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Permit • a :- OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT O. COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00061 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/7/2007 PARCEL: 2S 112DC -00701 SITE ADDRESS: 15999 SW 72ND AVE BLDG -A ZONING: I -P SUBDIVISION: OREGON BUSINESS PARK III LOT: 038 JURISDICTION: TIG PROJECT: PACTRUST Project Description: Replacement of monitoring panel. 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: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES ADVANCED SECURITY & FIRE 15350 SW SEQUOIA PKWY #300 -WMI 2218 NE SUNRISE LN PORTLAND, OR 97224 HILLSBORO, OR 97124 Phone: Contact #: PRI 503 -519 -4550 FAX 503- 640 -8311 Reg #: ELE CLE8 FEES LIC 166176 Description Date Amount SUP 611 LEA [ELPRMT] ELR Permit 3/7/2007 $75.00 [TAX] 8% State Surcha 3/7/2007 $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: �� TI.0 Permittee Signature: -e 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. Mar 06 07 04:12p David Moravik 5036408311 p.2 3 . 0. , '' ElectricaLl?'er[bit Applicatt l � : � :.. W .� ._- ' ro l( 0 r r I c 1. [ , s l_ c, . 1 . \ • City of Tigard Received - r Permit No • 13125 SW Hall Blvd., Tigard, OR 97223 `:,, 0 V 2007 Plan Review {"'�'/` // !Vii/ : Ill Phone: 503.639.4171 Fax: 503.598.1960 ma Other Permit: T I (; :\ R D Inspection Line: 503.639.4175 ` p u Date Ready/By: kuic ® See Page 2 for Internet www.tigard- or.gov �L 1 Y L it ' 1 Fiji Nodfied/Method: Supplemental Information E 0ir Wattle rot 7�,1 / 11r`;?ff 1A. PLAN REVIEW ❑ New construction Addition/alteration /replacement Please check all that apply (submit a 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 boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling ,'commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or 308 SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ",' E ", "1 -2 ", "1 -3 Job no.: 1 Job site address: J 59.99 o Z i •"7e. try D �� Six or or more occupancy. reion Dul Six or more residential units ❑ Recreational vehicle parks. City/ State/ZIP: P© ri -1 . i , D Q 9772-q- ❑ Health -care facilities. ❑ Supply voltage for more than El locations. 600 volts nominal. Suite/bldg. /apt. no.: P roject name: p,i u s 1 CI or feeder 600 amps or more. `/ " - FEE SCHEDULE Cross street/directions to job site: Dope lion [ Q4 ,. 1 Fee 1 Total 1 • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft or Tess 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, mufti- family "Re p/ e. e MP A * (oir" €/ e c_ / czJ /, L° residential (with above sq. f.) 75.00 2 O � L D • / Services or feeders installation and/or relocation C • ) .y, 3 J� 200 amps or less 80.30 2 ❑ PROPERTY O I Q n ❑ 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: ( ) 1 Fax: ( ) 200 amps or less 66.85 , 1 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 ' ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: A9ctivarired Sec . RRE„ B. Fee for branch circuits e without service or feeder fee, Contact name: 1)4 id D M 0 na. i k first branch circuit 46.85 2 Address 9_21 g M Si i n r7'5 e Z-1-). Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: H . 1 I b .nrn D (, 9 ' i 24 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (50?) 5J ci _ L) , f Fax:: ( 503) &40 g� i ( Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: d-va nee f w Sc!' -, . T Signal circuit(s) or limited- -�/� / / J � �f� energy panel, alteration, or tJ" Address: e / A �+ , f , s a ti / ! -g L-� extension. Describe: Page 2 q 5 ` / ZZ! 2 City/State/ZIP: til - 7r - f 113. 9r f < f l ll 12_ . �� " 1 _ Each additional inspection over allowable in any of the above Phone: ((9)5) �J 3) q ,, Fax: ) `!� Per inspection 62.50 / 4 �� b 4 " % 3 1 1 Investigation per hour (1 hr min) 62.50 CCB Lic.: / &6 f gip Electrical Lic.: L4 011 LER Suprv. Lic.: G\✓' Industrial plant per hour 73.75 �� ELECTRICAL PERMIT FEES .electrician signature, required: Subtotal: Print name: rQ 1 /7 Date: /� i � permit iO Plan review (25% of pe fcc): v' r 1 r 1 v State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires ifs permit is not obtained within 180 Print name: Date: days after it bas been accepted as complete. • CITY OF TIGARD BUILDING DIVISION PERMIT #: EI_R2007- 00061 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007 Phone: (503) 639 -4171 Aa4�gi�l Inspection Requests (24 Hrs.): (503) 639 -4175 s' �:_.. INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 23 SITE ADDRESS: 15999 SW 72ND AVE BLDG -A CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK 111 LOT #: 03B TYPE OF USE: PROJECT NAME: PACTRUST DESCRIPTION: Replacement of monitoring panel. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADVANCED SECURITY & FIRE i /A .1. 0 PHONE #: 503-519.4550 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: Code # Inspection Description • • Contact # Message 135 Low voltage 044960-01 503 - 5134550 Y / Corrections /Comments /Instructions: CALL F► R - 1' —_ '' 1 9 MA 1A -m v'►p,� is6Vf (l 6,0 QGk OLN c"--(L. FINAL . tv\il V tot hs0=IIS - To: 5oa:624:368 MN : G N66l" tkonk. •O3,6,M t 6-Ac, N4Bt - 3 2.8(0 lt PASS ALA OVAL ❑ CANCEL ❑ NO ACCESS X CALL OR SPEC N ❑ ADDITIONAL FEES ASSESSED Inspector: ' ►V 06 LAG Date: 3/i (..(6 Phone #: (503) 718:14