Permit n CITY OF TIGARD EViSED
/-°1`f./3IELECTRICAL RESTRICTED ENERGY PERMIT
''1 COMMUNITY DEVELOPMENT Permit#: ELR2013-00019
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2013
Parcel: 2S101AC01600
Jurisdiction: TIGARD
Site address: 7150 SW HAMPTON ST 101
Project: Regency Property Management Subdivision: BEVELAND NO.2 Lot: 18-19,P
Project Description: (1)low voltage for prewire from demark to tenant space for comcast cable 1/2.4/13 REPRINT to correct scope of
• work
Contractor: BRIDGETOWN ELECTRIC Owner: NEIMEYER,JOHN
5701 N LOMBARD ST 15 82ND DR STE 210
PORTLAND, OR 97203-4113 GLADSTONE,OR 97027
PHONE: 503-621-7122 PHONE:
FAX: 503-621-7123 •
FEES
• Description Date Amount
Specifics: Restricted Energy Permit 01/24/2013 $75.00
12%State Surcharge-Electrical 01/24/2013 $9.00
Type of Use: COM
Class of Work: NEW
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 0 R 52-001-0090. You,may>obtain a copy of the rules or direct questions to OUNC by calling 503.23i.1987 or 1.800.332.2344.
�)�( '
Issued By: J�'�wl L lsi/f Permittee Signature: D�.1 4 P L r ' ' vio
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
COMMUNITY DEVELOPMENT Permit#: ELR2013 00019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2013
Parcel: 2S101AC01600
Jurisdiction: TIGARD
Site address: 7150 SW HAMPTON ST 101
Project: Regency Property Management Subdivision: BEVELAND NO.2 Lot: 18-19,P
Project Description: (1)low voltage for prewire from demark to tenant space for comcast cable
Contractor: BRIDGETOWN ELECTRIC Owner: NEIMEYER,JOHN
5701 N LOMBARD ST 15 82ND DR STE 210
PORTLAND, OR 97203-4113 GLADSTONE, OR 97027
PHONE: 503-621-7122 PHONE:
FAX: 503-621-7123
FEES
Description Date Amount
Specifics: Restricted Energy Permit 01/24/2013 $75.00'
12%State Surcharge-Electrical 01/24/2013 $9.00
Type of Use: COM
Class of Work: NEW
Total Number of Systems: 1
Audio&Stereo: N Boiler Controls: N
CCTV: Y Clock Systems: N
Data&Telecommunications: N 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 952-001-0090. You may odbtain^a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: J+ .-(_.tii Permittee Signature: � 41 r1 Pct 64-T7O
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 alto at the time of each inspection.
Jan 24 2013 10: 50RM Bridgetown Electric
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page
1
Electrical Permit VE . . . .
City p VD - y i 3 1 . I ii -b .& 46/3
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14 14. 13125 SW Hall Blvd..Tigard,OR 97223 Plan Review
I Other Permit:
_T.- Phontr. 501639.4171 Fax 503.598.19n,, e•
N z 4 2013 Date/By:
Inspection Line: 503.639.4175 Due Ready/fly: I Mi..?6 I In See Pap 2 far
Internet: www.tigard-or.gov Notified/Method: I Inamplanwasallotorwativa
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0 New construction '1 dition/alteration/rep ac ,
CI service et 6Seteit-..amOlsoithien' el •::.:...•..:'Overdue stories.
0 Demolition .0 Other: , where,the svailabb•-• i oorrent 1:1 Menai and bsatyarda
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0 I•and 2-family dwelling Ca Commercial/industrial. 0 Accessory building amps for an mbar ..... ..ens. • bandiags.
0 Multi-family 0 Master builder 0 Other: DPhil wrap. 0 bastaThstian of 73 KVA or
larger smarm*derived system.
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'".''i,4-'-'i?&1.;11■1..".,.',.:1'....TPITM4: . • 5;.'o'.' . '',•:..- ...,. „._ .,_,_,47,-.1.j.:,,N.,:.,.,..-,,r.10;.,,,r..'14.;..r:,1 °Addition of IlgraV ni.•.. load of 0"A",~6^..1..r."t4".
I 00HP or more. ocsoPeney.
job no.: v'S- c90 g I lob site address: -71S-0 St....) 1.40.01 ion S4- 0 Six of mote resident• units. 0 Retradional vehicle parka.
City/State/ZIP: c%r4,444,4,Q OR.i 9-7- D_7 0 Heath-cam&nib•-, 0 Sox*wham tor more them
0 Hazardous location 600 volts mania&.
SuitellsIdgJapt.no.: T,t.t, L11._ Project name: .v . 4,, 4, . . a Service orlatria•.! •.••-or more.
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Cross street/directions to job site: ",1111111.1111MumEnur irc7-..0 •
New residential.-•1,- or rattaWkitiltr.dortillag.aait.
• includes atached:., :a
Subdivision: I Lot no.: 1.000 541.ft.or lee 168.54 4
Ea.asid'I SOO sq.ft..•portion 33.92 1
Tax map/parcel no.: , Limited energy, -,,•F. . .'
' 75.00. 2
. '':'T:';':'!..46::k.7.q....'h:!'il%;Fii..g.ip:'.•--"ittg$0140001t*WMC%4410:,:**110,,Vs'htt* (v40/13104644
United easugy.':,, , tinnily
75.00 2
L ‘./4,4 4-.,84 c)re...-4.....d:At. 4-1,-.3,„ oe,..„-ie -34-1, -/-6,,,s, pi_ .
Services or feeders .- . latlaikalienlionisodior reloados
5f2i,c,, A- C4Po'N car.'" Ce.kt et, • 200 amps or kiss. . 100.70 2
-.--;:i0Aoktiiik,00640.0-,:e4gimcginitt46:000.: F.,,: livgio,„' 201 ampere 44)04sil• 13336 2
401 amps to 600;. ,,•. 200.34 2
Name: -
On]amiss to 1,000 ,,,. 301.04 .t 2
Address: Over.1.000 ampere -Its 352.26 2-
Temporary an*- or feeders anitalladon,alteradoo,iuldfor
City/State/ZIP: rdocation
Phone:( ) 7 Fax:( ) .200 Imps or less 59.36 I
201 rumps to400, ... 125.08 2
Owner installation:This installation is being made on property that 1 own which is not
401 ames.to 59,9 ,1!,• 16634 , 2
intended for sale,lease.rent,or exchange,according to ORS 447,449,670,and 701.
Baineh-eleenitt-:, ,altairdais,or esiension,ter paid
Owner signature: . • Date: A.Fete botnah C' - 'ts waft
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riotiikaiii0 .All'p,41.1?.P: .'f?:fiftreillikik000009:411-T.641f& 811°I.te. Wri.itXrcul •• 7.42 2
Business name: . B.Foe.for tasniii,'. - ., withote -V
service or feeder
Contact name: branch cicuit. 56.18 2
Eachaddlinarath el Int 1 T.42 2
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Address: Mutilate:a(-: • srifealarset Waded)
- Eselmanufectued;,•. or 67
It I- d9.eillea.service .84 2.,.. Of he*
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Phone:( ) 1a77: ) . Reconnect taffy• 67.84 2
Pumper.hrigniOn-,-e 67.84 2'
E-mail:
67.84 2
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Busincss name panekteratatiev -r-. ion:. 1 Page 2
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- Ends iddilitnap,-', ..- ., Aster alloanblein anirof die above
Address: $7 0 1 ltd . t-Onko. . -0 Erees-r Addithinalinspeed:•ti brinin) • - - 662Sthr
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Inveangation(11.17.•in) 66,25/br
CitYiStalerZIP: ePORTLAta) OR 1-12.o3-to! 3 •
-,. Induattilligant0 . min). 76.18/hr
Phone:(c„03)4,1 . 712.2. Fax:(r20.4 )atil 1123 Inmeedoliatbradi•.:na fho is 90.00thr
s. tiatect Nit- .. .•
CCB Lic.: 103 92.4 I Electrical Lic.: • ' -kriC,1 Suprv.Lic.: 417741s
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Suprv. Electrician signature,requ- ..44(.' , ..c .4.. .,,,,e.,, PI,. ree .9, 0j
Print nam ,'7434 Sri& fra,..c;/••,csi
c:Arfe ] Date: 1/91:///-5 State, , ,-'4i9Cefieritiittia): 1.0)
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Authorized signature: ---4 TOP0000#0 - b q
This penal.mile ••••ezialiee4010.01410osffillethiled wifhht i.e
days, Rea It liam7liaitidecitaiWateliiiiolean..
. Print name: 1 Date: ■ Numbci of -•• ionsallowediertimah.
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