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Permit 1• C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT PERMIT #: ELR2006 -10006 DEVELOPMENT SERVICES DATE ISSUED: 3/3/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S135BB-00501 SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I - P SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: HVAC & Data /Comm. 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: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 2 Owner: Contractor: AMB PROPERTY L P BOONES FERRY ELECTRIC INC BY TRAMELL CROW NW INC PO BOX 628 8930 SW GEMINI DR WILSONVILLE, OR 97070 BEAVERTON, OR 97008 Phone: Contact #: PRI 503- 682 -4936 FAX 503- 682 -7946 FEES Reg #: ELE 3 -223C LIC 88482 Description Date Amount SUP 4918S [ELPRMT] ELR Permit 3/31/2006 $75.00 [TAX] 8% State Surcha 3/31/2006 $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: ""D , V_Dy Permittee Signature: ,P Q., b 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. • RESTRICTED ENERGY CITY OF TIGARD 1.17;'..-?/ BUILDING SERVICES DIVISION ELECTRICAL PERMIT I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 www.ci.tigard.or.us PERMIT #: aR o — /•00z. DATE ISSUED: 3.3 •O !o SITE ADDRESS: � t1 5 5 (.4.) G PARCEL #: BLDG /STE #: ill Q �1� ,�� ZONING: SUBDIVISION: LOT: JURISDICTION: - ric A This is an interim permit issued during computer system maintenance. Construction work and inspections may proceed under this permit number. The actual permit will be issued and mailed to the applicant within one week of the date issued above. 1II PROJECT DESCRIPTION: A. RESIDENTIAL I rt. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: _ GARAGE OPENER: CLOCK: MEDICAL: HVAC: _ DATA/TELE COMM: _ A NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LAND LIGHT: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: A —� - -- OWNER ------ _— ._- ----_. - F -- - - - - -- - FEES — ---- _- -_-_.— Name: _ Permit Fee $ _ +' l,� c o Address: Plan Review Fee $ _ City /State /Zip: State Surcharge (8 %) $ (0120 Phone: _ Other Fee: _ $ Other Fee: _ $ CONTRACTOR I Total Fees: $ gi Name: NGS �-.__ _ L Address: _').o . 3ok 1 __ Cit /Zip: _mil Lsc� n1 v 1 mac... E , r 017 070 Phone: 570 3.7980.- 4 340 Fax: _ 3 • t, . 1� to CCB Lic #: — _ cL$� -a3 -/DT _ Elect. Lic. #: 3 - 3 C_ 72-1 - o(' 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 -0080. You may obtain copies of these rules or dii� ect questions to OUNC by calling 503 - 246 -1987 or 1- 800 - 332 -2344. Issued By: �C'wc�- a'`�- /e4 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 — i SIGNATURE OF SUPR. ELECTRICIAN: DATE: LICENSE NO.: Call 503 -639 -4175 by 7:00 AM for an inspection that business day. Note: If you cannot schedule an inspection while the system is down, please call 503 - 718 -2433 for assistance. 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. I:\ Building\ Forms\ ManualPermitForms \ManualELRpermit.doc 12/05/05 Electrical Permit t - i � 4rio it I` FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd., Tigard, OR 97214 AR 3 —ap Date/B : i . O t he r No.: Phone: 503.639.4171 Fax: 503.598.19 "60 2 0 0 4dir.4 { Plan Reviely �p' 000 Inspection Line: 503.639.4175 CITY f � �J 1'( Date/ : Other Permit: y[emet: www.ci.tigard.or.us Non V�'� Y vF 1 A. ," D a t e Rea Juris 0 See Page 2 for fI} u 1 '� �`Y t r .. A a , ethod: pplemental Information P fie Su K-- ^', #a.rtl.- .' - e A,4, y _ " ii• --- P i'i;" [ �l PI } PA �� OK.�t 4;z5 ' '❑ " r b ARM - jp r-r r;, 4;an,5r� '' ' 1?l v 5� x, i ill.' :: r" Y . i !I�'I � I r t .. ,- � r " 1 1=1 New construction s 1, _ s ei c t h � t , . ' � :F�° =;` _�- Additi /alteration/replacement Please check all that ap � � � • ❑ Demolition / ❑Other: k4s F {Y * r ['Service over 225 amps, comm'l Hazardous location + i r Demolition tS 6 r I`lo t cr' n a { '. i tai il , r qh , - ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., u • r —+� 9 ;`. t ` . • , 1 , j - 1, : of 1- and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling 1 iii Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ['Building over three stories ['Feeders, 400 amps or more ❑ Multi family 0 Master builder ❑Other i� m+ N '11 b s� r+ ^KM ['Occupant load over 99 persons ❑Manufactured structures or ' y A 2 I 64 n a,, ,,�t TaPjr j`� 0 : I 't y � "� 1 _ ❑El�ess/lighting plan RV park �`� L 3 C7 Job site address: 0 S 7S 51, Cat cuA e A ❑Health -care facility ❑Other: Job no.: City /State /ZIP: Submit 2 sets of plans with any of the above. / �� The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: /9 6 Project name: `p g Cross street/directions to job site: Description Qty Pee. Total New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 1111 145.15 4 Subdivision: l Lot no.: Ea . add'l 500 sq. ft. or portion - 33.40 1 Tax m no Limited energy, residential o � a map/parcel fa , _ '�, i,i ,° . # z Limited ever non-residential 75.00 2 aa,,�1i .�a'�_f.. T g11�f y m£ i '?�' "il f`c r t :a` vu.. gY. on residential 75.00 2 W _ Each manufactured or modular ■ dwellin:, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 3 i T 200 amps or less 1111 80.30 2 t ?. i .; ? r 1i° � :4 , : - 5 :,.: t )04 F X11, " 4 � t 201 amps to 400 amps 106.85 __ 2 Name: ' 401 amps to 600 amps amps to 1,000 amps 160 60 2 601 . Address: 240.60 2 1 Reconnect 1,000 amps or volts 454.65 _ City/State /ZIP: 2 ect only 66.85 2 Phone: ( ) Fax: ( ) Temporary services or feeders installation, alteration, and/or relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less NI 66.85 1 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100.30 _ Owner signature 401' amps to 600 amps 133.75 2 r , r r't a,- f _ t ,mo 8� � � Ti Date Branch circuits — new, alteration, or extension, per panel ��• i !.Lu< ,��,.t i ',�'�� � A. Fee for branch circuits with Business name: service or feeder fee, each 2 6.65 ' branch circuit ■ Contact name: B. Fee for branch circuits Address: without service or feeder fee, each branch circuit 46.85 ■ 2 City/State /ZIP: Each add'i branch circuit 1111 6. _ 2 Miscellaneous (service or feeder not included) ) Phone: ( ) Pump or irrigation circle - E-mail: Fax.. ( ) 53.40 2 y L Sign or outline lighting r 53.40 _ ��A, I `�;� * fir ���r � (��3� � Signal circuit(s) 2 a,,u.; ai i a r i© :, an:Vc ` £ "fit} . energy () or limited - Business name: ? a gY panel, alteration, or B o o n e S F e r r E l e C t r' C exte Describe:, Z Page 2 2 Address: P .O. T' (y- Box 628 Each additional inspection over allowable in any of the above City/State /ZIP: WilSOnVi .le OR 97070 Per inspection - 62.50 _ Phone: (g (� 3) 682-4936 Fax: Investigation per hour (1 hr min) 111111 62.50 (503) 682 -7946 Industrial plant per hour IIMMERIM CCB Lic.: 8 8 4 8 2 ''''' I - 73 75 Suprv. Lic.: tin -3e . Its„ c ` `?3` �.t` bn , , � Suprv. Electrician signature, required: / �� Subtotal rint name: J L � H g o n Date: �� Plan review (25% of permit fee) S o6 State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete •* er Fee methodology set by Tri -County Building Industry Service Board i \Buildmg\Penmts\BLC- PermitAp doe 12/03 0J Number of inspections e 440- 4615r(10/02ICOM/WEB P P rmit allowed. • CITY OF TIGARD EL e_ BUILDING DIVISION PERMIT #: 2,0e6 - /OOO ( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 '��1, :���`� Inspection Requests (24 Hrs.): (503) 639 -4175 � ' ^ __ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: i- • 1 CLASS OF WORK: K � SUBDIVISION: LOT #: 130 TYPE OF USE: �^ PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: — ( — p ( Pour Time: Code # Inspection Description Confirm # Contact # Message /99 - L93 • v:S si - - 13 e--etel Corrections/Comments/Instructions: \\)'70)to • r L . Gam. PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS S ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " / , 7 �� Date: 3'" � Phone #: (503) 718 - 211141).