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Permit I` ^M z C CITY OF T IGARD ELECTRICAL RESTRICTED ENERGY PERMIT 3` ` COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00091 .TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/6/2007 PARCEL: 2S 113AB -00101 SITE ADDRESS: 16101 SW 72ND AVE BLDG A -200 ZONING: IP SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: QUALCOMM Project Description: Low voltage for burglar alarm. Job No. 20497 -5 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: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: BURG ALARM X TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES ADT SECURITY SERVICES, INC 15350 SW SEQUOIA PKWY #300 -WMI 2815 SW 153RD DR PORTLAND, OR 97224 BEAVERTON, OR 97006 Phone: Contact #: PRI 503- 469 -7100 FAX 503- 469 -7114 FEES Reg #: ELE 26- 209CLE LIC 59944 Description Date Amount [ELPRMT] ELR Permit 4/6/2007 $75.00 [TAX] 8% State Surchar€ 4/6/2007 $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. 9or1.80i. 3 ." • . Issued y: 6 _40 �/ � _ ., Permittee Signatur / . J An` 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. Apr 05 07 03:25a Stephanie Pate 503.469 p.2 � r lectrl'MPcr , 1_1'0 1 ai FOR OF ICC USE ON L1' • :ity of Tie le eqeivai Tigard at? 7 ' meal:, No,: i6-2,,007�061 3125 S W Hall Wvd., Ti gard, OR 978 ' 38 e. ��•r��{ 0 2007 m ita t e •� r laa twvlc +r hone: 503.639.4171 Pax: 503.59. fx Do e r),' Other Fenno tspcoion line: 503.639.4175 , _� Om Itcxlynty: 1y� hi sec Pne Z for ilersI :t. xnt•w.c.i.tiCard.or.us .I1 Y Ur 11.LJ .1 NolinctM tfwnt: �_ G,/. Supplemental Information ] New construction EI Addition /alter•ationircplaccmcnt Please check allihat apply: ❑Service over 225 amps, cc•min, ['Hazardous location ] Demolition O OthcT: - ❑Service ovtx 320 amps - rating ❑Builds over 10.000 sq. A., CATEGORY OF C.ONSC .. :.....'....•.'.' .... - 1 oft and 2 dwellings 4 or more nos' r idcntial • ] 1 and 2- family dwelling 0 Commoreialiindustrial0 Accessory building ❑System ova 600 volts nominal units in one structure ❑Building over three stories ❑feeders, 400 amps or more ] Multi- family 0 Master builder [3 Other: ❑Occupan, load over 99 persons ❑Manufactured structures or JOi3 SITE •INFOKMA'1'K)1' AND. 1.00A'IJ :. . i ❑Fy slighting plan RV park 7 ` "; ❑llcalth -I :ao f hCility --.. nee.: // - ! )ob site addre ) 7 / 2 / < ' 011 �� y�/ - ,/,f., /` ,- _.. - Submit „2.,, sets of plans with any of the above. ;ity /State Z11 / cI // /'.. / ` , /� C � -;% (/ The above are not applicable to temporary t:uluu service. uiterntdg. /apt. etas: :. Gl �' Project name: ( 1 614/ C J ()�7 lyI •- :rosy ctre:M /directions to job site: New residential single- or multi - fancily dwelling unit. .... -• Includcl attach exl garage. 1,000 sq. ft. or less 145,15 4 Ex add'I 500 :it' 0• o ponUOn 33.40 1 lub4'ivisiun: Lot no.: _. - Limited cnorty, residential 75.00 2 'an mapip:u'cel no.: � .....• Limital merely, non-residential 75 2 "'i • . , 10ESCRIP'1lOi OP, WORK •(' • _. Pesch manufactured or ;nodular ! / dwelling, scrvicc u_netor itxda 00.90 2 . ...X (n i 7 'z 7 ; f /?...../.. / ///��� �� Services or feeders installation, alteration, and/or relpeatIon / 200 amps or leas Y0.30 ^^ 2 -r 201 am to 400 turps 10(i,K 2 �[j 1'Iti)PERTl' OWNER _ ..•_. . p'' .1�1cN - ^_ 401 amp:: to 00ltrrlp, 160.60 2 tiV7' �amc ; ^ - (.01 amps to 1.000 amps 243.60 2 tdtlres >;: 0%41 amps or volts 454.65 ...... , Reconnect only 60,85 2 ary /Sttttef7IP: Temporary,ervices or feeders installation, alteration, Anti/or '° relocation 'hone_ ( ) . fax: ( ) 200 amps or lays 66,1l5 M )wner installation: This installation is b iltg made on property that 1 own which is not 201 amps to 4 00 atop :+ _ 100.30 mended for sale, loatic, rent, or exchange, according to ORS 447, 449, 670, and 701. - 401 amps to 600 amps 131.7.5 )wner slenanlrc:. _ Date: _ 'Branch circuits - new, alteration, or extension_, per hand . ❑. Arvi,!<cAMI' ,. • tJ CO''t`AiC P1:.RS<)�i •• Fee for brnle;f1 Cucuits WA c _. _... - -.. ---- --- - -- -.�_ -- service.. or l'ctXJcr fee, Bch 0.0 2 • 3tt si n css none: branch circuit _ 13 Fee for hrulc;t cirovit4 ,011tact name: ( I ? //e %C � �..f )t - ti'ithvu/ tierveecor feeler fee,. rt ' / • " ' first hranch circuit _. - \ddress: V Each add'I ,ranch circuit 6,65 __ 6,65 :in' /StatuiZ1P; Mtsccnancous (service or feeder not included) • ' �� ' 1 _ Pump or irfi(,:ttiCen circle 53.40 - 1 :• ' Cr ) i v /1 S ? Fits :: ( ) .) ✓ -� •' J ,,� N „ Sifmor outline lighting 53.40 _ ' alai': Sigr¢tl cirt;uii(a)or limited- • t'OV'1'1tACTOR ••• .,. • � , •.. , G _ oo .,,,.,�. .. - caicrgy PancL, itcr;rtr�n r / - ._.,.. - extension. Describe: ` Po , e') 2 7 2 • 3usincss name: ADT Se urit Services ttjdtns: 281 S SW 153" Dr. Each additional inspection over n a ilowblu in tiny of the above _ _ - ._.... Pa inspcctiuu 02.50 ^ ;itv /Statc!Z1P: Beaverton OR 97006 tnvt eery' hour (I br mitt) 62.50 -. Industrial plant per hour 73. 'hone; (50 3) 469 -7100 1 Fax; (501) 4G9 - 7114 yry �, .... - :l,F'C'TRI(:A1, PERMIT FEES"' :.:. 2C13 t,ic.; 59944 EIcctrica: Lic ; 26- 20)CLE Suprv, Lic.: LEA3R9 Suhtotal o iuprv. Electrician si;tn:lture. t'caquired: - _flanreriLW (25 %orpermit roc) -- / State surcharge ( of pe'na'l G:cj 6 0° 'rint name: . // r [ Date 7:7' N r t TOTAL rlttma FEE g/ O \uthonze:d sig11uturc � / / f 0 '1hii pPrnlit APPIieatinn expires it R IK'rntit 1% 1111? obtaia:tl tiitili11 180 _ 6 /_ ! ''��`` ��//YY// i ' -. , . ..- days rain' it base been accepted ar eomt1lme • Tint name: /6 /1/ _ �I /`} vj• 1 1):tt0 • fee nulhrrdrloRy se( by Tri. County I tuihlin Inti.e11y Service Boas! _ -_ -- „ - ,• Vr „n:'¢t of inspeeliurs nPr pC rnvl iil)nwcd •:arLhre.1 na•d L;' ".ry -:..v 4r' ,:.•:” .— 44n..11: I r.':ti.762. TIT CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00th 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007 Phone: (503) 639 -4171 .•,w mp nI � l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 68 SITE ADDRESS: 16101 SW 72ND AVE BLDG A-200 CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: QUALCOMM DESCRIPTION: Low voltage for burglar alarm. Job No. 20497 -5 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7100 Inspection Request Scheduled For: Date: 4/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 047068 -01 503-469-7212 N Corrections /Comments/ Instructions: IKLPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED C Inspector: �Y' �© `-�- Date: c 7--5-0.- ) Phone #: 503 P 1y � ) 718-