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Permit CITY OF TIGAR® ELECTRICAL RESTRICTED ENERGY PERMIT ,s A . COMMUNITY DEVELOPMENT Permit #: ELR2010 -00142 Date Issued: 08/03/2010 T i G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S113AC00101 Jurisdiction: Tigard Site address: 16655 SW 72ND AVE 200 Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project: Stash Tea Project Description: Security and access. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Restricted Energy Permit 08/03/2010 $75.00 PORTLAND, OR 97224 12% State Surcharge - Electrical 08/03/2010 $9.00 PHONE: 503 - 624 -6300 Contractor: SONITROL PACIFIC 8220 N INTERSTATE AVE PORTLAND, OR 97217 PHONE: 503 - 223 -5822 FAX: 503- 973 -7773 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: N Fire Alarm: N HVAC: N Instrumentation: N Total $84.00 Intercom/Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: y 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 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 -0100. You may obtain a copy of the ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. s. Issued By ‹ / /- Permittee Signature: . - i I 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 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. JUL -29 -10 09:56 AM SONITROL— PORTLAND 9737773 P. 02 ,: E ,_, ectrical Permit ADDlic ? CEIVED City of Tigard i i tl< o f 1 tt I. i!si r ink . - 4 I 4f '. Received .. . •,•� . , 13125 SW Hall Blvd., Tigard, OR 97223 ` 2 9 ?) Datc/A td Permit No } Phone 503.639A 171 Pax: 503.598,1960 Plan Review — O ;l t, i, i•, Inspcclion Line: 503.639.4175 CITY OF TIGARD Date03 : Other Permit; _ lnlcrnct www.tigatd•oLgov Date Ready/By; mri, BLJILDING DIVISION Nohltad/Matnad. = see el for .17—(p Supplemental Information TYPE OF WORK ' '__" ❑ New construction — Addition /ulterdtion /replacem tai PLAN REVIEW _ ,' Please check all that apply (submit 1 sets of plans whims eheckad below) ❑ bemolill __ Other: am Or more Scrvicc or feeder 400 ¢ 1 '•• P Cl Buildin ova three stories. ' � CATEG • RV OF CONSTRUCTION -- where the available faith current ❑ Mamas and boatyards, CTION ckcceas 10,000 amps at 150 voha or ❑ 1 • and 2•Iilmily dwelling �' Commercial /industria wound, or exceeds 14,00 ❑ Floating buildings. lass ru ❑ AeccsSOry buil 0 ❑ Commercial-use aviculture amps Multi-nu/14 III Master builder ps for all other installations. buildings. _ ❑ Ullo r I Ire pomp ❑ Installation of 75 KVA or target separately derived s JOB SITE INFORMATION AND LOCATION ❑ Emergency system ato¢. �) ❑ Adenine of new motor load of y Joh no.: Yl Joh site address: ii r l7 • a ^t -z ", Ia^ �� �� I '. :� FLU RJR 10c} ormornnre. nacul,ancy. i. — Clly /State %l.II'; v `� ❑ Si x or more residcnial units. ❑ Rceroaronsl vehicle parks. ir • r ❑ llealth -care facilities, Q Supply voltage for more than • Suite/bldg./up!. n0.; 0 Hazardous locations, 600 volts aaminal. • �__ Projl`Ct /.2. name; , ca ❑Ser vice or feeder 600 slaps or more Cross street/directions to job site: FEE SCHEDULE ';.'t;' . ..___ ... —. onrrtt„ ton , . Fee. Mrl� jfMI New residential single- or multi-family dwelling unit, Subdivision; Includes attached garage. Lot no.: I,(1O0 sq. ft. or less 168 54 Tax man /parcel no.: ______ Ea. add'l 500 sq. 0. or ponitxt 33 DESCRIPTION OF WORK 1.imimi energy, residential with shoves•, (t. 75 11111113 R+ - ■ 0111b. __` . ✓ ' r ,Y Limited energy, multi residential with above s 13 ) Services or feeders Installation, alteration, and/or relocation - 200 amps or Ivsu I00.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133 56 UMW Name: 401 amps to 600 amps M � � 601 amps to 1,000 amps 301.04 -© Address: -- over 1.000 amps or vole 552.26 City/State/211'; Temporary services or feeders Installation, alteration. and/or - -•• relocation 36 Phone: ( ) _ ' Fax: ( ) amps amps or lees Sy 201 as to 400 Minn Owner instullatlan: This insrtllutiun is being made on property that 1 own which 15 not amps 125 og ..111111E11 intended for sole, lease, rent. or exchange. :wording to ORS 447, 449, 670, and 701 • 401 amps to 590 amp, IMMIMINEEL Owner signature: _ Branch circuits - new alteration, or extension. r • anal j I Dale: A. Fec fur branch circuits with ❑ APPLICANT I 0 CONTACT PERSON above servic or feeder fee, 7 42 lir each branch circuit Business name B, Fee for branch circuits tePhour Contact name; service or feeder lac, first ; -_ branch circuit 56 . 1 8 Each add branch Circuit Address; 7.42 � © Miscellaneous service or feeder not Included) } City /S1'ate / %IP: dwell manufia urcd or modular 67 84 _� 1. dwell in service and /or feeder (F ; ( ) Reca nncct only 67 84 � i ( ) J. Phone: E-mail: T Pump or irrigation circle 67.84 1 • 411/ CONTRACTOR or pull ire lighting ti7.b4 I Signal circuit(s) ur limited - energy Business name; _ 0 • �� net alteration or ext.nsion. � i F Address: 2 a Each additional Incpectlon over al , wable In an ' of the above 1 1' • __I • 0 - Additional inspection (1 hr min) — 66.23/ hr IIIMII■ f City/State/ ZIP: 7..IP a 1 - I Investigation (1 h r mm) �rNI Phone: � �� Fits; 1 Industrial plant (1 ht min) _■ 1 3 - -7 -7 3 lnspectiOns for which no foe is Electrical Llc. �'] specifically listed (%, hr CCA Lic.: `w 00/ hr j �5 07 1••37, Suprv. Lic.: ELECTRICAL PERMIT FEES i. Suprv. Electrician signature, required: ' 4. r Subtotal: ilk P latt review (25% of ermit fee): Pri Warn , l� —�� 1 r Ili 4 , , Mae: State surcharge (12 of permit tee): 1, ,_:, ______ � �� :/ '� •� +// 4 This perm TOTAL. PERMIT FEL. so • • Thiit application expires if a permit Is not obtained within 180 -� . ,. �M 1 / 1 days crier it has been accepted as complete. V Nulnb r of inspections allowed Per permit I) Rolla hoer mi writ, C.Pri in: to{ pp dm no1.,r 440- 4514T(l1/09COM/WEa