Permit ti CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2014-00287
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/17/2014
Parcel: 2S 101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 110
Project: UMPQUA BANK Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: TELECOM FOR SUPPORT CENTER. 1/14/15,reprinted to correct suite address from 100 to 110.
Contractor: STONER ELECTRIC Owner: PNWP LLC#2
1904 SE OCHOCO BY PACIFIC NW PROP LTD PTNSP
MILWAUKIE, OR 97222 PO BOX 2206
BEAVERTON, OR 97075
PHONE: 503-462-6500 PHONE:
FAX: 503-659-2765
FEES
Description Date Amount
Specifics: Restricted Energy Permit 12/17/2014 $75.00
12%State Surcharge-Electrical 12/17/2014 $9.00
Type of Use: COM Misc Administration Fee 01/15/2015 $45.00
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 1 Fire Alarm: 0
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 0 Total $129.00
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 obtain a rules or direct questions to OUNC by calling 503.232.198 or 1.800.332.2344.
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' 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.
RECEIVED
Debbie Adamski
JA1414 toIJ
From: Dan Vasquez<dan @mdgpc.com> CITY OF TIGARD
Sent: Tuesday, January 13, 2015 5:37 PM BUILDING DIVISION
To: Debbie Adamski
Subject: 114205: 72nd Corporate Center- Umpqua Bank T.I.s - "Change of Permit" request
Hello Debbie -
Thank you for your voicemail earlier today . . .
Please consider this email an official request to modify the following documents:
Tenant Improvement permit: BUP2014-00265
Low Voltage/Data permit: ELR2014-00287
Please modify the permit site address from "13535 SW 72ND AVE 100" to "13535 SW 72ND AVE 110"
I believe this should address the suite number issue, please let me know if additional direction is needed.
In addition, I understand this "change of permit" will require a $45 dollar fee for printing and routing.
Please attach this fee to the permits as mentioned in your voicemail, I will plan on coming by with a check for
this tomorrow afternoon.
Thank you.
- Dan
Mildren Design Group I Dan Vasquez
7650 SW Beveland Street, Suite 120 Tigard, Oregon 97223
dan@mdgpc.com I www.mdgpc.com 1 503-244-0552
On Tuesday, January 13, 2015 8:47 AM, Dan Vasquez wrote:
Date: Tue, 13 Jan 2015 08:47:09 -0800
From: Dan Vasquez
To: debbie @ tgard-or.gov
cc: BKS
Subject: re: 114205: 72nd Corporate Center - Umpqua Bank T.I.s - Electrical Inspection
Hi Debbie -
I'm just checking back in with you regarding the 72nd Corporate Center suite number clarification.
When you have a chance, please get back to me with an update that I can pass along.
Thank you.
- Dan
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13535 SW 72ND AVE 110, TIGARD, OR, 97223
Commercial - Electricial Limited Energy
198 Low voltage final
PASS - No C of O
ELR2014-00287
Jeff Grove
Violation Summary:
Inspector Contractor