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Permit St • CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00234 Alt 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/17/2005 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 270 ZONING: C -P SUBDIVISION: LEHMANN ACRE TRACT LOT: 005 JURISDICTION: TIG Project Description: Data /Tele. 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: ATHERTON REALTY PARTNERSHIP CHRISTENSON VELAGIO, INC. MARTHA ATHERTON 1631 NW THURMAN ST. STE 200 2100 S WOLF PORTLAND, OR 97209 DES PLAINES, IL 60018 Phone: 847- 298 -8600 Phone: 503- 419 -3600 Reg #: LIC 64137 ELE 26 -1174C FEES SUP 1994S Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 8/17/2005 $75.00 [TAX] 8% State Surcha 8/17/2005 $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 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 questions to OUNC at 503 - 246 -6699. Issued By: L-22�/ r Permittee Signature: _11,7e-- CI V 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. AUG -17 -2005 WED 02:01 PM CHRISTENSON CORPORATION FAX NO. 503 419 3636 P. 01 Ele Permit Aapaic °tit �`� 11 1 ( ►It ►l' t It I.. I . tii . ()NIA' ; City of Tigard (mi Receive Permit No. 200` Date/By: _7,9 ^ 0,,,..) :C 0.5 13125 SW Hall Blvd., Tigard, OR 97223 1_ Plan Review �� Phone: 503 - 639.4171 Fax: 503.598.1960 r �1; 7 i � pate/13y: Other Permit: '11� Inspection Line: 503.639.4175 - -T IGpP,, Jj, .,�. ,� !„ Date Ready/By: Janis, 151 See Page 2 for lntemet: www.ci.tisard.or•us CITY O e. ivI Notified/Method: Supplemental Information M : a , r J t " x , {�'.��d., # 9 ' r h od s > .. .l ' r k !i s. . 'r2/ Pla ` t m: 0 New construction , :t Addition /alteration/replacement Please check all that apply: 12 Demolition ❑Other: ❑Service over 225 amps, comm'1 OHazardous location OScrvice over 320 amps - rating ❑Ruildng over 10,0004 ft.. i k - r ' , , _d � �?w. , �. t k i ' r � .V ., a r ' n 7' . o I ,, ({ak Y r� ?: of l- and 2 - family dwellings 4 or more new residential • ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑Building over three stories ©Feeders, 400 amps or more ❑ Multi-family C Master builder ❑ Other []Occupant load over 99 persons ❑Manufactured structures or • k' j::, s t"s 1 . t K R u t At o..... t 1L y 2/ ii ?m w7, +" i "+ ; RV gr g ark • z ' '' ',.. t ° ,. ..... . • . . ;c , 6 . s.,: ElEesg /lihting plan P Job no.: 43-00168 submi 2 care f J Job site address: 9900 SW Greenburg Road tt o p l n ['Other: Submt 2 bets of p with any oPthe above. City /State /ZIP: Tigard, OR 97332 The above are not applicable to temporary construction service. ^+ ` r �, .� S'•� . ij4: •" l.. t;.h .. -r: _ '7 6 I Project Wells Fargo, Tigard Loca -', - s �'r�.�,�. I' t name . ,�= `'!'�` , ,.. 4 , ,..i;,a' �?� � • ';f� �:�.�,. ,'�;�.�,,,_.� -�: : h •. ;,> Suite/bldg. /apt. no.: t 101 tDrseripdon Qty, Fes. Total Cross street/directions to job site: gliS i � ng3 4i er ry Gatarylord New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft, or less 145.15 4 - Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential r 75 2 Limited energy, non - residential 75.00 2 �G - ` %54'a.; ;:�x.�;`�.Ci`:1?Jn w ..i. ...,..- x:2:;..3 :;;HC;c� • � :_! !`+ "i'� ,_t..,, , $: � r• r.^ ;�Q��,:�'��r u„ -.: ,. �. •'��:.,. w�.��. -;' Each manufactured or modular dwelling , service and /or feeder 90.90 2 LOW VOLTAGE DATA /TELECOMMUNICATION Services or feeders installation, alteration, and/or relocation 200 amps or less J 80.30 2 ., (. , Kw: 4 ..,, -. , .,.,, , . $ ; r i„, ,;� ;-� .7n , 4 ,. . l .. ,. :a%. , l ; f 201 amps to 400 amps 106.85 2 `% , i. �_1 ,', St T . ,..i. s ' i ``�',.'. ;iG ha't ... - irC�Y;r w'.?r..,k.r:l�;`. ^,'( TA"� ^�?a. 59::;'!r � i , a;.,�, .:.3 _ a•; : ,�` ri,:.,,..::!"�; a ,.. '' 401 amps to 600 amps 140.60. 2 - Name:h -� Z1-�s) \_,\ 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only _ 66.85 , 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( j) S -R66 Fax: ( ) , relocation 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 wM, : e , hm a . 4- :: V c'+tj'..r.'.-t.r,:i','H 7, ,e... .� -, r,�,,,. -. . ')�1?� �. ... ,�'te -'„ , s ""r "•' �!E ii Y;.`';�;. "- <•3r.`3• °, r,�' A. Fee or rant circuits with ,. ..,,,, , �: lad ?Jon;.a.;: :� ' "'' ' " " service or feeder fee, each 6.65 2 Business name: branch circuit Contact name: B. Fee for branch circuits ' without service or feeder fee, 46.85 2 Address: • each branch circuit Each add'T branch circuit 6.65 2 _ City /State/ZIP: Miscellaneous (service or feeder not included) _ Pump or irrigation circle 53.40 2 Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - ;i 7: ,;s„,� y; :'u..,, energy panel, alteration, or 75.00 "'n;i: <�"fay.`_ '�+ll ''!l�'f�'P ?[v :u�_ :i *.Y.� _u1_ r.d 1. . ... :.. .. r:;'tk.. �1� r.- �,R:S, �- cY.�.. .........f'� ff:.,.,.5 :�'`_ extension. Describe: Page 2 2 Business name: Ci•1RISTENSON VELAGIO, INC. DATA /TELECOM 1 75.00 Address: 1631 NW THIJRMAN ST 2ND FL Each additional inspection over allowable In any of the above Per inspection 62,50 . City /State /ZIP: PORTLAND, OR 97209 -2558 ^ Investigation per hour (t hrmin) 62.50 Phone: (503 ) 419 -3300 I Fax: (503 ) 419 -3333 Industrial plant per hour 73.75 •:!: J gegO .,r J.EVE^^'r.•Y1,(a+i':. {,Y.d��r,:a:;;•.FEER- OM:"PLY CCR Lie.: 64137 Electrical Lie.: 1 74C [Suprv. Lie 19945 Subtotal 75 Suprv. Electrician signature, required: Plan review (25% of permit fee) State surcharge (8% of permit fee) 6. Print name: ROBERT AXT Date: C/ J. % / (.s:% TOTAL PERMIT FEE 81.00 Authorized signature: This permit appllcatlon expires it a permit is not obtained within ISO days after It has been accepted as complete * * *V1S /s Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •. Number of inspections per permit allowed. I:\ bu ilciin8■PermlwlELC- PermitApp.doc 12/03 4404615T(10 /D2/COM/WEB CIT I OF TIGARD , . BUILDING DIVISION PERMIT #: ELR2005 -00234 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005, Phone: (503) 639 -4171 /u�jpu Inspection Requests (24 Hrs.): (503) 639 -4175 ,_..„..W - - -- INSPECTION WORKSH E� OR DATE: 9/9/2005 TIME: 7 :07Am PAGE: 91 SITE ADDRESS: 09900 SW t "EENBURG RD 27Y_ A CLASS OF WORK: SUBDIVISION: LEHMANN A \"E TRACT LOT #: 005 TYPE OF USE: PROJECT NAME: SWELLS FA,RGO _ ' DESCRIPTION: DatalTefe, OWNER: ATHERTON REAL "ARTNER SHIP, PHONE #: 847 - 298 -8600 CONTRACTOR: CHRISTENSON VELA• 0, INC. PHONE #: 503 - 419 -3600 Inspection Request Scheduled For: Date: 9/9/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 135 Low voltage .15208 -01 503-806-9356 N Corrections/Comments/Instructions: N y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / ' /_� Date: Phone #: (503) 718