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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I ! COMMUNITY DEVELOPMENT Permit #: ELR2011 -00134 T_IGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2011 Parcel: 1S 134BC00403 Jurisdiction: Site address: 12505 SW NORTH DAKOTA ST, OFC# OFC Project: Meadow Creek Apartments Subdivision: GREENWAY TOWN CENTER Lot: Project Description: CCTV system. Contractor: QUADRANT SECURITY INC Owner: BEL -EQR III LIMITED PARTNERSHIP PO BOX 14833 BY EQR -REAL ESTATE DEPT PORTLAND, OR 97293 PO BOX 87407 CHICAGO, IL 60680 PHONE: 503 - 234 -5558 PHONE: FAX: 503 - 236 -2322 FEES Description Date Amount Specifics: Restricted Energy Permit 06/14/2011 $75.00 12% State Surcharge - Electrical 06/14/2011 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: Y Clock Systems: N Data & Telecommunications: N 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 ma t • -s o -ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. OP Issued By: - Permittee Signature: � _ _ 4410 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. leCtrical Perm Applieatian Pie 0, 6e. FOR orrri :E. i,`.iv.;:p l.x • ' 14 City of Tigard _ , nA sired ii �4, permit Na.: .L :i - 13125 SW Mall Blvd.. t;Rard- OR o721 y ' ' plan Rcw • . Phone; 503.639.4171 Fax: 503,598.1 , � i avi Daiol9v; Other Permit: Ti , ;, I , Inspection Line: 103.639,4175 Datc Ready/i3y; SeeNot z far Tntcnr " a, wWW.tittard- or, e nv JUN 1 4 2011 1` tol�rionvietllod: Supplerrltit t1nforma el • �W ` TYPE OF WOI , , r y 1 . .. . - PIAN.` REVIXW, , , © New construction PG .. ddltion /alterfliG nliep1a4ti9Mfl ' lU Flcsso cheek o11 that apply (si tint 2 gets of plant w/ terns cbcekod below): DOILUi i1f(.2 D iSi( I © Servlee nr feeder 400 amen or mere Q Buildinit over three stories. Q IkmolRtlon ❑ Other whey the available ibufr current a Modena nod bcouyardz. - CATEGORY OF CONSTRUCTION jON , . execeda 10,004 Amps in 150 aorta or ❑ .Floating buildings, less to ground, err enctrb 1.4,0 ❑ C0711merelal -we neriadtaml j] 1- and 2- Family dwelling olnmereiall(ndustrioi 0 Accessory building amps for ill etbcriostallatiom. building% ❑ Multi- family in Master builder ❑ Other: I D Fire pump, Q !retaliative of 7 5 KVA or . ❑ En,ergettey velem larger sepnrntoly derived eystein. • on &R 1NFoRMA,TIoN AND LOCATION .. p Addilion ofoCw motor load of ❑ "A" "£" "1-2" "I -3 ". dab site address: C . 5 t {� �, 100HF or mere. oempeney. . ]ob no.: LJ225 J Y V NOY' 0. 1. IRI�U - [] Six or residential unite. CI Recreational vehicle perks. City /State/ZTP; 1 Or A OK 00 ❑ Nenhhwwrc Rciuriee, ❑ Suppl volume for moi t1 au J ❑ Neastdeuglnantltn s, 600 v nominal. Suite/bldg. /apt. no.: Project Infra; e, . / - 4 ❑ smite or kaki 000 amps or mare, -- %/. /. PEE_ 91 T ) l .E Cross street/directions to job site: i I )1 , A r C tr.,,, ,.. 1 Q- I __.g.._ 1, '; 1 New residential single. or mniti- ThiuUy dwelling unit. _ teelades attached y�arag _ 7 1,000 Sq. 'ft. or less 145,15 4 Subdivision: I Lot no.; Tax map/ parcel n0.. - - • EA, Add '1500 eq. ft. or portion 33.40 1 P - Limited energy, residential /$.On 2 DESCRIPTION OF WORK (with 0729. e:,) , . — Limlted energy, multi- family 75,00 2 L • f 11 t# , d / '.'1/ tesidefltial w ith a bove a , R, Services or feeders instollatllon ojr,aodfor relocation 200 amps or leas 80.30 2 0 PROPERTY OWNER • U TENANT 201 amps to 400 amps y 106,85 2 Nafnc: 401 amps to 600 am s 1.60.60 2 — _ — 601 amps to t,000 am 240,10 2 Address: Over 1,000 amps or volts 454.65 2 Temporary services or feeders Installation, alteration, sud/er City/State/ZIP: refashion _ Phone: ( ) Pam ( ) 200 amps or leas 6685 i Chrvntr installation: This installation is being made on property that 1 own which is not 201 drupe to 400 amps 100,30 2 intended for sale. tease. rent, or exchange, according to ORS 447, 449. 670, and 701. 441 amps to 599 amps 1 133.75 2 Bnnch circuits -nary, alteration, or extension, per panel Owner Signature: 7-- bate: . A. Fee for branch circuits with • - 0 A.f'i'd,.TCANT 0 coNTACf` rEa oN • . ., above service or feeder fee, 6.65 2 eachkaneh circuit _ Business name: B. Fcc for branch circuity Contact name; w /thaur acrvicc or Rader fee, 4G !i5 2 first branch circuit Address Eaal) add'1 branch circuit 6,65 2 - --� — Mitleellaneoas (erv or feeder not included) City /State /ZIP; Each manufactured or modular i dwell , service and /or feeder 90.90 2 Phone! ( ) Fax; : ( ) Rec onnect only 66,85 2 .E-mall: Pump or irrigation circle 53,40 2 GerN1RACTOR Sign or outline lighti 53.4 2 Business ' circuit() or limited- "t. t. '� 5 mossy panel, alteration, or • Address: P , r3c, 14/ 3— extensipn IpCs ribe; i Pagc 2 ._ . 2 Ci y /State /ZIP: Pot 0,r, O cri 9 ,3 E* b iddltiotn*I %Imam over allowable In airy of the above Per inspection 62,50 Phone: 5r0 3 ) : Y - , Fax; (3'7)?,) .. . _ a3,A Tnuestigation per hour (1 hr min L 62,50 ' CCR Lic.: ei t, 8 ., Electrical Lie.: al, - to' • Suprv. Lic. : U F g,$ I LEA Tndustri01 plant per hour 73,75 ELECTRICAL ' PERMTr E.S Supra. Electrician : y . T . required: --_______ Subtotal, . - ` Flint name: -,3CFF ' f 2tc574r., Date: & 1 / — .-" Plan review (25% of permit fee); go State surcharge ( of permit Re): g_ Paitlt8t'ized sign . tun: ff l � ` TOTAL PERMIT Fes; ,1, . .s>y ••■...- 77bitr prrartt spouts ezp re. if • permit is tot n ta • withla IN Print name: 'XI/ ` ■ _ bate: 67 AF dirt Atterft hits been ;Koval sot cans*e " Number of inspections sliawtd per permit. :T uildinn \FerrnIrtlerc- PermitArpdne OF/23/06 440-41157(IIt07MOMrW O