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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° ` COMMUNITY DEVELOPMENT PERMIT #: ELR2009 -00034 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/9/2009 PARCEL: 2 S 110C B -07700 SITE ADDRESS: 15040 SW AUGUSTA TERR ZONING: R -7 SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 002 JURISDICTION: TIG PROJECT: MOUNTAIN VIEW ESTATES Project Description: All encompassing low voltage. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: BRENTWOOD HOMES QUADRANT SECURITY INC 15170 SW FINIS LN PO BOX 14833 TIGARD, OR 97224 PORTLAND, OR 97293 Phone: 503- 624 -4663 Contact #: PRI 503- 234 -5558 FAX 503- 236 -2322 FEES Reg #: ELE 26- 565CLE LIC 96806 Description Date Amount SUP 4389LEA [ELPRMT] ELR Permit 1/9/2009 $75.00 [TAX] 12% State Surch 1/9/2009 $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: 4110 t. i r r" J \n � , Permittee Signature: , 1 I' Q J or' 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. 'iectr1�a1 elr m A • t Application Fie, EC �! F' OFT' Ili It15E 01v1,.W City of Tigard Sc. -Y '„ AN Aril , + _�J Pemritive �O4. i3125 SW Mail Blvd.,'Cigard. O 972'23 Plan Ravlcw 11 Phone 503.639,4171 Fax: 503,598.1460 , otNerPermit' i - 00, . i .1v paim ' FY OF., ��5s, 7' r,. u 1ns 1:r Tacnt;ipn Line: 503,639,4175 .�1 ti � r k� ; •, se. 'ago 2 for Internet: wwW.ti{rard -or.gov P f c , ^y,;: Sapplemiel<tat ftttlortnad °n TYPE OF WORK ,•,,,... :.. ` '• ; ' ,,,., ::..; •,. FLAN`RBV w;:'i , ; N New construction El Additien /alteratien/rcplacemOnt Plow check all that apply (subttt1 sots of pines Ahtotne checked below) © Service or fax for 400 dmpn or more Q Building over three stones. ❑ Dctnblition 0 Other where the available RA ❑tyrant i0 ldla4n05 end b0atvar e. CATEGORIC EGQR1i QF C Q ] V I i r A U ( 1'1[JN exeeedn 10,000 amps M 150 voTt4 or ❑ gloating buildings, lean to ground, of encc•da 14,000 ❑ Commercial -vane asrkttimrni ►l I. and 2- family dwelling :J Commereittlfindustri0l f] Accessory building mops Mr all otharinstall2tionn, buildings, ❑ Multi,- farrii,iy ❑ Master builder ❑ Other: El Fire piano, d Tafeallarion df'75 KVA or ' JOB S ri't ]I1WOR1.1i,AT ON AND LOCATION • • • . ❑ F „mergoncy nystrrn. larger E ",' 1-2”. "1 - 3 ". d cysrem, ii.Atldition of OOP moor load of ❑ "A", "E", "1 -2 "1 -3 Job no.: Job site Adder ss: n 1001W or m are, oeevormy. �d • t•d • f . Cl or *+ore residential urdra, 0 Rv reetionnl vahlgle mks, ❑ I•te"1th -are Mei[tties, Q Supply veltaOn for more than _ ❑ HazatdQUp lnoatittns, 600 volt nbrninal, Suite/ttidg./apt. no.: Project name: - .►,.. co „ � 14 40 f ©5lervlee orfeedtt 600 =IA nrmart. E SC1 DULE'' Cross street/directions to job sits; nary . I,. I New r dentin] single- or multi-:family dwelling unit. Inti ides altacltad garage. subdivision: Lot no:, 1,000 sq, .R. or Itgs MI 145.15 �Q Tax rot / arcei no.: fa, i ted 500 y. 33.40 ft. de portion P P _ Limited ctrrargy. residential DES(r,J'TION OF WORK with abovo N. , fl:, . 75.40 Le, Limited energy, multi- family 7x,0 Le, t ►J �1 �,G 4--- r .. residential with above A -, ft. �l Services or feed. e ,nstallatlon alteration, aodfot relocation I - o,I. /ok . c op 200 am. s or lest[ ME 1;0,30 U • © PROPERTY OWN VII 0 T1,NA11T • 201 amps to 400 amps III 106, 85 Name: 401 amps to 600 am • E ] 60 fl 601 amps to 1,000 amps 240,60 -© Address: Over 1,000am•s or volts 454.65 Z City/State/ZIP: Temporary services or feeders Installation, alteration, and/or rclfti$on Phone; ( ) 200 amps or leas; 66,85 U Owner instaflAtion: This installation is being made on properly that 1 own which is not 201 sleeps to d00 amps 100.30 intended for sale, 10otC, rant, or exchange. according to ORS 447, 449, 670, and 701. 401 a _ .9 to 599 amps MI 133,75 �ii Owner signature; Date: Branch cireaits - new altcra1imtl or extension . anel $ A. e for branch circuits wish � ■ ' ° A. ❑ I'PAPPLICANT . 0 CtaM'ACT ]�)aSCl1�l ab f . "� � ,, above s@rviac or feeder fee, each branch circuit Bpaincss name: B. Fat for branch circuits without service or feeder lbe, Contact name: fSr,t branch circuit 46.85 Address: Each add'] branch circuit 6.65 _ail -- - - -- Miscellaneous service or feeder not included City /Srate/ZIP: Each manufactured or modular II d Ell well in_ acrviee 90,40 2 Phone: ( ) RuconncctonlY PM 6( ,85 UMW C -marl; Pump or irrigation circle IIMI 53.40 Min CONTRACTOR rJ)C Sl; n or outline lightitl= 53.40 Business name: C�. � Signal circuits) of limiteel- (1e-1 t^ca-}'► aA-1 energy pant'. elteralion, or Address: °,,0 60 . I q 83 • extent ion, Describe; I Paga 2 2 Cityi tate/ZTP: Poe -f 10.+ a.__%. 0 f °I c 3 eRch 4dditinna ins aselt Over Allowable hi an Or the above Per inspection w 62,50 IMIII Phone: re, 3 ) ', y , i Pax: (503 ),.. .. . Investigation p er hour (I hr min) iii 62,50 iiim- CCI1 Lie.: 9 6 8'6 0 Electrical Lie_: ak, j { 2 Suprv. Lie.: t4 3 /.. indusniat .last .or hour 1111MEEN1111111111.1 . ', ELECTRICA,L' PER' IFS Suprv. Electrician signature, requ;red:��r� _ Subtotni; � II Print name; �e i�rale5T1,'r6- Date: ]l . • . a Plan review (25% of, permit feel; State surcharge (12 "A of permit Re): 9 , -- Authorized signature: +Alid:5 TOTAL PERMIT FEE: • CO Print n a1710; 14 Thin periiirippii - toion axptr'c +ir permit is ant ° ]mead within 100 • * A. ` w bate: q �' daprt eftar It has bee* nooptodoecomntete- Humber of inareetions Allowed per permit. Net ildingTermbrl6LC- rennitArp,ene Of1(251e6 ■0-4615T(11Kr6 /COMM1V56 CITY OF TIGARD BUILDING DIVISION PERMIT #: - Llt')f1EI 0003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/ °!2003 Phone: (503) 639 -4171 °^�^i ( (' I Inspection Requests (24 Hrs.): (503) 639 -4175 _41 ,2 1 (1(' "�I I.. INSPECTION WORKSHEET FOR DATE: 1/22/2009 TIME: 7`OOANi PAGE: m SITE ADDRESS: 1e6040 SW AUGUSTA TERR CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: All encompassing low voltage. OWNER: BRENTWOOD HOMES, PHONE #: 503-6A-4663 CONTRACTOR: t;)UAC)PANT SECURITY INC PHONE #: 6-03..734 5fi8 Inspection Request Scheduled For: Date: 1/22/:009 Pour Time: L � Code # Inspection Description Confirm # Contact # Message 1 135 Low voltage 079911-01 60'3-B4.5658 N • to tAE Corrections /Comments /Instructions: S E t c IA S`' 2 00 $. OOICS 1 1 . 1 1 • Y t PASS U PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr t1v W Date: I V 4 Phone #: (503) 718- lal_____ kt,ectfical Permit Application, - City of Tigatd Page 2 - Suppl!ementax Information LIMITED ENERGY PERMIT FEES. Fee for all residential systems combined........ $75.00 Cheek Type of Work ,Involved; Audio and Stereo Systems* Burglar Alarm ❑ Garage floor Op ❑ - leating, Ventilation and Aux Conditioning System's 0 Vacuum Systems* p et:Idler; Fee for e.aa commercial $75.00 system (SPY, OA,'E . 918 -309 -0000) Cheek Type of Work Involved: ❑ Audio and Stereo Systems ❑ Conttob ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alm Installation © 1-,iVAC n instrumentation ❑ Intercom and Pavig Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse CAN ❑ Outdoor Landseapc Lighting* ❑ Protective Signaling • Other Total number of commercial systems *No licenses are required Licenses are required for all other installations 1: atoiUit o,,ELC.PrrmllA Norf16