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Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00326 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/27/2007 PARCEL: 25101 DB -00100 SITE ADDRESS: 07340 SW HUNZIKER RD 210 ZONING: C - SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: CORNERSTONE Project Description: Low voltage voice and data cabling. 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: ROBINSON DEVELOPMENT PAVELCOMM INC PO BOX 91305 1640 NW 14TH AVE PORTLAND, OR 97291 PORTLAND, OR 97209 Phone: Contact #: PRI 503- 223 -5008 FAX 503 - 223 -0104 Reg #: ELE 26- 559CLE FEES LIC 63963 Description Date Amount SUP 699LEA [ELPRMT] ELR Permit 8/27/2007 $75.00 [TAX] 8% State Surcha 8/27/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 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 • es' ons to OUNC at or 1.800.332.2344. Issued B �/ ' �j , ,/ // Permittee Signature: /9/ 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. • . , '4 l00 atd 3NI "1110313AVd -01 0 98188SE08 -way uld d 11;21 ti00Z- Sn -unr penieoaa Electrical Permit AAnlic ' i 1 - WED City of d 3t + •, 1 FOR OFFICE'. USE ONLY $ , �� � ,� 2 13 225 Sit/ Hall Blvd.. Tigard, 012 97 � mlh • , /�l�?�,�/� $13.639.41,1 r. 603.598.1961 G n D y - so Ronny Phone: Pain YelmltDso.; dodo _Ck'`�{o �spoCaOn Line_ 503,5 9 S .4] 75 �\� ? � +t Dam . orhor J?a eta Internee wwm ei.hgard.vr.us ,e ° r ,o - - Data ied /M l un j. 0� ` �. . +fi ®�� J NoeifledlMotl70� Jo 4 69 SBe Aaec E f • �1 7h ��" 9� A r � t � I. r L . � ^ c � ' �� � i // l 77 ' p'j / 9 YY,w 7;:' : '7i O4:, ij��r''(I :�r ?�.y _:, {�W]Ay / ' / 1 6 �p Sup. Zama,tslInfotmatla QVe•consttllelion Additionalte1�pn/replarearoar + _M1'&1 �• _'S I�•J(�1. chock all ..L'•"^.�.'.. W i?J' �� iv!:1+IL %�i. ,''1'��.Y ❑ De ❑ Other: P1etuo =honk ate th t app Ma l iF�il?Fp ^! u� v ❑S ervice over 22$ a, - � s i� s "d..n'k� �e 1 Ir:y- tt1�;:I;ci�• 4 N;� 7z<+yIs�.cl �P comm'tatdou8lac IJ 4 'j n ; " r i i1 - ??u 1•lia oW� '@� > t t'lE i 'r= a� © o+rcr 320 4 6 — atioq 1 -sad 2 family dwclliag 1'./ Cemrnnerclalrtnd �: t � "•I of 1- and % ia; 02 ly t o e one ClBuitdng aver 10.1[10 ar u9C1nj CI AccoaS building 4 Otsi o n ew re siders 0 Multi-family � master builder ❑ O t h c wl 0$s over three stories © Oo vole nominal units in are as rcture stns s t' j l' �� j � � "'+ C{ 13: cv�. �,:: ; . Feeders 400 $ Gt..:�'�,;,,,::�� �{5i:: t 1 I 1 I'lV�fi:lt`Y �i1� rR f.'7.'x. i�"R'' t7�. C amps or n R17'C :�; �df x liL�a:�4ilr,1 _..'-j /,.;� dinf..aT w; C.Irrri�M "k �� ❑O co ant load soxa rob no.: Y.: _tR t.,r:� :� ;,a �� C ., egg � : y DE s9 p ❑hrenu arroa strut Yob site ad. • ;I � lZV �,� lob n City/State/4P: ! d — � f ' ... 1 • • inllual s brain/ °Other: Suite/bldg./apt. 0 - -, ' th 'Submit/ not pza6 with sayr n1 t h e ababove. Ci ao.. 4 e„2,-.1-- gPp7iCable m [erppor �Y eottSit'tl P rgject n: ,r • t / v I I /(/��� ' i n a I r on service ����'a.'ti '�� F.R,'.�t V I ^� 11:p D f: C R°s+ . pa u• :�.,Y. • . Cross atrbet/dirwiioas to job site; Amertptlan �,� ® _�;' %�- •r ow rrsldetai91 single- or mulrl -ia . gat lemmas astucaed +,: rag[: mitt' dwelling unit. - • 1,000 sq. ft or leas _11MINIIII Tax anaplparcol no.: Lai 110,! Fs. aaa 1 soo sq. Et. or pqs 4xsa 33.40 ,;t;t::i,y / ^ �l�d:, � ��: .., �t i. ?. +��R'�Ii��i���Yi)i ,it': ar;,SO 4 ��i�i; [ ' l �t`r_�� - ` - I d �I n� r "'' 1' r Y• n'7R. L. Unix • � ` .: 75.00 6-6J W V 0,_ ' ti;� ;�: ?a4. ,� R 3L ,�, tl� ;�� ,. i t ` c T `I d i l it • + BYE aou WI 75.00 � ^ . / ,1t 4 Each •. - : -turad or mcduiar Inn . 0 e.__e_ . - ' deal ".. cornice and /or feeder . 90.90 &micas or (e 1r+" _F i7 s •T. y p 1 I'; c? rca� ?i +, " C'�+ - �tl-' 200 0 ° i Itato c+steion, xad/or 1 daemtion �`� er.7 '�:t ��i�;,� Y ?';, t r • t , I• � ,.,�- 171DSOrltss ease g Ei rq `: ' .0:!+�.t�? t ;.'t Z1 1 ::,1,: ;1' " �' .� t tVR 1 p 11111 t t4 — • ' e • � o Ityc,1, c 41 j'�1 201 amps Co 400 a -• • - il. ZYtp� 106.85 60 401 amps t0 600 amps 16o.sa A MU ddress: 601 an to 1.000 amps 20 60 Gift' /5sate/Z1z: Over 1,000 0[106 cr volts 11.1111= y •' 66.65 Phone: ( ) Fax: ( ) I ca j BOtV2Cap OP feeders installation, xttaratZan, and /ar Owner installation: This ins .! ; 'an is being a on 200:...: or lwts intended far Sale, leases rent, ear �xchaage, according tD ORS d¢7 I nom whin*, is nos 201 ar- • . lo loo 11= 60 .8 5 EMI berme sign: ,449, 570, and 701. Stops 100_30 i`' J., . I ,i Date_ 401 amps to 600 amps �1 ��Jl'•. i_• L JL, ' + n4�7L�. �i..a'3 - T•�"T' ?i:' :� p ��� t Branch ' i �;f is :7i: IlnEr t' :1: r i .�, +.y • tc _ ViN.3F - . item With loll or extension, Business name: — = '" r1i1 1fF�T"�1 � V i, A •IBitCh }� /.L ar YIItlC1 WLLr_ I circuits With titan a err fccdor Ica, cacti IIII Contact assns: branch circuit 645 B. doe fbr branch circuits Address: without service or seeder fie, 111112111111 each breech circus[ City /Blatt /Z/P: Path e4d'1 branch circuit Phenc ( MlSCaifaneous 6.65 (Berrie* or feeder not iadudatl) P a ) I S,gnoar ��� lighting um 53A0 Mil cr1T�::l;i 3!'I ;.�.0 _`lw:`; i�'ii�`�e` + ? nil , f. . ° + �,�. ry Sibeat oiseutie(tr) ar limited- $3 stasis name: a }/ �' ,k IS rl h� r y, I. tlrtel: 31 1,R� � en ektens(on. Describe; nr e; 1��� PAZ 2 City/Stott/ZIP: , C X ) • Egcli Additional inspection over allowabl i n Bey of the a boVe Phonon an) Z �I j — r � + Fax t�� lrtvr per hour (1 hr Win) 62.50 MN L �J 0 2 2 0 / 0 AN >3ndwseria pnt • .. ho 62,50 ME Electrical Li • r r.. la `� .k7 cial1 signature, requiter Ar . ;^ / J . Sul tat � J r 1 l�ilrit /� i .. ........ / MG Date. , D 7 State surcharge 08% of $x) WA r Authorized slg TOTAL PEIIIKI T FEE V: P t name' ate Y his pm"a.ie application aspires if a Denote b oo I D- dew after it bay been at eaoted at e obtained , within 180 etausolnerann deLca,nag a Per: memedalogy set byTr! t;osgsty Building fad TnnFa, Uippdoo twin raaaBrs�(lolmtCO�narap -• Nub+erorlyspnctlpas per permit awned 'ServiceBOaR1 �_- •T t 'rT ..fn 1.1.7,1 L9l -d £00 /l00 "d 90P -1 17010£ZZ£09 ONI 4V1N0013AVd -woad weE9 ll 2OOZ -2Z -80 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007-00326 " 13125 SW Hall Blvd., Tigard, OR 97223 •- ,,. DATE ISSUED: 8/27/2007 Phone: (503) 639-4171 i tiiiiiivglit Inspection Requests (24 Hrs.): (503) 639-4175 ,. 1 11- IL INSPECTION WORKSHEET FOR DATE: 8/30/2007 TIME: 7:00AM PAGE: 37 . SITE ADDRESS: 07340 SW HUNZIKER RD 210 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: . ' PROJECT NAME: CORNERSTONE DESCRIPTION: LOW voltage voice and data cabling. OWNER: ROBINSON DEVELOPMENT, PHONE #: CONTRACTOR: PAVELCOMM INC • PHONE #: 503-223-5008 Inspection Request Scheduled For: D .te: 813 Pour Time: Code # Inspection Description Contact # Message 195 Misc. inspection 064866-01 503-223-5008 ----' Y , V a tCl 17:4NN-kk._ ,5)\)c-JL, . - ' - n Lk Corrections/Comments/Instructions: \\ 3 • V PASS fl PARTIAL APPROVAL EI CANCEL 0 NO ACCESS I I FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED ' Inspector: G 0 (A L Date: .e so ,1 Phone #: (503) 718- - 1-4 1 4 4 0 I _ _ A . . _ _ . , • , .