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Permit T CITY OF 1 I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT I DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00093 E 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/19/2005 PARCEL: 1 S 135DC -00500 SITE ADDRESS: 11775 SW GREENBURG RD ZONING: C -P SUBDIVISION: TIGARDVILLE PARK LOT: 008 JURISDICTION: TIG Project Description: Data installation. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PENNY, JUDY COCHRAN PAVELCOMM INC 17305 GUSS WAY 1640 NW 14TH AVE BEND, OR 97707 PORTLAND, OR 97209 Phone: Phone: 503 223 - 5008 Reg #: ELE 26- 559CLE L1C 00063963 FEES SUP 699LEA Description Date Amount • REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 4/19/2005 $75.00 [TAX] 8% State Surcha 4/19/2005 $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 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: S/ 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 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. • .. . `„• ID0 ailed ON j,,, ', . ti 1. 096 MHOS-amid Lodi l :21 pooz-80 -unr penleoea FtE‘ Electrical Permit Applii golag 2005 FOR OFFICE USE. ONLY City of Timed „, 13125 SW Hall Blvd.. Tigard. OR 47273 F I%GAPD �trRev Phone: 503.639 -4171 Paz 503.598_19 I �� Permit Z�xJS�da�4 60G%, . Of .* p„,. i a deuar 7lnspeenon Lim: 503.629.4175 a' LD DI V1S 1 ,' - � r• znterne www.ci.tiga�siar.us 8 - Dote "4" 1 / �� S See Paco 2 for ����I ���F�� r U � i�7a „ i �� ' ei�° °, . cgq �� Swpiemeutal Infarmatla. r Now construction 0 Addition/ekes-al: on/ +( ,� d � elt� %Pleas" cheerier daze d o� I,i: R,sw IaCantAIIt Pisses 1 spply; :- ,� �;, ❑ o I3emoljLlb ❑ � O ther: ❑Swica ovor22 a r , 4 � , T Imps, oomm'1 out location © �n�,FE,l�S 1' K1 q I PU ca(a .,�y��v= c s7:N¢ q a r:- i �,, ., 5caviee over 320 amps - l luildn g. g i :,'il.,S q';', iF 4�. 'R:t 1 .1 2 , -�` = �l r y},:T TS tl. rt�z� . Lz, .,', S�'�Y�!'.E;;;1iRMI5� of 1- and 2•fhzall d p -rating � o 1� "'� � dire over 1 O.00D sc T rw��: - r �,.El�l,l Y dwellings Q. or more new tesidrnt ❑ 1 - and 2-rioad1y dwdliug • _4 Couznercialrindusetia CI Accessory bnllding ❑syattan over 600 VOL 19 noafarrr] units in one structure ❑ Multi-family Q lvlastet builder Q Othts s amps or n © u'itdf9 ave thtre steam [7Feeders, 400 i Sl'C a l g l r ° �t�cletF c- rra�r:::r z,. DOcc ffiLIoad over ia..a i 1 <.� ,• �! �: I. + II r :, ;Wta'l.t t�,ii,rl.., , yx ,.. „� nIbliq F r �, ' ; G : i t ! P(tl , 1 1 4 , �� ',,,' 1 °P 99 persons ❑ par CCUred structure 5 i;i �:Tr a; f .., dr,.z��::, t�[� 4,1. Y�� *�I ' s ❑ �nsrlli tan RV • Job no.: rob site addre,. / / / f E ar efacili s p park _ 01- carnr ❑other 1 1114 Et sets o fDlans with � • �- MY attic ahorra My /Sta r /ZIP; Li 4i i 04. ,, �/ / The above =not lieable to temporary ''I / � � 3 8 P ( P � 7 temporary conan�tetioa aeNice. Suite/bldg. /apt no.: Prect if e��11 \' A / o i F'iS�i�;d�I�r a .,77, �.,ipL',krr; - DuerlpWo Q4• Fre• Total Crone ats'oet/direetioaa to Job site; ! /^ T � "'"Aoal residential single. or rofflil dwelling unit, Includes attuned garage. 1,000 sq. /X or less 145.15 Subdivision_ [ Lot no.: P.a- 50 sq. ft or portion 33.40 To map/parcel no.: - Lump energy „ residential 75.00 1 ��.�jl:i � „r -� r • Iil i �r gi 7 o'lsr' �` - , �; ` I � �; � m r' "� 19a� t • � R Limited energy, tan sidendol 75.00 j4 . "': C , II r ' M, :ar' I •l u? i'�.a�i, rl aI 1 a `i'i ! ,I�. i.+ {tlE' ' 2 .:i� . J f ;4d(' L ��'UA' y±�z7 , �u4 `1 . 1' Each aa�au�awred or modular dwelling, sar,rice and /or feeder 90.90 Services or feat= Inarallae;o aIt rra t on, aed/oi. Polomtiou v y. , r r, rte? :� 4 �>i�r�•v.� : s�s+rn ?T 200 gimps or toss 6030 1 u �1; 6;;;,W51; L n r, E r •� ,'' j 41. 1! 9. u g t 3 ' /' ' _ 1'. '' L'1!' r g9iseF-7#1 1 A4A5- s to 400 s .'S'r U,` -'' Q ''.:ai Ir 1+�. qua 1,er r"Iiti.Al.r,11 f . 4 � N . fit, Z amp lOb.$S 111 b7� i �. �� 401 amps to 600 amps 160.60 al arum to 1.000 HMS 240.60 Address: 1 5_ (` � � • e 1.000 moos or vale �`P n, � ' 7/� --�' _ Re C0m9ect only • - �.g , City/SratealP: � - Phone: (j ) 7 9 ( ) -r Temporary services or feeders lostalladeo, alteration, and /or Owner IbSt8111#100: This ins i an is b made on 200 a or leas i 66.85 �s property that I wbiah is Amt 201 M4 amps i 10030 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, aZ1d 701_ - Owner si�altite Deco: 401 slops to 600 amps 133.75 r� ' 1 t:7 ' t ��"i - Yl'� � 7iv� '� :; FT 't�T: T+:� `. 1' 7� -- Batch circuits - new alteration, or extension, per anel , : 1: ..E._ t � f', : I 71 �'^ T , ='1', r r r7 i,l l;' +"� �U' ; :' LL;.11..r ^_v1._i∎ .. ' : 7_.L '',:rJG ' a: , , 7pil ;LII Y,4 K9 1 dr4� AFeefbrb � a -: - .��:_,�; �:�° <�rS�,�� q;`G;,:r �r r -��,�1 reti clrcuttsw "!•'_ a err i ec or &oder iko. cacti Susiasest; name: bract, circuit 6 Contact name B. Fee for branch circuits widens SCi'rrica or feeder fix, 46.85 Address: each branch circuit tech edd•i bran= circuit 6.65 r Cif /5tatc/�: 1VBseellaneous (service or feeder not hide ded) �� FaX:: ( Pump arirrlgatlCn circle 53.40 _ Sign or aui11ne li teing 53-40 ^; 1` :r,R i : I` %; R4��l �i t SS6nal oirc16ifu) er 2frnited- e j dZY.t: 1? .,t. l�r:'l ,!1�1T:'1'iY'E :71 ,, t i+l i07,t e 99Y "f�ji�]. f r p+F r,� c �� C �� - ������::t a��'�4'9'.�� � �J�'Ei4([d4:;; �1:' 4r�r rlel'Py`Aanet, alraCini7. or Business name - exteclsitm. Describe: I pae 2 , Address: - / a ) �_' Each additional i[Ispecdon over allowable In nay of the above City/State/ZIP: � ,,� ) rer tnapeotion 62,50 CA , � 7 + U � C / .y Z �! , investigation per hour (z la mini - - 62,50 Phone: (50:5) 2 0O- Fax: 3 7 1 2 2 AI O / O Btdum:im plaxrperhour 73.75 •; 1' 6 r s'prv. Vat ` / � �°"'�t a i " li wl ' �li t ! A Ii M�:yp 3 ' e --'�;' u,. i � ' _ subtotal 75.6) 0 Suprv. Elect •• require. 41 / / . / �-U / , Plats review (25% of permil<fc) ' `Ii Print name T . zi'� Dag- f 0 State surchar a (8A oftset'n»tfee) wir, 0 ,a Adtborized, signature; TOTAL 1131■1IT FEE v � 4 l • CO This permit application eiplre' if a amok is not obtained within 100 days after it has beep aeceorad sc ...44P1... Print name! Dates a Fecmethodtllogvaec Building industry Service Board L1Bultdles�Pcemin111r CAas+f `° Number oriuopootSOns per pour allowed. enpp,doo WI ile0.4615111wiu/tow0419 Tnniwi 17Z0-d £00 /100'd 689 -1 PO10£ZZ£OS+ 3N1 1 -S Se00:11 900Z -81 -P0 . 4 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005 -00093 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/3005 • Phone: (503) 639 -4171 ia�v �41 , Inspection Requests (24 Hrs.): (503) 639 -4175 ...' J INSPECTION WORKSHEET FOR DATE: 4/2` ,06312 TIME: 7:11AM PAGE: 81 SITE ADDRESS: 11775 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: TIGARDVILLE PARK LOT #: 008 TYPE OF USE: PROJECT NAME: HILLE, LLC DESCRIPTION: Data installation. OWNER: PENNY, JUDY COCHRAN, PHONE #: CONTRACTOR: PAVELCOMM INC PHONE #: 503 -223 -5008 Inspection Request Scheduled For: Date: 4/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 005635 -01 503 -223 -5000 N Corrections /Comments /Instructions: c C i '7 14 1 L ) u, t • A SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ F IL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ✓ Date:, c -- ;-_ - 73 /‘j -r Phone #: (503) 718-