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Permit • q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT - , 1 14 COMMUNITY DEVELOPMENT Permit #: ELR2009 -00263 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/12/2009 Parcel: 1S 136 DC04400 Jurisdiction: Tigard Site address: 11945 SW 70TH AVE Subdivision: DARTMOUTH SQUARE Lot: 30 Project: TVF &R CBOC Project Description: Installation of intrusion security FEES Owner. DARTMOUTH SQUARE LLC Description Date Amount SUITE 2070, 805 SW BROADWAY Restricted Energy Permit 08/12/2009 $75.00 PORTLAND, OR 97205 12% State Surcharge - Electrical 08/12/2009 $9.00 PHONE: Contractor: SONITROL PACIFIC 8220 N INTERSTATE PORTLAND, OR 97217 PHONE: 503 - 223 -5822 FAX: 503 - 973 -7773 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: N Instrumentation: N Total $84.00 Intercom/Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Required Items and Reports (Conditions) Nurse Calls: N Protective Signal: N Security Alarm: N Other: Y Other Desc: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OA 52- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: - PermitteeSignature: %//Z./C 7w/v 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' Date: LICENSE NO. Call 603.639.4176 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. ~~ AUG- 1 m-m9 1 1 :09 AM SON zrRoL-ponrLAwn 9737773 p'mI 44. . 1. � ' |�8 l Permit Application � �� m/nm/nr�.m� ONLY i (Ikvo[Ti^mm� AUG 1 0 YOM4xow=/ ! .'.',""",vm / / om/vrxo ., • __ _____�__� LY,rw,Wmmm PLAN REm - `' � • U New w/mn.:^ � Add mm�|������ ----- ��� — �� ` � ~,,`~,~.^="~ hg WO: []()� [] (xh'� U �� /*au�."x,�e *~� ! �-_ ___________ .___.____-_— _-_-______ �°w./° o O Mar,°" � h~*,u, --- CATEGORY wr «znvwrncr,|(�x �=�` /w""/" " "^u /+' ^'/* " Om*�r w.�.�° � � D |' md 2'/�'o|!d"d|ixu �0[vm/oc�../Hnd«" Accessory building �* *n"~~ °u�`�w/w^ C� �»oo.mx��***omm�z • 0 NiU111•11111111N 12 Master builder ID olho.: ~~ amps w all .m. =uouw" ^=u.n. 0,=pm.* 0 /mu/lati.."^1•73 � __ ---- '----- - Om.*,go" /^ ^ � JOB /mp<nw*wTx�� AND "` `"" ���""^` *n`�p°*m - ~____ ����.�*"'.�°"".v��`'/ O^� �r/'��'/�� / 10105 | ���e �W�az1 ���� SW 70�h Ave /"wx'.".°� = . ' ' -- - _ _ C]m..m~"��,m" 131111q Ox=* �*� xa^��a^ Tigard Oregon � ' 9 7223 ��/�u^�~ "~/*° C�*~*`.'/+,"~ � .. = -- '--- '--- ----� 0 1 la=rs1■111% le'u~IIN. 1,11i1 "*^~"IIIII:11. ' , »^«'mu�"r '"'' | PnVoun:xu' O*°.^`'.u^u� , _ - ----_ __' ' ---------�--� - I, On�w*x i i � ----'-' ��amq|swm� ` x.�/ wn�m�' w� -~- � ------� - —_ . __ ---- _ ' ---- • ---' — - ` � �- l_ ��� | • • New msiovmmuottlro,.mx,mwo u°w|o:unit. ~~ - '�-' ---- '----' -- ------ . ���m������d:"�g� _ ~~ Subdivision; / Lot ,,� 143.15 � � ' • - ______-___'__-_' _-_--___ � -- ---� - --- ------- --- ----' c�wm 150 11. two 3/�0 | • . Tux '' ~r/ ' ~ ' �� :� ��--- ----�- --_------ '__--_ | | --- -----' n�»�RpT�Nvu�vnn�� ���������~� 75 00 2 \ _-'-_ ___--_ _-_ �� _ -- __. -- 1 ����� � Installation i n�Ootect�o�� --' Arnim! ' -'�~�'- ' _ ~-- -_-_-_� ---__'_ _ _-_ -_ -_- --_ ' [� "mw,swTY [ � rsn*NT - -_' __--_ -_-_-__'-____�__ - ---- -_- '---_ ��~ ' Name: 401 " __ - Es! . ~----- - - -- ' -'— ' ---'-- ----- - w 2 � A�/**: � ______ • _ � ______ ___ ___ _ ��� /p « "n�� 2 � •'.. • ChylSutc(C|r; Temporary sni=^", feeders |ow"lla/lon,00*oimi,owxor : '-_-_'-' .. '_-_-_� ' _ ___ '__'__' _---_ , Phone: i 1 / [m. i / --'-----�---� --- . -Ow����6� mv:i ^ Made a / . ^~... .... ~. �"°= _-_-� i .-, intended tot sale, |'osv. tent, * exchange, ucwWinu ORS 447 **o 07o ;Ind 7n|. 401 onys lc �w 13,1.75 z Owoo��momz L�� » n*"~�" , --'------- �-���- '���- '- -• "."= " ~"�"=`=° | ��f� ' ^�A rm.wupr ________ | [] CONTACT PERSON above °u,/c'mu**'F�' ow / | z Wu�»w*nxm�' B. ___ � --'- ' ••-• .-'----'----- • ------- ^v�m"~./°� .. Co/"c/ouv ' 40.10 z ' ' _���__ � _______ ________ n,om���/m*.' _ xJd�^� Each mu'|�u���iuo^ ^�5 2 ! ___-- - '-� � ---- -_ _ -_--_- -_ n���"�� � ch�x"/rz|p• - �c` ~-' ---~ ~--__-- -- --' ' -'__-- '- --�- d,a| 90.90 x � nmn�(_ / _ �m::) _ ��`v'"��y����~/'����� ���----- � 2 � ! • | --� ------ ---- -'------'- - '-- ) c "u. ��������y �'���-_- --`�m- � � �:y� m�` /i 5n�m 2 | ' . - _ -----� � �����-�� _� _ ' .. • . _ �� ^r= �""«'~"""`"' uv • _-_-_ 1,) ' --. or . � Address: _���20 ���_I�t��mt����_���� • ______ ._ _ --�~' ___ "m"u�` / m� � cl��ixu��: Portland, OR 97317 Each additional '- ` � --- [ --- ------'--- -- »� i , Phone: (503) 223-5822 |um � ��Q3/ 97� 777� ' ' - '--_- --- _---- 1 ___� _-'��� =�- ��� U�oo��!.wn/ ��"� �i�� � Ccn �2S�5 l | - ' �------ |"�"w / , � ---- ----- ����-- ---'---- � / " /' -- - -'� =' '` �--- - ��n� cv7m�'��»sN n /T FEES ���� ' 8u�" -- __ =«� � - _-' �-�` - ' ~°��� _ _-- __-- _-___- g ui l t n�� . . Print �u"� | o — mr���-I%>~Q�� ' 'p —'—---' — -- "~'"=` =��!2`.`'. /mm" '*', � . - _ . �wm^vwd,�o"m.= ---'------- ------ - l��� _______ _____ .....__I IOTA!. n./uwU n`|�' q3 8i ,' ` Print name: . - '-- »n"m �u^�m/� � ; __ ____ — ---- ----'------------- • v=/a�m/ '- / - --- --"~^~` ~^~`~ /o�a�w~�//' u��,*."`�~ 44 ill "�=°�"~�wp»*mm" ; = , AUG-10 -09 11:10 AM SONITROL— PORTLAND 9737773 P.02 Electrical Permit Application - City of 'Tigard Page 2 - Supplemental Information • LIMITEI) ENERGY PERMIT FEES: •RESIDENTIAL WORK ONLY: Fee for all residential rtyr+tctns combined $75.00 Check Type of Work Invtived: • ❑ :11.1,III} ;lid Stcrcn Systems* ; ❑ Iiurvlar .Alarm ❑ (;;name 1 )i;ur Opener* • D I-Icaung„ Vruiil ;ui;.,n and Air (;ontlitiuning 5ysu•ut* • ❑ \` ;ICUUU1 S stcn•l * • ❑ (. )ncer: • • i•tOMMERCIAL WORK ONLY: . Fee foreitcls commercial $75.00 • system (SIT OAR 918 Check Type of Work Involved: • ❑ .Audi,, :unJ Score() Systems ❑ liuilrr (:unu uls t ❑ cluck s ❑ 1)ata'1'cicr.untnnruic:uinn lnstallatiun • ❑ I ire Alarm I nst;lllati ,it ❑ I IVA( : Itl: ;l'rulticnlatinn ❑ 1Ilh'rconi and I'aginig, Sysicuts ❑ 1.amb:cart. Irrigation (.:untrul* S 1 ❑ NfiAlir;ll ❑ NLIN, (;Ills ❑ (.)util,.,l,r Landscape Lighting* • ❑ Prulcctivc Signaling I) j !'coral nunll,rr• L,( cunurlcrcial ,vsrc L_ 1 n ts: *No licenser: are required. Licenser: are required • for all other installations I'Nu161u:r•'.I'cnw,,•1 I'.nnn.liy,ln, •