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Permit CITY TI RD ELECTRICAL RESTRICTED ENERGY PERMIT 0. DEVELOPMENT SERVICES PERMIT #: ELR2005-00204 _ � 4 DATE ISSUED: 7/26/2005 .s. I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 112AA -00600 SITE ADDRESS: 06713 SW BONITA RD 200 ZONING: I -L SUBDIVISION: NELSON BUSINESS CENTER LOT: C -D JURISDICTION: TIG Project Description: Burglar Alarm. 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: X INSTRUMENTATION: OTHER: . TOTAL # OF SYSTEMS: 1 Owner: Contractor: SPIEKER PROPERTIES LP ADT SECURITY SERVICES, INC 4380 SW MACADAM AVE STE 100 2815 SW 153RD DR PORTLAND, OR 97201 BEAVERTON, OR 97006 Phone: Phone: 503- 469 -7244 Reg #: LIC 59944 ELE 26- 209CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 7/26/2005 $75.00 [TAX] 8% State Surcha 7/26/2005 $6.00 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. Issued By: 2 , /6_6 cf� Permittee Signature: _ -(._ 91 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. 07/26/2005 09:01 FAX 5034697110 ADT SECURITY 17t1002 Electri Perm A pplication . '� 4-',,7 > t f , . , t R OF U Ett �O LY ,r # r ,qt. r M „ ' ", (�° n � Received f" a City of Tigard k� l�J/ �% e Day; % X26 65— L- P.,�itNe. � ��S� 13125 SW Hall Blvd., Tigard, OR 97223 plan Review Phone: 503 - 639 -4171 Past: 503 - 598.1960 .t�, � . Date/g : Other Permit Inspection Line: 503.639.4175 JUL i 2 6 ' .�_'.0 G, • ,. ' 1 � 1' w , Dam Read/B . Juris ® See Pope 2 tor Internet! www.ci.tigard-or.us ,- Notified/Method; l �( supplementatinformation I(1 ' j�l {',� ' +� lr .IcTi f.g ,�^t ,•a �, 1.1 '�,5 l I - 1 f `l T ip l. . �, tli I F A I T L - t r I ' i �!. ' , ,� v. i �� ... .. r I „ I,,.: r ]: ;. z. C l 210,„ 1∎7 : !_ ",i 1 ( 1�' ? l y t er., . l:,, l t. , i:i ? � Y , ,t' T . •• • Cf�lrt •r�.;rr18:4,�'��:f� };Mr - � fti 1, ,,,.�1tiI�IP�'s���ta:� �1't!��;.r1�' .+ r! �Stl�� r rr ,n�t� �,.r �i�yi,�. l ,5d•� "��'I�i+�'i'��';I ,'i ,� mot • ,I • a ., i,, r ll +�,, • : `I ' A : = *I� , • ' New construction ❑ Additi dhA'ltaittionl'r+ip1'acefl @a, Please check all that apply: Demolition ❑Other' ❑Service over 225 amps, comm'l ©Hazardous Location z ,.s n , ? *Iry * �iti zr n ra. I �+ ;i r s ti' ; ara ['Service over 320 amps - rating ID Buildng over 10,000 sq. fr., � h4' ,tie I�1..".!L, t >r �V• ita3 rl t (`I�1 tiul)a J I , t r ,. ;,i +' �,�� {l�l.,�,���`I',n I , .f��i,il,�. r,r,ms �u'�a ��1 -�I±I ���+' u� ...a1t._a � ' �r��JJ��v�� . �;� � �� �.f�a,� of 1 -and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling . Commercial/industrial ❑ Ac essory building ['System over 600 volts nominal units in one structure El Multi - family [] Master builder D 0 er: ❑Euilding over three stories ❑Feeders, 400 amps or more ����'�k�� nlpl; {,a�' , ,1' ; ; ;::;; 'sj *e' (lf }';r , t , t. +, s "nr. t „ti: ,- y�, r.M 1 H, � G r� ai I > °r �.:� ryTT:t�r� 1 Pr -, 'r � 't'c . ❑Occupant load over 99 persons ❑Manufactured structures or 11P�h`t$L' l ltl i ' W:�i ii i; i t fi #u ' v - I i i , t ,I I liel}(�k 1Q ml f k t �* 5 1 7 0M , �f < < '4 Si ,�i_l i : ' t,, '_ ' d ° ESress /bighting plan P 8 dl 11� `` � l3 n 1 r '. t �t 4 1 , ❑ RV. ark Job no.: it. _ . +o -il 17ob site address: ►I . U,1 �� i ❑Ht : alth calefacility ❑Olhc Subm 2 sets of plans with any of the above. City /Statc/ZIP: . ` Dr Ci � ?�`�'`ul°�i,l above are not applicable to temporary construction service. n ^ , J !i'F �+i• y b;111t l i fl' w i`1 ni ` ,l rr `.I •'_ •' - uit- .ldg. /apt no.: Off. Project name: C�., (,-)� � e,J D°acMytioH I Qry, I Fe,. 1 Total 1 .* Cross street/directions to job site Ncw residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: ME Ea. add'l 500 sq. R or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ,�7. - ! yr �'1'9'tl' } %iSG. 5 ">< �y r -rclr, -� l yy��t ^- ,, r ru i Iv - L,lrmted energy, non - residential 75.00 2 :R-''• l` k t�„ }J �c' (g (,'1:.: }'Yv4 i�rP..:r l +t ,(11�!Y 1 5� ��S1':i! 1 L ' . : ,�il;ly�e K. 1 Each manufactured or modular • / `` , ♦ t dwelling, service and/or feeder 90.90 2 . 3M Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 I i, u . Fy L a puj -ins, (1 ∎JP j U FB I , a +I 1illi , t� 1 ,1 a ir i ' ,It NMI,* ! a• ;9 . .. , j il t l ,. k e I g i 1'171:12 201 amps to d00 amps 106.85 2 ! 1 `e A l ' i I �. l � 1 � � ; 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240 -60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /Stare/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) Fax: ( ) relocation 200 amps or leas 66.85 1 Owner installation: This installation is being trade on property • at I own which is not 201 amps to 400 amps _ 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, ' 49, 670, and 701. — QOl aroma to 600 amps 133.75 2 Owner signature: bate: _ Branch circuits - new, alteration, or extension, per panel .. : . i _ i - -c9rr t't4i' -FT. 7; S 1r1 i ,S i _ " ^'i1' T; :^ .kti -' r r i7(.r ' 417 `, 7,- ' , e ' .LEL1 1 : . o ; , . :;:1 t1 �, jr !' t ' 7 ,,�' r l f I ` r''la J rca 1n c�p4l I ,ic` :t l4 ' Aiag t l l t { 1 1 A Fee far branch circuits with d i u�t,_,. •`JL, .., �� - �� ..c.._�.tl ., °,. +„ a_.dr.., 5, 6n:LTl_ +r��toiy�Eor_i . tun '.r l.. n�_e.�.G:t!'liU serv or feeder fcc, each Business name: branch circuit 6 - 2 I� B. Fee for branch circuits Contact name: 0 . i Or ■ 1 .4,1 way./ service or fader fee, each branch circuit 46.8 2 Address: Each add'1 branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not Included) Phone: (gm ) 17D-- ,i 1 I Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E-mail: Signal circuit(s) cm limited - a�• , ¢ , t '' I, r t t t' , 9n, ;Gr rtn n rl r J.r e a , r In 1��1 r rz} 3 I �� P energy panel, alteration, or r,l!.�j: �n 1 t t �l > I i' i. I j,. , I �F3 (' I a.- - irP � l;ll ,.� i r ,,; - r, {,ft�� j l a�1 �r4� d fl f�7 kq Iwo 1._.sa,.� 2,._..:i1 11.tfi,..,, . t(.,. , -s� extension. Describe: I Page 2 75, 2 Business name: ADT SECURITY SERVICES. INC. Address: 2815 S.W. lb lyd DR. Each additional inspection over allowable hi any of the above .-8F_A : a , • : !Y 1 1 , Per inspection 62.50 City /State/ZIP: (5O3)46.710O _ Investigation per hour (1 br min) _ 62.50 Phone: ( ) Fax: ( e i s_ u , Industrial plant per hour 73.75 �1K;�illEIM alR�` i' �( M a���'� hqk 4;' Li! ��;���,,:fta";.. . :. , CCB Lie.: E cjt41"t. Electrical Lic.: „leg CLt up . Lic.: gal LE Subtotal • Suprv. Electrician signature, required Pian review (25% of permit fee) • /-4/.. _• t . ' • Print name: - 11:111151r j 1 State surcharge (8% of permit fee) b_ to � TOTAL PERMIT FEE g 1 . od Authorized signature: Thia permit application expires if a permit la not obtained within 180 days after It baa been accepted as complete Print name: Datr: • Fee methodology set by Tri -County Buildine industry Service Hoard •• Number of inspections per permit allowed iViaildieg1ParnlitstBLC -PermitApp.doc 12/03 410<615T(10/02/C0WWH13