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Permit n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00137 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/14/2007 PARCEL: 2S 110AC -01100 SITE ADDRESS: 11300 SW BULL MOUNTAIN RD ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: STARPLEX Project Description: Installation of security system (see other). Job NO. P070119 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: SECURITY S X TOTAL # OF SYSTEMS: 1 Owner: Contractor: FINCH, KENNETH A + LYNNE M + SONITROL PACIFIC EISERT, CLARK L + STEPHANIE 8220 N. INTERSTATE AVE. 2966 NW TELSHIRE PORTLAND, OR 97217 BEAVERTON, OR 97006 Phone: Contact #: PRI 503 223 - 5822 FAX 503- 973 -7773 Reg #: ELE 26- 370CLE FEES LIC 53535 Description Date Amount SUP 3567LEA [ELPRMT] ELR Permit 5/14/2007 $75.00 [TAX] 8% State Surcha 5/14/2007 $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: / 1_ 3 U . . fi fn `r t Permittee Si � , , 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. Electrical Permit Application - - FOR OFFICE USE ONLY • • - E Date/By : '� 1 3125 SW Hall Blvd., Tigard, OR Received 5 14 D ' C \ Permit No.: � City of Tigard } 1.3.4- g ; 1� t Plan Review J N Phone: 503.639.4171 Fax: 503. i1;''1 Da /By: Other Permit: TIGARD inspection Line: 503.639.4175 4 2007 Date Ready/By: Jms: a See Page 2 for Internet: www.tigard - or.gov MAY Notified/Method: TA"" Supplemental Information �aac ;z .s,��t y , .....� ;... 1=� .... 5Eam ; " �• �o'c. . '; ; -. zu„r�........:< ::... .... �z� . -E >::" •� � : `, ;;>,. �:. "( ;: > . , -�', :� :. : , r ah r 0 YPE U �W r F> PLAI\' �, Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ® Addition/alt.; i �piement ❑ Service or feeder 400 snips or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ;, - :74 , \ \3 ,x ? c ; i' s exceeds 10,000 amps at 150 volts or ❑ Floating buildings. .rn ..:CAIEGOItY (}H : CONSIR(7G T ION . 14; � '��� \' °"� �' "' less to ground, or exceeds 14,000 0 Commercial-use agricultural ❑ 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 KVA or \ ; ,,,,> r ,. ❑ Emergency system. larger separately derived system. I®li SITE +III FURM�iT101\! AIV'D I,QGAZIbA ;; Addition of new motor load of ❑ "A" "E" "t -2" "1 -3" o I OOHP or more occupancy. Job no.: P070119 Job site address: 11300 SW Bull Mountain Road ❑ Recreational vehicle parks. ❑ Six or more residential units. P City/State/ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than Y g ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Starplex ❑ Service or feeder 600 amps or more. Cross street /directions to job site: Description I Qty. I Fee. I Total I * New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited ential -: . 0 2 ... 1 : °1" .. gt (wills above sq. if 75.00 ..�.:,.. ,. := - . ;:� ;DESCRII'TTOL� QF, �'G'i©RIC: "� .. - ,,,.,.... �: \� ,� ( b sq ) Limited energy, multi - family Installation of Security System 75.00 2 Y y residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 M.V fig, 0 '• , ❑: `TENA1 T . 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 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 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel g A. Fee for branch circuits with s:, 'r "` =A°1PPI ICfil41 „a ' g -..,,. :,. -,'' •_� . -- " y . Y above service or feeder f ee, '� M�ONT'AG1' 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'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 "` -4 !!i ''- . :. `a ` `' Si or outline li htin 53.40 2 = +GONTRAC`I'(R;� ' "� °. =s ;,�< � � Sit g g -- — ;�" _ -' , .- - - `s'�„ % : r n ;�'��Y:�.'` . Vie.;„. � �� < '...a- Business name: Sonitrol Pacific Signal circuit(s) or limited - energy panel, alteration, or Address: 8220 North Interstate Avenue extension. Describe: 1 Page 2 75 2 City /State /ZIP: Portland, OR, 97217 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 223 -5822 Fax: (503) 973 - 7773 Investigation per hour (1 hr min) 62.50 CCB Lic.: 53535 Electrical Lic.: 26 7 Suprv. Lic : 4� J i i ( ej) Industrial plant per hour 73.75 �„ „:,�.�_:,.., , ;; .,, ELF_ C' TRICALPF :. - " =:; Suprv. Electrician signature, required: ti ) ' Subtotal: $75.00 Plan review (25% of permit fee): Print name: ,/2 1 O f C;NC-D 3C4?-2\-6 Date: ,t _ 7 _ 0-7 State surcharge (8% of permit fee): $6.00 Authorized signature: TOTAL PERMIT FEE: $81.00 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\ Building \Permits \ELC- PermitApp.doc 05/23/06 440 4615T(1 I /05 /COM/WEB