Loading...
Permit y ig` 1 1 CITY OF TI GA R D ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00085 TIGARD:' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/20/2007 PARCEL: 1S136DD -00200 SITE ADDRESS: 11560 SW 67TH AVE ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 004 JURISDICTION: TIG PROJECT: GREEN OFFICE BLDG. VESTIBULE Project Description: (2) Systems: Security and cameras A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: CAMERA X TOTAL # OF SYSTEMS: 2 Owner: Contractor: JOE GREEN INVESTMENT CO QUADRANT SECURITY INC PO BOX 1 PO BOX 14833 DONALD, OR 97020 PORTLAND, OR 97293 Phone: 503- 970 -2927 Contact #: PRI 503- 234 -5558 FAX 503- 236 -2322 FEES Reg #: ELE 26- 565CLE LIC 96806 Description Date Amount [ELPRMT] ELR Permit 3/20/2007 $150.00 [TAX] 8% State Surcha 3/20/2007 $12.00 REQUIRED ITEMS AND REPORTS Total $162.00 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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: C \ 10 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. i 1L.%-A- . -C'1L 1'Ylril EleCtr cal Permit Appl P1- r t ,�� �� t #� T �. � 1 � ;i a . ve d ' t ,&-4. si l l l : i I () \I',1 -., - . 4" ' ' " : y City of Tigard ,p 13125 SW Hall Blvd, Tigard, OR 97223 newB : f7 fl7 Permit No. - , � _ vo o g5 to"; Phone: 543.639 -417! Fax: 50 3,598.1960 1 ' 1 !� 1 �, Plan keview Ins etion Line: 503.639,4I75 201 ' >aateBy: Other Prumir. CITY �.�r f i ' rj t: wwW.ci,ti atd.or us Y U r s• ' "° s NM e i of 'la if g Page Z far intc g 11G� Notltied/lltetliad w x s i w i" 'f n r� ar Information ty'' �' 2:�` ;r+t'' 1 �-j� SaADlerueUtallnfar :I 4, y :ii 'w .47W. rf. .,1a ::T'� F S `.St3 q +�w 'fj •H. c'� , °�y � , f"J" i y }A -6 v '."dA��'v15 .x: + t`i��" +, +t �'! y'��' r , � ! ":,,r, • ,;ti 7;7.4 s . n. •�) 0 New construction ,. _ ddition/alteration/replacemcnt Please chock all that apply: w4, ` '' `' = ❑ Demolition } , ,..:..j.,. , ��..� : 1 ` r, . Others Service over 225 amps, comm'l 1•iazardous location '" `:' 4 , I ''- . ` Y w� , r. _,.14„, u „ ' era' l h , , v s i • n a s s . , c :; ' u 0 Service over 320 amps - ratio O13uildng 10,000 s 8., a n sik'Ya'"g.t 8 over q. t "! �' ^ s 'sohry of I- and 2- f dwellings 4 or more now residential ❑ 1- and 2- family dwelling V ommercial/industrial �❑ Accessory building ❑System over 600 volts nominal units in one struelurc i ❑B [] Multi - family ❑ Master builder uldin over �,, l 0 n three stories (]Feeders, 400 amps or more }�;, yk� ;:'d-$:;r;L:.':;`r !'r' ` vj''ttla'u , ,,i a .:.. ❑Occupant load over 99 . ' .f-, 4 <' ; -1 •Y z 's. , y x<s�•s.:,1;� ;t •; persons OManuEaetured structures or ' ' r• m a�, "�: fia?�?: ❑E un plan 1W park Job rlo.; Job site address: , � 1 r' 4i °Health -care facility ❑Other: City/State/ZIP: 7 © � 6 ? Qiy Twa Submit 2 sets of plans with any of the above, { The above are not applicable to temporary construction service, Suite/bldgiapt. no -: Project n ull , '� �J� - r.. «, r it. , � + Lii � tr tiv ia l'. M, h.. f . :' M':PINA'.11ZIYd1'.h � �., °. `MVie '�'•:,:.i w . �i :.' - ... . sertp Y _ Cross strccddirecdons to job site: "• New residential single- or multi - family dwelling unit. includes attached garage. _1,000 set. ft. or less 145.15 4 Subdivision: [ Lot no.; Ea. add'1500Stt, or portion 1 33.40 Tax map /parcel no.: Limited energy, r ,,y;: •i: ;.:4 4,0WW... nrr ;',1 W �� �.,.� s„� gY, Csidentiat 75.00 2 q.7t;. z i. ? i.4a d 'a : " ti FFS,,t, • .. Limited energy, non- residential 75- 2 a .. ti * 1.7.. iA.1. .e7q :∎.7 0:xil .;5 Each 00 V manufactured or mod • - COL I /� installation, service and/or feeder _ 90.90 _ 2 IA 1 " - L - Services or feeders nsaatio» alteration, and/or + relocation .; w; ; �pp'QQ (/�� , �; . r � r� qg. , 2.___200 a s or lets 80.30 � 2 a k;:.`, •. 'pTtin, ,?t' .1.0 • j tt s' 1 X. N; :0se r, W. i J h s t0 400 p 5 .Mfl. Ml"'R:i : Y .I � ., 1t � • 401 amps to 600 amps P am Ps 106.0 7 Name: 20 i nt - 160.60 2 2 60I amps to 1,000 amps J 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/ZIP: - Reconnect only 66.85 2 Temporary services or feeders installation, alteration, aoil/or Phone: ( ) I Fax: ( ) relocation Owner installation: This instillation is being made on property 200 amps or leas 66.85 1 p 1 that I o wn which is not 201 amps to 400 amps according to ORS 447, 449, 670, and 701. 1 00.30 2 intended for sale, lease, rent, or exchange, y O wne Owner signature: 401 amps to 600 amps 133.75 2 '+. r r , �yYr rw. �S�� Branch �,, �• ,,�" � `w+�''� ,� ��, f �, Date; v circuits -new, alteration or panel n ' ,A74 rt r extension, , . . : :I. F.: .. t'�! , ... �, Y 'hY f t "�• N . ��`" ^. y a A'b!af!PM�'Hi. �, $ �, ��� ��,:, r A Fee for branch circuits with Business name: service or feeder fee, each _ branch circuit 6.65 2 Contact name: "' B. Fcc for branch circuits without service or feeder fee, Address: each branch circuit 46.85 2 City/State/ZIP: Each add'I branch circuit _ 6.65 2 Miscellaneous (service or feeder not Included) Phone: ( ) Fax:: ( ) Pump or irri: scion circle 53.40 2 E -mail: Sign or outline lighting 53.40 2 ;,,: . ;,, } ;, t ;; i� �(j., • q, y" • , U . ',.;:'4, eL ����,� Signal p an e l , al e r li or --+� a? alp c l �� 6 �".,y�iK'�,V.r.�itd�� h ^;y: ��;i n�' a �♦R�,4 :; energy panel. alteration, or Business name: `)� . - <--. L� �- extension. Describe: a Page 2 2 Address: x� ) � L �� ' M Each additional inspection over allowable in any of the above City/State/ZIP: - Per inspection 62.50 Phone: (j � • Fax: ( � �, Investigation per hour (i hr ruin) 62.50 ( ) '3 1 ^ 0:3(4° f �� Industrial pant per hour CCB Lic.: ,/•�/ ��"`�`"'� Indust l p d'y 73.75 � ? In Electrical Lic.:o'�G �icriCLe l Suprv, Lic.: �5 #�"" 'p ivk_ a> a; ;.�:::;. Suprv. Electrician signature, required: / a O ..S(m5 CA-6 Subtotal aQ Print name: ����""'1 Pp � Plan review (25°h of permit fee) 'l/L1 ` I l .. ' V - c Dater State Surcharge (8!4 of permit fee) Milli Authorized Signature: I / �'_ i �.. / ', TOTAL PEST FEE I_ I ��r Th perm nppliasi oa sspirob if a permit la not obtained within Ian � Print name: /�w// / Date: 3 J' days after it hay been accepted as • Fee Methodology yet by Tri•County Building industry complete in ind 1NjuildinglrcmuultLC -pmt * Numbnrofiny ry S orvico Board PP,duc 1 2N3 44O4SL3T(IOa2/CQAVWEB pectionspotpermitallowed.