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Permit (21) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT Ili • ' COMMUNITY DEVELOPMENT Permit#: ELR2016-00056 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2016 Parcel: 2S101AD03100 Jurisdiction: Tigard Site address: 6950 SW HAMPTON ST 140 Project: Future Network Inc Subdivision: WEST PORTLAND HEIGHTS Lot: B Project Description: Data telecommunications system. Contractor: CSHARK NETWORKS Owner: WESTON INVESTMENT COMPANY 5111 FIRWOOD DR. ATTN: JOSEPH E WESTON WEST LINN, OR 97068 2154 NE BROADWAY ST PORTLAND, OR 97232 PHONE: 503-697-1818 PHONE: FAX: 503-697-1818 FEES Description Date Amount Specifics: Restricted Energy Permit 03/15/2016 $75.00 12%State Surcharge-Electrical 03/15/2016 $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 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 -nter. Those rues are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob rules or direct questions to OUNC by calling 50 987or' ilp".33, 344. • Issued By: �j — ittee Signature. OWNER INSTALLATION ONL 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 (� Received City of Tigard ��r /� !4j - Pennit#: Q„29/62✓li'1r 9—G V Date/By: Vti i 13125 SW Hall Blvd.,Tigard,OR 9' Plan Review Phone: 503.718.2439 Fax: 503. . Date/By: Related Permit#: Inspection Line: 503.639.4175 1A {.' \ Ready Date/By: loris: ® See Page 2 for I I t 1 I(I) Internet: www.tigard-or.gov �pR �10 Notified/Method: TMC, Supplemental Information TYPE;OF WOR ØS\O AA PAN: IRW "> ❑New construction ❑Addition/alterat • -+ Please check all that apply(submit 2 sets of plans w/items checked): � .� ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ` "Other: /!- ;1 /4N (/I." 4 where the available fault current 0 Marinas and boatyards. CA 0 'Y OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. El1-and 2-family dwelling ommercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family U Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE IENMOIATION,AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 6ef_ //� ❑Addition of new motor load of system. // C.J �� ` 100HP onnore. ❑..A„ ..E„ ..l_2„ ,.l_3„ r— p� ❑Six or more residential units. occupancy. City/State/ZIP: //��1 i l Z?`) ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I' ,/,E) Project name: vry A.,,,,..„,,,,,, ❑Hazardous locations. 0 Supply voltage for more than 66 ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: p�-,,J ' FEE SCHEDULE C ' 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'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Cork /A--, e- (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 0 PROPERTY OWNER I TServicesEnergy 0See Page 2 NANT Renewable _ oor feeders installation,alteration,and/or relocation Name: f-JTm3C dU/,i;z..�e ./u c 200 amps or less 100.70 2 Address: l Z_,3"—y.(:) ......s--,,,_ (Og .----,,v __. 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:,7-'Lb - 601 amps to 1,000 amps 301.04 2 Phone:.5)2") 687 7 Fax:( ) Over 1,000 amps or volts 552.26 2 / / Temporary services or feeders installation,alteration,and/or Email: Lt.lO____,--W I, e)...,-,.. relocation Owner install tion:This installation is being made on property that 1 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 lik APPLICANT 0CONTACT PERSON Branch circuits-new,alteration,or extension,per panel •IA.Fee for branch circuits with Business name: �s k ICs L_...12-- above service or feeder fee, 7.42 2 each branch circuit Contact name: t- C--1� ,rt,4. t.�CC B.Fee for branch circuits without / Address: l S , —„5/2: A-��e/ //� - service or feeder fee,first branch circuit 56.18 2 ©� Each add'l branch circuit 7.42 2 City/State/ZIP: � (��C..11 � �� 6! 6� Each laneouu or(service feeder not included) Phone:_67S) F ( ) Each manufactured or modular Em�` %f-C o (j fy�"� dwelling,service and/or feeder 67.84 2 [�� Reconnect only 67.84 2 .CONTRACTORPump or irrigation circle 67.84 2 Business name: a-t/t/i..4__K__ 4-)07.77-(_,X./e.. .- ,, - Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy r— e Page 2 2 35�e. �+� �� _1� d) . panel,alteration,or extension Se5 / �z City/State/ZIP: �q_,� /j Each additional inspection over allowable in any of the above `!/ / Fax:( -/ v� Additional inspection(1 hr min) 66.25/hr Phone: 36 / Fax:( ) A_// Investigation(1 hr min) 90.00/hr Email: /%��7" b ilJ ti-'-/ /ONO Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 4, 2_3‘.,, Electrical Lie.... '4,-7 Z.,..� /*Suprv. Lic.:c /..c6„ specifically listed('/hr min) L-L /1 ELECTRICAL PERMIT FFBS Suprv. Electrician signature,required: s3 Subtotal: -? Print name: (1..../ ,,sp Date: 3/45---// (et . 0 Plan Review Required(25%of permit fee): �`'��e �� 7 State surcharge(12%of permit fee): GJ,C44 Authorized si.t ature: -- TOTAL PERMIT FEE: &if, 4`' r This permit application expires if a permit is not obtained within 180 Print na 40424« Date: //5-' / _ days after it has been accepted as complete. IF, * Number of inspections allowed per permit. I:BuildingP. 1 C PermitApp_ELR_ERE.doc Rea 06.172015 440-4615T(11,05,COM-WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENtIAL a, y Renewable IN , t electrical oE . c I Fee for all residential systems combined: $75.00 Ue ncI * a I Qt, �. Even Tont rgy systems. Check Type of Work Involved: 5 kva or less 100.70 2 • 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in1 accordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) COMMOttriU MAW 170$ O + ; 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 ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1r Building Permits ELC_PermitAppELR_ERE.doe Res 06 172015 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 6950 SW HAMPTON ST 140, TIGARD, OR, 97223 Commercial - Electrical Limited Energy 135 Low voltage rough-in PASS ELR2016-00056 Jeff Grove Violation Summary: Inspector Contractor 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 6950 SW HAMPTON ST 140, TIGARD, OR, 97223 Commercial - Electrical Limited Energy 198 Low voltage ﬁnal PASS - No C of O ELR2016-00056 Jeff Grove Violation Summary: Inspector Contractor