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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 0 COMMUNITY DEVELOPMENT Permit #: ELR2010 00224 T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/22/2010 Parcel: 2S101 DA00104 Jurisdiction: Tigard Site address: 13333 SW 68TH PKWY Subdivision: FARMERS INSURANCE Lot: 0 Project: Triangle Pointe Project Description: Security system for first floor. Owner: FEES TRIANGLE POINTE LLC Description Date Amount 901 NE GLISAN ST #100 Restricted Energy Permit 10/22/2010 $75.00 PORTLAND, OR 97232 12% State Surcharge - Electrical 10/22/2010 $9.00 PHONE: Contractor: COCHRAN INC 7550 SW TECH CENTER DR. #220 TIGARD, OR 97223 PHONE: 503 - 234 -6564 FAX: 503 - 238 -2098 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 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 Landscape Lighting: N Medical: N Required Items and Reports (Conditions) 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 0 52- 001 -0100. You may • • . • • • • wilit direct questions to OUNC by calling 503.246.6699 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 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. OCT/20/2010/WED 11:30 AM COCHRAN TECHNOLOGIES FAX No, 971 205 4268 P. 002 Electrical Permit AppIicRECEIVED FOR OFFICE USE ONI,y • ` City of Tigard ..- - � 1 ' Il DRec stelB )3/10 • P ermit No. ° 13125 SW Hall Blvd., Tigard, OR 2 O 2010 e Phone: 503.639A 171 Fax: 503.598.1960 D es Review Odor Permit ion Line: 503.639.4175 DatelRr I In _ T I G ARD Inspection CITY OF TIGARD Date Rcadylfty. ins: et See Page 2 Tor I nternet www.tigard -otgov Notified/Method: /Cot information ON • cram . 1 0 New construction tia.ei.dditiodalterati on /replacement Please check all that apply (submit 2sets plans Whams checked below ): • Demolition • ❑Other ❑ Service or feeder400 amps or more I Building over three stories. where the available fault cumeot ❑ Marinas and boatyarcb. • ' ' STIt4ICI;i • exceeds )0.000 amps at 150 volts or ;G �d ... N - : . 0 Floating buildings- I less to Bound, or exceeds 14,000 ❑ Conunerchn•use ogricultural Q 1- and 2- family dwelling [ Commercial/industrial 0 Accessory building amps Thrall other iasatlations. buildings. 0 Multi - family 0 Master builder 0 Other ❑ Fire pump. ❑ Installation of 75 KVA or :U C4 jON. , ❑ 6aergencysystem. J larger separate derived tern. OB.'$iTE''IN1��"1R141A I I separately sYs ❑ Add o aew n+otar load of Q "q ^, "E^, 1� h -3 " lob n Job site oddness, 100Hp or more. occupancy. �! r r t Q Six or more residential units. ❑ Resawi1onal vehicle parks. City /State/ZIP: 4 c l 3 0 ' q 1 : 1 Health - care faeitities. 0 Supply voltage for more than Suite/bldg. /apt no.: — a � Project name' G (� In c oon locations. volts r'Oa° 600 amps or maw _ (rt 1�y71Q -' ` Gro street/directiOns tOjob•site; - ' • ` - tlarr t rio n 1 Oh•_� Fes Taal =. New residential single or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. it- or less 1 16854 4 Tax map /parcel no E add'I 500 sq. 11. or portion 33.92 1 Limited energy, residential r' :j( :.. ,.•f•' ...� DESSC9W11O '.. . .. (with above sq. & 75.00 ) 2 ^ � Limited energy, multi- family 2 • . ©Q5 y • e �"' � < —.....i...44. A residential (with above sq: ft.) 75.00 c_)GC1.t1(l S S 4 '�/` ✓ � Services or feeders s roand/or relocation Aeb :..: .:....... ....: ,.;; � Ps III 10030 .••..,., _ �.,,.:..'..... �w, N _�;;'.;` �:'�3,:.:'::':�- - ° :.,. ��: fYAN�?.. ., ... ...;.::)• tlampsto400amps 133.56 Name: /V 1 n it amps to 600 amps 111. 200.34 — 2 �^ r� ink, 601 amps to 1,000 amps w 301.04 NEM 2 Address: /371—, Over l,000 amps or volts 552.26 2 City/State/ZIP: • Temporary servkes or feeders installation, alteration, and/or Macedon Phone: ( ) Fax: ( ) 200 amps or less 5936 1 1 Owner installation: This installation is being made on property that 1 own which is not 201 emus to 400 amps 125.03 2 I intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 to 599 amps 168.54 2 Owner signature Date: Branch circulta - new, alteration, or e r panel A Fee for branch circuits with • :4'` ! '' :CO Ac1'„PERSOl!1:. • brandcirwietederfee 42 2 eac Business name: X3 a _ s' C z et t- ,. LT`C B. Fee for branch circuits without An-It-60i service or feeder fee, first 56.18 2 Contact name: r V �'C i n 0 i e_.4+ 1 ^ leans circuit Each add'I branch circuit 7.42 2 Address: Misceilaneons (servke or feeder Hot included) City /State/ZIP. Fach manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (503 ) 4o7. qgoo Fax:: ( ,,3 ) ,23 $' Reconnect only 67.84 2 E . �� S a • r1 s c_04-.5-.) Pump or irrigation circle r 67.84 2 Sign or outline lighting 67.84 2 • • . 'CO 'RAC-3;OR . , , .. . Signal circuits) or limited - energy • Business name: _ ca ,,,,‘c,, h alteration, a r nspeetton over all wable in any of dm above 2 Address: 7 550 5k4 ( eah i *22 0 Additional inspection (l hr min) 66.25/ hr City /State/ZIP: (i a,(k OR, 72 Z. '1 • " Investigation (1 hr min) 66.25/ hr Phone: 6�) 43 (Qc,5 Co ei Fax 238-- ZO a e Inspection plant (1 hr no fee is 78.18/ hr . ( ) � inspections fur which no sp ecific , : i . ist ed.(% i hr.min). 90.00 /hr CCB Lic.: -- 1 2. 43c. f 2 Electrical Lic.: 7 546, C Sam, Lic.: i �� Suprv. Electrician signature, acquired: Subtotal: - — : Plan review (25% of pamtit fee)e) ; . Print name '-'("fi P ,� Y� 1� Date: State su (l of pennit fee): �o o ....: TOTAL PERMIT FEE: • Authorized signature: 1�` ~' Th permit appScatiott expires if a permit is net obtained within 180 • •' ' dais liner it bat been accepted as complete, Print name Dates . Number of inspections allowed per penuit. ' Igtoli6n Pmmus•El .PamitApp.doc onl•10 440461/T(ti'OS•COn4waa