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Permit '.. C O 1 Y OF T G� ® ELECTRICAL RESTRICTED ENERGY PERMIT • ` °. ' • COMMUNITY DEVELOPMENT PERMIT #: ELR2009 - 00002 ' DATE ISSUED: 1/2/2009 'Ti 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135CB -00600 SITE ADDRESS: 11530 SW TIEDEMAN AVE ZONING: I - SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: LEAFGUARD NORTHWEST Project Description: Install security alarm. • 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: Owner: • Contractor: MCCALL PROPERTIES, INC BRINKS HOME SECURITY 5480 NW FRONT AVE 8080 SW CIRRUS DR PORTLAND, OR 97210 BEAVERTON, OR 97008 Phone: Contact #: PRI 503- 641 -0287 FAX 503- 641 -0960 FEES Reg #: ELE 34- 166CLE LIC 44421 Description Date Amount SUP 3213LEA [ELPRMT] ELR Permit 1/2/2009 $75.00 [TAX] 12% State Surch 1/2/2009 $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 questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: c ��1 (y 1 , � Lk p A z Permittee Signature: Q) k' ti 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. . 131/01/2009 21:36 503641096RECEIVE II-INKS HOME SECURITY PAGE 02/04 Electrical Permit Application JAN nc FOR OFFICE USE ONLY Q' ONLY V City of Tigard J 0 '4 ? J I� i Received ' . • oci /' Permit No . • r 0i • 11 13125 SW Hall Blvd_, Tigard, OR 9722 Man Review e • • Phone: 503,639,4171 Fax: 503.593.1 ITY OFTIGAR II, T)atc/BV Other Permit: • Inspection Line: 503.639.4175 BUILDING DIVISI Mi te Ready/By: brig: ® See Page 2 for T I ,,1I:n p ti fi cd/Mcthod: , Supplementer Infnrmntion Internet www.ti�rcl or.gov T� ... . .'. .. .... "... ,,.,.:., :: .�,.., ... .. . ... -iii j ,,. r .. '. r. n; +' :: U::: {ii• Please check all that apply (submit sets of plan!: w/itcmn checked below); 1:3 New construction ® Addition /alteration /replacement ❑ Service or feeder 400 amps or more 0 Bmld;ng over three stories. ❑ Demolition ['Other. where the nvaillble fault current 0 Marinas and boatyards. ,,,,,,,, , , , ,,,,,r,.r.;:'. , ;:.�. oltsor CI buildings. ... •.I,n''',1. {....... „o,:,r :h'.:.:,,:/' r) amps a R 1� � ... ........... .. ........ : ... r,....::,,,..,,.,...;. exceeds et V ;' ::,1 (;J; ;Y.;... ,. , .. . „I .. ' .:., �Pi ... ..(t"�C` . .... ` . . .: r:. .... ,. ' v 1 -mac agn ultaral ,. s : , . . , ,•, ._ ... ...... .... .... :.. _:..., la4 to ground. or exceeds 14.0 CemmeroL•t - c Q 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building ems for an other Inarollotiona. buildinSe. ❑ Multi- family 0 Master builder D Other: ❑ Fire pump. ❑ Inatellerion of 751CVA or �- •i: {v:=il � .y.11:; •�•;1:f.� �Si3'l:i'4il'Pk� �. `:a� O Additio of new motor lend of ❑ "A " c"E'. "I� -2� " derived � ". -!,�;' � O8: C31M�1'[7<Oiif':'ikNtf �'Yi;O'C b1Y <: - ', :, Job no.: 90101558 Job site address: 11530 SW Teideman Ave 100tlP armore. occawncy, ❑ Six or mote: tcsidcmial units: ❑ Recreational vehicle parks, City / State/ZIP: Tigard OR 97223 0 Health -care ticlitica. 0 Supply voltage fbr more than ❑ Hazardous locations. 10 volts nominal. Suitc/bldg_ /apt. no.: Project name 0 Service or feeder 600 neaps more. Cross street/dlrection$ to job site: Description 1 Qty. I Fee. j I Total ' New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: - Lot no.: 1,000 sq. it or less 145,15 ' 4 — Es, add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential • .., .a. rer (; ; • .1 •, :'_:,,:. ;': I: .,,'°;t: i :jt ,i; r: ;;;nti;l:-.1�ll f .. _ :. ,, - OF'iW .. K:s (with abo . ft.) . 75.00 2 .. •� 'i 'l�lC,:.. . ;n, :.r,l. - ...., 1 r : r r � � -. ... .r.. ... � � - . .. f � ' .,p'. ....r s.,. OR ''' " "r . " , •I ” Limited energy, multi-family 75.00 2 LV Alarm installation residential (with shove sq. ft.) Services or feeders installation and/or relocation 200 amps or leas 80,30 2 , � „�, ,:i;Yl::� h,(� qiit o I+ ;2'OVU,�T1�1� j; ;'• „�� x;: t ;c�I!�T,�N117VTi/ ;: ?i'i'`i ?:: ,� 201 amps to 400 amps 106.85 _ 2 • it Name: Leafguard Northwest 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,00() amps or volts 454.65 2 City /State/ZIP: • Temporary services or feeders installation, alteration, and/or relocation _ Phone: (503)646 - 0224 I Fax: ( ) 200 amps or less 66.85 1 I 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 ,. , '• x r . ::,r....:. ;,gyp ; ©f.;C above service or feeder fcc G ,.., : .,. , :1 ..; � .,.......... "(�. PIil�''VPi � ' T' °' ° } = • OIVT/Y Ci;"•P�1L1orF= . ::; ; :' � °�:) .GS 2 each branch circuit Business name: B. Fee for branch circuits Contact name without service or feeder fee, 46 85 2 fitstblarlch circuit Address: Each add'l 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: ( ) I Fax: : ( ) Reconnect only 66.85 2 E-mail: Pump or irrigation circle 53.40 2 ,- :r::,':°- .,::,:�,,,•'.:, i '{ . ,'' t r outline li htin 53.40 2 :.,,..,.., ....,. .,., •:aYrC GTt$R�� `:,::.' Sign o t c $ fz Eusiness name: Brinks Home Security Signal p al er limited- - energy panel, alteration, or Address: 8080 SW Cirrus Dr extension, Describe: Page Page 2 75.00 2 City/ State/ZIP: Beaverton OR 97008 Each additional inspection over allowable In any of the above I Per inspection 62.50 Phone: (503) 641-0287 i Fax: (503) 641 -0960 investigation per hour (1 hr min) 62.50 CCB Lie.: 044421 I Electrical Lie.: 34 -166CL I Suprv. Lie.; 3213LEA industrial plant per hour 73.75 , +'``• . ' is1WEC TPJVIL;;EERRM'IITTF'E'ES;;` -:.I: ;;'Y :” Suprv. Electrician signature, required: Subtotal: ---- . QC ) Print name: Kevin Tuck. / Date: 01/02/09 Plan review (25% of permit fee): State surcharge (12% of permit fee): 9.00 Authorized signature /0WilPfl TOTAL PERMIT FEE: 84.00 Print name: ------- Date: This permit npplief t en expires If a permit is not t eed within tan days after it has been accepted us complete. ' Number ofinsacctioro per permit I:1 Bulding1PcnnitrEl .C•PermitApp.dec 0523/06 445.451ST(II/05 /COMMED • INSPECTOR'S SIGNATURES ARE NOT Inspections Required for:. 5 Q7 , cC502 REQUIRED ON GREEN INSPECTION CARD. ✓,: Code InspecponDescripuon ;PASS Dace` j - B _ , ✓ ;Code -I °rInspectiori Descnpuon ,I;:PASS'Date;: ', ' s .. - BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service I 415 Grading 115 Electrical service 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 sheathin. • 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 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 Misc. 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 • 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 998 Alarm Final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin • 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing _ 399 Plumbing final 210 Foundation walls 215 Footing drain 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 l: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07 .01 P.i1/2009 21:36 5036410960 BRINKS HOME SECURITY PAGE 03/04 Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: 7 171 Fcc for All residential systems combined $75.00 Check Type of Work Involved: Audio and Stereo Systems* 0 Burglar Alarm • Garage Door Opener* O Heating, Ventilation and Air Conditioning System* 0 Vacuum Systems* O Other! FtWailfelt:dra.• '03 Fcc for each, commercial $75.00 system (SEE OAR 918-309-0000) Check Type of Work Involved: 0 Audio and Stereo Systems O Boiler Controls 0 Clock Systems • 0 Data Telecommunication Installation O Fire Alarm Installation LI .HVAC 0 Instrumentation • 0 Intercom and Paging Systems O Landscape Irrigation Control* O Medical Ej Nurse Calls • 0 Outdoor Landscape Lighting* [X) Protective Signaling 0 Other .. Total number of commercial systems: No licenses are required. Licenses are required for all other installations IABuildincTermitMELC-PermitApp.doc 03/23/06 •