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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2009 -00329 13125 SW Hall Blvd , Tigard OR 97223 503.639 4171 Date Issued: 10/15/2009 :TIGARD Parcel: 2S113BA00200 Jurisdiction: Tigard Site address: 7800 SW DURHAM RD 500 Subdivision: Lot: 0 Project: Typhoon Project Description: Upgrade existing CCTV security system FEES Owner: METZGER VENTURES, LLC Description Date Amount PO BOX 400 Restricted Energy Permit 10/15/2009 $67.84 SHERWOOD, OR 97140 12% State Surcharge - Electrical 10/15/2009 $8 14 PHONE' Contractor: AMERICAN SECURITY ALARMS, INC 5411 SE MCLOUGHLIN BLVD PORTLAND, OR 97202 PHONE 503 - 231 -0303 FAX 503 - 230 -1044 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo N Boiler Controls N CCTV Y Clock Systems' N Data & Telecommunications: N Fire Alarm: N HVAC N Instrumentation N Total $75 98 Intercom /Paging N Landscape /Irrigation N Required Items and Reports (Conditions) Landscape Lighting. N Medical N Nurse Calls: N Protective Signal N Security Alarm N Other: N 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 i . cordance 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 TENTION Oregon la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -01 -0010 through OAR 952 -0 0 You may obtain a copy of the rules or direct questions to OUNC by calling 5K2T6 6699 or 1 800 332 2344 Iss • d By: . 14/47w Permittee Signature: 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: •NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' - �� p 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. E CEIVED Electrical Permit App�><cat . 1'oll', tlh•r it 1 i 4 t . City of Tigard OCT 1 3 2009 D t e4 /OMAN! l Permit No,: E , . d9- 00 3x9 ` • 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review 1 I! Phone: 503.639 -4171 Fax: 503,59 Datu Other Permit, ' OF TI GARD y, -T la I '.► ; t;�lt [? Inspection Line. 503.639.4175 DekReady /B Jung. See Page 2 for ' Internet www.tigard or.gOV BUILDING DIVISION Notified/Method /6,1 supplemental information .:.f _, :: •. r_.,;.,•. w.,�: 'c �'S£i�i,• .`x~;�rw °Fr =:?r•• w .: ;,::,� -' — :r.L.,,, s , .:. .. ;n. gi' , .ys. A 'mil ,:. r e •:.: y t1 Ala t J,-.., r' Slit- r t s l.. 4 7 ^ c " r .i 1i ' 1tFi" r... r' +,.:ba" i.! 74 _ r% F{ o �A ➢ f ' t ., „ i,,t. ;- d 1, i r� • �, � �sr31 T � �' l y 'rte -'--�. ' 4a r � " n . -�:,: ''.,x',..��,r�3��tirs' z x'"5:, a ��GP� " , + �iqF ;'s, iv �_ please check all that apply (Submit z sets of plans whkms checked below): E1 New construction .. • ddition/alteration/replacamcnt EI Se(WCC or feeder 444 limps or YflOPo ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards, ,. agity, . • . ".,,n H f . V,IS:V e...;: I., amps or D Floating b PAWN WN 1 1. t 1 r �� rt ` r l G r e it i t i . . mid -r r , N r Y11 exceeds ] 1 00 0 at 150 vo lts o uildi ngs, , a . L +��,� �:: +fi'^�' �z-:+ �r• •��- � ^t��['�•�• •- zl'>^'�'� � �-- ICES t0 ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling IQ Commercial /industrial © Accessory building amps for all other installations buildings ❑ Multi family ❑ Master builder ❑ Other: ❑Fire pump. ❑ installation of 75 KVA or ..r, t� = *P `;f,, 4,- ." . . , k_ • ".`' ° . '� t•tt a•c , •�:, _ ❑ Add i Addition larger separatelydenved + t 2 M . t p ' •• , ,,- a ; + ' s 1 �, of . ., C s ;. Y o f t 7 r (�' .r >, x t Yf `- ❑ Addi of new motor load of :li , 9 I IS e - `y we-e: ; .tin e. �,.,a rec :�:2 :0 ;,`..,.M;:41k'PC...s aJ : ,..1., st-,.. r 4 ❑ „A. . Job no.: N 4 Job site address: sV . 100HP or more. occupancy. / ) _� L.1 [� Six or more residential units, ❑Recreational vehicle parks .tie j � , ❑ Health -cart facilities. Q Supply voltage for more then • ' `� • C RD.3 r] Hazardous b00volesnominal, Suite/bldg,/apt, no.: ' 4 1- ) Project name: l Q Service or feeder 600 entpS Or more. '_'; 216 k. dei ; c ,.ry.,a" :', :,=4 =a a� � h ;1, ';1.''Pi') Cross street/directions to job site A creriptlon Qty. Far. Total New residential single- or multi-flintily dwelling unit. Includes attached garage. Subdivision 1 Lot no.: 1,000 sq ft. or less 168.54 4 Ea add'I 500 sq. ft or portion 33 92 t ' Tax map /parcel no : mited energy, residential r ...,: ,;.. >�t i r 67.84 2 � i � ( � �ih tt.r. 7 '� 1 Id �;e. ti "•F ""T "Sr l � ' St .d�a lr� ... ,,M;4 . t,.4 (with above sq ft.) Limited energy, multi- family 67 B4 2 �, �!� ,. Ml► L LAM! residential (with above sq, ft,) • 4 Services or feeders installation, alteration, and/or relocation I 200 amps or less 100.70 2 ,; .. _.. r,,. rs';: e�:.::. 4: �"Y.. .(,:.£� ° "Fi�'_F::¢,- �..- .:w..h' - 3f.. :�:;. >Y`�?�t -:.ny . + .. ,.sx. .. J:a..:';q'i r, w;r ,9y.,_. „q'.1, :,",� 1q:.;.I?:. ""' , .,""t . u' :.:, C1 1:r.'.',f4 ' f6iFr!A.el.. r.,.5.' 9C' "- -Pi' A."�.r,W;.-e;: 1 t.u:n: ttft?-:v:r..4,wa.� 4 ` r e . 4r. tie s 201 amps to 400 amps l33 56 2 ;ut +atL• .��C� ,- . -, .'�sr .,;«..+u,:s.�..�� 'C��. <.::4r:. ,3 ;,.:;,tiia;��^'_ .�' 401 snaps to 600 amps 200 34 2 �� 601 amps to 1,000 amps 301.04 2 Address. Over 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders Installation, alteration, and /or __ relocation Phone ( ) Fax: ( ) 200 amps or less 59 36 ' 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps 168 54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: P::• ^:^ . .�... ...... ..,.... — , rP - a^,. j . /i N' A..xi„- "" ✓. vT. � 7— A. Fee for branch circuits with ` r..,: .: k. ° _s_: x !_ :: I, .... :, ;::_[:T d; :;- _ - , . . 1' f a F •i ci414:',. :74. tUi.:, ;,I: Y ..''nE r r i .,11% � t,s � . - 4 ..ir1,:.A above servlcc or feeder fee, 7-x2 2 each branch circuit _ Business name: Il e_ f'\ ( '- issi B. Fee for branch circuits ' Contact name' Sara Patters0u without service or feeder fee, 56.18 2 first branch circuit Address: Each add'! branch circuit 7.42 2 miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular • dwelling, service and/or feeder 67 84 2 Phone: ( ) _ Fax: : ( ) Reconnect only 67.84 2 E-mail: sara@asalarms•com Pump Or irrigation circle 67 84 2 a r ,. +.'aw. ':�:era�r �t -; l:..,{ .. .. ., TS . e:wK "'y,.rr.. ,. ..:a t1; =s>: _...,:, ,_.. ,a,,� �, ar , , ,_ +'.,.ii; . _._: ta. 1 SI or outline lighting 67 84 2 ;s��:i,:b�i�a.Y,�at�.. � �,.,. a�.�rt ¢ w�.� ���� ,,u r �k�r,#!,;�,� �� � Business name: American Security Alarms, Inc, Signal circuits) or limited - energy panel, alteration, or Address: 5411 SE McLoughlin Blvd. extension Describe: 01 Page 2 67 84 2 City /Statc/ZIP: Portland, OR. 97202 Each a dditional inspection over allowable In any of the above Per inspection [ _ 66.25 Phone: (503) 231 -033 Pax: (503) 2304044 Investigation per hour (1 hr nun) 66.25 CCB Lic.: 58640 Electrical 26 -283c1 1.uprv. Lic.: 77481ea Industrial plant per hour 78.18 z a. y Fp k y! 5 7tmsie Y4'0';i Suprv. Electrician signature, required: ,r Subtotal; 67 84 Print name. James D. Liston ,= I Date: Plan review (25% of permit fee): State surcharge (12% of permit fcc): 8 14 Authorized signature: I TOTAL PERMIT FEE: 75.98 , . This permit application expires if a permit is not obtained within 180 Print name: . bate: days after it has been acteptea as complete. 4 ' Number of inspections allowed per permit I laudding\Pem r'.Ponn[1Ann Anr IOlti InA 440.4615T(I 1105 /COMN/EB 'd E L '°N iNcl 6: ti 6006 'El 'PO r Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMXTED ENERGY PERMIT PEES: �,, ..1 q.,.. .,•l,� "f,: y;F � L �M � '- 10:�_ re [. '•1. - ,F�..:J:y i. ,,ld (.. •,+� -A". � :.� k,,�:1"� , ' 0/.4 gc3 ��'";:'� %� - S, ; .. �uE': u%:�'>� s'.t Fee for residential systems combined $67.84 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm El Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: rFr '� '.�. �.. u . � 9. r �,. °' j ,� :s �,� .a . t �:�R [ ,<i �e� • jrae� +'.�'���u , � �' .i:�� n,�;, '1,; ii5x . «x« .w�'�c^erx iz'` uv 'r�n�k�°<.r,�t .S,:..:.l .u."M�:- N',i::;rt �'"1`+'-'> ;:' ? -, .... '.m 0 Fee for each commercial $67.84 system (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems I Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ® Other CCTV Camera System Total number of commercial systems: — *No licenses are required. Licenses are required for all other installations r \Bo Idin PaTLApp doe 10/01 /09 6 'd WdS6'ti 6006 'El ' ;,0