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Permit -.r 'CITY O F TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • ° 7; COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00460 TIGARD DATE ISSUED: 12/13/2007 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113BA - 00400 SITE ADDRESS: 07632 SW DURHAM RD 130 ZONING: I - P SUBDIVISION: SW CENTER SDR1999 - 00020 LOT: JURISDICTION: TIG PROJECT: UNITED HEALTHCARE Project Description: Low voltage for voice /data. Job No. 307012 -07 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: OPUS REAL ESTATE OREGON IV LLC E C COMPANY 1000 SW BROADWAY PO BOX 10286 1130 PORTLAND, OR 97296 PORTLAND, OR 97205 Phone: Contact #: PRI 503- 220 -5377 FAX 503- 295 -3012 FEES Reg #: ELE 26 -45C LIC 49737 Description Date Amount SUP 3924S [ELPRMT] ELR Permit 12/13/2007 $75.00 [TAX] 8% State Surchar€ 12/13/2007 $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 a set forth in •. 801 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503. 6.6699 or 1.800. 2.! 34 - • Issu d By: (f ,i4 4 Permittee Sign- 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. 12/12/ 2007 01:47 5032205347 /�, , D� 7 _ Z , + ' PAT 01 '' Ei�ric l Permit Application : E° ' dt,C / V 1 �� 1!111 1J1 I It J. I tiJ i3`1 l City of Tigard "� FYI YY.�� ��r. �� 13125 S W Hall Blvd., Tigard, OR 972 Aaza/13 = / / - rr 7 Permit No.: e 1 „ k° Phone. 503.639,4171 Fax: 503,598.1960 2007 ., l , t z Inspection Line: 503.639,4175 DEC 2UU dB Review Other Permit: RI Internet: www.tigard- or.gov (ATV OF rIGAR Date Ready/By: rwie ,- See PUP 2 for TYPE OF W ILbING rUISFNN m Supplemental Information ^. Q NOW Mt - - PIG,AAI REVIEW ry © Additian/alterAtion / replacement Please check all that epplr (su sets of w bmit j /items checked below): 0 Demolition . . _ _" er. -- - 0 Service or lbeder 400 amps or more O Building " where the available fault current over three stories, CATEGORY OF CONStRucTIt i 0 Marinas and boatyards. exceeds 14,000 amps at 150 volts 0 Floating buildings. ❑ 1- and 2 - Tardily dwelling ommc rcia! /industtial Q Aecesso y building leas to ground, or exceeds 14,000 0 Commercial -ace agricultural Q Multi- #3tmily ❑ Master builder Q other: in Fire » amps fer al ip l other installations. buildings. ❑ Installation of 73 lC VA or JOB SITE INFORMATION AND LOCATION El Addition of a� motor toad of larger separately derived system. 3 ()10 Job site address'' ❑ • A" "B" '1 -2" "1 -3" - J' � S t .) ( l.. c ek t.. g , 100HP or more. y City/State/ZIP: Q / ❑ Six or more residential aorta. CI Recreational vehicle panes, (. 0 H eart Bare Acibtiaa. 0 supply �► � a s � voltage for more Man Suite/b! 1 i. no.: \ G 0Haaatdous locations. 600 volts nominal. • ap + Project name: V\ N 1, c J e pr \ ' e. CI service or fodet 600 amps r more. Cross street/directions to job site: - FEE SCHEDULE nwr qa. they 'roal • - New residential single- or multi-Emily dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or kss 145.15 Tax map/parcel no.: Ea. add'( 500 sq, ft, or portion 33.40 Limited energy, residential 75.00 DESCRIPTION OF WORK with above : ,. R. hh Limited energy, multi - family II 75.00 ME© :. ts) .S ‘ •. \ - 4 5, \1 C- A A' - S C A \ a 7 'cu - residential with above • . tt. Services or feeders installation alteration and/or relocation V 0 • 0 A 1 0 200 amps or less 80.30 2 OPER?? � ' 0 TENANT 201 amps to 400 amps 104.85 2 • Name: u J 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: ( ) 1 Fax: ( ) 200 amps or leas 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 mope 100.30 n intended thr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Drench circuits - new alteration or extension I r ' net A. Fee lot branch circuits with , � ' 0 APPLICANT t CONTACT PERSON above service or r r fee, Business name: each branch circuit 13. Fee for branch circuits Contact name: ' without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 y Miscellaneous service or feeder not Included Each h Rlmruf stored or modular mu dwellin :, service and/or feeder III 90.90 Phone: ( ) .. !iw wu Fax: : ( ) Reconnect only 66.85 E-mail: , r w�F Pump or irrigation circle II 53.40 - II ', CONTRACTOR Sign or outline lighting 53.40 minim Business name: E c t v. r p . eiergl panel, e r l i o n . or e s on. D , r or $ w Address: V7 0 (? 0,x \ 0 4 & ( extension. Describe: 1 City /State/ZIP: ) \ ,\I 0 2 � l , .t Each additional has eon over allowable In ■n otthe crave Per inspection 111 62.50 Phone: (Su 3 ) 'D C) - S 3 ^7 Fax' ( ) $ D 1 Zi - Investigation per hour (1 hr min) 62.50 CCB Lic.: 4 C ') 3 Electrical Lic.: Q G ..i..j - [ Suprv. Lic.: industrial plant per hour 73.73 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: ,,, - /2 j Subtotal: `� S : C O � Print y I Date: f Z „/ 2 'C 7 State surch (8% of permit fee): nt name: r : l? t °!�7rr' Y .� �.� ) C a Authorized signature: TOTAL PERMIT FEE; �. Oa Print name: This penult appticutiioa expire. if • penult It pot obtained within "180 days after It has been accepted as complete. • Number of inspections allowed per permit, I:\euildi rernlitia.c- PennnAop.doc 05/231'06 aao -4a15Tp1/05�cohin 1/05/CCU/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007.00460 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2113/2007 Phone: (503) 639 -4171 �m�i g jel Inspection Requests (24 Hrs.): (503) 639 -4175 ��� INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 07632 SW DURHAMI RD 130 CLASS OF WORK: SUBDIVISION: SW CENTER SDR1999 00020 LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTHCARE DESCRIPTION: Low voltage for voice/data. Job No, 307012 -07 OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #: CONTRACTOR: E C COMPANY PHONE #: 503 - 220 -5377 • Inspection Request Scheduled For: Date: - 12728/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 1335 Low voltage 062294 -01 603.956 -0875 N CMons /Comm nts nstructions: ..\, \ j ( (\ \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G • N Ise L- G Date: 1 'Z• 21. 01 Phone #: (503) 718- )-If14 CITY OF TIGARD , BUILDING DIVISION PERMIT #: ELR2007-00460 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12113/2007 Phone: (503) 639-4171 II : 11 4 9A1 t Inspection Requests (24 Hrs.): (503) 639-4175 ataki ' INSPECTION WORKSHEET FOR DATE: 12121/2007 TIME: 7:03AM PAGE: 19 SITE ADDRESS: 07632 SW DURHAM RD 130 CLASS OF WORK: SUBDIVISION: - RA, CENTER SDR1999 LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTHCARE DESCRIPTION: Low voltage for voice/data, Job No.. 307012-07 OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #: CONTRACTOR: E C COMPANY PHONE #: 503-220-5377 Inspection Request Scheduled For: Date: 12/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low 062039-01 503-680-6472 N Corrections/Comments/Instructions: 11. PASS fl PARTIAL APPROVAL El CANCEL I I NO ACCESS I I FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: G". N'ics .-., Date:i7/24-67 Phone #: (503) 718-