Loading...
Permit .. n I IIII a CITY OF 1 T I GA , R D ELECTRICAL RESTRICTED ENERGY PERMIT I " COMMUNITY DEVELOPMENT PERMIT #: ELR2006 -00284 TI'GARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/27/2006 PARCEL: 2S 113AC -00103 SITE ADDRESS: 07216 SW DURHAM RD 200 P ZONING: I - SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: Add to existing ADT burglar alarm system. 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 AIRWAVE LLC 15350 SW SEQUOIA PKWY #300 -WMI 9865 NW 307TH AVE. PORTLAND, OR 97224 NORTH PLAINS, OR 97133 Phone: Contact #: PRI 503- 647 -5999 FAX 503- 647 -7443 FEES Reg #: ELE 34- 688CLE LIC 160178 Description Date Amount [ELPRMT] ELR Permit 11/27/200€ $75.00 [TAX] 8% State Surchart 11/27/200€ $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 rule.s- are- set`orth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain c of these rules or direct questions to OUNC at 503.246.6699 or 1.80033 44. �� 1 J ',� �, Issiced By: k ,,, , ,! ., ( ( �� Permittee Signature: � /61 ���,�.— 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. 11/22/2096 14:0E 503 - 647 -7443 AIRWAVE LLC PAGE 01 Fi g ct rical Permit Applxca ion , i, . tf m 1, 0.. am. �icu: p City 0 Tigard n A te gy: // r 6 ,./ e" x . Pertuit No .: Eek_ >1.-vs 1 (f J �� g . b 13125 SW Hall 131vd., Tigard, OR 97,223 ' 2 h' ) p Review \ I 6 / t' 1 Other PeeMit: r . Phone: 503,639.4171 Fax.: 503.598.2960 Date/13_y_ In ectiorl Line: 503. 639.4175 o tGl��� Date Ready/By: lurid: 52f See Page 2 for TIC Art f) '� �e�Y Notifred/Method: � Supplemental lnformahon Internet' www.tigard-or.gov n tat illi�l� ��t � „ r ;t+.g .n.rR.1: 'x;. '�.t a+. ,. +. !. +. i � .; ..iriz(. ('R'y , l `w..x:�.,i'It"tX : I i'� � r i _ ia: +rr^r as�w t±'ri t ourp:� �� rr , t..., �. a �l. l "1 f :ii' l . #..f t . , „ 1 , {, .., ,.. �:�,� tr m1 .t. , rs f ,..ilx�ll ., .l .L { :.. � ! � i� C�l ., 1 . �� , 1 a .. ,I ). ' `� ..; ` ,..:., yy. , .'t 'E. a`a .ipr tt+stl[1 ct? : '` o- " ]t , 11.. , .li, . . ,. t :., :.t.!. 1. 11 I ., ,. .1 ... ( +}.., ( Ii .,aL ...., . .. . -. {;.. {j ,. 13.T III'' . ' r4 , .. , . :L. :0 0 ...1, . ,:1 p f : ( • a. f f .....r. y ds i, :1.4(' (, p ,.. , t' l ' ; !t , ; ;; {I , ;; . , 4 l P .. ;' ., { (' .,.. ,1; {) [ i 4, 0i' I i 4 k . •; °/a; ;'' A e, 1t7. l t l' '/' f f }� ul( 1 �t}tff ? it? [ y f; ti.i f SA: al� atj3:ttt , fG tttt?t rtr a : 1�}a���1i T„ t l t teta.�� 1d!( Jfd ell..ttl . l�t.1,E( 1 i{el l�,.1 • `� se check etwfir. s : p . ,ka,:rrrk,. L. p {aid : ,d l t.o-., .s ,... ): Please check all that apply (submit . sets Of plans w /item.$ ehecl�ed below): ❑ New congructi on 13 Addition/alteration/replacement © Service or feeder 400 amps or mare ❑ Budding over three stories. ❑ Demolition ❑ Other. • where the available fault current ❑ Marinas and boatyards. }}, 3 dt x ii1 INF1 Rr l ii"' , , f( `'' llkl' _"iii iolfiii t, i t ' 11I1,.ri ry i a R l r E Kr{ "9 t « I ti;. , rt �tnitl l ll l a{ r t gtt i � f t ltli~(il iii , l exceeds 10,000 amps at 150 volts or El Floating building:. M ? lit NAViNNidl i i a lYAijAllgalil ; :a4ei liro;irt F a) itklh liat,:hH,ri ktti...r tar 4ta d'r erdig f't 1� r !. llilitiftlh to ! ;, leas to group& or exceeds 14,000 ❑ Commercial agricultural ❑ 1 - and 2- family dwelling Ei Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi—family ❑ Master builder ❑ Other: El Firo pump. D Installation of 75 KVA or eticY • li p t , , j .aj. l wM •i$, r ;rY { alrlly I ntttr , mF ' ryl ittmttAlll It( 1 Ft;?ilmr ft . " It � {l s Ill 4 i ❑ Emcrt onof Ystem. laxgcrseparatelyderivedsystesb, Ii'�1 i } "" .(1i f r '' {f a!A ltroiir l^ 1YrR 6 )1.trlle{ilf:4t 14 l40eAil h kr. 9 4 44 u l,i i t t t.' il °a, f 11 111tH ❑ A ddition of n ew motor load of D tit . + ,. • 1 ,t t,i .>,_+ . al., i, r i:( itraA,,,,:,., h . 1001dP or more. occupancy. lob no.: Job site address: ❑ Six or more residential unite. ❑ Recreational vehicle parks. City /State /ZIP: 7216 SW Durham Rd. 97224 0 Health-care facilities. U Supply voltage for mote than ❑ Hazardous locations. 600 volts nOrtLLrial. Suite/bldg. /apt. no.: 200 I Project name: Well Partners ❑ Service or feeder 600 amps or more r kr1 l al i 1 � >Ai ! { t 3 ))) l �li� ,r {�)}f{i�, s� { l t1 �, 4i ,p °'j � t i ;,,���Il�y�[' }tf(1{{{�� {a ..l��t ' I r {rf {rEyl �s �: 1f { lt�,.�M.f.. ilkx {M1 t:l1�Pi11t ahita laif'lY"lprilS Y iY'[1,1i1,fiiT ®t.:(h Cross street/directions to job site: Dee°vptien 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 I Tax map /parcel no Limited energy, residential rim ' a! { +* , a r a i 1 {i ikW i a an ',smut: rep tier£` aoirmp t o t u •s t s,:i O it 19£1; , , [ 1 I t 1 (with above a . ft. 75.00 2 1 , 4 , . A 1 1 i) l4 1 i' . H ii'15fAhtult11a,' + lif illil:I YfA -, a ti I g a t' l ' • f gAi 4. t l i il4. w . t,l zJ rlE9.:t..n . a7a Jtr, „ 1 �� +. Limited energy, multi - family residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation Add to existing ADT Buglar system f f 200 amps or less 80.30 2 r( it , Y t p it i liar x 1!SfC P c ? ii $^w� A; ai f ,1'ri`'ri I �Il t» , . t 1 � 7p [ ill ] (a1,i i i Fr pr �T^ a I+� >4 T j , f (4[F •,f �i I l C ii 2 106.85 01 am s t 0 4 00 amps s 2 �l t'r ai, 1 , 1 F A ' �l�1 1 3 4 31!7I 16i.. ,i-- .ifala�ltHllil}1 ens , ', . elk i�lr p p 401 amps to 600 amps 160.60 2 Nance. 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Temporary services or feeders installation, alteration, and /or C1ry /State/ZIP: 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 10030 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, • er panel Owner Signaturre Date: A. Fee for branch circuits with 1 i[ , e .. a' ur o f ,t r,sat u y n p { t rr�i ICI c � v�t �.r r1 � f �q� f Irl itzf t t : -iru r rxrwrci n . �,a! j� ) {l��, r� , ' . f it {o- r ,» �i �1 fi t fr ' r }” 1 � 1, � `41 1 i oi },}11. 1 1' �hr�' 1 a lai fl �� #3!l!1' ltl above service or £ceder fee 6.65 2 t. st w J' rt{ ilb, ^i{ah ,.:r dslos'at? .:,.. Rl,i:l ce.�.l.a , it ,.a 1, + a .iti,t r.... , r inn , ttA• e,- I mitiln Ai. , . 74, A! IthA ... t_. each, branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: first branch circuit Each add'l branch circuit 6.65 2 Address: Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwellin service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 1 66.85 2 E -mail: { C 1, �{ { r {I�f11� {t 1 } {� Pump or irrigation circle 53. 2 � ; � to t1(. + :i Il.a 3iir( �ttl " +11 1 � t lti {f. S�l�llfl.� n 1Jti! rr izxo !i1ii 1 ni,l lr� 11111ii5)MSri f . f�1'Ig 31 f� 4 a F31:� �1 'a�.lSkll: tll1.J It11f Sig° err outline lighting 53.40 2 Signal circuit(s) or limited - Business name: Airwave LLC • enemy panel, alteration, or Address: 9865 NW 307m Ave ehten5/O 1A2 AtA,2.f� Page 2 2 City /State /ZIP: 97224 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 647 -5999 Fax: (503) 647 -7443 Investigation per hour (1 hr min) 62.50 CCB Lie,: 160178 Electrical Lic_: 34 -688CL Suprv. Lie.: 542LEA industrial plain per hour 73.75 {j'{'r�? t o; I ' i `�1a {1 ,ir „ , i ; M i, , t t t t� , iI t < t» I`nF l '. ` 1 Ilk1 Illr�J ltlf , d k�.Fll liltw a,+.�+.h:,�,.mdn, w. ,rv,n. 1. lni . t r r._.v. , . C 1 In ax, ..lf { :Il r i 1 � :.;�.I : ; . Suprv. Electrician signature, required: Subtotal: Milil Print name: Robert Sherwo . Date: 11/22/06 / / Plan review (25% of permit fee): / - State surcharge (8% of permit fee): 6 • Authorized signatur.' t` TOTAL PERMIT FEE: 81 �% ' '' This permit application expires if a permit is not obtaiae4 wltnln 180 Pruitt name_ Date: days after it has beeo accepted as complete- * Number of inspections allowed per permit. t.\ B,+ ild■ag \P°rmits\Ld.C- r'vfaitApp.doo 05/23iQt ' 440 -4615T(li /0r /C01v1/'.YEB