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Permit q CITY OF TIGARD RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMEN '� Permit#: ELR201500115 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2015 Parcel: 2S101DC04603 Jurisdiction: Tigard Site address: 7405 SW TECH CENTER DR 140 Project: Pivot Subdivision: TECH CENTER BUSINESS PARK Lot: 2 Project Description: Data telecommunications system.6/2/15,reprinted to address to permit. Contractor: ALLPHIN COMMUNICATIONS INC Owner: WPC TIGARD LLC 23220 SW BOSKY DELL LANE 307 LEWERS ST 6TH FL WEST LINN, OR 97068 HONOLULU, HI 96815 PHONE: 503-638-9000 PHONE: FAX: 503-638-9100 FEES Description Date Amount Specifics: Restricted Energy Permit 04/28/2015 $75.00 12%State Surcharge-Electrical 04/28/2015 $9.00 Type of Use: COM 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 $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 don- ' accor•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 day ATTENTION: Oregon -w re• ou to follow the rules adopted by the Oregon Utili ■ No en e. Those rules are set forth in OAR 9 -001-0010 through OAR 952-0' --•90. Yo y obtain a copy of the rules or direct questions to 01,1NCrby calla • '?-' 987 or 1.800.352.2344. Issued By: _• � � Permitte hu Signature: OWNER INSTALLATION ONLY Th- • . . . 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. s p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 3, COMMUNITY DEVELOPMENT Permit#: ELR2015 00115 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2015 Parcel: 2S 101 DC04603 Jurisdiction: Tigard Site address: Project: Pivot Subdivision: TECH CENTER BUSINESS PARK Lot: 2 Project Description: Data telecommunications system. Contractor: ALLPHIN COMMUNICATIONS INC Owner: WPC TIGARD LLC 23220 SW BOSKY DELL LANE 307 LEWERS ST 6TH FL WEST LINN,OR 97068 HONOLULU, HI 96815 PHONE: 503-638-9000 PHONE: FAX: 503-638-9100 FEES Description Date Amount Specifics: Restricted Energy Permit 04/28/2015 $75.00 12%State Surcharge-Electrical 04/28/2015 $9.00 Type of Use: COM 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 $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. Special odes 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 o ance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob -s or direct questions to OUNC by calli • 32.1987 or 1 0.332.2344. Issued By: L. _ _ 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. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard t atCB : Permit#: f g ` '�0 DateB : AD� 1�� (2015--•• S _ • 13125 SW Hall Blvd.,Tigard,OR 97223 G V plan Review Phone: 503.718.2439 Fax: 503.598.1 G G L1 Date/B ; Related Permit#: 1 ; g 5 Q�j Inspection Line: 503.639.4175 V O{� Ready DateBy: B See Page 2 for T I c; r,f Internet: www.tigard-or.gov 1�D q Z, 1 Notified/Method: 1. - Supplemental Information TYPE OF WORK A P .�,G D PLAN REVIEW ❑New construction ( Addition/alteratione Q1 V 1S`QN Please check all that apply(submit 7a sets of plans w/items checked): v, 1'1�D1 ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: 8 where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. El 1-and 2-family dwelling rp Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: (� Job site address: /� ❑Addition of new motor load of system. �q� 7`f o.�S(.J Ted, L`t', ✓/V✓: I OOHP or more. ❑ A„ E„ 2„ 1.3„ -Q ❑Six or more residential units. occupancy. City/State/ZIP: G a'4 Q a. 5 "7 Z 3 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#:�L I Project name: jape- /Do ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: - Ea.add'1 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 1/0/ 75.00�a/ _ �kl. (with above sq.ft.) 75.00 2 �'Lt �f _ J Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 ❑ PROPERTY OWNER i ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ❑ APPLICANT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: l,/x,01 I,J C0 ti �s �f"'Ai above service or feeder fee, 7 42 2 ""T'e 'n each branch circuit Contact name: J c 1 )66t•,J /' B.Fee for branch circuits without Address: 2-3 a, v sc..) stet Yt tit) service it feeder fee,first 56.18 2 711 �. ester cam" branch circuit City/State/ZIP: W z.4{- L f,../d 0K, q-)0(4.€6 Each add'l branch circuit 7.42 2_ (� Miscellaneous(service or feeder not included) Phone: D`) ) 6 2 .�ppp Fax: :(03 ) G 3g </aD Each manufactured or modular 67.84 2 f�J 41/49 r r dwelling,service and/or feeder Email: NG oh-. • Cam--- Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: ffvie cti q-/ Sign or outline lighting 67.84 �. 2 '�V� Signal circuit(s)or limited energy t ee Page 2 A, '- - 2 Address: panel,alteration,or extension. - City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr . Email: Industrial plant(1 hr min) 78.18/hr !� Inspections for which no fee is 90.00/hr CCB Lic.: ( Dl Electric 'c.:3— a~Suprv.Lic.: 2 Loo�,eg- specifically listed(%2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required. I Subtotal: t Print name: g, / Date: 1107/r S� ❑Plan Review Required(25%of permit fee): 111 `J State surcharge(12%of permit fee): 9- Authorized signature: ` TOTAL PERMIT FEE: pi. '4 This permit application expires if a permit is not obtained within 180 Print name:Cl ri , , P{,I,10 C--.'"''—' Date: a 1((� * days after it has been accepted as complete. Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 440-4615T(II/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Total 1 Each I Tol I y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100 70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(/2 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\Fi.C_PermitApp_ELR_ERE.doc Rev 04/21/2014 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 7405 SW TECH CENTER DR 140, TIGARD, OR, 97223 Commercial - Electrical Limited Energy 198 Low voltage ﬁnal PASS - No C of O ELR2015-00115 Jeff Grove Violation Summary: Inspector Contractor