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Permit e CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2009-00116 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/17/2009 Parcel: 2S 113 BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 100 Subdivision: Lot: 0 Project: Allstate Project Description: Install limited energy for security system. Owner: FEES BEHRINGER HARVARD WESTERN Description Date Amount PORTFOLIO LP, BY EASLEY MCCALEB & Restricted Energy Permit 04/17/2009 $75.00 ASSOCIATES I, PO BOX 190700 12% State Surcharge - Restricted Energy 04/17/2009 • $9.00 PHONE: Contractor: ADT SECURITY SERVICES INC 2815 SW 153RD DR BEAVERTON, OR 97006 PHONE: 503 - 469 -7212 FAX: 503- 469 -7110 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: Boiler Controls: CCTV: Clock Systems: Data & Telecommunications: Fire Alarm: HVAC: Instrumentation: Total $84.00 Intercom /Paging: Landscape /Irrigation: Landscape Lighting: Medical: Required Items and Reports (Conditions) Nurse Calls: Protective Signal: Security Alarm: Y Other: Other Desc: • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 throw h 0 R 952 - 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by callin 503.246.6699 or 1.800 332.2344. • Issued By: C L 11 ` . 4 Permittee Signature: 4 i`� 0 `( Ai , m 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 18 09 08:OOa Stephanie Pate 503 -469 p.1 -Electrical Permit Application 9 _ OFFICE • TOR OFFIC LSIEt?NLY -- -- - City of Tigard 1 f ` EN E ' , n v.., . (iata'l 1 �� O \ ... , . _, I'crnul Yo ( 2`�7"� • co ma ma '_t 1 � SW.kial! t31vil., Tigard, OR b 2 YHari ;ttivirw il h 1 " Ph e s0_ .639.4171 Pd.a: 5111.50K, 1960 6 2 009 i Unrci f3 — Other PCnuil: TLt7,A.Rl'>. ins cation Lir,c: 503.639.4175 APR i?,ilo ltrady'tiy: •. )u r s: Internet' www.ligard- , �3 tier t'n�c 3 for r.�;uv 1 Ni trfied /Mct:ao: tit z Ic•mcnlht intarmNtlon - f� 11C-464R _. � �( IQ 1 tP TYPE OF �Yi)�s l ' v t eve .r . n .,. , ... [..+ DIVICI PLAN itk:vil' ; :V • NC COnstrUC[IO V� Addislot7ialtCI' i 4l FC{T #3`�i.R9 f lease >: hetik:,11 that apply jwbanit 2 541ts of pl rt w,ilcrna Ch:'etc.1 t ;• ;Ir.wr ❑ Demolition ❑Service or l'ecdcr 400 amp. or more ❑ ttuitd ilia over the s unit!. . .,�, -, ❑ Qthcr _ — wham the uvsilsblc {iulc carnal Q Matinn -Wort bonty< r I.. I ._ CATEGORY OAF CONSTRUCTION exceed R).001 amps at 150 volt. or ❑ FlOullrig buiiliings © i • and 2- family dwelling [21 Commercial /industrial 0 rtcc :ssory building --- 1rNx to ground, or exeeeda 14,000 0 Comtran; i.use;, r cultural 1 nrnp, fur a t) utbrr in.Vallauoru. building:, 0 Multi- fumilk — 0 Muxtcr builder 0 Othdr; 01-site ;rump, ❑ lraaatt,,l ion of ?5 KVA or . J(]K SITE C.1' }'(IRNIATI Y ' 0 !nIorganev syste,n, foram ;t: trnel d erived r. ten 4 AND LOCATION p• r yx .r 7 T� Q Addition of r104: motO Kid O ❑ ' A 'i. ...l ,., ,. ,„ Job m), ; ?� -� -7 .,.. I U 0 Jib site address. '� ( sW `p lll IY ur noire. oaeupeucy • .... ? � - ❑ Si x er man: retieleothil do HI. 0 Reelealmrml vd1,e.ic p: riu.. Coy /Stxtd / -1 P: � - �1•, �y a r0 tleahh eare lactics. Su I ll .e ,ll:, •e f .. __ .. ..,._ /� - •"_ V /rte ? � J ili ❑. It Y 4 J i,nirc il. ;�n !1 Q Nazarouu:: locations. t,O0 ruitx nominal. tot !bldg, /apt no.: 00 Project natne: P /c Tx- _.z--,,vs rr❑ Sery ;cc or fccdrr6thlaarps m »'c or . 7 Cros slrcc /dircctipns to job site: FEE NOIEDi1LE .._ .,. _ .. D,+Kn ....... I <2.q. 1 + ' New residential tingle- or mutti- family dwelling u Includes attuehcd garage. Subdivision: Lot no.: i W. 11. or less i 1 4.5.1 7 1 Tux mapfp 11C x51 no.: -- La. add'I 500 sq. It, or portion ` - 33.40 I ' I -, Limited , .energy, residential »ESCRIPT1ON OF WORK (w itli above ctl. ff.') 75,00 H 2 �u R r ' / - - - Limitc•11 cneri multi - lamely ' i n,ldcnti;il(with t,ll,) Services or feeders installation, alteration, a nd /or rtloeatian [� PROPERTY � 200 grans or lass .,._�•. OWNER - - 0 JENAN7' 201 amp:; to 400 amps 10 K: ? Name: amp to 400 amps - } G0 60 , Addre.st; -' , -- 601 amps to 1,000 amps 240.60 3 _ Over 1,ODU :rt1T S or vJILS 4S•1 65 C�ifv/ St;rtcfllP: Temporary Nerviccs or fee rlers installatSon, alteration, nndfor . , -- relocation w Phone: ( 2 Fax: - - - - -- amps G4hS I Yner iristallaiiOn: This ln.s li ;![loll is I ing rrlade on property thut ovwrl which i. ntr( '' (l! amps at 400 anl >� 10Q . 30 in tended for sole, lease, rem, ur c cI IIlOc, ficcor•din ; to ORS 447, 449, 401 eta, nr I �- � G7O, and 7(t 1. amps . to 5. { amps I , =1.75 r ^_„-„finch panel circuits- new, nitera c r re Yon, r teneS,r�cr - - A. fare f ' rum:h circuits with APPLICANT I G CON'fACE P wn4r signature: Date: PERSON • •T •. above service or fet'te'r fcc, i h• ,.. — .. - -- Nul:h branch Ci7ti:uii G 65 H. l'o (or branch vin:I iN -� "" - CCH1tAC1 name-. C AJ with., Service or fcodi t' lac. • - - ! S U.... — 17ra l oiiwtt circuit 46.115 Address: Each add branch crrcuit I 445 City/State/ZIP: Miseclianeous {s r ervice a rector not inctuae.d) - - ^.� _-- Eaeh manufactured ur modular -- I'}tunc, - dwclho s∎Yvier antler [mkt 90.90 (Sa3) 9 6 � _ 7z / a J r .1x : ( ) _.... — . " -- _._. -- --- � -- KcCOnrtt'xa only (,ti.�l$ F.-mail: µ _ Pump or trriKitii circl i 53 40 ., - CONTRACTOR - - - Sig or outiinc liphring j 53.10 I 2 Business name: AIDC SECURITY energy limited- • energy panel, altonition, or Address. ZS15 SW 153 DR 4� ertrnCion. (X. cribs: I Page 2 775.00 2 Y _ City/Stare /ZIP BEAVFf71'ONOR 97006 Rarit Itdditlonal : ospection over ullowltblcinsoyof the above "- 7 �'. ... ' -" _•• Pcr inepCCtion -- --- Phone: (503) $69 - 72i . I rl,x - . (503) 469 -7114 -- •- 62.50 i.. "" J ..- inwmirot ion per hour Cl ht nuo) 62.50 CCTi Lie.. 59944 Electrical Lic_: 26209CLF •_.i Sttprv. Lie.: LEA31i9 --- Inclunuml plant per hour j i 7 Suprv, ...... ici n signature, required: Subtotal: LL.F ;CTRICAL PERMIT FF.F ;S .. 75 Oil .._.. - -. J Pl _ an revs (35'Yu fa+). I -rift; name'; K } - .N KRAIJS I Date Slate .SLIfa ;r „ /o nf P,nil feel: �y Authnrizert �i, - 1. ii) _ , Q — R' YAL 1'LRlvlll' I'LL. ' -. :34.1/1.1 name: - ll' c. rltr permi nppllca Nan expires if i permit it not vhCtincll within 110 .._ - .. -.. _ - _._. - J d10 offer It hax been ;1CCCtslull ,u l•OMplrri2_ + Number rif ir:ipectiooa Ullowl'rt per Dell nit. 1'.ALA, lit, nR' I 'ennir,:,l.I.i,'- Yv.mtA 0a'. YIW .I.tr..In1 i(11NS C'(1S4t•ty1',t1 C2 C / A , - - ,