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Permit t CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT IN °. COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00463 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/14/2007 PARCEL: 2S113AC-00103 SITE ADDRESS: 07216 SW DURHAM RD 200'P ZONING: I -P SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: WELLPARTNER Project Description: Low voltage: Access control. Relocate equipment. 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: ACCESS 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 Reg #: ELE 26- 209CLE FEES LIC 59944 Description Date Amount SUP 389LEA [ELPRMT] ELR Permit 12/14/2007 $75.00 [TAX] 8% State Surcha 12/14/2007 $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: dir";. `,/ Permittee Signature: 22 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. L -- Qu .413 07 07:07a Steph R49 503-469 p.2 i f•. Electrical Permit ,Appli a k i ".n Q i i s l■ f4:" ,o, � -" . ks , . .,5, �a �;r5 r .., ,, i.I.jn.. � ,..,;," ,.�.s r.. is, r..J t, W.,l nl City of Tigard ' ` ° i "° # resmitt,„. - 06 X4,3 IN a 13175 sw Hall Blvd - Tigard, OR 97 s i , - 2 0 07 ' Plan Review Phony 503.614;1171 Fax: 503.59 1 I— _ Other rernut- 7 [G.4 Rip Irtyyyootion line: 503.639.4 7 lie Kttld,Y/ hm, j ivy lice ,.air 1. (or itylonct: www.t i 1 v-t 1 A Noli k /Mctbod: j Su ppI tnc tt) (pformtliUn J 1. pL AN [LFvlF:W • ❑ 'N:. ' construction Addition /alterarionlreph1ce ncnt f al i grave. check art that apply fin is 3 set of pi: wietcab chccktG bc 0 Service or reader 4041 awl err MOM (= r3uddint uvcY thnt stories, a Demolition 0 Other: wtrere the available faun cuntrA ' [l Marinas and bu-rtyaatis. . CATEC:ORY OP CONSTRUCTION UCTION exceeds 10,000 scope ai 150 volts or ❑ floating bu,ldin6s. � Ic s to ground, or ex 4,000 exceeds 1 0 Commen:ial•trve 4104:6,1W:4 ❑ 1- and 2- family dwelling 0 Commercial /industrial ❑ Acrxssory building Raps tar all other installation:, I7utld C3 Multi- family 0 Master builder 0] Other. El Fire pump- 0 Iininflerton of 75 K V,l or (3Enxmxncy ry,tcur. Iar'Fr . paralcly derivel syxtcm, Jos SITE trilFORMATTON AND LOCATION ©Addition of new motor load or CI "A", "1•" " -2" "1 -t" ...,...,... 1 /' 10011r ormore. uccupatrcy. Job rt0.- 113- A,,-...: J sit¢ addria.^.: % - , ' //. `�� + • ��.�: ".l j /r t .r � �(!.'r Q .ix of morn residcntial grits. El kxtcational vetacic park.. • �_....., lam City/Slate/ZIP: T1( ARJI) OK O Hu,lthrala rxilitics. © Supply voa-am for vnsrr tmn , Cl l-t.vantau: lorocio u. 600 volts onrnnai. Sui%c/bld�+ lirpi Ito_: Project n tm t : 7 [ . f : ;',/r • ...', � � ' —4: l C] Scrvia or ficcftr 600 > or mn�. _ :.._ 1 . - --� FEE SCUUEDI;LE Crosse ',trcct/dirvclions to job cite: _ _ ' .l../'. ! j _ u .« d n -" 4 7. rn. ... . , - , 1 T.n.1 ^° " ` ' n tticw residential sink or snulti.famity dwelling unit. Includes attatktd garage. Subdivision: w... _ 1 �. f.,ot no.: 1.000 fig, ft, °' gas --, 145.15 4 • � — - Ea. adds 500 sq, It or portion 33.40 1 Tax map/parcel no_: _ Limited energy, residential • .2_ y» DESCRIPTION OF WORK (withnbove so. ft) 75,00 s..,.. ,.. _ , Limited energy, mufti- ftmtly F i . y '.�� z ; , - :,••: - :c • -. , r (.• ' r ;2 (.,'. /J.-l.'s' .'s' ,1,l v% riNideritial wits above () 1S OO tirrvices or feeders ia.tallation „alteranon, and/or relocation ( -_ 200 amps orlesx _ 80.30 1 2 _I _ - Q ' P1iOI'ER I'l' d1'11Vt lz TENANT • 201 atnpz to 400 amps .. I 106,8 L ' 1` aiuo; .. _ 401 Gnnp, to 600 amps l ti, T2 .� 61)1 amps to 1,000 a 240.GO ' 2 Address: Over 1,000 aont5 or volts j 454.6_5 2 .” Temporary • eruic or feeders intiallation, alteration, nrtdlor City /StaterLIP.. relocation 1'honc: ( ) Pout: ( ) 200 a:nlla or less 66.85 _ - 1 . Owner installation: This installation is being m a& on property that f own which is not ~ 2()[ amps to 400 ontps " 100.30 2 9 amps tntcndr+d for sale, lease, non, or rrxchnngc, according according to ORS 447, 449, 67(), tand 7111. 401 amps to 59 _MEI 2 i _Ilranch circuits - new alteration, or e xtension - cr anti Uwnc A. l' f or branch riteuiLs x •il lr r signature: Date: - } —...,, ., .... -- - - -_ 0 APPLICANT W I w I9 CONTACT Pk :LISON above service or feeder 1'' ., 6.65 f 2 ,, . .. ..,. - each brutal circuit I3usirtcs5 name: B. FCC for branch circuit* _•_ ti . f // / withoul st7'vice or ['ceder fix, Contact natnc: ' ') •• c. :. .• /;'.< / : ^ / r 1 _ _ first br och circuit 46.85 ? Address'. leach acld'1 branch circvil 6.65 I 2 _ .- City /Stal Miscenaniwur (.vrvice or totter riot included) °. . _... , .: ... l /7T1' : a .- „ _ _ - dwelling_ service , t}(1 9U u. on ar utiflr,i realer 1 I Phone' (Si', ) _177- t ; /.' .S — Fax :: ( ) RcconnectUnl lrb.l3S 1. ( 2 E- (nail: w.. ..1 p y or irrie,8rion circle. 53.40 1 2 CONTRA("TOIt Sipt1 nroutlinu Itghtinl: 53 -40 =Ill 2 "• Sigattl eirccun(s) or tiinitod- t3u':irtCS1 name' Ayr SECURITY energy panel, aftcrati0n, or ' 75.60 I Adds css: 2815 SW 153 DR Y cxtermion, Describe: 1 ( Page 2 City/Scare/ZIP:. BEAVERTON OR 97006 CaC11 additional ilrtr..eet.on over allowable in s ay of the above - -- Per inspection _ r 6230 Plume: (503) 469 Fax: (503) 469 Invcstigntion per hour (1 lir min) 62,50 -- - CCB Lie.: 59944 Electrical Lic.: 26 -209CL [ Lic.; 1.- F.A389 ' industrial pion. pas hour 1 7175 - .. - k: ,C1'Rlc_AL P} :1;h11T FEES uprv. Elcr:tfictnn signature, requircd /1 " / �f S - 7 �L�L1 --I Plan review , o of Subtotal: 1ti(!0 _ / / �..� }smnit lie): Print name name 1I(1.:61 I(1.:61 KRAlJS 1)atc /� / t � n �, Susie di ' ~^ Authori7cd signature: �` - r- f , , ,2} '1'OTALPER1MITFEL; J 81..00 This permit applicyUun cex,pirb if a permit is not obtarneA within ilia Print nartic: KEN K.RAUS 1 I)atc: — .. �. ' 7rr aRtr it hat tN•en xctt�rtnt rte [anrptctc, __ ` Nomher of i rcction5 alk,wril pc; permit. : uwikii. ;\Pcrm,r.md-C- rconAnpp, o•n,OG 440 vtic miwi'Y4 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007-0(W63 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2007 Phone: (503) 639-4171 mo Inspection Requests (24 Hrs.): (503) 639-4175 L._ 5 INSPECTION WORKSHEET FOR DATE: 12/27/2007 TIME: 7:00AM PAGE: 75 SITE ADDRESS: 07216 SW DURHAM RD 200 e CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: WELLPARTNER DESCRIPTION: Low voltage: Access control, Relocate equipment, OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7100 9 Inspection Request Scheduled For: Date: 12/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 062132-01 603-849-8795 N I c% F-1A 46,L. Corrections/Comments/Instructions: p PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED _ Inspector: '", tslt be (...-- Date: %%an- ti Phone #: (503) 718- IALPO