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Permit 0. %,4,, CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT itwe�t�� V ,.= COMMUNITY DEVELOPMENT Permit #: ELR2010 -00111 Date Issued: 06/16/2010 al GAR! 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101 DA00102 Jurisdiction: Tigard Site address: 13221 SW 68TH PKWY 500 Subdivision: TRIANGLE CORPORATE PARK Lot: 2 Project: University of Phoenix Project Description: Low voltage for data. FEES Owner: GK TRIANGLE CORPORATE PARK III L Description Date Amount BB# 73- 1771- GK1130, CBRE, PO BOX 2096 Restricted Energy Permit 06/16/2010 $67.84 WARREN, MI 48090 12% State Surcharge - Electrical 06/16/2010 $8.14 PHONE: Contractor: IES COMMERCIAL INC 16135 SW 74TH AVE TIGARD, OR 97224 PHONE: 503 - 648 -1900 FAX: 503 - 670 -9572 Type of Use: COM Class of Work: ALT Total Number of Systems: Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: y Fire Alarm: N HVAC: N Instrumentation: N Total $75.98 Intercom /Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Other Desc: 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 wit 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 OA' 952 - 001 -0100. You may obtain a copy o e -rule or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ' / Issued B id1 _ —ow �.` — 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. CaII 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. 06/15/2010 12:49 50367095F.- 2�� r I �, NEW TECH ELECTRIC PAGE 01/03 Elect ric al Permit Apphhcatio l:, ,' .._��' �� r.. �, �r R , , ,. t , , g1 Fm4 . , , �1 t 1� ,��. rt r rical : a s , � f'1 �' N -� , "eS� {!, ! ,tr, �� 5 2010 3 : 40 �+,� I „a ve,,,, o EOR;.OI 1 IC I;L151 ONE N`kt t4' u, ,`h N, O h l A,,,, r �rcp � �wv )�� � 11bWFn d r�5, A! t,l ,n t..V: : da. tt ,k,V r.d4 b scut '•'tit v� 4 , ;V , � , ! i }k � '. C of Tigard JUN Received Dat: i ( r Perm No,: f it v 131 SW Hal! Blvd Tigard, OR 97223 _ 1 .4 �p�i /^ �° j' t' r` Plan Review Phone: 503.639171 Fax: 503.598 G�6Y OF 1 I�sARD Dale/ls ; Other Permit: ` It 1/1... V / 4, i c n R O. Inspection Line: 503.639.4175 1 ` D � \ l S 1 O Antc Rcady/By: - n J S� Pare 2 for h„ + d Notified/Method: 3upplcmcntnllnfor I vvwwtigard orgtry ���� - �iIu ap t o Information 11�pl � �r�u p r iidP1ChItA jl” t ��li t ;,',1k it hl � (I.ti, nSt eni .."0 1 ° ; { «ti4!i 9' 4 1!.".i., l ,,i214 „,ARE g, S 1 Wn?s1 , ",: �NE , ti 1t , .,j, 1., , P' 1 ., s . ❑ New construction rEl Addition/alteration/replacement Please chock nil that apply (submit 2 sets of plans w /items checked below); ❑ Service or Feeder 400 amps or more ❑ Building over three stories, ❑ Demolition (J Other: wher the available fault current �� nm}} `( y ns �; t1 a ❑ Marinas and boatyards. # i;49trf.iF t�Y 1 � {+ i UIJ Crib; �, ..„, � , i 1 t t.. i , s ` i t a " `' ri ! i 1 Y` exceeds 10,000 amps at 150 volts or ❑ Floating bnildinCo, J 1 , a is,a!o/ t)r t li� a ' n'•ii i 41 }' ..' yvrtl. I ' , .�; ,, , o:k less to onntt, or exceeds 14,OOn ❑ I - and 2 - family dwelling ® Commercial /industrial g' ❑ Commercial -use agricultural ❑ Accessory building amps for all other installations, buildings, © Multi family ❑ Master builder ❑ Other: g 0 Fire pump. ❑ Ingratiation of 75 KVA or t t atto YY}}f� }t1}t a l If 'yt i �fF H MI MI/ t + ❑ ilmcrtxncv s stem. i SIIIT w. ia KISk I n S „, , r a y Bled w t ,,g� e i Y larger separately derived system. i i! � trr� . ° . �, .” d �,� 1 'lufahl � ,I n ", i13�r� �G� 1�4 'qn e ` � ii�'±!, ❑Addition of new moth load of ❑ "A" " ^1 _y' °1.3•• lob no.: 45759 Job site address: 13221 SW 68 PKWY J00JP or more, occupancy, ❑ Six or more residential units. ❑ Recreational vehicle narks. City /State /ZIP: TTGARA OR 97223 ❑ Hcalth.•care facilities. ❑ Supply voltage for more than ❑ Hazardou locations. 600 volts nominal, Suite/bldg. /apt. n .: 500 Project name: University of Phoenix or feeder 600 amps or more �at14t °i ' +''. ► R i> 4 t1 °• I ;l it ,� l., job site: a a, �*. ? i,,;ilad &r11, 'itil 6,'ip Cross street/directions to Aetcriptinn • i Fee, Total New residential single- or mum-family dwelling unit. Includes attached garage. Subdivision: rLot no.: 1.000 sq. ft. or.less 168.54 4 — Tax snap /parcel no.: P¢. add'I 500 sq. R. or portion 33,92 1 • ! ' I ^ i ', ` ,, le l l, r W w I Limited energy, residential ���� 2 r.���(ja r , ',lib a 6,11 ''�M lln�d� �i'w ,�'amji�1DoAv s�6 ie q t y � yp qfy �q, � with above s ft, 67.84 Sa i�IIlti'df 4 sV d '� t'a- , �. 1S w) !''�1 V� ;p ( q, Limited energy, multi - family 67.84 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or loss 1 00,70 2 )� ��� tt$Jlttllt.t "ie1�o` riA .rmna�rra r ,,o VEEP {{jww�t urm 7 C, 201 am ill l`�.;4i Jic:�00t3detl .r �1' � , C i� 1 R . 1.1 ` ,�a 1: �:P amp to 400 amps 133.5 s rtr 1b u,�., . x:. 'M ll 2 Name: 401 amps to 600 amps 200.34 - 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 12 City /State /ZIP: Temporary services or feeders installation, alteration, and /or l relocation Phone: ( ) I F ax; ( ) 200 amps or less 59,36 1 Owner installation: This installation is being made on property that T own which is not 201 amps to 400 amps 1 54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670. and 701, 401 amps to 599 amps 1. 2 Branch circuits - new alteration, or extension, per panel Owner signature: Date: A. Fcc for branch circuits with R i �"a �, i p "t'Sr.+n. t'� w' r1�1 afS t �n ^ i l " " ',�f S! ":� �7t 3' M}dtx tj�. 1tii F li E i -a 1 'L" a triilQ ,.4f!' above service or Ikeder fee, 7,42 ' - I to each branch circuit 2 Business name: B. Poe for branch circuits -without _- ,. service or feeder fcc, first Contact name: branch circuit 56.18 2 Address: Each add') branch circuit 7.42 2 — Miscellaneous (service or feeder not included) City /State /ZIP; Each manufactured or modular 67 84 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 67,84 2 E -mail: Pump or irrigation circle 67.84 2 r to ,,;:., `��� t � y � Sign outline lighting 67.84 2 wu1.1tCNnVd i„B1 ',, 4iii ill „11 w t!j ii l ,>♦. {,t ,Chi li'* iim .'';" {�� ,1. 1.) iii } �31'11ki�`iY ", I:I�;` Signal circuit(s) or limited- energy - w 1 Business name: IES COMMERCIAL panel, alteration, or extension. P age 2 67.84 2 Tt1 _ Each additional inspection over nllowablc in any of the above Address: 16135 SW 74 AVE Additional inspection (1 hr min) _ 66,25/ hr City /State /ZIP: TIGARD OR 97224 investigation (1 hr min) 66.25/ hr — industrial plant (1 hr min) 78,18/ hr Phone: (503) 648 -1900 Fax: (503) 670 -9572 lnspectinii for which no fcc is s.ecificall listed Vc hr min 90.00 / hr CCB Lie.: 182452 Electrical Lie.: C448 Suprv. Lic.: 49115 l�E, , 'i +; 4 1914 11111 ` " Pt�„1 , 9 h:,1°' ' :,r 1 ll" 1' Suprv. Electrician signature, required: Subtotal: 67.84 -- ' tii , r plan review (25%ofpermit fcc); Print name: COREY RAYSINGER / ,a te: 6 /15 /10 State surcharge (12% of permit free): 8.14 Authorized signature: PERMIT FEE: 75.98 -- This permit tpplieation expires if n permit is not nhtnincd within 180 Erin {. name: Date: dny.c niter it hie been necepred as complete. Number of inspections allowed per permit, r;l Building \Permits \F- tC_1't 10/01/09 440.461 tr(11/ns /COMAVRA C` 0 {Ie C I ,N CL(k 06/15/2010 12:49 5036709572 NEW TECH ELECTRIC PAGE 02/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: INIESEHEIr ` Fcc for all residential systems combined $67.84 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar ,Alarm ❑ Garage Door Opener* n Heating, Ventilation, and Air Conditioning System* ❑ Vacuum Systems* n Other: i4iW}? WARM Fee for ear commercial $67.84 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls H Clock Systems Data Telecommunication Installation ❑ Fire Alarm Installation [] I-WAC ❑ Instrurnentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other. Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations i:1© uildinglPnrmitaLC •PcrmitAPP,tlpt 10f0I109