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Permit CITY OF F T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00193 DATE ISSUED: 7/8/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB -00300 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 ZONING: I -L SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG PROJECT: 20/20 Project Description: Installation of low voltage for data. 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: OPUS NW TELEDIGIT INC 1500 SW FIRST AVE #1100 PO BOX 22287 PORTLAND, OR 97201 PORTLAND, OR 97269 Phone: 503- 916 -8963 Contact #: PRI 503- 722 -8084 FAX 503- 722 -9914 FEES Reg #: ELE 3- 414CLE LIC 116188 Description Date Amount [ELPRMT] ELR Permit 7/8/2008 $75.00 [TAX] 12% State Surcha 7/8/2008 $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 suspen• _ - = ore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those es are set fo - in O; •.2- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 2' 6.6699 or 1.800. :t2 344. // Issue' By: . 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. ect ecil Permit Application I• {)R- 0FVI GE- LSi -0 -NI III City of Tigard 7 �O Permit No: ��Qa /� ° 1 3125 SW Hall Blvd , Tigard, OR 97223 Plan Review - ei . — Phone. 503.639.4171 Fax 503.598.1960 Date/B Other Permit T I G A R D Inspection Line 503 639.4175 Date Ready RI See Page 2 for Internet www.tigard- or.gov Notified/Method Supplemental Information - 1 TYPE OF WORK PLAN REVIEW Please check all that apply (submit sets of plans wiitems checked below). ❑ New construction ® Addition/alteration/replacement ❑ Service nr feeder 400 amps nr more ❑ Building over three stones ❑ Demolition ❑ Other where the available fault current ❑ Mannas 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/industnal ❑ Accessory building amps for all other installations buildings ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system 0 Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", I Job no . Job site address: 16037 SW Boones Ferry Road 1 or more occupancy. I ❑ Six x o or r more residential units ❑ Recreational vehicle parks �,lty/State/ZTP• Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than I I ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.. 150 I Project name: 20/20 Institute ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I qty I Fee, 1 Total I • I New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: it no 1,000 sq ft. or less I 145.15 I 4 Ea. add'l 500 sq ft. or portion 33 40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 I DESCRIPTION OF WORK (with above sq. R.) Voice./Data Cabling Limited energy, multi - family 75 00 2 g residential (with above sq. ft) i Services or feeders installation, alteration, and/or relocation 1 200 amps or less 80 30 2 I ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2 Name. 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240 60 i 2 Address: I Over 1,000 amps or volts 454.65 I 2 City /State /ZIP Temporary services or feeders installation, alteration, and/or relocation Phone ( ) Fax ( ) 200 amps or less 66.85 ' l Owner installation: This installation is being made on property that I own which is not 1 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 1 401 amps to 599 amps I 133.75 2 Owner signature: Date: I Branch circuits - new, alteration, or extension, per panel 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 I Contact name: without service or feeder fee I 46 85 2 first branch circuit Address- Each add'l branch circuit 6 65 2 I Miscellaneous (service or feeder not included) City / State/ZIP: Each uutnufactuied w modular dwelling, service and/or feedei 90 90 2 Phone: ( ) I Fax.: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53 40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circnit(s) or limiter(- I Business name. Teledigit Inc. I energy panel, alteration, or Address: PO Box 22287 1 extension Descrihe.,(i 1 Page 2 75 00 2 1 City/State/ZIP: Portland, OR 97269 /1 .I ` Each additional inspection over allowable in any of the above I I Per inspection 62 50 Phone: (503) 722 -8084 Fax (503) 722 -9914 Investigation per hour (1 hr min) 62 50 CCB Lic.: 116188 Electrical Lie.: 3- 414CLE I Su i Lie . 815LEA Industrial plant per hour 73 75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required Subtotal 75 00 Print name: Art Rosado Date: 7/7/08 Plan review (25% of permit fee) State surcharge (12% of permit fee). 9 00 Authorized signature. TOTAL PERMIT FEE: 84 00 Print name: Art Rosado Date: 7/7/08 This p ermit application expires it a permit is not obtained within 180 days after it has been accepted as complete. CITY .OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-00193 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/8/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 F.. -.. INSPECTION WORKSHEET FOR DATE: 7/30/2008 TIME: 7:01AM PAGE: 41 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 16037 SW UPPER BOONES FERRY RD LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE 20/20 DESCRIPTION: Installation of low voltage for data. OWNER: OPUS NW, PHONE #: 503916 -8963 CONTRACTOR: TELEDIGIT INC PHONE #: 503722 -8064 Inspection Request Scheduled For: Date: 7/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 073441 -01 503.819 -9620 ' Y Corrections /Comments /Instructions: ,X \ \A • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G' N 6 Q) 1 -A - Date: iA l 1 0 Phone #: (503) 718-1-414 CITY TIGARD - t. A 1 BUILDING DIVISION PERMIT # ELR2008 -00193 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 702008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ''I �- INSPECTION WORKSHEET FOR DATE: 7/29/2008 TIME: 7 :01AM PAGE: 29 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME. 20/20 DESCRIPTION: Installation of low voltage for data. OWNER: OPUS NW, PHONE #: 503- 916 -8963 CONTRACTOR: TELEDIGIT INC PHONE #: 503 - 722 -8084 Inspection Request Scheduled For: Date 7/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 073367 -01 503 - 819 -9620 \ Y Corrections /Comments /Instructions: G a vwo ALL wAtI A L P 645 be 4 c( e 1ta'p . (e300.100 . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL jk CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G - I ` ( %e L E — Date: 1 (1c1 Phone #: (503) 718- • CITY OF TIGARD .* B 1 UILDING DIVISION a PERMIT #: ELR2008 00193 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/81)008 Phone: (503) 639 -4171^ Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: 20/20 DESCRIPTION: Installation of low voltage for data. OWNER: OPUS NW, PHONE #: 503- 916.8963 CONTRACTOR: TELEDIGIT INC PHONE #: 503722 - 8084 Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 072804 -01 503 - 784 -3859 Y RA Corrections/Comments/Instructions: Cr RAMIZ), Si *.L 3o3_ 1I17- 1t E�.f U Kr-- I�� - T - ' _c_ cry, --� LAS� ', NS ° 1 N(‘N, CN ilo N5 1 0 .5S Np. N')? 1& `tf 6Zw a �� IN`%R' e N ; C� % 1 g 4(4 5 0 grrnA P i- \ ►'.1 PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FA L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G---1 Iv 66 Date: 1 Vn 64 t Phone #: (503) 718- 1, "