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Permit ip ''p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COM MUNITY DEVELOPMENT PERMIT #: ELR2008 - 00168 TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/17/2008 PARCEL: 1S135DD-05100 SITE ADDRESS: 11970 SW GREENBURG RD ZONING: C - G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: CODA Project Description: Installing security system. 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: : TOTAL # OF SYSTEMS: 1 Owner: Contractor: GULICK, CYNTHIA S SONITROL PACIFIC 11970 SW GREENBURG RD 8220 N. INTERSTATE AVE. - TIGARD, OR 97223 PORTLAND, OR 97217 Phone: Contact #: PRI 503- 223 -5822 FAX 503- 973 -7773 FEES Reg #: ELE 26- 370CLE LIC 53535 . Description Date Amount SUP 3628LEA [ELPRMT] ELR Permit 6/17/2008 $75.00 [TAX] 12% State Surch 6/17/2008 $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 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 questio. to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: ` ,X , 1 , , j� •ermittee Signature: � %/X Z47 21\,J /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. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard � � D a t e / B : ( 0 0 P e r m i t j Q 4 )/� i llg . ° 13125 SW Hall Blvd., Tigard , OR 97223 y Phone: 503.639.4171 Fax: 503.598.1�`` Date /By: TIGARD Inspection Line: 503.639.4175 fi rt*' Pl Review Other Permit: Date Ready/By: Juris: /'Y � ® See Page 2 for Internet: www.tigard or.gov `, �(3� Notified/Method: 2� Supplemental Information TYPE OF WORIO $ 5 4 PLAN REVIEW El New construction E Addition /alteration/r _ce Please check all that apply (submit 2 sets of plans w /items checked below): �` ° ❑ Service or feeder 400 amps or more ❑ Building over three stories. El Demolition ID Other: Q where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTI f ION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "I - ", Job no.: P080175 Job site address: 11970 SW Greenburg Road 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. : Cit /State /ZIP Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than 0 locations. Y g 600 volts nominal. Suite/bldg. /apt. no.: Project name: C.O.D.A. ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description _ 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with sq. ) 75.00 2 with above s ft. Limited energy, multi - family 75.00 2 Installation of a Security System residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ 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 2 Address: Over 1,000 amps or volts 454.65 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: Sonitrol Pacific energy panel, alteration, or 1 75 Address: 8220 North Interstate Avenue extension. Describe: Page 2 2 City/State /ZIP: Portland, OR 97217 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 223 -5822 Fax: (503 - 973 - 7773 Investigation per hour (1 hr min) 62.50 CCB Lic.: 53535 Electrical Lic.: 26 - 370CL Suprv. Lic.: 56‘ ((' �} Industrial plant per hour 73.75 (//I ° I ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: � 1( �, ( 1� Subtotal: 75 � "�''��` / ` �� • � J' �� -C D ate: Plan review (25% of permit fee): Print name: \1 c r ) U�"�J C,e L p 5 - Z'7 0 State surcharge (12% of permit fee): 9 Authorized signature: TOTAL PERMIT FEE: 84 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Permits \ELC- PermitApp.doc 05/23/06 440-4615T(1 I /05/COM/WEB INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: .— cxii &R. REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description . PASS Date By 1 ✓ Code I Inspection Description I PASS Date I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 1 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service j 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 • Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool . 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing • ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry ,\ c 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Nlisc. inspection: 620 Hydronic piping • 899 MFG- Structure final 625 Duct work • 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown . 640 Exhaust hood • 695 Misc. inspection: 699 _ Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm dram SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 , Fill 350 Septic tank • 41 Grading 395 Misc. inspection: • 205 Footing 399 Plumbing final 210 Foundation walls • 215 Footing drain j 420 Sprinkler supply lines SWR - Sewer Permit. 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection ! :\ Building \f orms \ ACP- Blank.doc 02/02/07