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Permit 11111 q CITY OF TIGARD LECTRICAL RESTRICTED ENERGY PERMIT II 11 • COMMUNITY DEVELOPMENT © Permit #: ELR2012 -00235 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/10/2012 Parcel: 2S112AC01500 Jurisdiction: Tigard Site address: 7319 SW KABLE LN 500 Project: Quality Custom Distribution Services Inc Subdivision: FANNO CREEK ACRE TRACTS Lot: 23, PT 2 Project Description: 4/17/13, reprinted to correct project description to: low voltage for data telecommunications. Contractor: CACHE VALLEY ELECTRIC COMPANY Owner: PACIFIC REALTY ASSOCIATES 6200 SW ARCTIC DR ATTN: N PIVEN BEAVERTON, OR 97005 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 -431 -6600 PHONE: FAX: 503 - 624 -1436 FEES Description Date Amount Specifics: Restricted Energy Permit 10/10/2012 $75.00 12% State Surcharge - Electrical 10/10/2012 $9.00 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 Intercom/Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $84.00 Other Desc: Required Items and Reports (Conditions) 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 a • • - • - , ith 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. ATT• ' ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio. • =r. Those rules are set forth in OAR 952 -001 -• • 10 through OAR 952 00 : • - I. You may obtain a copy of the rules or direct questions to OUNC b 1987 or 1.800.332.2344. Issu= • By: ,/ y: ��4 �iLL/ ..i Permittee Signs -. l 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 the next available inspection date. 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. CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 111 COMMUNITY DEVELOPMENT Permit #: ELR2012 00235 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 10/10/2012 Parcel: 2S112AC01500 Jurisdiction: Tigard Site address: 7319 SW KABLE LN 500 Project: Quality Custom Distribution Services Inc Subdivision: FANNO CREEK ACRE TRACTS Lot: 23, PT 2 Project Description: TI for office /warehouse Contractor: CACHE VALLEY ELECTRIC COMPANY Owner: PACIFIC REALTY ASSOCIATES 6200 SW ARCTIC DR ATTN: N PIVEN BEAVERTON, OR 97005 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 431 -6600 PHONE: FAX: 503 - 624 -1436 FEES Description Date Amount Specifics: Restricted Energy Permit 10/10/2012 $75.00 12% State Surcharge - Electrical 10/10/2012 $9.00 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 Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $84.00 Other Desc: Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 2 -00 9 0 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800.332 2344 I / Issued By: �l Permittee Signature: e �/ e �V OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. 10/09/2012 14:08 FAX 425 424 9966 CACHE VALLEY ELECTRIC 411 002 Electrical Permit Applical R ECEIVE D I OR OFFICE USE ONLY City of Tigard 0CT 0 9 2012 R L /o , :Z * - ,° No & --, . --ea 13125 SW Hall Blvd., Tigard, OR 97223 - Plan Review Ouxr i a Phone: 503 '718.2439 Fax: 503 9 � , Date/B d""` � /O2 �� / � � Inspection Line: 503.639.4175 ��1) �� �r (( Date Ready/By: 7 _ .. , to See Page 2 for 1 T I (: A Fi n I Internet Notified/Method: ( Supplemental Information WN W.tigatdd or.gov a 1 i 1 .11 1 •{ • I , , - _ „ La ii$! -'. .t. 4, '/1.11t ' p.? 1 ' L�- "'lp�� }FTeA .s= yr ry 1 � : 'l ,M `•.{� - ?;l K, + ., 'd. ���li.,,,,' - r. , :!y !•.� , /y�. 1 "'. S '' fir• ' .� r ..4 .-- • F± , �% 1 5•i �5� - }i'_ � �, ;..; _ ..�. _ - 7�irrs' �•i�.,; l lli;y�_ -. �'i.;� �l'r s +��i= :Rr'�k. . «.� }`u.SF s � i: .... . ;'•�'y , � 9C'.'�" r r ; �� ❑ *1 New construction ® Addition /alteration/replacement Please check all that apply (aabmirg exam of plea W/dCmt checked below) ❑ Service or feeder 400 amps or more ❑ Balding over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. r ;r- K :t;. cravrt:am� wu�? - v,�a 71 . y = � - 7 :';' ex ceeds 10,000 ampa at 150 volts or 13 Floating buildings. t •x: .:; (iA' �? 0: � 4�: e a e `;' k;; C - �7 ...;d � t ' ; • • orexc exceeds 14,000 ❑ Commercial 1 � 't : less b ground, tali - tare agricaMrrel ❑ 1 - and 2- family dwelling ■: Commercial/industrial 0 Accessory building amps for an other installations. buildings. El Multi- family ❑ Master builder ❑ Other- ❑ Fire pomp. ❑ Installation of 75 KVA or � r u.y ti f , .. ❑ Emegeney ay em. large separately system. ' Ol Sff( ., T_ION 1 .:t : : ❑ Addition of new motor load of 1=1"A", "E", "1 -2 ", °1-r'. ' ni �_ � •- •, "�; ' ��' i�3'� �."F,'� -• .'.� ... -. ��i" a , '• _ �'rr . . nix P or Job no.: 43900 - 14 J Job site address: 7319 SW Kable Lane y ❑ Six or more residential units ❑ Recreational vehicle parks. City/State/ZIP: Tig : • OR ❑ Health-care few. ❑ Su vyl It nominal. br more than ❑ hazardous locations Suite/bldgJapt. , .: 500 Project name: QCD ❑ service or Rode 600 amps or more. Ie't zti 7; hE(~%- l�rrvti -'��'��OW 1)I1: , •s- ;1• .;;:e:i? � Cross street/directions c job site: oaa t ion 1 orv. r Fro I Total , ... New residential single- or multi- fa>nlly dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 s4 R or Tess 168.54 4 Ea. add9 500 sq. ft. or portion 33.92 Tax map /parcel no.. Lim energy, residential 7500 2 J� Q !W .,-, ..�.. .c-• y ., (wills above sq. 8.) . -. :.: ",,_ �. ... - :- :,. ".� . �; .. �� f�I��: Y h , 7� '- �^' we ': •�`:.xi. •• � 's ,,, !`k i �` {x �, ( Limited energy, multi - family 75.00 2 limited energy voice & data cabling residential (with above sq. R) Services or feeders itrstallatIon.,alteration, and/or relocation 200 amps or less 100.70 2 ri: {��i.i.-- ,- .,,,, ; 20 to 400 amps 133.56 2 4 f'ftOP % = 1� �.;: ' �' �' � � 1 amps " ' � ;; r r = ' r- :f¢�i_ ,' .Flex,- r i ,�i \;l 401 amps to 600 amps 200.34 2 Name: 601 ampsto 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552,26 2 Temporary services or feeders installation, alteration, and/or City/State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or lea 5936 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps 10400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with . , . - . , - above service feeder 7.42 2 �_ _ ,•_ = ®APY�:I�CAN�r,,, � - `�'� • " �.. �,.�'� � ' `•::� each branch c Business name: Cache Valley Electric B. Fee for brands circuits without seivix or feeder fee. first 56.18 2 Contact name: Vanessa Martin branch circuit Each add'l branch circuit 7.42 2 Address: 6200 SW Arctic Drive Miscellaneous (service or feeder not included) City /State/ZIP: Beaverron, OR 97005 dwell du n om par 67.84 2 Phone: (503) 431-6600 Fax:: (503) 624-1436 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: vanesaa.martitt tcve,corn Sign or outline lighting 67.84 2 .:' ' - , `'.t.::... r : > ::` ,' ` -`, i's.,. ` ll :;';ti.'' "` . : i.;..' ;':c -: ,;- =, .r Signal circwt(s)or limited-energy Business name: same as above l panel, alteration, or extenion. 1 Page 2 75 2 Each additional inspection over allowable in any of the above Address: Additional inspection (I hr mm) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/State/Z1P: Industrial plant (1 hr min) 72.18/ hr Phone: ( ) I Fax: ( ) Inspections for which no fee is 90.00/ hr fecal listed X hr min , CCB Lic.: 148222 7 1 Electrical Lic.. 37 -976 -C 1 Suprv. Lic.. 5 ?, iii e� ire:. a!y �'4TrW c C. ;;i ".1 -. '. 1 Subtotal: 75.00 Suprv. Electrician signature, require /� • — i'�� - =�,�- Plan review (25% of permit fee): Print name:,,jd0 cV / �-� .� Date: i _ y / Z Stair su rcharge (l2% of permit fee): 9.00 /� / TOTAL PERMIT FEE: 84.00 _ Authorized signature: This permit application sapiens it a permit is not obtained within 120 days after It bas been accepted as complete. Print name: I Date: • Number of inspections allowed per permit. . tasuismng\PennitA ELC.Perwutpr nor 07/01/10 440-4615T(1 tros!COM/WEB 10/09/2012 14:09 FAX 425 424 9966 CACHE VALLEY ELECTRIC a 003 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ' ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* O Vacuum Systems* ❑ Other. r�;,-; }� . ,•__ ,� ,,;,.;,= ry ; r�., ta� ..+r # Y Fee for gam commercial $75.00 + system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ® Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ 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 1:1Buildi Permital6t.C- PermitAlq.dco 07/0U10 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 7319 SW KABLE LN 500, TIGARD, OR, 97224 Commercial - Electricial Limited Energy 199 Electrical final 04/24/2013 00:00 ELR2012-00235 PASS - No C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 7319 SW KABLE LN 500, TIGARD, OR, 97224 Commercial - Electricial Limited Energy 199 Electrical final 04/24/2013 00:00 ELR2012-00235 PASS - No C of O Violation Summary: Inspector Contractor