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Permit z: ' -CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00056 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/1/2007 PARCEL: 1 S126BC -01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 ZONING: C -G SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG PROJECT: GRESS LAW FIRM Project Description: Low voltage for phone and 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: PORTLAND OFFICE ASSOCIATES T & L COMMUNICATIONS INC BY TC PORTLAND, INC PO BOX 87387 8930 SW GEMINI DR VANCOUVER, WA 98687 -7387 BEAVERTON, OR 97008 Phone: Contact #: PRI 360 - 737 -9725 FAX 360 - 737 -9648 FEES Reg #: ELE 37- 428CLE LIC 67787 Description Date Amount [ELPRMT] ELR Permit 3/1/2007 $75.00 [TAX] 8% State Surcha 3/1/2007 $6.00 REQUIRED ITEMS AND REPORTS 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 issuanc =, • wo ' uspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utili otification Centers. T • - rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 You may obtain copies of these rul • s or direct questions t. • UNC . 13.246.6699 or 1.800.332.2344. / / Is ued By: , , _11 fie /1 4 L Permittee Signature: � i 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. . gtrical re A . icatt O l�_ .Fv ' c' I 1 E ' FOR OFFICE USE ONLY City'of'Tigard � , . ._ L _ Date/By. ° r i�a7 Permit No.: g '/49� 7V� 13125 SW Hall Blvd., Tigard, OR 97223 q n - Plan Review Phone: 503.639.4171 Fax: 503.598.1960 r) 0 ! LU °'= jY f, 1 ' • Dale/B • Other Permit: Inspection Line: 503.639.4175 ' " ' a '"' '� Date ReadyBy: ® See Page 2 for Internet: www.ci.tigard.or.us Q � 0 1 7"' Notified/Method Supplemental Information 11 T OI I. ( - , - ' t (TT '� .+ PLAN REVIEW ❑ New construction ❑ A�Aiiio?i/a/Iterati on/replacement Please check all that apply: El Demolition ❑Other: ['Service over 225 amps, com'I 0 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 dwelling g ❑ Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure El 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 0 Egress/lighting plan RV park Job no.: Job site addre laz,S ��`,t� �� ❑ Healthcare facility DOther: Submit 2 sets of plans with any of the above. City/State/ZIP: ��� The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: SE Project name: 3 1,wi Cr 3 L ,s OR a Description I Qty. I Fee. 1 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'I 500 sq. ft or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular t dwelling, service and/or feeder 90.90 2 �� 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 2 401 amps to 600 amps 160.60 2 Name: 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 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with c / service or feeder fee, each 6.65 2 Business name: G0�21Wee (� � branch circuit ) B. Fee for branch circuits Contact name: e 6 `j J & r'l ' -I without service or feeder fee, 46.85 2 Address: � ' X3 each branch branch it r 1�-' Each add'I branch circuit 6.65 _ 2 City/State/ZIP: '--. / /+ Miscellaneous (service or feeder not included) Phone: 3 X72 $ Fax: : (3e 6Ve" 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 exten ' Describe: f Page 2 2 Business name: e L Gp y id-- / i., Ca (t (1, ( 1� Address: (' /� s,,--) Each additional inspection over allowable in any of the above I �' Per inspection 62.50 City/State/ZIP: l��h C4 (4�7-1f----4._/k4— Investigation per hour (1 hr min) 62.50 Phone: „o) '2; g ..- ) � � 2 Fax: ) 7 J 7? v to I - Industrial plant per hour - 73.75 �J ELECTRICAL PERMIT FEES* CCB Lic.:t )7 V7 Electrical Lic .;,3i Suprv. Lic.: i�� Subtotal 76 Suprv. Electrician signature, required: J Plan review (25% of permit fee) Print name: Lard v_eushct tAJ Date /.--67 State surcharge (8% of permit fee) . D'� TOTAL PERMIT FEE 6/ , !> U Authorized signature: , / , This permit application expires if a permit is not obtained within 180 ili■alf days after it has been accepted as complete Print name: I`I.L Sj , J Date: --a� ✓6 7 • Fee methodology set by Tri- County Building Industry Service Board 6.2 Y' •• Number of inspections per permit allowed. is\ Building \Permits\ELC- PermitApp.doc 12/03 J C57 440- 4615T(10/02/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -0006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007 Phone: (503) 639- 4171a� 1hl�l Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD' 560 CLASS OF WORK: SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE: PROJECT NAME: GRESS LAW FIRM DESCRIPTION: Low voltage for phone and data. OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: T & L COMMUNICATIONS INC . PHONE #: 360 - 737 -9725 Inspection Request Scheduled For: Date: 3/29 /2007 Pour Time: Code # Inspection Description 'rm # Contact # Message 199 Electrical final 045697- 1 360. 518 -5185 N Corrections /Comments /Instructions: \\\ • -1 N -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ , NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r be) L� Date: 3' "Z� 0`1 Phone #: (503) 718- 2"ILib • CITY OF TIGARD a r BUILDING DIVISION PERMIT #: ELR2007 -00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 � e -.. INSPECTION WORKSHEET FOR DATE: 315/2001 TIME: 7:U0AM PAGE: 47 . SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 CLASS OF WORK: SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE: PROJECT NAME: GRESS LAW FIRM DESCRIPTION: Low voltage for phone and data. OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360 - 737.9725 Inspection Request Scheduled For: Date: 3/5i 2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low vo lt_age - 360 - 737 -9725 ' Y Corrections /Comments /Instructions: - SI 8 - gig 5 CJ Rio N G ALL of.) v6 D \(d 14 1 0,v \t; 0144 INR1 VAI ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL Nt CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY t ' " Date: '5 ' '7 L v Phone #: (503) 718- 2-