Permit • 99 ERMI
� , / `' /' / � �S�ICTED E �RGWPT
gi CITY OF TI CTRICAL
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00412
TIGARD DATE ISSUED: 11/6/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DA - 00102
SITE ADDRESS: 13221 SW 68TH PKWY 500 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG •
PROJECT: UNIVERSITY OF PHOENIX
Project Description: Installation of (12) data drops. Job No. 311480095
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:
TIGARD TRIANGLE I LLC NEWTECH ELECTRIC
4650 SW MACADAM AVE STE 220 13970 SW 72ND AVE
PORTLAND, OR 97201 PORTLAND, OR 97224
Phone: Contact #: PRI 503- 648 -1900
FAX 503- 670 -9572
FEES Reg #: ELE 26 -418c
LIC 41868
Description Date Amount SUP 3849S
[ELPRMT] ELR Permit 11/6/2007 $75.00
[TAX] 8% State Surchar€ 11/6/2007 $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 issuance, or if work is
suspende re_than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules set forth in OAR•9 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503. 46.6699 or 1.800.332. • . C `
Issue By: (, , LL� Permittee Sig lure: e) , ,
OWNER INSTALLATION 0
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.
. 11/06/2007 10:50 5036709571 NEW TECH ELECTRIC PAGE 01/02
\flf n. Fi
Eaectrical Permit Pp t \ e, .F
ls'� Received Permit No.: G A007--CO ��
City of Tigard DateByt f1 4 v 7 •4
ilk .. 13125 SW Hall Blvd., Tigard, OR 97221- 'nl 06 2007 • rim Review Othe ult
r Pen
` Phone: 503,639.4171 Fax: 503.598.19 Datertay:
Inspection Line: 503.(139.4175 C T l , O , I to Rcndy/ny: 1" El See Page 2 for
�' i t ARP d ( j A •t G ficd/Method: t Supplemental Information
Internet: www.tigard- or'.gov 1 �
hf is i erg ; , 6 , l ' r J �' "11�,.t' X11
1 n�,1 �jpy 7, -�f1f' Jk .: � , �(� {�f ' r n �� i i�• 1 � 4, ' � ri ,4�'�tr: I� r ) � � � A • r ' i' •
°
YI ` � i ��' •.'. f�lrf�.'S ,/ y,IN''11 a I e .1 1 I' ' t '1 '' li 7 1 �{,J_ I �, i'. '1. � Jr � N'"' ' • ' tl'. • ' illlli( "� i 4y � � �f] �J frrt�sM � � . 1, :
u Please check all that apply (submit Z sets of plans w/itetrts checked below):
❑ New construction freldct on a teration/replacement 0 service or feeder 400 amps or more 0 pnilding over three stories.
❑ Demolition ❑ Other: where the avoilnbIe faolt caveat 0 Mnrirsss and boatyards.
l ^ Trill t (, t';' ' ; I i iii41l ir, { "•y�' I 1 v � I nt 150 volts or ❑ Floating buildin . .
'at ( . . Ili`tiyii'yy 1 11 a 1 � r t� c v ' �,, a ' ' � ,�1, �'') pJ '{ � 1I i� r 1 �bl�' cc= „4, 10 am g Ira h
rl. � „ I h , a ' G�, it 1
F. it .. r 1 . ' ) I less to ground. nr exceeds 14.000 ❑ Commercial -toe agriculture
❑ 1.- and 2- family dwelling t-. Tnmercial/industrial ❑ Accessory building nrt,x for n11 other installations. buildings.
CI Multi-family 0 Master builder ❑ Other: 0 Fire Pomp• ❑ fnatalletion of 75 KVA m
�) v r ro .3/1645 (,r�;p 1 1 (a ❑ Emergency syerem. larger separately derived system
iii h yiN1� gi� ; � �i fi 1 n A ddltlon o f new rooter lend of "A ", "r,' °t -2-, 111.3
f. ,r 1 ! N e.. 1, .- •r. J •,.•mwoq., ..Cu a• " ...neWGmxni - +r.re .r ll a J, a { • ....,! ❑ •
1,V*OV 4 Job site address: y , 2, I TN h00 or mars. Recreational Job no.?)
J 2 � �v �"^' � Six or more residential mills. 0 Rccrctienal vehlcle parks.
El /State/ZIP: T �-re ) 0 Health- ous facilities. [{ Supply voltage far more than
Ci
ty ( l OP- O ❑ Hazndous locadmts. 600 volts nominal,
Suite/bldg./apt. no.: 'project name 1 e.. , O Service or feeder 600 amps or more.
O I ,l/1r1�m i 1 +1 ,,11.; : p;1 1 Eta ■y�y�y�yli n.I lii : 14' ,1 I f1 i •1 1
�' ?`II I��� '.1 l l :�Cl�a� ,�- �`v IIr Ni ,IXI 1 1 11
Cross street/directions to job site: o.±pLp sn Qty. Ree. Total
New residential single- or multi- family dwelling unit.
includes attached garage.
Subdivision: I Lot no.: 1 M0 sq. ft. or kss 145.15 4
Ea. add 500 sq. R or portion . 33.40 1
Tax map /parcel no.: • Limited energy. residential
. I , m ,.,,. y ' ;.r rr. 9j ,, �, � 75.00 2
(gyt'r (�flgi lir r ,,'{ {[r ., i'.g,'iw f 'I•,�: o._'.1 k61. 'o{ ' ',.•.'4.. .• 9 1, t ',.,1 1i {
I Fc ; I ,1{.tlf (with above N. R.)
,� w Limited energy, multi - family 75,00 2
1 �A1.�- 11— DATA c,P—o residcntiaijwithabove sq. ft.) ,
Services or feeders installatinn and/or relocation
200 amps or lcss 80.30 2
1. fiJ'n'1!J ) r gl. PN' I' a yo}�^�.g t lt: "hni' I' n i pl
iii r' . :107 r 1 • n s : l ' r r 'r4 r o F �I ,' , 1 1 1 201 amps �%!! , � -' 1 , • �Pnit�r ' I 4',!q,':1',./ i ,'r 1; � ru . e,"� � �:�'ir(Ii�•tq c to 400 amps 106.85 2 p•
Name: • 401 amps to 600 amps 160.60 2
601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/Statc/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) i Fax: ( ) 200 amps or less 00.85 T2-:
Owner installation: This installation is being made on property that I own which is not 201 amps to 401) amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447.449, 670, and 701. 401 amps to 599 amps 133.75
Owner signature: Date: Branch circuits - new, alteration, or extension, firer panel
A. Fee for branch circuits with
;! r > r , rI nl! r i�n�; 3 < i li +;g' t r l " 11 Cr;; `ilia above service ar feeder fee.
��ft�ll���y. !����if ;;���pu�:vl�'(rinll:r, �YW�� ,� {!�r�,���r�1•„1`;_"� "f,"'��1 �I�If;ril I, r( (1.65 2
each branch circuit
11 Y' ,: r, .Xi. h 4 t rr n.r,,l•�r I ' pr.
Business name: B. Fee for branch ci real ta
Contact name; without service or feeder fee, 46,85 2
first branch circuit _
Address: Each add'l iranch circuit _ 6.65 2
Miscellaneous (service or feeder not Included)
City /State/ZLP: Each manufactured or modular
dwelling. service and /or feeder 90.90 2
Phone: ( ) i Fax:: ( ) _ Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
°il li:ltii iVg ill. L l ' ,,. ,.. :I !Ii'. r'!I it : 7i?i: l Q .I 'I I', ; IP'i,' . '!{ ':!P. r(;Ir �i t n r i or outline ll tin 53.40 2
• J .. � •., .. � •J. .;�`i� ; ;. , A�1 N4'd -�l I;li;�9�Y�t�A'!R�,,a�4�e�r;,r �,�a:(� 7 +,iil,l, I i .,.,�r.�' ;�" ,>i. � . ;� Sigtt o o got g
L 1..) �J. .�1, 1 l'1 v ., ,� Jr ea,IM1 ... .o: ... 1'VI r,. IIi:1.., r6.ti, t
Business name: Signal circuit(s) or limited-
(J�1„,j 1 tze_14. ) t 11 --le- , energy panel. alteration. or
',70 41 : 7 L) 121st XJE extension. Describe: Page 2 1 � ^
Address: 2
City/State/ZTP: P % i .J I op— 1�2,.'S Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) ( . le o Fax; ( ) 2 7O lo . Investigation per hour (t hr min) 62.50
CCB Lie.: 4(1365 Electrical Lie.: 7.I.'4 – t,c. Suprv. Lie.: gjg,q,9, Industrial plant per hour 73.75
IV ..'r IS.'{ cr.9 :'I a eo-•,a
Suprv. Electrician signature, required: `w./ PA'� /Vr 4 • lubtotat: _3--- --
• 9 t-- G _ Plan review (25°0 of permit fee):
Print name: ■ i r r4 a 1"S co Date: l �
/ State surcharge (8% of permit fee):
U —
Authorized signature: TOTAL PERMIT FEE: J I
Print name: I Date: This permit application expires If n permit is lint of rained within 180
days after it has been accepted as complete-
r Number of inspections allowed per permit.
r;w.,INPo,aV 'rm,u1RLC- raym,i trm,,lnc 05/E31a6* 1 J' Mlt AftST(l1,ron nM,WFa
City of Tigard, Oregon o 13125 SW Hall Blvd. 0 Tigard, OR 97223 ,
i ...' .,: ,
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ice- ; . , L-14 '.. A
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November 19, 2 007
New Tech Electric, Inc. .
13970 SW 72 Ave.
Portland, OR 97223
Attn: Joseph Bonn
•
Re: Permit No. ELR2007 -00412
Dear Mr. Bonn:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 13221 SW 68 Pkwy '1*S
• Project Name: University of Phoenix
Job No.: N/A
Refund: ❑ Check # in the am ount of $ .
❑ Credit card "return" receipt in the amount of $ .
® Trust account "deposit" receipt in the amount of $64.80.
•
Notes: Per applicant's request as work was at a different address (Hillsboro); refund 80% of
permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Coordinator
Enc. ' •
I: \Building \Refunds\ Administration \LtRefund- CancelPermit.doc 01/16/07
Phone: 503.639.4171 o Fax: 503.684.7297 o www.tigard- or.gov o TTY Relay: 503.684.2772
' 12:22 5036709571 NEW TECH ELECTRIC PAGE 01/02
• Community Development
RECE
Request for Permit Action Iv O V - 9 7 ° 0
u1SY VIS ° /\
TO: CITY OF TIGARD
Building Division Services Coordinator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503,718.2430 Fax; 303.598.1960 www,tigard- or.gov
•
FROM: ❑ owner ❑ Applicant Contractor Q City Staff
ovec cm)
REFUND OR Name:
INVOICE TO: rem Tndividutl) LicLi fe ( EteC_�LICr, I ii(_,
Mailing Address: 13(117 ��J �]Zr.r� Avc
City/State /Zip:' Po �T►�AN
Phone No.: . 1 l e O
PLEAS AKE ACTION k'OR THE ITEM(S) CHECKED (1):
CANCEL PERMIT APPLICATION.
REFUND PERMIT FE,F.S (attach receipt, if available).
❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ . REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Peralit #: tut- 2- oa —o04 12.- ® ® Site Address or Parcel #: 13222 1 G
/ /0 7 Project Name: ULi lu $G,1T' O{�
Subdivision Name: Lot #:
EXPLANATION: _ ' Quer..-r=d
t..]L�P-F -cCiT
Signature: t . Date: II p�+, , o�
.Paint Name:
)kef n i Policy
1, The Director or Building °fail! mny authorise the reAmil 06
h) nor fix
on tthan 80 of die land use collected,
ec apps anion fee when an
• c) not more than 8(yyn of the lend u o application fcc far a ucd pet. is withdrawn or canceled Wow any review olxort has been cepcnded
d) not more then 80% of the baBdmg plan review fee when an app{ice ion is canceled before any plan review effort Into been tdcd.
c) not mnev then 809b of the latrildlnepemvt fee fee ivcactt peonite prier re m,9 hmpection requt er..
2. Rotunda will be returned to the original Payer in the tame method in which payment tat rmdved. Pietro allow 1.2 weolo for proem g rolnndn.
car; Ga rlc:l r.:5TE ONLY
Rte to a Admin Aatc /. " J o L Z 1 Rte to 81d Admire Date ,AW E i/i
Refund Processed: Date / /MVO 7 $ c %% Invoice Pmeceatdt Data $ ,
Permit Canceled: Date / /A7 = Parcel Ta. Added: Date g
Recut # 4 — 9 ' Daze " / G a 7 Method ! 7 .0 S i Amount,
1 :\ Bufiding‘Pea !mt\,RcretrnitACNOfl.do R v 07/26/07
A /T 6
779 e
/ern geTA0 GVh
re 772 /lee
.�_ W.07/2007 15:14 5036709571 NEW TECH ELECTRIC PAGE 01/02
New Tech
' E L E C T R I C
.if
FtX € O VE f Sii[EiErir
The information contained in this facsimile is confidential and is intended only for the use of the individual named. if
you have received this in error, please notify us at the number listed and destroy the document that was sent in error.
Confidentiality is protected by law and your cooperation is appreciated.
Date: ►l . " i. e �i
To: GI• of ilt,AP'D Phone:
At: Fax: . # , • 19l, o
From: f A-p Phone: 1.43 . tgoo
At: 1•J x-4.1 T .4-1 -Fax: •
Number of pages including cover sheet: 11.. I
Message:
1 1. --1 4t 11.A L..11�••�. , C �}1�1L�L �S l p.4-4 IT AS i r _ ,
Pl,. Ae.t Qom - c.DPiatizr ftc717 •S iS ir.l N ita,.� •,1� q
a&A PU..11r> i E c osT TO eq..1 12- TP- 1
7i-J t�S
1�E�- tt►�IiT.
13970 SW 72 Ave. a Portland, Oregon 97223 m 503.648.1900 IN COB #41868