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Permit v CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00085 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/14/2008 PARCEL: 2S 110AB -00200 SITE ADDRESS: 14411 SW PACIFIC HWY ZONING: C - SUBDIVISION: CANTERBURY SQUARE LOT: 1 - JURISDICTION: TIG PROJECT: RIALTO • Project Description: Installing (1) low voltage data / video system. 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: G C KOLVE FREEOM CUSTOM COMMUNICATIONS LLC 14389 SW PACIFIC HWY 6526 SW WINTERS RD TIGARD, OR 97224 CORNELIUS, OR 97113 Phone: Contact #: PRI 503 -544 -1302 FAX 503- 359 -5695 FEES Reg #: ELE 4216LEB LIC 173330 Description Date Amount SUP CLE69 [ELPRMT] ELR Permit 4/14/2008 $75.00 [TAX] 12% State Surch 4/14/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 503.24. • •99 or 1.800.332.2344. Issued By / ��5 �� Permittee Signature: 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. Electrical Permit Application e .9 FOR OFFICE USE ONLY 11114 • City of Tigard '� Date /B : A 'ermit No.: zit" SW Hall Blvd., Tigard, OR 97223 { O� Plan Review �� f , C . Phone: 503.639.4171 Fax: 503.59 _V I N. B _� _ Date : Other Permit: n • — Inspection Line: 503.639.4175 ,..A\ ® y. Date Ready/By: luris: HI See Page 2 for R T I G A D !ti'` Supplemental www.tigard- or.gov .� © �'�. ®�,� Notified/Method: Su pp me Information TYPE OF WORK oc a+ce� . PLAN REVIEW ill New cons Addition/alteratiol ment Please check all that apply (submit 2 sets of plans w /items checked below): 12 Demolition • •then IZI ❑ Service or feeder 400 amps or more ❑ Building over three stories. 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 ❑ aster builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ", Job no.: Job site address: i l f�� 5� )'c w y 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/StatelZIP: '�p q (L Q I ❑ Health-care facilities. ❑ Supply voltage for more than 1 V ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: R al, L 4-0 ❑ 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 - DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 / 6 Limited energy, multi - famil 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: l /�- 401 amps to 600 amps 160.60 2 {'`C�/ 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 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: rp- VEtxJAA 6.44 S 'AA Go M /M tA, w i r [ (C4jt S U- energy panel, alteration, or Address: 6„,c2-C, 5v./ IN, IA -t---.6Q--,S p extension. Describe: I Page 2 • City/State /ZIP: ,�f2 tn.e L I,,,-. S c4.? °I - II l. .3 Each additional inspection over allowable in any of the above I Per inspection 62.50 Phone: (5 b3) S 9 - 13 c??.... Fax: ( 5 3s - Si `j S— Investigation per hour (1 hr min) 62.50 CCB Lic.: 17 3 3 3 0 Electrical Lic.: it 2,/k, t Fa Suprv. Lic.: G , e 49, Industrial plant per hour 73.75 _ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: �� �, Subtotal: 7 Print name: 4 1 . G L C �ft� ,,; Date: y�.li 1/ Zoo g Plan review (25% of permit fee): / State surcharge (12% of permit fee): ey 4 Authorized signature: TOTAL PERMIT FEE: c ti This , - -- Print name: Date: T permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I:tBuilding\Permits\ELC- PermitApp.doc 05/23/06 440 -4615T(II /05 /COM/wEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems p Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling p Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\ BuildingWermits \ELC- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008.00085 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4114/2(i0F Phone: (503) 639 -4171 :TV' Inspection Requests (24 Hrs.): (503) 639 -4175 -' " I INSPECTION WORKSHEET FOR DATE: 512/2008 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE: PROJECT NAME: RIALTO DESCRIPTION: Installing (1) low voltage data / video system. OWNER: KOLVE, G C PHONE #: CONTRACTOR: FREEOM CUSTOM COMMUNICATIONS LLC PHONE #: 503-544-1302 1 Inspection Request Scheduled For: Date: 5/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 069262-01 503 - 544 -1302 N 1 g °i V--i tJ Ak.-- . Corrections /Comments /Instructions: ci \ j ) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 0 Date: 414<st Phone #: (503) 718 -t1 f'o ,., CITY OF TIGARD ,..A* BUILDING DIVISION PERMIT #: EL.R2003 -00086 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008 Phone: (503) 639 -4171 .nzJ IlIh Inspection Requests (24 Hrs.): (503) 639 -4175 „Jig"- INSPECTION WORKSHEET FOR DATE: 4/16/2006 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE: PROJECT NAME: RIALTO DESCRIPTION: Installing (1) low voltage data! video system. OWNER: KOLVE, G C PHONE #: CONTRACTOR: FREEOM CUSTOM COMMUNICATIONS LLC PHONE #: 603 5441302 Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description irm Contact # Message 135 Low voltage 068456-01 503 -514 -1302 N Corrections/Comments/Instructions: N A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL El CALL FOR INSPECTION ID ADDITIONAL FEES ASSESSED 1 Inspector: G- 006 Date: 4 lb( 01 Phone #: (503) 718 - 2,44-