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Permit i. 11 a CITY OF TI OAR D ELECTRICAL RESTRICTED ENERGY PERMIT 7 COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00036 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/15/2008 PARCEL: 2 S 113 BA -00400 SITE ADDRESS: 07632 SW DURHAM RD 130 ZONING: I -P SUBDIVISION: SW CENTER SDR1999 -00020 LOT: JURISDICTION: TIG PROJECT: UNITED HEALTH CARE Project Description: CCTV low voltage. 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: CCTV. X TOTAL # OF SYSTEMS: 1 Owner: Contractor: OPUS REAL ESTATE OREGON IV LLC ADT SECURITY SERVICES, INC 1000 SW BROADWAY 2815 SW 153RD DR 1130 BEAVERTON, OR 97006 PORTLAND, OR 97205 Phone: Contact #: PRI 503- 469 -7100 FAX 503- 469 -7114 FEES Reg #: ELE 26- 209CLE LIC 59944 Description Date Amount SUP 389LEA [ELPRMT] ELR Permit 2/15/2008 $75.00 [TAX] 12% State Surch 2/15/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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: 6,4.,lxfi� �, Permittee Signature: typi «:id 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. , 5th � . Electrical Permit Appl _ 1 t . . FOR OFFICE USE ONLY CY of Ti art3 Received Permit No,' h' f ontdu I-o D 8 z c - e to 13125 SW Hall Blvd-, Tigard. OR 972 1 f•.= 2008 pl g s ■ Phone: 503.639.4171 Fax: 503.598.1960 t (t, g in : Other Permit: T z c P D Inspection line_ 501,639.413511 r 3 , ‘,,,,:f, A /Jw; itcady /By: Jam' RI See Prim I. for ji _ Internet: www.tigard-or -gov I Y �-' L Notified/Method; ' Suppiementat Inform/Mob g ix - i 17 4 o- - kl ,- Otih' ` 3 ..J °-! PLAN REVIEW .' . • 0 New construction 0 Addition /alterlation/replacernont l'kn clock ell 1he1 apply (tut ems sett of plaits Nit/hems checked below): f C Service or feeder 400 amps or more 0 Building over throe stones, Q Demolition ❑ Other: where tern available fault current ❑ Marinas urd boatyards. CATEGORY OF CONSTRUCTION exceeds I0,000 amps at 150 volts or ❑ Fleming buildings. Tess to !pound, or exceeds 14,000 O CornrtervieI - ttse ayncaltvra1 El l - and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for all other iratalbrions. buildings. Q Multi- family ❑ Mater builder p Other: D Fire pump, ❑ lastallation of 75 KVA or Addition o JOB SITE INF'ORMAT'ION AND LOCATION 0Aden system beget. separately derived system. © Addition of new melur load of 0 "A" "LT, "1 -22 , "1 - y', residential unit Six oe no ]ob no.: 83 /' x I lob site address: / 1000 or moss occupancy, j / 7/. - /'1 .5 , f f e..'t . •R ,. -- - -- [I mom e:. ❑ Rxrentional vehicle parks. City/State/ZIP: TIGARD OR c? :7,2 :; y ❑ Health -cote facilities, D Supply veltalie for mon th.a • . ❑ Harardous !mations., 600 volts nominal. Suite/bldg, /ampt_ no.: r _] name: Project nac: ( /,' / J 4. 7 l ' �r,_/ /( / / O Service or feeder600 urtKss M theft. FEE SC Cross street)dir etions to lob site. � 1, war , Z a- I QDili f!: um. 1- Tam, 7 New residential single-- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot n O.: 1,000 sq, R. or less - 145.15 , 4 -. - - - Ea. add') 500 sq. fl, or portion 33 -40 1 Tax map/parcel no.: — energy. Limited residential 75.00 2 DESCRIPTION OF WORK (with above, •1_ .( 1 Limited energy, multi - family • 75 -00 2 r _ / � / Y - - - midential (with agave S .) f S,en4Ices or feeders Insiallstion,_aiteratioe, and/or relocation 200 amps or less 80.30 2 • In PROPERTY OWNER- • ❑ TF,NANT 201 an to 400 amps 106.85 2 Name: 401 amps to 500 amps 4 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or voles , 454.65 2 j City/State/ZIP: Temporary services or feeders installation, alteration, and /or relocation - Phorte: ( ) 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 ! 00,30 2 intended for calf, !case, teats, or exchange, according to ORS 447, 449, 610, and 701. 401 amps to 599 amps _ 133.75_ 2 Branch circuits - new, alteration, or extension per panel Owner signature: Date: ,,�_„__� A. Fee for branch circuits with - ❑ APPLICANT 1 m - CONTACT PERSON • above service or rCOder fCC, each branch circuit 6 -65 2 Business name: B. Fee for branch circuits - - Contact tams: � wiihot 1 service or feeder fee. first blanch circuit 46.85 2 Address: Each adds branch circuit 6.65 2 h1iRCtttaneous csorvice or ( nut Included) City/State/ZIP: Each manufactured or modular 9 dwelling, service aricitorfeeder �' 2 Phone: (Sr j)� ;1- /, I o2 Fax:: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 _ Business name: ADT SECURITY 4 Signal circuit(s)or limited - energy panel, alteration. or Address: 2815 SW 153 DR extension. Describer 1 Page 2 75.1X3 2 City/State2IP: BEAVERTON OR 97006 trusts additional inspection over allowable in an`of the above • Per inspection 62.50 r Phone: (503) 469 -7100 _ I Fax: (503) 469 -7114 investigation per hour (I hr min) 62.50 CCB Lie.: 59944 Electrical LiC.: 26 -209CL Suprv. Lie.: LEA389 Industrial plant per hour 73.75 ' EL1ICl'RICAL PERMIT FEES • 5up rv. Elect ician signature, recluilcd: Subtotal: 75.00 Print name: KEN KRAUS Date: / Plan rcvrew (25% of permit fcc). J � State sureharge fpermit lee): In • Authorized signature: ../e,..,_ 74 74 TOTAL PERMIT 1 0 Print name: KEN KRAUS Datc: nits permit application ea If a permlr Ia not obtained within 1110 days after it hat been aeceptod as complete. • Number of mm:tient allowed per permit PillailainptrmitatELC-FefuitAR ice 0543106 44w4615'r(I INS1COMUW[ti Zd 6917 eied eiueildeis dgozo 80 tit Ge CITY OF TIGARD BUILDING DIVISION . v, PERMIT #: laR2008-00036 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211512008 Phone: (503) 639-4171 ip R ,.....1 We Inspection Requests (24 Hrs.): (503) 639-4175 1 . L . INSPECTION WORKSHEET FOR DATE: 3/7/20013 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 011332 SW DURHAM RD 130 CLASS OF WORK: SUBDIVISION: SW CENTER SDI" LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTH CARE DESCRIPTION: CCTV low voltage. OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #: CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 603 Inspection Request Scheduled For: Date: 31712008 Pour Time: 'ode # Inspection Desc ': on Confirm # Contact # Message 199 Electrical final 066270-01 503-469-7212 N Correcti • . ell ii - a 1 - ions: N o qec e.‘.sg 9 00 i Nt BLS 'i660Z5. ‘I' 1111 V lik PAS - D PARTIJ.. APPROVAL 0 CANCEL pi NO ACCESS K1 FAIL II] CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED ...- Inspector: ckAd Date: R — ... - 4 Phone #: (503) 718-