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Permit A !' CITY O F T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT zdzi i DEVELOPMENT SERVICES PERMIT #: ELR2006- 10033 ` ..� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/14/2006 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 380 ZONING: C -P SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG Project Description: Data/Telecommunication. 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: PLAZA WEST LLC TELEDIGIT INC CIO NORRIS BEGGS & SIMPSON PO BOX 22287 121SW MORRISON SUITE 200 PORTLAND, OR 97269 PROTLAND, OR 97204 Phone: 503- 223 -7181 Contact #: PRI 503- 722 -8084 FAX 503- 722 -9914 Reg #: ELE 3- 414CLE FEES LIC 116188 • Description Date Amount [ELPRMT] ELR Permit 6/13/2006 $75.00 [TAX] 8% State Surcha 6/13/2006 $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 questions to OUNC at 503 - 246 -6699. Issued By: Permittee Signature: 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 Application FoR oFFICE USE ONLY M / City of Tigard Date /Bea / J p / J Q _..d 4. l � Permit No 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review G J/ �� Phone: 503.639.4171 Fax: 503.598.1960 � ' +k Other Permie Inspection Line: 503.639.4175 "' I Date /B Date Ready /By: NA la See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition /alteration/replacement Please check all that apply: ® Ot her: TI ❑Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling Z Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address:.9 7 1 ON SW Oak St ❑Health care facility ❑Other: Submit 2 sets of plans with any of the above. City/State /ZIP: Tigard, OR, 97223 'g OO The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Ste 380 Project name: River City Travel FEE* SCHEDULE Description I Qty. I Fee. I Total I '• Cross street/directions to job site: Greenburg Rd. 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 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular Communications Cabling dwelling, service and/or feeder 90.90 _ 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: River City Travel 601 amps to 1,000 amps 240.60 2 Address: 10300 SW Greenburg Rd / Ste 230 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Tigard, OR, 97223 Temporary services or feeders installation, alteration, and/or relocation • Phone: (971)230 -0190 Fax: ( ) 200 amps or less 66.85 I 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 ® APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: first branch circuit Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: 1 Page 2 2 Business name: Teledigit Inc. Address: PO Box 22287 Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Portland, OR 97269 Investigation per hour (I hr min) 62.50 _ Phone: (503) 722 -8084 Fax: (503) 722 - 9914 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 116188 Electrical Lic.: 3- 4I4CLE Suprv. L'c.: Art Rosado Subtotal Suprv. Electrician signature, require --4����� 8- /s—G.41 Plan review (25% of permit fee) ,/ State surcharge (8% of permit fee) A..7 Print name: Jt( G ✓ a Date: 06/13/06 if TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: 06/13/06 • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. I: \Building \Permits \ELC- PermitApp.doc 12/03 440 -461 ST( /02/COM/WEB CITY OF TIGARD ELR BUILDING DIVISION PERMIT #: - Z®©f„ C pG 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 m,�,„t�� I+� Inspection Requests (24 Hrs.): (503) 639 -4175 • I I .. INSPECTION WORKSHEET FOR DATE: ° z /'T 0 TIME: PAGE: SITE ADDRESS: 696,00 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: Teaifitik U E5 \ PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 11R L6cret cite_ rr. Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: NC8 L Date: 1 t Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006 -10033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2006 Phone: (503) 639 -4171 W Inspection Requests (24 Hrs.): (503) 639 -4175 I t .. INSPECTION WORKSHEET FOR DATE: 6120/2006 TIME: 7:01AM PAGE: 55 SITE ADDRESS: 09600 SW OAK ST 380 CLASS OF WORK: SUBDIVISION: PLAZA WEST LOT #: G TYPE OF USE: PROJECT NAME: RIVER CITY TRAVEL DESCRIPTION: Datafrelecommunication. OWNER: PI. /VA WEST LL,C, PHONE #: 503.223 -7181 CONTRACTOR: TELEDIGIT INC PHONE #: 503722.0084 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 031975 -01 503-784-4100 Y Corrections /Comments /Instructions: . 73. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `v oe:o Date: q 2...t s t•(n Phone #: (503) 718- Z-"1gt