Loading...
Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2010 -00260 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2010 TIGARD 13125 2S113AB01400 Jurisdiction: TIGARD Site address: 7352 SW DURHAM RD Project: Tax Services Inc Subdivision: Lot: 0 Project Description: Data telecommunications system. Contractor: CABLE RUNNERS Owner: PACIFIC REALTY ASSOCIATES 10500 SW BOONES FERRY RD 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97219 PORTLAND, OR 97224 PHONE: 503 - 245 -3669 PHONE: 503 - 624 -6300 FAX: FEES Description Date Amount Specifics: Restricted Energy Permit 11/19/2010 $75.00 12% State Surcharge - Electrical 11/19/2010 $9.00 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: Y Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N 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 wit 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 9 2- 001 -0090. You r4ay obtain a copy • irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / `- Issued B %'G� � /�c��"^ '!S Permittee Signature: /111111111k Al 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. � *- lo' /0-60.6)c) T:,.„7,,.,.,. / LECTRICAL PERMIT APPLICAT �,: City of Portland, Oregon - Bureau of Development Servic 1900 SW 4th Avenue, Portland, Oregon 97201: 503 -823 -7363 • TTY 503 - 8234868 • www porda /bds Tywork Thi permit application expires H a permit is not obtain w ithin 180 days after It has been accepted ❑ struction 'A Addition /alteration /replacement � as complete. 9 b ❑ on ❑ Other. Plan Review Ca of construction Please check all that apply ❑ 1 & 2 family dwelling. / 4 Commercial/industrial ❑ Accessory building ❑ Fire pump ❑ Building over three stories 0 Multifamily ❑ Master builder ❑ Other: ❑Emergency system ❑ Service or feeder 600 arhps • Job site information'and location ❑ Addition of new motor load of or over . 100 HP or more 0 Commercial use agricultural ',101 no.: Job address: ° 3.5 - S (A) (24 r-4, q iw M. ❑ Patient area health carefacility• buildings ❑ Installation of 150 KVA or larger City/StatelZ P: ad/ 4 7 2 ZJ7 0 Hazardous locatons separately derived system i / Suite/bldg. /apt. no.: 'Project name: 0 Recreational vehide parks ❑ 'A', 'E','1 -2, '1 -3' occupancies Cross street/directions to job site: ❑ Marinas and boatyards ❑ Service or feeder 400 amps - 0 Floating buildings !or more where the available fault current exceeds 10,000 Subdivision: Lot no. Tax map /parcel no. ❑ Six or more residential units amps at 150 volts or less Description of work ( exarnple: 3 circuits for basement receptacles) ❑ Supply over 600 volts nominal to ground, or exceeds 14,000 amps for all other 6 ,)'r4 Tel L C - C)/4- - „ , , c . ❑ Voluntary plan review installations Submit 2 sets of plans with any of the above, ❑ Reference RS / Combination Permit no. Fee Schedule • Property owner • Tenant Descri .tion Qty. In Total Residential single ormultifamily dwelling unit. Name: Includes attached garage. 1,000 sq. ft. or less -�_� Address: Each added 500 sq. ft. or portion -M -. City /State/ZIP: • Limited energy, residential -M - • Limited energy, multi-famiiy _© Phone: I FAX: Services or feeders installation, alteration, and /or relocation Owner installation: This installation is being made on property that I own, which is not intended for sale, lease, rent, 200 amps ,. _ . - 111 $120 -© or exchange. 201 to 400 amps -c —© Owner Si! nature: Date: 401 to 600 amps -� © • Contractor • Subcontractor p 601 amps to 1,000 amps - $340 _ Business name: Gam, e-- 1 vvt !!7 Grf over 1,000 amps or volts , - NEC= —© Temp'oraryservices or feeders installation. alteration; and/or Address: / S 44) 30‘) 124.6 re_4il y � relocation / 200 amps or less . MI $107 - City /State /ZIP: tat p J &)� 7.2.1 201 amps to 400 amps MIM —© 401 am is to 600 arms ME $205 - Phone: C27 - r' _•- 3 4 FAX: 5 0 ,3 Zy S .--- 163 -- J + . Branch circuits - n S Z 7 new, alteration, orextension, per panel Elec. Iic. no. .z.,l - 9 S''/ 6.1.-e CCB lic. no. / Z. za 3-y AFee for branch circuits with service or feeder fee, each II:1 Metro or City Iic no. y Ls "7 Date: branch circuit II B. ee for branch circuits without P 9 electrician service i rfeederfee,first © Supervising Signature, required: 7 h circuit name: ./11 I L.-- / i- A I-� License no. Z U Q branc Z Liz, �j Each additional branch circuit 11111211111 El Miscellaneous (service or feeder not included) Authorized Signature: Each manufactured or modular ■� dwelline service and/or feeder Print name: Date: Reconnect only - 8109 - ■Applicant • Contact Person Pump or irrigation drde - _Q Sign or outline lighting -E Business name: Signal circuit(s) or limited- energy a iii m© . anel, alteration, or extension. Contact name: Describe: Address: Hourly rate: MUM IN Each additional inspection over allowablein any of the above 'City /State /ZIR Per inspection - - Phone: 'FAX : Investigation fee - _ - 1.1 Other - _ - 111 E - mail: Electrical permit ,fees' ' Subtotal RS Permit/No Fees Due ❑ Plan review (25% of permit fee) - Sub- contractor ififormatiOn can be faxed to 503 - 823 -7693. State surcharge (12% of permit fee) insp _pemritapp_electrtcal 11/16/10 TOTAL PERMIT FEE Number of inspections atlowed per permit.