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Permit sir - CITY OF TI CARD ELECTRICAL PERMIT - RESTRICTED ENERGY t DEVELOPMENT SERVICES PERMIT #: ELR2004 -00358 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/2004 SITE ADDRESS: 07409 SW TECH CENTER DR 135 PARCEL: 2S101 DC -04601 SUBDIVISION: TECH CENTER BUSINESS PARK ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Limited energy for data telecommunications. 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: WATUMULL PROPERTIES CORP REESE + SONS ELECTRIC C/O NORRIS & STEVENS 16310 SE RHONE 621 SW MORRISON #800 PORTLAND, OR 97236 PORTLAND, OR 972045 Phone: 503- 223 -3171 Phone: 503- 969 -2191 Reg #: LIC 49883 SUP 1691S ELE 26 -506C FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 11/18/2004 $75.00 • Elect'I Final [TAX] 8% State Surchart 11/18/2004 $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 foil esacjopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 throu OAR 952 - 001 -010' o ay obtain copies of these rules or direct questions to • - NC at (503) 246 -6699. Iss ed by �! i1 �/ - Permittee signature _�. :/ • OWNER INSTALLATION ONL 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day ElectricaKPermit Application FOR OFFICE USE ONLY • ReceiDa : ved i A , Permit „ C 3S8 City of Tigard , 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • Phone: 503.639.4171 Fax: 503.598.1960 'u i � Date/B : Other Permit: Inspection Line: 503.639.4175 ' Date Ready/By: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: l /I- Supplemental information TYPE "-OF. WORK • - PLAN REVIEW .` :'.:: ❑ New construction X.Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: Service over 225 amps, comm'l ❑Hazardous location . ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., - • • ,CATEGORY 'OF ,CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential • ❑ 1- and 2- family dwellingommercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family 0 Master builder 0 Other: ['Building over three stories ['Feeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION � �✓� • • ' - ❑Egress/lighting plan RV park s /Mg no.: Job site addres S, l!l r� /,,�„ K/r ❑Health -care facility ['Other: /] `r Submit 2 sets of plans with any of the above. City/ State/ZIP: / l r�./� /' [ The above are not applicable to temporary construction service. Suite/bldg. /apt. no. / y "� Project name: Ze C � / /_ FEE* SCHEDULE , . <i %:. .i ! ( Y Description I Qty. I Fee. I Total I *. Cross street/directions to job site : / New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 - Limited energy, non - residential 75.00 • 2 DESCRIPTION OF WORK- Each manufactured or modular dwelling, service and /or feeder 90.90 2 J6. lg (..-'e ' Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 • PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 D 401 amps to 600 amps 160.60 2 Name: 1�.' f �(. vv... e0 k f - �, / ` 601 amps to 1,000 amps 240.60 2 Address: 6.4 t�se,Qls ` * f Z/4 pi Ns) r ID0/5N Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: LD Q Q. q 7 ;04 c Temporary services or feeders installation, alteration, and/or relocation Phone: a ? a. . 7- 3 7 I 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or pee ✓ r/ extension. Describe: Page 2 ?5 O 2 Business name: S c / L. : �o� �• �� Address: JJ,,, /� Each additional inspection over allowable in any of the above /6 ✓ �{ l� t v[® ��C Per inspection 62.50 City/State/ZIP: tr -1/t gA ®✓- t7 7 ,, Investigation per hour (I hr min) 62.50 Phone: (9-03) 1111 6 q ..... n ( Fax �) ��D��� © Industrial plant per hour 73.75 a� ELECTRICAL PERMIT FEES* CCB Lic.: l -1 r y Electrical Lic.: -6-46 Suprv. Lic /69/�� S 75• 00 Suprv. Electrician signature, required: / j � v/ Re4 Plan review (25% of permit fee) fta/1 j/ State surcharge (8% of permit fee) • O 0 Print name: �/t 4 ez j o S Date: // DO {/L / TOTAL PERMIT FEE S' l Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri-County Building industry Service Board • • Number of inspections per permit allowed. i:\ Building \Permiu\ELC- PermitApp.doc 12/03 440 -4615T(10 /02/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: ^ j Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) 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 ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other , Total number of commercial systems: *No licenses are required. Licenses are required for all other installations is\ Building \Pmnits\ELC- PemdtApp.doc 04/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line:- (503) 639 -4175 INSPECTION DIVISION Business tine: (503) 639 -4171 MST / / BUP Received L Date Requested / / 2 —44v AM PM BUP , Location 7 'Z6 9 '7 e../ - (� �(�D.r . Suite L MEC Contact Person Ph ( ) f 9 — a / ° �/ PLM Contractor or Ph ( SWR ) BUILDING Tenant/Owner 6 40 /1 - Al G'r C..)/(1 ELC Footing Foundation ELC g Access: Ft Drain ELR 07) -Od3 S & Crawl Drain Slab Inspection Notes: SIT Post & Beam Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation 42 s f n/ I Drywall Nailing 1 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm hb D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S E E] Please call for reinspection RE: LI Unable to inspect — no access Fire ADASupply Line / L 4 c�+ v Approach/Sidewalk Date Z ` ` 0 Y Inspector G _ Ext / Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL