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Permit
Ir, , !� ELECTRICAL RESTRICTED ENERGY PERMIT " CITY OF TIGARD ° a COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00076 T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/3/2008 PARCEL: 2S112AC SITE ADDRESS: 14875 SW 72ND AVE ZONING: I -L SUBDIVISION: FANNO CREEK ACRE TRACTS LOT: 047 JURISDICTION: TIG PROJECT: HADCO SUPPLY Project Description: Installing low voltage burglar alarm system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: - GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: CHAMBERLAIN -HUSSA PROPERTIES ADT SECURITY SERVICES, INC 18755 SW TETON 2815 SW 153RD DR TUALATIN, OR 97062 BEAVERTON, OR 97006 Phone: Contact #: PRI 503- 469 -7212 FAX 503- 469 -7114 FEES Reg #: ELE 26- 209CLE LIC 59944 Description Date Amount SUP 389LEA [ELPRMT] ELR Permit 4/3/2008 $75.00 [TAX] 12% State Surch 4/3/2008 $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 questions to OUNC at 503.246.6699 or 1.800.332.2344. i Issued By: / - Permiftee Signature:P r _--e7 OWNER INSTALLATION ONLY The installation is being made on property 1 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. Apr 03 03 10:37a Stephanie Pate ir•s 803.469 p.1 .t — F,lectrical Permit Application IAN City of Tigard ecetvcd k ( `�iv lj ®U� G Permir No... '"' - o of 'r 13125 S W Hall Rlvd.. Tigard, OR 97223 i - v. , , Review Z Phone; 503.639.4171 Fax: 503.598.1960 \ -rN 0 �\ ' rtneifiv. Other Perna: T ; i i; r , Inspection Line: 503.639.4175 IO tteady/6v: lures la See Page 2 Fn- Internet: www.tigard•or.gov �� [ Nrxtti 1 /Met 3- lrptdrmrnrn) lornrmet TYPE OF WORT: PLAN REVIEW ❑ Ncw uonxtruction EU Addition/alteration/replacement — mane cAt�'M :Jt That apply (ad,mR sets of roam w /,tent, die below'. Dcrnpl iliUn 0 Other; D Se rvieo or roe eer 400 arupc or more 0 Building over three stories whore the available fault currant ❑ Marinas and boatyards. CATEGORY OF CONS)"RtiC rgoN tweeds 10,000 amps at 150 volts or 0 Rowan; buildings. ❑ 1 - and 2- family dwelling ®Commcrciy /ioduytrial less to Wound. or moans 14,1x10 ❑ Commercial -mu agricultural ❑ Accessory building amps for an otter instillatiana. Wilding+. Q Multi- family ❑ Master builder ❑ Other 0 Film pump. 0 In itthation Vf 75 KVA oe 100 SITE INFORMATION AND LOCATION --" . �l Emergency system' boor separately derived num. 0 Addition or new moor load or ❑ A' , -I i l - -. , _3 , Job no.: & 3 -! Job site address: /€/ f 7, 5W Z2 j°' /941' I001Q''" mum, occupancy. "' /� 13 SIX or rnorC residential units ❑ Rcexu•.e rt ionrrl vehicle pa.• 7 CitvfStatefZIP: TIGARD OR 7. g y D }teahh.oio faciiitios. D S y voltage for nM r than ID Haiardoua !Diatom. 000 Kolar nominal. Suite/bldg. /apt no.: _ Proj name: / *Jeu 6oppL y D Service or feeder 600 amps or mere FEE SOW DI /LE Croyv street/directions to job site: nr,,,; core — J...,. I Uts.,. ., 1 'ren New residential .single- or multi - family dwelling cast. . Includes attached garage. Subdivision: 1 • Lot no.: 1.1100 sq_ R. or less 145.15 4 Tax map /parcel no.: Fa add'I 500 sq. R or portion 33,40 1 Limited energy, residential 75.00 ill /I DESSCRIPTION OF WORT{ _ (wit alb v� Li � Q � `r- L energy, mien-family �.FaLV ( ,c residential (with above ut, n.) 75.00 2 l J K i� t or feeders inytaflutina, alters ion. antLnr relocation }cPROPLRTY OWNER j ©TENAN 200 amps or less 80.34 2 201 amps to 400 amps 106,35 2 Nam C :t Yh ✓ / G �1 ] _ SS r 4 S 401 amps to 600 amps 160 ,60 2 Address ' v �� _ eUl amps to 1.000 amps 240.60 2 i s T _, Over 1,000 amps or vole, 454,65 2 CityIStatc/ Ok. Temporary services or feeder in+tallation. alteration, and /,w _ relocation Phone: ( ) I Fax: ( ) 20x1 turps or less 66.35 1 Owner installation: fits installation is being made on property that I own which is not 201 amps to 4(10 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 Owner signature Daze: Branch circuits - new. alteratino, or e3lertiinn, ter panel — A. Pee for branch Circuits iviflr - ❑ APPLICANT CONTACT' PERSON above service or feeder fcc, 6,65 . _ each branch circuit Business name: R, Fee for brunch circuit without Contact name: j A.) SC Ae7', / ' t / fir. branch circuit feeder fee, 46.85 2 rust nrnnieh cirrait Address: Each add'I brunch circuit _ 6.65 2 City/State/ZIP: Mi menus (service or feeder ant included) if-0, � Each manufactured or rnudu r Phone: ( ) ^r!v ?' ' Ptuc:: ( ) dwelling. scrviee andhu feeder 90.90 2 Reconnect only 66.85 2 E-mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting . 53.40 f 2 Business name: ADT SECURITY Nicola! ctrcttit(;t) or limited - cncrgy panel, alteration, cw 1 Atidresy; 28)5 SW 153 DR. eztcnaion. Uomcribc: „_ ,c 2 75.00 2 Citv/Statc/L1P: BEAVErRTON OR 97006 Each additional inspection over altowihlc in an of the above Phone: (503) 469-7212 - Per tnspcilion ' 62.54 Fax: (503) 461 -7114 Invs:61ilitrn per hour 0 At mm) 62.50 CCB Lie.: 59944 1 Electrical Lic.: 26209CLE Suprv. Lic.: LF.A389 Industrial plant per hour 73.75 _ Suprv. Electrician signature, sequin L GZu� ELECTRICAL PERMIT FEE.~ • Subtotal; 75.00 Print name; KEN KRAUS - Date:. � O P Plan review (25% of permit fee): ' �- _ State sure barns (1r4 of permit fee): ): 9,00 Authorized tiignatur , Q.Cto TOTAI. PERMIT FF.):; 34.00 Print name: KEN KR /MIS This p ermit simileatioo expires if ■ pu a rest not obreioed wthin i I' o Date: ',3 �(J days after ii dax been attained as complete. 1: 1DaildiagiikrmiteUl .Gw+r.rorAyp.duc 0.V21/06 ..------ �� * Madam of inspection% allowed per permit. � �/10� 4 40-1615'rt i tNrJVOMiWCO CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008- 00076 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008 • Phone: (503) 639- 4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 .' L. INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:OOAM PAGE: 40 SITE ADDRESS: 14875 SW 72ND AVE CLASS OF WORK: SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: 047 TYPE OF USE: PROJECT NAME: HADCO SUPPLY DESCRIPTION: Installing low voltage burglar alarm system. OWNER: CHAMBERLAIN -HUSSA PROPERTIES, PHONE #: CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503- 469 -7212 Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description Confi m # Contact # Message 199 Electrical final 068441 -01 503 - 208.5154 N Corrections /Comments /Instructions: \ 'W(r 1/ ;A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 111 - ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cy--) N O`n LE" Date: 411 ea Phone #: (503) 718- *16