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Permit A CITY OF TI GA RD ELECTRICAL RESTRICTED ENERGY PERMIT I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00147 � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/7/2005 PARCEL: 1S126CA-01000 SITE ADDRESS: 09009 SW HALL BLVD 142 ZONING: C -G SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG Project Description: Sound system. Low voltage. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE PLAZA MUZAKLLC BY THE CAFARO COMPANY 3318 LAKEMONT BLVD P 0 BOX 422 FORT MILL, SC 29708 FLORHAM PARK, NJ 07932 Phone: Phone: 503 889 - 3848 Reg #: LIC 142760 ELE 26- 1055CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 6/7/2005 $75.00 [TAX] 8% State Surchart 6/7/2005 $6.00 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 9 001 -0100. You .y obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued Bp . _ Permittee Signature:_' Q (� 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. Electrical Permit A 1 l Ofi I `VE PP . °r, `°1 , , ° „-FOR i OFFICE'USE,ONLY ° a ° t ,ri 1 .."' •F ilk ..n, ,.. Receivedr City of Tigard( 7 Z005 DateB :C� © '� Permit No.: , OR 13125 SW Hall Blvd., Tigard, OR 97223 JUN 0 t Plan Revi: Phone: 503.639.4171 Fax: 503.598.1961 -y Other Permit: QF I I Date /B y : Inspection Line: 503.639.4175 F TIGAP nu- 4`' l y Date Ready/By: • -ris_ , + ® See Page 2 for • Internet: www.ci.tigard.or.us BUILDING Notified/Method: , -(fi t Supplemental Information :.. 1-..,,,,,,,,,- _�:.> :<�, ,:.. , .r , , _,. ;. . ,. r,• ,TPE . ,� ��. s .. .. ... . ^,;._..�.. Y . � „ -, ,,, ��, . �� ;: °I'Ii2i�NREVIEW > � .._., .. �,.�. �� � <.�� - _ �•e., ,, ,,. -. ., � „,r, ,. a �i ., _ .. gar � §xa -. ,..k;;`;:;w, ,.<, -.,, ., ,�,�, rte_ �����.�- „�rd�� ^.t. 4� ��;Hf �a �d�;, .� <li�.la�t�ti ^ f;` � vii.', :i:3�! ❑ New construction ❑ Addition/alteration/replacement Please check all that apply; ❑ Demolition ❑ Other: v ,,..; s.,.,:''�ir'`:`, feria: <...u- , #,,, :., ° -.F a; ;a,. >., ; }.aw.,,�.;.. .zzczz. us e•:, , — 10,000 ft., ['Service over 225 amps, comm'l Hazardous location EService over 320 amps rating ❑ Buildng over 10 000 sq. ft. , A� ; ,. „ : , .. '4', 'A4:41.„-„...,,,,,„ '- CAxTE Y„ Q , ' of 1 -and 2-family dwellings 4 or more new residential ....- Y,. >�. �OR F CON :„� � ,,. ,. , , .,. , . ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure DBuilding over three stories ❑Feeders, 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other: t,, , i .... , ,:,. Y ,, K , { „ , v ,, f ,, ['Occupant load over 99 persons ['Manufactured structures or JOB ITE`' ' '. INFORIVIA'CIUN ,t ` ;... ' ; ATION :. E ress /li htin Ian RV park ” ��`� 3,4�;1� .sue, ;:�� „ -. %: g g g P R - � t DHealth-care facility ['Other: Job no.: Job site address: SW Ha Submit 2 sets of plans with any of the above. City /State /ZIP: Tigard, Or 97223 The above are not applicable to temporary construction service. y '..,,''`•wa = FE, ; DU1Ei;' .. ; . ' ' : .Si , Suite /bldg. /apt- no.: 142 Project name: Bajio - ; ;: ,h, -. Description Qty. I Fee. Total •* Cross street/directions to job site: New residential single or multi family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 „,,, _ ,,,,.,,,, Limited energy, non - residential 75.00 2 ,a^ :DES R1P1I i r;;L< i3,"i ; ^ -,. _ a:•. . <_ ,,, , C m an ������RK -r � < `'' ` °' � 1 ,.,�u,, Each'manufactured or modular Sound System dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ' "il FROPERT ; -. : ` `' `' :i<” : < , 4 ` . 1 amps to 40 amps 106.85 2 � - ”' ' ._. .,rc Xr.0WNE1Z , < '' ;s. >� . '.''''' ;:'FEIVAN [v' ..; ' �' � ' 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ' ,'.:'. ' ` AII'LI °` =ONTi ^ , ePERS N' ' 0 A. Fee for branch circuits with y ; Business name: branch circuit ee, e 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53.40 2 ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - ” : h':' .,1 v - • ". '.. C9N'IkRE1CTOR° ' fr energy panel, alteration, or ex ;tee .. i ,,,. .. Business name: Muzal LLC tension. Describe: Sound System I Page 2 2 Sy Address: 12449 NE Marx Bldg 10 Each additional inspection over allowable.in any of the above City /State /ZIP: Portland, Or 97230 Per inspection 62.50 Phone: (503) 889 -3848 Fax: (503) 889 -3883 Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 CCB Lie.: 142760 Electrical Lie.: 26- 1055CLE Suprv. Lie.: 2016LEB (Cit.:: W EI> GTt2LCAti PF)11411 F 1!:S;*'', ,, N =r: :':': fs ( Subtotal Suprv. Electrician signature, required: L.L��r� Q , ' `�� ,(Z �'`' Plan review (25% of permit fee) Print name: i Date: /7/05 t 4 t .3 t N State surcharge (8% of permit fee) - Authorized signature: TOTAL PERMIT FEE 5 d This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits\ELC- PermitApp.doc 12103 440- 46t5T(10 /02 /COM /WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' . 6/7/2005 Phone: (503) 639-4171 „,,, l A opilt '! Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:14Alvi PAGE: 91 SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: BAJA° • :DESCRIPTION: Sound system. Low voltage. OWNER: WASHINGTON SQUARE PLAZA, ' PHONE #: CONTRACTOR: MUZAK LLC PHONE #: 503.889-3848 Inspection Request Scheduled For: Date: 6/10/2005 • Pour Time: Code # Inspection Description Confirm # Contact # Message 199 . Electrical final 008931-01 803-242-7883 N Corrections/Comments/Instructions: • C (- ASS fl PARTIAL APPROVAL El CANCEL El NO ACCESS 0 FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: ht:-4„---‘-/ e.,--- Date: 6- 4---(5' Phone #: (503) 718- .- _ _