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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 4 lig ° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00420 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2007 PARCEL: 1512600 -00300 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: LUCY Project Description: Data /telecommunications. 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: WASHINGTON SQ. LLC REIGN COM INC 9585 SW WASHINGTON SQ. RD. 11954 NE GLISAN STE. 232 TIGARD, OR 97223 PORTLAND, OR 97220 Phone: Contact #: PRI 503- 262 -9335 FAX 503- 256 -7813 FEES Reg #: ELE 26- 1009CLE LIC 129318 Description Date Amount [ELPRMT] ELR Permit 11/13/2007 $75.00 [TAX] 8% State Surcha 11/13/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800 332.2344. Issued By: rte.._ Permittee Signature: 4v mo,e)6. /6"/7 A OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FROM :Re 1gncom Inc FAX NO. :503 256 7813 Nov. 13 2007 08:01AM P1 Electrical PerAt \E rr >l <rir.l<'r. i sr.i) \l.l City of Tigard • V 1 3 2001 Received !/ /3 0 7 `! ;v , = • , r tNo. :E6�2 0 7- e9d9'�D Dat eB . 13125 SW Hall Blvd.. Tigard, OR 972L, Bea Review Phone: 503.639.4171 Fax X60 Ur 1 1 /� �JL -1 '. "' + ; u,. Date/B , Other Permit,/ A4 ?mod C inspection Line: 503.639.41' 1 ! L 1 1 ■ - y Dam Ready/By !d See Page 2 for Internet: www,Ci.tigerd_. bj a 1 k i , i . 1. Notitled/Mcdtod Snp lnfo tma ti an i Y'} ' '� i`i 9 \� v.:� °,@'y, -, . e� �,, _ • f . _ , �r,• % r 1' + > ' 1 .+ ^ l ��Si 1,, it ',Y t ,,gga�r 'AMC 9 „V. .,•.�/i: , Y ; i•,� {�i+ qYG ln..yr�'�•' 6 r 1 �rai�i,t -lit +',k^ tip +`•J '~8 t }.+-• t•r , „n /.�;1, s'$rq. er' i t'P`'?'E.+,• � rr: , ,; M1 % e r, y � �yl, J fit. y 5 h . .. , �• f +. 3 � . t , r , ..�•. .. • ni3'7,%y Kr' - }• ?, � ;, ., c.+ �f '�+,4:J'ifd.6'A."�"k+.'� +•L71r �'�%Nl�.:_.�.,��. �•.�.^.••. ;�., �`•.tfC':r N.`, �i �• ❑ New construction :,.4 Addition/alteration/replacement ' Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps. coming ❑Hazardous location ;� + .� i' .M ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ..- ..•. ��, „,M'r :, �'1': �it � �ga' r.. �",- V ;a ;dr,`�5'� ;;+.= N l ; :i •„- ,•;, ;� , , � ,, ,r, ic " art: :•>:"y'?• (P:,'�i - ,V ;r : ; of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure 0 Building over three stories ['Feeders, 400 amps or more ❑ Multi - family [] Master builder ❑ Other: t 1 over Manufactured � gl.�?'ll���' ����• ;.i". �ti�r�T � + .7�' 'r i ,�y��r / p.,,�,..... N C�e�a,'•�•�a�• �1C [IOccalpan cad o e 9 9 persons structures Or .. •: u wr' J+DB'1i3 sr,• , s . k? `J) ..,'. , a..,'•�a M s;<'� /�' . ^�?�. ❑Egress/hghting plan RV park Job no.: Job site address: .. " )- ;-",::4.... t� - 50 44 ❑H facility ❑Other, -�; �/-� Submit 2 sets of plans with any of the above. City /State/Z1P: / I ,Rf Oa_ ?3,02, SA' LIZI'le The above are not applicable to temporary construction service. o Suitt /bldg /aptn0.: Pr l,J( , f ' 61;P:' ;•+:4d Leh ,; ��6'' e {, r ''le,f:�iO N ' .aa't' e1 Y•''a�;?e,dr; ;Wr`���t'' O- :1+,.•,y ojectna -1 obWf sr , a,w, :'r; Descri ption I Qty. I Fee. I Tad -- Cross street/directions to job site: d I`f - /�C- . *� e� 10(44.11 New residential single- or multi- family dwelling unit. 1 Includes attached garage. 7 4/ ` 2/ ' ~ zG • r LI S FCC ' l , A 1,000 sq. lt. or less _ 145.15 4 Subdivision: Lot no.: Ea, add'I 500 sq. ft or portion 33.40 1 Tax map /parcel no.: q y;1 Limited energy, residential 75.00 2 �r.. ,'ti { ^: F .: "a °h° r - °K' t P.`.,kra�F"� t � b.� Na ^� / �� 1 , Limited energy, non - residential 75.00 2 "'�' o , r,;i,G'r ^,' k. xrn r'�. ±+,� � ; ✓�'� ;?•r Each manufactured or modular VP i ca. iporA g V^°i„1 1 t _ d dwellmf, service and/or feeder 90.90 2 t P l�^iv 1 r��,1 Services or feeders installation, alterad and/or relocation Y ��sp y � 200 amps or less 80.30 I 2 R$•' Yry,l'r''. °,( �i ©P -,� +�' C' i y'k�pC�����y��"+�,,�a� c_�,�. 3'` , 1' r ;,;' , (11 t°4°9 a Q 6.85 `c:" � >,' Awti .,ti'5940 �;AMd: a'Gr�• +, ,` Er�", ,' .� +i �,' 4 , , v•: ++ amps up s 1 2 �, r4 at r. i '� , i.; �y,, ; +: 2 401 amps to 600 Name: amps 160.60 2 R 601 amps to 1,000 amps _ 240.60 2 - Address: Over 1,000 amps or volts 454.65 , 2 City /Statc/ZIP: Temporary services or feeders installation, alteration, and/or 2 Phone: ( ) Fax: ( ) relocation 200 amps or less I 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 Own signature: - g '` - Date: Branch circuits - new, alteration, or extension, per panel i > . ^, ,,i, :4 : : > u�, x �� yy1 ;'-'`�0 ^51 AI �Ain`.�r.' :.S, 0: :- 1 { + r ✓�. . t, • , ._ . , R �'`Y+=i��I � M ('L� - � . G p1��i °;� %• A. Fee rcui s for or branch feed ci fee , each with 6.65 2 Business name: branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, 46.83 2 Address: each branch circuit Each add'l branch circuit 6.65 2 Cary /State/ZIP: Mlseellaneons (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 E -mail: Sign or outline lighting 53.40 2 '•ll',��'�w1.',"°:`<!' � " ✓ ±'.F':M'.. ,' iifi,7 't a�, {,��+ a + y .. ; ; � < ^r'" Signal panel or limited- . ., , , 4 ."9'�f 5'.WU t ' R�4r.'.reN f'' .'A�.i /14:2, : ),; ;�:'faF,k{1''. " /, ;' , �+i %31: "•"�p�' ;'� energy panel. alteration, yr Business name: extension. Describe: / Page 2 lASti Address: 119 cl Iii 6 _ '! J 6 �'�°,a 2.32.. � Each additional inspection over allowable iD any of the above _ Per inspection 62.50 City /State/ZIP: r t G. e � 0Q 1 9 .. h % Investigation per hour (I hr min) 62.50 Phone (f 24x. 9335- F ax: ( b3) 251- . � Industrial plant per hour 73.75 CCB Lic.: 2 Electrical Lic.:up ✓ S rv. Lic.: �f'' 'st ,43', i ;; ?araF i lie. '[ ASI.' >jP�1F. '> rglgi;i; Y,'N` + i, Subtotal / f Suprv. Electricians , uired- .. ' �! �, ,��,�._ AP Plan review (25% of permit fee) Print name: RI car rn `r. ieo , 4 J fl4 Date: /� Ct 9 State surcharge (8% of permit fee) ( e r '-e TOTAL PERMIT FEE e Authorized signature: 4 " r This permit application expires it a permit is not obtained within 180 days after it has beefily-meted as complete Print name: 4 e ;vi �., c ,,,i Date: 1 ) i a I o I • Pax medtocblop set try'Iti- County Bwldingindustry Service Board " Number of inspections per permit tdlowed is \nuildmBlPemntsN.ELC.PeniAppdon IWO) • 440- 4nISTOorovCOM/w8D . . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007.0fl420 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007 Phone: (503) 639 - 4171 , 1,1 Inspection Requests (24 Hrs.): (503) 639 -4175 ..'!� ^ 'I_I.. INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01AM PAGE: 33 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD VO5 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: LUCY DESCRIPTION: Data/telecommunications. OWNER: WASHINGTON SO. LLC, PHONE #: CONTRACTOR: REIGN COM INC PHONE #: 503 - 262 -9335 Inspection Request Scheduled For: Date: 11/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 059716-01 503.780 -1516 N �i • Corrections /Commen /Ins c tions: • •t SO L » D s e '1%a iiiiiiigial t,i -lb %► -.-- • n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS TAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT Vv (5 t.. Date: 11 Vg 1 QI Phone #: (503) 718- 2i'Ft