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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT -- •• COMMUNITY DEVELOPMENT Permit #: ELR2011 -00220 Date Issued: 10/14/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 parcel: 1S134AA01800 Jurisdiction: Tigard Site address: 10240 SW NIMBUS AVE L6 Project: Almar Contracting Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2 Project Description: Data telecommunications system Contractor: TECHNOCOM INC Owner: HANSON, RONALD D 7929 SW BURNS WAY STE. F ROBINSON, CONSTANCE A WILSONVILLE, OR 97070 ROBINSON, CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK, WA 99331 PHONE 503 - 682 -4195 PHONE FAX' 503 - 682 -2781 FEES Description Date Amount Specifics: Restricted Energy Permit 10/14/2011 $75 00 12% State Surcharge - Electrical 10/14/2011 $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 copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344. - Issued By: `� G�� _�i Permittee Signature: _ _ ci � �� -.0 40� 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. Electrical hermit Application 1-oR ovl• Ic USE O III LI of Tigard % D�e�rtjea �� J � PermitNo.: ,/ M II '' 1312 SW Hail Blvd. Tigard, 0', • , �- Plan Rcvicw 111 Phon : 503,718.2439 nsp ction Line: 50 Fax: 503. \ ::1'960 '` ® ,\ Date/By: Other Permit; I3.639.4175 C, CAP` Date Ready/By: L112. El Sec Page 2 for Ti'GARD '� \d S od: -:.:6 -- Supplemental Information Intl et; www,ti aril br,gOv �`� Notified/Meth r - �« ❑ ® t {,G. 'REVIEW PLAN, �REV]� -. .. , Ncw consttuct�on Add ion /alteratio ra . acement Please check all that apply (submit 2 sets off plans whtetns checked below); r - � ['Service .r feeder 400 amps or more 12 Building over three stones. Demolition ❑ Other: where 1116 available fault current ❑ Marinas and hnnryarrlc 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- famil4 dwelling Ei Commercial /industrial © Accessory building amps for all other installations, buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pimp , 1:I of 75 KVA or ' ' ;Jbit„SITE , INF' AND .,LO,CA�"101�1 0 Emergency system, larger separately derived System. Job no.: 1 14077 JOb site Addition✓ of new motor load of ❑ "A" "B' , "1.2" ' "1.3° e address: 10240 S NIMBUS AVE tomlr� ore, oow,panc ❑ Six or more residential units. ❑ Recreational vehicle parks, City/State /ZiP: PORTLAND, OR 97223 ❑ Health -care facilities, ❑ Supply voltage for more than - ❑ Hazerdolis locations. 600 volts nominal Suite/bldg. /apt. no.: L6 Project name: ALMAR CONTRACTING ❑ Service dr feeder 600 amps or more, FEE ' SCHEDULE Cross street/direct ons to : ob site: Description I I ty. Fee. IIMMTEMINNI New residential single- or multi - family dwe ling unit. Includes ttttaehed garage. Subdivision: Lot no.: 1,000 sq. ftl or less 1 68,54 4 Ea add'? 500 sq, ft or portion 3192 1 Tax map/parcel no.: Limited energy, residential 75.00 El DESCRIPTION OF WORK . . . . with above ft VOICE/DATA CABLING Limited energy Multi 75,00 II residential (with above sq, ft,) Services or feeders installation, alteration, and/or relocation 300 amps dr 1=3 100,70 2 0 PRO ERTY OWNER 1 ! 0 TENANT ' ' 201 amps TO 400 amps 133,56 2 401 amps tb 600 amps 200.34 2 Name: 601 amps tb 1,000 amps 301,04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary, services or feeders installation, alteration, and /or City /State/ZIP: relocation! ( ) 200 amps of less 59 36 1 Phone: ( ) Fax: 201 amps t6 400 amps 125.08 2 Owner Installation: This installation is being made on property that 1 own which is not 401 amps td 599 amps 168.54 2 intended for sale, base, rent, or exchange, according to ORS 447, 449. 670, and 701. Branch et cults- new alteration or extension, •er •anel Owner signature: _ ._ pate: _ A Fee for branch circuits wpb ® APPLICANT above ra n c h c circuit feeder tee, 42 CONTACT PERSON each bra ch circuit Business name: TgaINCOM, INC B Fcc for branch circuits n without Il service dr feeder fbc, first 56,1R Contact name: LE1LLE PARSONS branch circuit Each add'l branch circuit 7.42 2 Address: 7929 SW BURNS WAY, STF. F Miscellaneous (service or feeder not included) Each manufactured or modular City/State/ZTP: WILSONVILLE, OR 97070 dwelling, sebace and/or feeder 67,84 2 Phone: (503) 682 19_5 Fan.. (503) 682 -2781 "— Reconnect duly 67.84 2 Pump or Irrilgation circle 67.84 2 E -mail: !.parsons gotechnocom.com Sign or outline lighting 67,84 _ 2 ... eANTRAY:'1'f1R 5 , " Signal 6= or limited- energy " panel, altertlkion, or extension. I Page 2 75 lion, Business name: TEICRNOCOM, INC Each additional Inspection over allowable in any of the above Address: 7929 SW BURNS WA Y, STE F Additional inspection (1 hr mm) 66.25/ hr lnvesttigatlo0 (I hr min) 66 25/ hr — City /State /ZIP: WI.SONVILLE, OR 97070 industrial piknt (1 hr min) 7818/ hr Phone: (503) 682 415 I Fax. (503) 682 Inspections for which no fee is 90 00/ hr specifically Listed (' /i hr min) CCB Lie.: 77TH •�.. ELECTRICAL Lic.: 34 -269CL Suprv. Lic,: 2281LCA ELECTRICAL PERI41I71' F'EI✓$ J' 7 t i Subtotal: 75 '' Suprv. Electrician Ji required: I Plan review (25% of permit fee): Print name: JEFF I ANBN>:R Date: ]0 /]3111 i State surcharge (12%of permit fe): 9 I TOTAL PERMIT FEE: 84 ° - Authorized signatu Ic: di r aseivi This permit Application expires if a permit is not obtained within 180 f 1 days after it has been accepted as complete. Print name: JEFF ANDNER Date: t l(11I3l11 • Nu'libel uI invectiunx allnwed per permit I P\ Building \Permits \ELC•PermiApp,doc 07 /01 /10 440- 4515T(11 /05/COM/wea Electrical 1ermit Application - City of Tigard Page 2 - Supi lemental Information LIMITED NERGY PERMIT FEES: RESI] ENT ' • WORKONTY! Fee for a residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio aid Stereo Systems* ❑ Burglar larm ❑ Garage oor Opener* ❑ Heating Ventilation and Air Conditioning System ❑ Vacuum Systems* ❑ Others CO11 7!'EIE 'C WO ONLY Fee for cash commercial $75.00 system L (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio d Stereo Systems ❑ Boiler Controls ❑ Cloc.: , terns E Data TelJcomrnunication Installation ❑ Fire Alas Installation ❑ HVAC ❑ Instrume Cation ❑ intercom and Paging Systems ❑ Landscap Irrigation Con trot* ❑ Medical ❑ Nurse Ca s ❑ Outdoor Landscape Lighting* Protective, Signaling l2 Total number bf commercial systems: I *No licrUSes ar+y required. Licenses are required for all other in l'\Buildios \Permaz\ELC -perm/ App dog 07 /01 /10