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Permit C I T Y OF 1 I GARD ELECTRICAL RESTRICTED ENERGY PERMIT , 1 : DEVELOPMENT SERVICES PERMIT #: ELR2005 -00193 �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/18/2005 PARCEL: 2S 112 D C -01400 SITE ADDRESS: 15865 SW 74TH AVE 105 ZONING: I -P SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT: 004 JURISDICTION: TIG Project Description: Voice and data wiring. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: • PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC AMERICAN PROPERTY EXCH ESP TECHNOLOGIES PACIFIC SANTA FE CORP 7929 SW BURNS WAY STE. F 17700 SW UPPER BOONES FERRY RD WILSONVILLE, OR 97070 PORTLAND, OR 97224 Phone: Phone: 503 628 - 4195 Reg #: LIC 73872 ELE 34- 269CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 7/18/2005 $75.00 [TAX] 8% State Surcharl 7/18/2005 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 You m y obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: L Permittee Signature: ,y ��2 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: CANT. . TO' NSTALLATION ONLY i SIGNATURE OF SUPR. ELEC'N / DATE: r/6 LICENSE NO: l 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. Electrical Permit Apligi. FOR OFFICE USE ONLY 1 a nd Received-1 Perm W g ?— --0U . City of T g R� 13125 SW Hall Blvd., Tigard, OR 97223 P1anBReview y: r /O 4 5 ■ Phone:- 503.639.4171 Fax: 503 . 'loos A/H !„,,,,,,, Date/B : Other Permit Inspection Line: 503.639.4175 Jul— c All- '` Date ReadyBy: ® See Page 2 for Internet www c1 tigard or us : OF TIGAR ! Notified/Method Supplemental Information „ ._ +, i ga r fv t . qr .a s 1 . - yei, ce -i r R p'�I . , ,,. r t� it 119 aC @�` ygx t'"" , a i rj l � j, i 4 Y L: 4, A , ie,, , 9 l " x -a 1 � „ . s , •V' � n y >ttfi�, ;. ..�4*,r!'a; L 1NY „W . ,, • . t�, 5 ` ..,�e� w' ' ” - . ,�+j�`�� „u„+ a�;ar�!''�t r�kara' � _"�.,...''�rd'�t''';�Wa.u, ca. ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: ['Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other ❑ Service over 320 amps – rating ❑ Buildng over 10,000 sq. ft., r wx w; ” �n � �u i> �r a� �un �� � = s,�, w�a� f �ha r e; i- 5 T; ;; � �:. V" „ . �- ; �w Q N Ut t O,E. SFI V d E z :tr pi of 1- and 2- family dwellings 4 or more new residential ❑System over 600 volts nominal . units in one structure ❑ 1 and 2-family dwelling Commercial /industrial 0 Accessory building ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi family ❑ Master builder red structures „ „ fi�rr t n x sam ra� ,;a�mx�a - " Other: f ' ci't °� i � „, Occupant load over 99 persons ❑M ,: r[ - 4 § ohs y >J a i ; o A e / l�l" V '�'' ,rc, ` '• ❑ Egress /lightingplan ther.r anu actu ctur es or RV park p 1 t iiR.n fyc, ,,„ t, „„,Y -," ,,... - „ ,,,, „,. ,,, , U.,... x.,a . , a , ❑ / / ❑Health -care facility Job no.: Q l Job site address: C �% C, j J 7 4 Sj u1./ _ t M Submit 2 sets of plans with any of the above. City /State /ZIP: -7— " /0/ 7 .22-1/ The above are not applicable to temporary construction service. Suite/bldg. /apt. n /Q� / Project name: ���. �� V e f' Descri tion Qty. Fee Toni Cross street/directions to job site: / C New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: 1 Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 l Limited energy, residential 75.00 2 Tax map /parcel no. Limited energy, non - residential 75.00 2 1 # nti� a� . wx cr ro, :w.x� 1 r 6)'1'.'4- + .� i a a ,� .' 3 t r ' ^ ,I., ' ... 6/.,. , a " s a ' ,i : ad Each manufactured or modular . dwelling, service and /or feeder 90.90 2 I -/Z7 L �/,0<t -7`— //:( ) i ~ - Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 �`� . p M� r :o mamma , . ? Q:. � 9 e � ' � � ^3 ` t , a sd 201 amps to 400 amps 106.85 2 l 7 ,'Y.« ,.fi. ,»,. ;,.i :�rsmn`s, 'siuirn"& m, .p ,•.. r. -i �t. o _ < A 'a l�.r51' " .r x ' t F.ct vo 1rn '; .k - - z , , �, . <+:+; `�'1 160.60 2 401 amps to 600 amps Name: cZ cg p e F' 601 amps to 1,000 amps 240.60 2 � r ' �- Over 1,000 amps or volts 454.65 2 Address: / � h 3 � '� �` ��c�e- J ^� -�� t��J Reconnect only 66.85 2 City /State /ZIP: 4 /'d � Z 2 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits – new, alteration, or extension, per panel k� i'y _ i � ,. ( A. Fee for branch circuits with .t, : f t ,, " ILL.. , "7 � t ka �e ,-, ,i i ,"raGCO. T A pPP I2S 6;4, � s � a >; � s v a . -, r,, r - -: - 6.65 x .r a _ -.�� _ serv or f ee d er f ee, e ach _ _ '-- 6.65 2 Business name: branch circuit • — B. Fee for branch circuits Contact name: _ without service or feeder fee, 46.85 2 each branch circuit Address: Each add'l branch circuit 6.65 - 2 • City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - 6 ,.. 1 . 0 > '° , " ©; ri. ,,... "T .AA mss °..1 . . litifingtli energy panel, alteration, or extension. Describe: 1 Page 2 7S'�6) 2 Business name: ` - J Each additional inspection over allowable in any of the above Address: ' i - e- ' 4 4,17`e_ Per inspection 62.50 City /State /ZIP: '77‘ - C ('. /r) Investigation per hour (1 hr min) 62.50 {� , /�� ��- Industrial plant per hour 73.75 Phone: (rC13) `' — G Fax: 19U3) z `�r "( ''"' a`t tE L1.'CIiR'IGTA `'PE'RMLMES t ft + CCB Lic.: 73 y 7 2 Electrical Lic.:3L.)6 r cO Suprv. Lic.: Subtotal 75 • Suprv. Electrician signature, required: O �] ?3 . 4 PPlan rev iew (25% of permit fee) l � i �- � '"r ""l State surcharge (8% of permit fee) (_ t 0 0 • Print name: Date: 7 �S�t �DQ- 1 "� TOTAL PERMIT FEE f c (Ye Authorized signature: This permit application expires if a permit is not obtaYned within 180 days after it has been accepted as complete Print name: Date: . Fee methodology set by Tri- County Building industry Service Board • *` Number of inspections per permit allowed. i:\ Building \Permits\ELC- PernitApp.doc 12/03 440- 4615T(10 /02 /COMIWEB CITY OF TIGARD BU LDING DIVISION A PERMIT #: ELR2005 -00193 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2005 Phone: (503) 639 -4171 ,,;qlu����; 6 iii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/20/2005 TIME: 7 :11AM PAGE: 39 SITE ADDRESS: 15865 SW 74TH AVE 105 CLASS OF WORK: SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE: PROJECT NAME: COGNEX DESCRIPTION: Voice and data wiring. OWNER: PACIFIC AMERICAN PROPERTY EXCH, PHONE #: CONTRACTOR: ESP TECHNOLOGIES PHONE #: 503- 628 -4195 Inspection Request Scheduled For: Date: 7/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 Low volts q i N 1� 0 1786.01 50454 -7379 Y Corrections Comments /Instru s: j i ' l 1 1 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL FiR INSPECTIO ❑ ADDITIONAL FEES ASSESSED Inspector: / ./ / Date: to Phone #: (503) 718- 2 y 4 p � )