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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT •, V COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00280 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/9/2007 PARCEL: 2S 101 AB -02100 SITE ADDRESS: 07157 SW BEVELAND RD 100 ZONING: MUE SUBDIVISION: BEVELAND LOT: 003 JURISDICTION: TIG PROJECT: BOMORITO Project Description: Low voltage for HVAC. Job No. 9213 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: UNITED PACIFIC FOREST PRODUCTS PROTEMP ASSOCIATES INC 7157 SW BEVELAND ST STE 200 9788 SE 17TH AVE. TIGARD, OR 97223 PORTLAND, OR 97222 Phone: Contact #: PRI 503- 233 -6911 FAX 503 - 238 -9767 FEES Reg #: ELE 26- 1063CRE LIC 38868 Description Date Amount [ELPRMT] ELR Permit 7/9/2007 $75.00 [TAX] 8% State Surcha 7/9/2007 $6.00 REQUIRED ITEMS AND REPORTS 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 - 001 -0100. You may obtain copies of these rules or direct •uestions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: � Permittee Signatures 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'N: 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. - Metrical Permit Application FOR OFFICE USE ONLY a^ City of Tigard Received Date/B : ®d) 7 M Permit No.: E coy -DD g 0[J - e 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 1111 Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready /By: ruris: El See Page 2 for Internet: www.tigard- or.gov Notified/method: "1 / ? Supplemental Information . ° . TYPE OF WORK ' • • ' PLAN • REVIEW ' ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION' ' . exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or JOB SITE 'INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: 9213 Job site address: 7157 SW BEVELAND IOOHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: TIGARD OREGON 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: BOMARITO ❑ Service or feeder 600 amps or more. FEE. SCHEDULE' , :"- Cross street/directions to job site: Description ' I Qty. I Fee. I Total I * New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ` DESCRIPTION OF WORK , (with above sq. ft.) THERMOSTATS & WIRING Limited energy, multi- family residential (with above sq. ft.) _ 75.00 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ',❑ ,PROPERTY OWNER :' ' " . ' ' ' „' - U TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) 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 599 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ' ' ' , ,.® APPLICANT , • : . ' • .. . -' ® CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: PROTEMP ASSOCIATES B. Fee for branch circuits Contact name: BRUCE BUTNER without service or feeder fee, 46.85 2 first branch circuit Address: 9788 SE 17 AVE Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: PORTLAND OREGON Each manufactured or modular 90.90 2 Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Rec nect t only service and /or feeder Recn 66.85 2 E -mail: Pump or irrigation circle 53.40 2 GONT,RACTOR • , Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: SAME AS ABOVE energy panel, alteration, or Address: extension. Describe: l Page 2 2 THERMOSTATS &WIRING City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lie.: 38868 Electrical Lie.: 261063CR Suprv. Lie.: 2613LEB Industrial plant per hour 73.75 ELECTRICAL : PERMIT FEES • . '" Suprv. Electrician signature, required: ------) Subtotal: Print name: MONTY SCHROEDER Date: 6/18/07 Plan review (25% of permit fee): State surcharge (8% of permit fee): ( . Authorized signature: ` TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: BRUCE BUTNER Date: 6/18/07 days after it has been accepted as complete. * Number of inspections allowed per permit. UBuildm g\Permas\ELC- PermitApp.doe 05/23/06 440- 46I5T(I I /05 /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00280 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2007 Phone: (503) 639 -4171 li l ' ( Inspection Requests (24 Hrs.): (503) 639 -4175 ''' I.. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7 :01AM PAGE: 59 SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK: SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE: PROJECT NAME: BOMORITO DESCRIPTION: Low voltage for I-IVAC. Job No..9213 OWNER: UNITED PACIFIC FOREST PRODUCTS, PHONE #: CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503~233 -6911 Inspection Request Scheduled For: Date: 7/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 052215 -04 503 - 519-6199 Y Corrections /Comments/ Instructions: In PASS I 1 PARTIAL APPROVAL n CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION I ] ADDITIONAL FEES ASSESSED Inspector : Date: hi Phone #: (503) 718 4