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Permit �� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ..- COMMUNITY DEVELOPMENT Permit #: ELR2011 -00115 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/20/2011 Parcel: 2S 113AC00103 Jurisdiction: Tigard Site address: 7204 SW DURHAM RD 300 Project: Consumer Cellular Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project Description: Data telecommunications system. Contractor: OMNI WIRE INC. Owner: PACIFIC REALTY ASSOCIATES 16521 SE MORRISON ST 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97233 PORTLAND, OR 97224 PHONE: 503 - 516 -6262 PHONE: 503 - 624 -6300 FAX: 503 - 906 -6353 FEES Description Date Amount Specifics: Restricted Energy Permit 05/20/2011 $75.00 12% State Surcharge - Electrical 05/20/2011 $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 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 -0090. You may obtain a co. of the r ect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1 _...r ���r Permittee Signature: _ "'" j-Mt L�....� • 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. Mau 20 2011 12:17PM HP LRSERJET FAX 5039066553 p.1 Electrical Permit AA lication '� ''' City of Tigard ; Y `; Y 13125 SW Hall Blvd., Tigard, OR 97 ,I.,%\\ ` ' ° u� ��I— Phony 503.718,2439 Fax: 503,598.19 flan RovieW e7ate /H I's r; A RD) inspection Lino: 503.639,4175 ° \ : 1 D '' 1 s P.1 r � Iifl rnet: www�tl and -or. ov � � i :,* � ' d rho, "' SCe Prao 2 fnt' $ 8 ,,,,4�ii ftotlfioditylethod: � •�+ �,e I ' ,141 r'p a u >rd t � � e � V\� �� r Supplemental lnformetlen lip 1.rVllr1ifl'. , Iii) I . r {1, < :A till .'� at� i i ,t ' .I t i 4 l i' 17,. c ' � : . � Illll ll of J, Dill 11 I � \' ,.. i I q I„ 9, �i , r � �, ti. i��41'J�riCj;'1 6 : t.t 7dfE tCt,µf AlP , ❑ New construction i" Addition /alteration /repe7'ent Plum check all (hat apply (submit ? sots of plans 1 Y/items chocked below), (I ' :1;:. ::r t' E Other t � I , ;, ...; fe ,,„ . t o s '.., ,, .;.,,, ;., , D Service here o the a t leble fa o of e 0 M a r nos t boatyat al frivs, 12 Demoliti Demolition !:' G a;'I�I�Y'r '; , ,t ll. bl s„ J0I�}a iiJl't•�1,yN u ,,,,1'' f Y exceeds I0,000am pa er ISO V OILSor © Fleeting buildings. Y aura i mill lint) :' .:. urtl / ; . ' II ftV ..:.. , , h i.1 l q, 1 -and 2-family dwelling I Commercial/industrial less to ground. or exceeds 14,000 2 Commercial•use agricultural ❑ Accessory building apps for all other installations. buildings. © Iviultl family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA on a aiun rt t 4 t "Wi ' ui d „ „ 1,r : ry 7 . . n ❑ mgen system ler •e, sc arntel derived aystent, ,�y ” E ❑ Addi er tiuno cy fncwm ororloadof ❑ "A" "�" "I_2" `'I.3' Job no.; Job site address: IZO 1 -1 SW F L4_l+htLn . � 100HP or more, occupancy. -f ❑ Six o, male residential unita. Li Recreat(on vehicle parka. City /State/ZIP; erl Iced, Q. 3 72 2 • ❑Health -oaro facilities. ❑ Suppl volt for more than Suite/bldg./apt. .no•: DHaaardous locations, 600 volts nominal. Project name: 0n 5 r- A(v,(cur, ❑ se, vim orttederbon am a or mars. Cross street/directions , ii:': ',;.ipip i9 i Y il l(r 1 h' . . , 1 ;, . . r ?', " 1" r l ; ' r ' ens to job site tf.- 3C0 �� ll��ufi, iii ,. I e.+i' ' 'alr,�r .' ":a�, QlacriPllan Q Pee.i Teud ' New residential single- or multi - family dwelling unit, Includes attached garage. Subdivision: Lot no. 1,000 sq II. el less 1674 c. TO map;parcel no.: Ea. add'i 500 sq ft. or portion 33.92 1 66 ! iN p nrN r � Nta Limited energy. residential `,.'r';'ir ;If =, • Y!itx'iiillll4•i''i ., tl' ,,�i�1111 �i "er ll (Yll ° dl•.1 0 'U 1 U'' . 1 •` .''.'i ^ 'ti':' , "� 1 ,ra� ,.:., udr �t5'a 1. w�'i ` , ,,,,fi t,�1a .,,• t�'' (with ft. 75,00 it '. 'GI ';': .1�, "'rr'I �:'p;;r+' , 4 i - f Limited a � �.. allergy, y, multi atuity El Data . .-__N-- residential (with above so (Y.) 75.0 2 Services or feeders installation, alteration, and /or relocation I • 200 amps or lose 2 4iI°! p, ejg p 100.70 . k'' s 0'�' uhf '9 f " y1 i ' a, , IIil ::p ':'I tl 1 I1 `;' ;: : t , ' , ,a � ur t tllr .) NU rY'F':- i I , : f,� • t 111" � ,AI'��k'fi +lrn rag "�^iu4r" ; 201 amps to 400 amPe 133.56 2 Name: 40 I 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 2 City/State/ZIP: Temporary serviced or feeders Installation, alteration, and /or r•elocntion Phone: ( ) 200 amps or loss ..._ 59.36 Oyvner installation: This installation is being made on property that 1 own which is not 20 airps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps 168.54 2 Branch circuits— new, alteration, or extension, per panel Owner signature: Date: A. roe for branch circuits with m!�� `+1 . '.. o, , i. • ; . :1,, r:.��!fiy. ;: .;i..;� . c ,, ° �� ,h m ' t ., ; °, ui ` ';'. ; :' J I ,, ,. above service or feeder fee, " eu• " : ,a v .,lt� each branch circuit cu 7 2 Business name: B. Pee for branch ci ;ite w/rho;e - service or feeder fee, first Contact name: branch circuit 56.18 2 Address: Each add'I branch circuit 7,42 2 Miscellaneous {service or feedor not Included) City / State /ZIP: Each manufactured or modular dwelling, service end /or feeder 67.84 2 Phone: ( ) I Fax: : ( ) Reconnect only 67,$4 2 E-mail: - Pump or irrigation circle 67.84 2 .,'�' ! n i -+ i ■! +)., ,�.,• ,!` ° u �> Yy ? (��le Sign or outline lighting 67.84 2 ,e :I OR h ' , } .Il,, t aA, 1 , :: ; . 'vi !: 14 Signal eircuit(9) or limited energy no panel, alteration. or extension, ( Page 2 '7D— 2 • li I '1 Each additional inspection over allowable in any of the above Address: ' , r2 t SE morrcson Additional inspection (1 hr mM) 56.25t fir City /StatciZIP Investigation (I hr min) 66.25/ Itr +A a q '?233 Industrial pleat (I hr min) 78.18 /hr Phone: ) I (� . (ea(1'. Fax: ( 5Z) ) °► CMG 1 (9 5,5 Inepcctiona' for which no fee is 90 00/ I,r EMEIMMII I e- eaifieell . listed K hr min y� Electrical Lic.: " .—I 32 Suprv, Llc,: "3 � , , Si; ...,:; 1 1 2 9,l e t''fe S f . +' t t C ors, Suprv. Electrician signature, required: Submtal: � , Plan review i25%of permit fee): Print name: , • AL A ` Date: — .. State sutcharge (12%of permit fee), I a Authorized signature: / / TOTAL PERMIT FEE: r L 1 J PP— $ �+��+�r • '111,5 permit aptstiFatiort expires If a permit is not abtntned vt7thin 161 • Print name [bye rafter it hue bean accepted es complete, Date: 24 W Number of' inapections allowed per writ. . I'lal■lldinglPe■ miIAELC.PerrnIlApp. doc 07/01/10 ' 490.9615r(11 I05/Coivt/W$U May 20 2011 12:20PM HP LASERJET FAX 5039066553 p.1 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information Omni k (re, Tric. LIMITED ENERGY PERMP7r FEES: '1�',�.,1�ia,,..�4 -,'fl �dl�l,rla „., i. :, p�,y,t f„�IYu, {In� ;;.., y� ^ / C � y � /� �,.�. ,, - �6 iA. �I .� nl:. q11 I �i ilk ;:�Id i WI 1�i�91b' ��� � 14� r 1 2,V 1 <J Dw a Y 4 S Fee for a n residential systems combined ... $75,00 p Check Type of Work Involved;nS� CZ., �u —l �/7� ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* 0 Other; Fee for each commercial 5L0,1 $75.00 1; system (SEE OAR 918 -309 -0000) Check Type of Work Involved; ❑ Audio and Stereo Systems ❑ Boiler Controls Clock Systems .Piflata Telecommunication Installation ❑ Fire Alarm Installation I I HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: ' *No licenses are required. Licenses are required for all other installations • 1'.\Buil dinOermi tASI,C- Per mttApp. upp 07/0 It I0