Permit C ITY OF TICARD ELECTRICAL RESTRICTED ENERGY PERMIT
44 * , �°�1' I�`, DEVELOPMENT SERVICES PERMIT #: ELR2005 -00213
'E,��l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/1/2005
PARCEL: 2S113AC-00102
SITE ADDRESS: 07250 SW DURHAM RD BLDG J -100 ZONING: I -P
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT: 025 JURISDICTION: TIG
Project Description: Security 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: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES SONITROL (AKA SOUND SECURITY)
15350 SW SEQUOIA PKWY #300 -WMI 8220 N. INTERSTATE AVE.
PORTLAND, OR 97224 PORTLAND, OR 97217
Phone: 503- 624 -6300 Phone: 503- 223 -5822
Reg #: LIC 53535
ELE 26- 370CLE
FEES SUP 1812LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/1/2005 $75.00
[TAX] 8% State Surchart 8/1/2005 $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 95 001 -0100. You may btain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature: eni Qia.pb:644 1
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.
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Electrical Permit Applic i � � .v I oRtoEFICEtus o Y „4
City of Ti Received o ' c}
Date0 PermitNo.• ..0 ' j/ 3
13125 SW Hall Blvd , Tigard, OR 9 223 2 005 Plan Review Other Permit Phone: 503.639 4171 Fax: 503 598.19 +0, `\ t w t + t Date/B
Ck Inspection Line: 503.639 4175 �v . Date Ready/By IEM El See Page 2 for
Internet www.ci tigard.or.us 11G
`= y,:; Nonfied/Method Supplemental Information
- y.z. ;,;, , . .....0\!‘S10
�} i _ ... k, is ,•, ` 'a j ,:f ;r - - ;,. - _` < 1 = _ ' • ` , PL?,Ni _ REVIEW -
❑ New construction ❑ ition/alteration/replacement Please check all that apply
Service over 225 amps, comm'l Hazardous location
❑ Demolition ❑ Other: ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft ,
, ?" rr , ,,, :; a °' 1' : ::. : ' ` of 1- and 2-family dwellings � :a�;'f „f. ° � , 'T � ;,; �,, _ , � ' `; = rr• A TE GORY 'OE: _ CON S TR ' UCTION�' ; . ' � • - - y 4 or more new residential
❑ 1 - and 2 - family dwelling gCommercial/industrial ❑ Accessory building El System over 600 volts nominal units in one structure
['Building over three stones ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other:
3t.• �,�.��'" °.�; � t ;_'� _.. . ,, : ❑Occupant load over 99 persons ❑ Manufactured structures or
-'_$,' ;iTOB .. RV
" m' ' R M A T- ION=' ".4`ND I ��.;, l'` r;;�_ -'= ❑Egress /Iightingplan park
P
ski„ ` "" s. is?<= ass�zza�a�sc- - �. 3;. rnr�.„ wa: � , �-' r - .. ru e<.- :�.•,.. yz
Job no.: '3 _ ( 4 ( Job site address: 7 a 56 ,..,./j 0 �rh�m co ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above
City /State /ZIP: �C � � ct 7 crack The above are not applicable to temporary construction service
t ` A -14i: AR :A,•- , `- : FEE f40.EDUI0,,
Suite/bldg. /apt. nov U Project name: (
/D ' Descnptton Qty. I Fee. I Total „
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage. _
- 1,000 sq ft. or less 145 15 4
Subdivision: Lot no.: Ea add'l 500 sq ft or portion 33 40 1
Limited energy, residential 75 00 2
Tax map /parcel no.:
_ Limited energy, non - residential 75 00 2
.. .. "�:i +< ^ ^ DE rOFs; WORK ` a . '': ; . ., xn . = , Each manufactured or modular
ti
. •n�'i. ''.i i i �.. +,,: , �� - �� « " - �'T,� - N. ��. — <l
... , s,_ -,:._ " > ..,. is. - -.. �+:.m �%: .es<,o,•it'nr -.a_ ,
�� //r� �� dwelling, service and /or feeder 90 90 2
`r '\ 3} 14 tt 0 +
1 C mss% &Vt' �5 lQ►"m' Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
, ; ; ; W : � -._: 201 amps to 400 amps 106 85 2
i ',. f "rPROPERTY "OWER ,'"_ "-. ° < i, TENA ' < ' r ' : ''
; �' _ ° .w,. � , m ,�. ti.. ;_ '''z''''''''''''' . ; , p^ 1 C
. ,, _ x _ _.' ._ ' p (:� 601 amps to 1,000 amps 240 60 2
. ' /1,5 - 401 amps to 600 amps 160 60 2
Name: $ oaf S 7 y Uc-QXk (` lt n- N-tLYVt
Address: ` 5 C 0_4 (J L g_c_LSS C.� 0 &A—v(2_51A. Over 1,000 amps or volts 454 65 2
Reconnect only 66.85 2
City/State /ZIP: Po .ICt(x \d i ny 9 1 Q. 1 - 5 Temporary services or feeders installation, alteration, and /or
(��) ( t4 . FI T1 8 ` relocation 00 ams
Phone: `l Fax: ( ) 200 amps or less 66 85 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133 75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
.� � - t i 4V -? c- N # 'x < "$ A Fee for branch circuits with
®; APPLIGA�IT .3i ❑;OIYTACT:. PERSON k
= « _ -- �.. - : service or feeder fee, each
Business name: 6 65 2
branch circuit
B. Fee for branch circuits
` Contact name: without service or feeder fee,
each branch circuit 46 85 2
Address: Each add'l branch circuit 6 65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53 40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53 40 2
E -mail. Signal circuit(s) or limited -
'`r"' q t . ''• .` ., sl ,:' energy panel, alteration, or
�. �,. e .. .,..... .. ._. extension Descnbe ( Page 2 '1 S-- 2
Business name: S JOy c r \ _ t
Address- 3 a 1J . ,_ v-- , .{-0,__- 0 Cl��v L Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: P 0, ( I OY on an Investigation per hour (1 hr nun) 62 50
G ( CI ' — B 111 3 Indusmal plant per hour 73 75
Phone: (5c,3) �a3 ' O a F tJl1rJ — — — ,
?= < „ ';� =' EI <PER'�fIT' °FEE * -`
CCB Lic.: 5 3 53 5 Electrical Lic..� kp_36 Suprv. Lie. Subtotal t , 06
Suprv. Electrician signature, required: w�
' 75 /”' - -- 7 - - - - - -- - " Plan review (25% of permit fee)
l l C State surcharge (8% of permit fee) . OG
�� r1 Print name: � t<�l �- ' / U I G Date: �7� l' L. '
\
TOTAL PERMIT FEE 00
Authorized signature: /, 1 R � This permit application expires if a permit is not obtained within 180
�/�,/J days after it has been accepted as complete
Print name: l)J 13 Date- 1 �(4 -05 . Fee methodology set by Tn- County Building Industry Service Board
" Number of inspections per permit allowed
I \Buildtng\Pernuts\ELC- PernutApp doc 12/03 440- 4615T(I0 /02 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
H Audio and Stereo Systems*
H Burglar Alarm
Garage Door Opener*
❑ Hea Ventilation and Air Co ditioning
System*
- ❑ Vacuum System *
H Other:
Fee for each commercial syste $75.00
(SEE OAR 918- 260 -260) NN:N.
Check Type of Work Invo
n Audio and Stereo Sys'-ms
n Boiler Controls
Clock Systems
❑ Data Telecomm ication Installation
n Fire Alarm Ins Illation
n HVAC
❑ Instrument tion
Ti Interco and Paging Systems
n Landscape Irrigation Control*
❑ Mecl cal
❑ Nurse Calls
I I Outdoor Landscape Lighting*
[J Protective Signaling
H Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
\Buddmg\Pernuts\ELC- Petmtt doc 04/03