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Permit (216) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ■ COMMUNITY DEVELOPMENT Permit#: ELR2018-00095 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2018 TIt,Ala C� 9 ` '' Wiffi"M"' Parcel: 1S135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST 200 Project: Cascade Management Subdivision: ASHBROOK FARM Lot: 5 Project Description: Limited energy for relocation of thermostat for TI. 8/30/18:REPRINT to correct project name and suite number. Contractor: HUNTER DAVISSON INC Owner: PLAZA WEST OWNER LLC 1800 SE PERSHING ST BY CHIEF FINANCIAL OFFICER PORTLAND, OR 97202 680 FIFTH AVE 20TH FL NEW YORK, NY 10019 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Description Date Amount Specifics: Restricted Energy Permit 07/19/2018 $75.00 12%State Surcharge-Electrical 07/19/2018 $9.00 Type of Use: SF Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 0 HVAC: 1 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-.01-0090. You may obtain a cow of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • 4/ Issued By: t'«� /, //� �� ermittee Signature: x 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2018-00095 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2018 T r C ;�tt.[� g Parcel: 1S135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST 380 Project: PrimePay Subdivision: ASHBROOK FARM Lot: 5 Project Description: Limited energy for relocation of thermostat for TI. Contractor: HUNTER DAVISSON INC Owner: PLAZA WEST OWNER LLC 1800 SE PERSHING ST BY CHIEF FINANCIAL OFFICER PORTLAND, OR 97202 680 FIFTH AVE 20TH FL NEW YORK, NY 10019 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Description Date Amount Specifics: Restricted Energy Permit 07/19/2018 $75.00 12%State Surcharge-Electrical 07/19/2018 $9.00 Type of Use: SF Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 0 HVAC: 1 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 987 or 1.800.332.2344. S Issued By: - AO i, rticLi 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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 FOR OFFICE USE ONLY R I F:7 a `Received City of Tigard �'°. DaceB !IN - '' 13125 SW Hall Blvd.,Tigard,OR 97223 JUNPlan Review I Phone: 503.718.2439 Fax: 503.598.1960 0 r 2 018 Date/By: Related Permit#: ,t,,/�G F x 7, „ C inspection Line: 503.639.4175 Ready Date/By: Juris: 0 See Page z tor TIGARD Internet: www.tigard-or.gov CITY OF `' ;'y Notified/Method: Supplemental Information CITY ' - .TY.PA.of WQT ..rtita .a .,:J ,,:.. ',.. -- . " •- „VAN REVIEW.:,-, ['New construction 'Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATI GOle OF CONSTRUCT-©N exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ I-and 2-family dwelling $Commercial/industrial IIIAccessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family El Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or ,40B SY[E'Il FORM I(2 1_ ND.LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#:18/7 I Job site address: T 6 0 SW OS/� S`7t 100HP or more. ❑"A","E",`°t-2","t-3", ElSix or more residential units. occupancy. City/State/ZIP: gofa' D/P ?7.2 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Li I Project name: -GQ ❑Hazardous locations 0 Supply voltage for more than 600 volts nominal ❑Service or feeder 600 amps or more. Cross street/directions to job site: M a.Na m el,/Y" _ /2/1/41 rx,ors FEE,SCHEDULE " DescriptionI Qty. I Each 1 Total I * /Or/0/1 L� e�(., New residential single-or multi-family dwelling unit. Subdivision: / (f I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF-WOW< Limited energy,residential 75.00 2 1 / ^- (with above sq.ft.) Low /iv«a 2r,M 6S-141-7 I�(.L CG./C_.Fi( 7/ Limited energy,multi-family T residential(with above sq.ft.) 75.00 2 Q G KM/H �1 Renewable Energy 0 See Page 2 liel.PROPERTY OWNER t •.. ❑ TEIAN7` -.' '. Services or feeders installation,alteration,and/or relocation f200 amps or less 100.70 2 Name: C��) C pMMP,rci4/ �ATTrezL rS - L• p Address: Ss-i./..? S `sf / 201 amps to 400 amps 133.56 2 rG`e_p 401 amps to 600 amps 200.34 2 City/State/ZIP: * T',�N (�4 ,1=-6-2,/a2 601 amps to 1,000 amps 301.04 2 Phone:(�) 1 / S3. Fax:( ) Over 1,000 amps or volts 552.26 2 � Temporary services or feeders installation,alteration,and/or Email: o1Q.ve 6I,j N6) CC/3C , C-0/V1 relocation Owner installation: This installation is b ng made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date:; � -•-• -- -- 401 amps toamp 2 O , C,T, PECO - Branch circuits-new,alteration,or extensionper panel c APIICAYT' : - �'0 C' NA ; RSN, A.Fee for branch circuit with Business name: /�j�wATA,(-,_OG 1/j,S-foN �iV G• above service or feeder fee, 7.42 2 Contact name: /l— / each branch circuit q,- 1,N rt 4� B.Fee for branch circuits without Address: y service or feeder fee,first perp O SZ Qr',f"4/ t� j"--A" branch circuit 56.18 2 City/State/ZIP: r/Lani 6/ 0/e / 'a pa Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 2e) 7S g' S 2 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: /�tt/i"t q �/ i-�Vt('j"b�t/ , G e/1^ Reconnect only 67.84 2 t,! .- CONTRACTOR- Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy I:] See Page 2 2 Address: panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above -- Additional inspection(1 hr min) 66.25/hr Phone:( )' Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.:/‘/2 Electrical Li .:ac_ 2Gcc sp Suprv.Lic.:6v o z2 ecifically listed(%hr min) . ELECTRICAL"PERMIT FEES Suprv.Electrician signature,required: Subtotal: - Print name: Date: El Plan Review Required(25%of permit fee): �?/M �alVi SSON State surcharge(12%of permit fee): Authorized signature: / TOTAL PERMIT FEE: 1 This permit application expires if a permit is not obtained within 180 Print name: Q „/ q i-. Date: �4J=icr days after it has been accepted as complete. J" U * Nntnber of inspections allowed per permit. C\Building\Permits\ELC_PermitA _ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 I Qty. I Each ( 'Total Description y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.O1to15kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed /z hr mm) f Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation /;1 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 I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9600 SW OAK ST 380, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2018-00095 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor