 397CLE Supry Tic.: 11721.E: Industrial plant per how 73.75 1 V , ELECTRICAL RTCAL PFR FEES Suprv. Electrician signature. required: �� Subtotal: otal: 75.00 Print name Shawn R. (ides 2/28/08 Plan rm.iew (25 ° a ofpennii lee). /� e State surcharge 112 "o of permit feet 9 (xl Authorized signature: 6? � ; i�''" 11. IT:11. PERAfIT FEE 84.00 Print name: Shawn R. Odes Date: 2 /2R /OR This permit application expires If a permit is not obtained within 181) Hass alter It has been accepted as complete. " Number of inspections allowed per permit lSftuldup',Pormia'd.I,C- PernntApp doe 05.23106 445.46151'r11105!Cg6.'wvo 2/28/2008 3:27 PM FROM: Procom Procom TO: 503 -598 -1960 PAGE: 003 OF 009 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for a residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm E . Garage Door Opener* ❑ I beating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* • ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SFE OAR 918 309 - 0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ 1-1 VAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 • .Buildu \ELC- Pmniv:pp.dik 03t23/0a e 1. / CITY ��kN���U�������� ` ' ' ' ' ��nm n ��w mn�m��um�� ' .• BUILDING DUVUSUON ' PERM|T#: BR�O���5 13125SVVHaUB|vd, Tigard, OR07223 DATE ISSUED: �/]OOU Phone: (503) 639-4171 Inspection Requests C24Hm�:(503)63Q'4175 °�0 ^ 3/3/2008 �� ��. INSPECTION WORKSHEET FOR DATE: 3/10Y3008 TIME: 7:00AM PAGE: 61 SITE ADDRESS: 10300 SW GREENBURG R[}638 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: HARRIS & BOWKER DESCRIPTION: I ristalling low voltage data telcommunications system. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: CONTRACTOR: PR{)C0hj COMMUNICATIONS INC PHONE #: 603-233-8037 Inspection Request Scheduled For: Date: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 066368-01 603-519-9447 N Corrections/Comments/Instructions: • PASS . fl PARTIAL APPROVAL 0 CANCEL NO ACCESS n FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED | 0 � 7 Inspector: @�' ��� Oate�� -� ~ � / �/ -'�� Phone #: (503) 718- • / � ' ' • .~ . ' � . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200B -00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 313/2008 Phone: (503) 639 -4171 bmod'I04• Inspection Requests (24 Hrs.): (503) 639 -4175 °�� I .. INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 10300 SW GREENBURC RD 530 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: HARRIS & BOWKER DESCRIPTION: Installing low voltage data telcommunications system. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: CONTRACTOR: PROCOM COMMUNICATIONS INC 5 1 - A V,NO PHONE #: 503 Inspection Request Scheduled For: Date: 3/18/2008 Pour Time: Code # Inspection Description onC�firm # Contact # Message 135 Low voltage 066836-01 503.519-9447 '''N.Y 19R NI , ,-----h Corrections /Comments /Instructions: ,� q I /�(� I N \\\\ R\ Vii/ - . I \ 1 C PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS - TAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G-% V be LE _ Date: rb flY 0 Phone #: (503) 718-