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Permit v CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00008 • TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/5/2007 PARCEL: 1S136DD-03400 SITE ADDRESS: 11740 SW 68TH PKWY 200 ZONING: MUE SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG Project Description: PARTNER'S GROUP LV Instrusion alarm A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: bATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: LEISER, ANNE TRUSTEE SECURITY CO INC 6009 SW PENDLETON CT 15495 SW SEQUOIA PKWY #100 PORTLAND, OR 97221 PORTLAND, OR 97224 Phone: Contact #: PRI 503- 968 -3300 FAX 503- 968 -3398 FEES Reg #: ELE 37- 1054CLE LIC 161567 Description Date Amount SUP 941 LEA [ELPRMT] ELR Permit 1/5/2007 $75.00 [TAX] 8% State Surcha 1/5/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 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: eid � ;�^ Permittee Signature: d 4-1,0,Rims_ 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. Eleclrical Permit Applica ' . ,,,,,,,..?,.,.i.-1-:.,..,:i., ; FOR OFFICE USE ONLY, CE IVES jz ) City of Tigard Rec eived / �j Permit N '!, -- `J g Date/By: ! a /P PI 2l ��1/`W7 .. emprir 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie ' Z ' Phone: 503.639.4171 Fax: 503.598.1 2007 Other Permit: Inspection Line: 503.639.4175 �. Date/By: Read /e -f furls: p Ready /By: ® See Page 2 for TIGARD Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: 000000000 rmation TYPE &MtiG DIVISION PLAN REVIEW ['� New construction ❑ Addition /alteration /replacement 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. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyar . CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use ag • ultural ❑ 1- and 2- family dwelling ['Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 K A or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately del ived system. ❑ Addition of new motor load of ❑ "A "E ", "1 -2 ", "I I -3 ", � 6 � (f Q ,� t tt'Z 0 I ixHP or more. occupancy. Job no.: Job site address: ` I(/(/ � h �l `{J U ❑Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: v o . on ❑ Health -care facilities. ❑ Supply voltage for more than I'► 1 t �J ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: 'oorhet oK ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: D pripept t Description J 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 Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 n'^A^ wit/ 7 Limited energy, multi - family Ul i'Y t. - 4c4_-l' residential (with above sq. ft.) 75.00 2 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 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 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 I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 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 dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR �.N Sign or outline lighting 53.40 2 Business name: HSM Electronic Protection Services (HSM Security) �� C S ignal circuit(s) D r ration, d - energy panel, alteeration, , or Address: 15495 SW Sequoia Parkway Ste. #100 extension. Describe: 1 Page 2 75.00 2 City /State /ZIP: Portland, OR 97224 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 968 -3353 Fax: (503) 968 -3398 Investigation per hour (1 hr min) 62.50 CCB Lic.: 161567 Electrical Lic.: 37 -1054 Suprv. Lic.: 941 LEA Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: $75.00 Print name: Steve Morehouse Date: (1 if f Plan review (25% of permit fee): State surcharge (8% of permit fee): $6.00 Authorized signature: , //97 TOTAL PERMIT FEE: $81.00 This permit application expires if a permit is not obtained within 180 Print name: iJrl<i l Date: ' 1 (i 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(11/05/COM /WEB CITY OF TIGARD • - - BUILDING DIVISION PERMIT #: ELR2007- 00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2007 Phone: (503) 639 - 4171 ttj Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 11740 SW 68TH PKWY 200 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: PARTNERS GROUP DESCRIPTION: PARTNER'S GROUP LV Instrusion alarm OWNER: LEISER, ANNE TRUSTEE, PHONE #: CONTRACTOR: SECURITY CO INC PHONE #: 503 -968 -3300 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: Code # Inspection Description -fin ttm #` Contact # Message 199 Ele ctric, final 044958 -01 503 - 968.3333 N Corrections /Comments /Instructions: v Y\. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �9- 4e Date: 31 7 Phone #: (503) 718- 2- "i Yt CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1- INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7:05AM PAGE: 53 SITE ADDRESS: 11740 SW 60TH PKWY 200 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: PARTNERS GROUP DESCRIPTION: PARTNER'S GROUP LV Instrusion alarm OWNER: LEISER, ANNE TRUSTEE, PHONE #: CONTRACTOR: SECURITY CO INC PHONE #: 503 - 3300 Inspection Request Scheduled For: Date: 2/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 195 Misc. inspection 043233-02 503- 793 -2470 N Corrections /Comments /Instructions. ,61 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1\1\61)-C- Date: V) 4 2-- - cri Phone #: (503) 718- 1-4110