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Permit •..) ELECTRICAL PERMIT - CITY TIGARD RESTRICTED ENERGY e i � l DEVELOPMENT SERVICES PERMIT #: ELR2004 -00278 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/2/2004 SITE ADDRESS: 12855 SW GRANT AVE PARCEL: 2S102CB -00200 SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -12 BLOCK: LOT: 041 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: TIGARD - TUALATIN SCHOOL DISTRICT #23 ELECTRIX LLC 6960 SW SANDBURG RD 115 V STREET TIGARD, OR 97223 VANCOUVER, WA 98661 Phone: Phone: 360 - 694 - 5094 • Reg #: LIC 148685 ELE 37 -930C SUP 4398S FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 9/2/2004 $75.00 Elect'I Final [TAX] 8% State Surchar€ 9/2/2004 $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 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by 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: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 03/31/2004 22:27 3E06950670 ELECTRIX PAGE 04 , ' Electrical Permit , r ® I�I( I?, iiSE:ON1) ,, 11iafxo.>n� FOR 01 ��U 1 _ Re c e i ve d ot / /� Pe rmit No EL ei 00 2?; City of Tigard i: w.ti 3 13125 SW Hall 131vd., Tigard, OR VE3 ( 1 2004 Plan OtherPermil;'�71,4 7 ed _ 670 _ 6705 - 7 o7 Q Phone: 503.639.4171 Fax 503.598'1960 ZUU4 4 ,r 1 q;inii, 1;'" Date13 : Inspection Line: 503 639,4175 J # Date Ready/By; lil See Page 2 for 1 . Internet: www.ci.tigard.or.us CITY OF TIGARD NattfiedlNtethnd' Supplctnentnl Information m! i u r t. mm� r t r S ( i ).)1 ) �.,, hp, 1 1 ,oI " l .,MT ,,, hill/ �' .�n i , l� l i #�+s tiliii" ,,,• ,,�131e , I i ' "^ Ji�sl s�j 5i', Sl ?;S` Il �, s t 4 Z v i ° m °�r7;' A �l � I �l, , t ' rrl ,1 1 i 1 ' > r' ; ',IMnr , a # tli �, , + i , ❑ New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition 17 Other: 0 Service over 225 amps, comm'I ❑Hazardous location m nr n„ rnr rtam nr. { p� tit 1 ■ t ; ❑Serrioc over 320 amps- rating ❑ Buildng over 10,000 sq. ft„ rith (�1;1,��'� "i' +E =(}' '' � 41,411 }� as i g nlitZlii1' ..,'d ignillil 'k .,')CM of I- and 2- family dwellings 4 or more ncwresidenunl ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units In one structure ❑Building over three stories ['Feeders, 400 amps or more ❑ Multi- family ❑ Master builder © Other: Occu ['Manufactured structures or 't .�ir,' "j!. o I� 1, � i ❑ Pant load over 99 persons ,;pl':',i':;'l;'1!C;Ip ,+Ili w+ 1 K'i r n#4 ... 4itr1t1 a '''lS'l U '' n ' o - s,,,i ' + v 'Ri�`«I.ht, l fi, � ��' i iI ' 't ;�artai E �� . ,. r. � ❑1 /lighten,_ plan RV park i 01•Iealth -care facility ❑Oth , .lob no.: Job si t� te address: j ( "5 �5 i��/� Submit 2 vets of plans with any of the above, City /State /ZIP: 6 � 1 a The above are not applicable to temporary construction service. J f no it' 1 : i Eii <iil' � l;a c,, t i" ',III t;' 'wi ,G��l� {i i0 suite /bld /apt. no.: Iroject name: - /9/� ��"'" -- t ,(%� 1�,_ Description Qty. e lli Tnlnl 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') 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: n- residential '�� 2 ttr 1 ./ Mfr p{� Limited energy, no `�_ 75.00 ; ;T;ti';; i,SE�i iil'Y1 ,E) 4 5 "p'i$''1llvM'iili'I ' ;1,a'' rii I N` , !. X31. / P1 '4lil4i l i , I 1, I / 1 '; {ki'il „ ;. . 111111 Each manufactured or modular . dwelling, service and/or feeder 90,90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less B0 30 2 r „t, 4 , } " 1 11 11 gaiinif 201 amps to X400 amps 106.$5 2 lip: ll ;;�;�,3�.,.A�t;,ll�..ili�,��� �•:t� °l '. ” ��� 1 :� 1 1�` �t ilJll�� i�1��i�Pa le ,�,��', � riVgk Il � Engrg 401 amps to 600 amps 160.60 2 �■ �i 601 amps to 1,000 snips 240.60 2 kddress: l 61 1 f K �t JV 1 1 571- Over 1,000 amps nr volts 454,65 _ 2 Reconnect only 66.85 2 ..ity /State /ZIP: ! 117z Temporary services or feeders installation, alteration, and /or ' relocation Phone: ( ) . l- jp b b Fax: ( ) 200 amps or less 66.85 1 Owner installation: is 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 OiLS 447, 449, 670, and 701. 401 amps to 600 amps 133 75 2 Owner signature: „ Date: Branch circuits - new, alteration, or extension, per panel ('1 ,r� ' a. i ;' nsgtrotl ' i ,i, t' 1 a �Ar,. ail +, i' � circuits with ,;,a i,h, ' ' l ' ' i 4 J E" i I li VV. , � Is 0l Orr, )I YE .� WV ii r',+ 1e ! Tp i aiP:l ft>��� A. Fee for branch r each 1 Ill- i , ,i' ' ,1,,. f lixsi7iiti,., service or feeder fee, Business name: 0jCr ix j._L ., branch circuit 6.65 2 B. Fee for branch circuits Contact name: 4 without service or ti ecler fcc, 6 t r Sh / each branch circuit .t .R5 2 Address: V �f f'�Q Each add') branch circuit 6.65 2 City /State /ZIP: -0 . rtV W 1 4 - 6 100 ) Miscellaneous (service or feeder not included) ) U) �— � 7 O Pump or irrigation circle 53,40 L2 Phone: Fax: Sign or outline lighting 53.40 2 ir *tiis t I p a t(s) or limited- panel, E -mail: I i 2G i -� Signal ri9lih'+y iiiN..11.1 , t,p , . ', !I i Y ( ' WI . e .i ' mr a ,. s +,;: I $ i energy panel, alteration, or Business Warne: i/ilt.c I extension. Describe: - Pagc 2 2 Address: I tS V Each additional Inspection over allowable in any of the above Pcr inspection 62.50 City(State /ZIP :\ L 4 LOA q VW, j investigation per hour (1 hr min) 62,50 Phone. ('31,0 ) [4i ' - (, l Fax: 1(4 ) LAC-007i) Industrial plant per hour 73.75 - 7 ,''' 3 I� 1„� ��'f1.� 1111 �„tl t f Ld X l,ik g '...'1 }.,,',,+#;' ' ln Kj CCB Lie.: ILI Electrical Lie.: -930L. Suprv. Lie.: '3 I L : , ‘ g subtotal it. Suprv. Electrician signature, required: (, i� �r Plan review (25% of permit fee) riot name: ' (�4t,ritligA5 Date: g, 2-T O Static surcharge (11% of permit fee) ` ' TOTAL PE1tM1T FEE f 6 I ----- Authorized signature; This permit application expires if a permit is not obtained within l80 �. days after it has been accepted as complete Print name: Date. * Fee methodology set by Tn- Catmty Building Industry Service 1300rri *• Number of Inspections per permit allowed. itBaildint \1'crmlts \F,LC.-PermitApp.dae 12/03 440.4615T(I0/021COMJWBB CITY OF TIGARD „ ..,.. BUILDING DIVISION .,, . PERMIT #: ELR2004-00278 13125 SW Hall Blvd., Tigard, OR 97223 AW DATE ISSUED: 802884 Phone: (503) 639-4171 "I Inspection Requests (24 Hrs.): (503) 639-4175 ..-.- '''---. P INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7:08AM PAGE: 8 ,------ - SITE ADDRESS: 12866 SW GRANT AVE 1-> CLASS OF WORK: SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 041 TYPE OF USE: PROJECT NAME: C F Ti GARD ELEMENTARY DESCRIPTION: Security system. OWNER: TIGARD-TUALATIN SCHOOL DISTRICT #23, PHONE #: CONTRACTOR: ELECTRIX LLC PHONE #: 360-6946094 ,,, Inspection Request Sche,ced For: Date: 8/24/2005 Pour Time: Code # Inspection Description 00.— e s a # Contact # Message 135 Low volt- e g 014 • 01 503-318-6499 Y .1 PA44-L- Corrections/Comments/Instructi ns: --,,, ,............Ly, \ - 1 \ , tbb v C - a - ZiL fkl...L -k.5 0 \ \ \ \\ \ \ -,. 1 *6 / A C3 t P -ii% t ■W - , \ , ycPASS n PARTIAL APPROVAL 0 CANCEL fl NO ACCESS n FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ----- --- tiVikd O' Inspector: N8 LL Date: t(2)165 Phone #: (503) 718- 2,441z,