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Permit •► �� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00243 DATE ISSUED: 8/24/2005 -`•'" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Phase III, limited energy for voice /data cabling. Job No. 71349 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: SCHOOL DISTRICT 23J E C COMPANY 13137 SW PACIFIC HWY PO BOX 10286 TIGARD, OR 97223 PORTLAND, OR 97296 Phone: 503- 431 -4000 Phone: 503- 220 -5377 Reg #: ELE 26 -45C LIC 49737 FEES SUP 4040S Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 8/24/2005 $75.00 [TAX] 8% State Surchar€ 8/24/2005 $6.00 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 star r, says of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires ys to follow rules asoptes by e Oregon Utility Notification Center. Those rule are set forth in OAR 952 - 001 -0010 rough OAR 952 -001:4 00' ou may obta copies of these rules or di r: questions to OUNC 503 -2a -6699. sued By: 11,_ ` Permittee Sign- - • ilk / :0��/ 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: CORACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELE' % �, rj f� " fe" 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. 08/23/2005 18:10 5032205347 PAGE 01 Electrical Permit AF, d "' City of 'Tigard �, �` Received � _ 13125 SW Hall Blvd., Tigard, Olt 97223 v2 4 05 ��, ...By: $ r�.L� O — ie'• Permit No E / `!/ Phone: 503.639,4171 Fax: 503,598.1960 f l I ' ' R ew Other Permit " Inspection Line 503,639 4175 i I InterneC www Ct hgard or us e- pOj1 �� ' s' � Y' N e s (a , a ;e P 2 or t a D Sup lem i enta info nation 1 �1 ❑ New construction ' ❑ Addition/alteration/replacement , � Please check all that apply ;:L . , ,,, , " `. , " "" `.. " ^ , ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'1 ❑Hazardous location t r ,, . . ❑Service over 320 amps — rating ❑Buildilg over 10,000 Bq ft ❑ s `.� t ` " :, - of 1 -sad 2-family dwellings 4 or rnorc new re El 1- and 2- family dwelling Commercial/industrial E] Accessory building Q ystem over 600 volts nominal units in one structure © Multi - family ❑ Master builder CIBuilding over three stori Feeders, a � f ❑ Other: 400 amps or more l t , tW4 - : , , • • Occupant load over 99 persons El Manufactured structures or er -.- . . . . Job site address' .. � .. \ ❑Ilcalth -care facility ❑gress/lighting th park Job no 1 3 4 �0 p 0 S Lam+ ❑Other. Submit 2 sets of plans with any of the above. City /State/Zip Y l ti Q P\'� 0`1 5 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name:'` r rt d il , k i t i. Cross shecUdirecraons'tojob site: o. one Qtr. New resideodal single -Or multi-family dwelling unit. Includes attached garage. _ 1,000 sq. ft_ or leas 145.15 4 Subdivision: 7 Lot no.: Ea. add'l 500 sq. it or portion 33.40 Tax map/parcel no.: — Limited energy, residential 75 00 2 4. '..1 � 7 ,..�;�.::..,� s ,, ,;, ,, ,,,,,, Limited energy, non-residential 7 '� , ..Y .: :. r , ..t.,,. y ,. ,.,, 500 , ; ... Each manufactured or modular N)(a Qr, -kv Any y, , 1.1_..R. Ov y — OO ` 4 f dwelling, service and/or feeder 90.90 2 t 1 ! Services or feeders installation, alteration, and/or relocation ;:. ,.:,:.<:, , ,:,::: ;..:T: v : 1 G 1?. \,.l, 200 amps or less 80.30 2 r 1 F l 1LIa ` ] q ; :: :a t 1 i' 201 ant to 400 amps 106,85 2 " 1 ». . 4014 sto600a Name: mAs 160.60 2 i ,, di -' � �n I1 q .\-1 v ' Sit` u\ 0 s � r ,,_1, 601 as to 1,000 amps 240 60 2 Address: G GIJ s 1 Over 1,000 amps or volts 454 65 2 Reconnect only 66.85 2 City/St a te/ZIP: ' 't 5 Temporary r S v �1 �' Temporary services or feeders installation, alteration, and/or Rhone: l� { relocation _ { SU 3 ) — ` l ` ( ) , 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 600 amps 133 75 2 Owner signature: Date: Branch circuits -- new, alteration, or extension, per panel w .:; ; , , °` A. Fee for branch circuits with M,x.. h, „sw.v, r .. ,;.; 3 „ . . ' . , . service or feeder fee, each Business name: branch circuit 6.65 2 13,Pie for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'] branch circuit J 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: ; 1 Pump or irrigation circle 53,40 j 2 sign or outline lighting 53.40 2 E -mail: Signal circutt(s) or limited - E r A> : f 7 energy pa alteration, or , extension Describe 2 2 Page S Business name :C ^ ya Address C1 i� y , \ ` �I m 1 Lech additional inspection over allowable in any of the above Per inspection . 62.50 City/State/ZIP: 0 U` d1 C Investigation per hour (] hr mint 62.50 Phone; (53/ ) a p S 17 Fax (S U3) '\ $ 00 t_ Industrial plant per hour 7 75 11. �:1 i ... P. ci rri 1. "' l ,7,5 MENEffill • CCB Lic.: L4' 7 17 Electrical Lic.: Q C,y$c Suprv. Lic.. , /,i9c - Subtotal 1 C - , Suprv. Electrician signature, required: Plan review (25 of permit fee) State surcharge (8% of permit fee) G , Print name: +:1 . � tli s 4 La i `..► Date: TOTAL PERMIT FEE Q Authorized signature: , �` �i� " his permit appllc :Uon expires da permit is not obtained within t$0 S • ��• _ days after it has been accepted ae Complete Print name: Date: Fee methodology set by To-County $uiidrn$ industry Service board Number of inspections per permit allowed , \ auadinipPernd m tskELC .Pentnpp.doe 17!03 <a0�61iT(tOro�COnvw `' OF TIGARD - - B ILDING DIVISION PERMIT #: ELR Cy0 00143 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 x!.144101 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/25/2005 TIME: 7 :12AM PAGE: 55 SITE ADDRESS: 0c30 "W DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: T IGARD HlG` CI -TOOL DESCRIPTION: Phase In limited %-fl ergy for voice/data cabling. Job No. 71349 OWN ": SCHOOL DISTRICT 23, PHONE #: 503- 431 -4000 CONTRACTOR: C COMPANY PHONE #: 503..2 }0.5377 Inspection Request Sched d For: D. e: 8125/2005 Pour Time: Code # Inspection Descri 'on • - ir N.- Contact # Message vo . 014265 -01 503- 680.3946 Y qo C i \ T Z rk 6 I - __________________ bons /Commen s/ nstr Ions: c ELF 260ii 'c c c GI . . C---- ►■ PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 6— kg - RQe 1. Date: ( 4 Phone #: (503) 718 -