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Permit li r --- .. - CITY O F T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00404 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/1/2007 PARCEL: 2S 102AB - 03500 SITE ADDRESS: 12405 SW MAIN ST ZONING: CBD SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE 2 LOT: 1 - JURISDICTION: TIG PROJECT: TIGARD CHIROPRACTIC Project Description: Low voltage for burglar alarm. 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: BURG ALARM X TOTAL # OF SYSTEMS: 1 Owner: Contractor: ERDMAN, TERRANCE E AND ADT SECURITY SERVICES, INC ERDMAN, THOMAS M 2815 SW 153RD DR 12405 SW MAIN ST BEAVERTON, OR 97006 TIGARD, OR 97223 Phone: Contact #: PM 503- 469 -7100 FAX 503- 469 -7114 FEES Reg #: ELE 26- 209CLE LIC 59944 Description Date Amount SUP 389LEA [ELPRMT] ELR Permit 11/1/2007 $75.00 [TAX] 8% State Surchar€ 11/1/2007 $6.00 REQUIRED ITEMS AND REPORTS 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 won( 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 ort I 9' R 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.2 .6699 or 1.800. . �� . Issu By: 1 , /, !,` �. Permittee Signat re: i /' 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: gONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' , afr'eZlx=7 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. it 1 07 013:384 Stephanie Pate 503.469 p.2 Permit A lie ' — FOR OFFICE USE O \'t-1' .t t of Tigard R«el„ed l)aldD : ArQ 7 ,y t'armit Isu.: �,l go07 -d6 oci 3125 " SW Hall Blvd., Tigard, ail dial hone: 503.439.4171 Fax: 50. ,59, 19(x4 1 0 v r, r ion Rcvicv `' O 11F:��i " Oale Other Permit: 1spection Line; 503.639.4175 1 \i t �-�- -. 7ternCt: www.ci,tlgard.ur.us is �� . Date Rend,rlSy . FU See P ;1; l for • Notified'Melhod: w� ._� ,,, T - ._- ._.�,,, , L - • +_ 1 . - 110. SUpplcmenhl lnformatiun New construction g . - , - 1II rc aee • . a pp ): i :t : `: : y "y. Iment i Please cheer: a ] Demolition I 'w ',' . , , ['Service pm 225 amps, cbmm'l ❑ Hartrdous location r c r i r :' ,''6�.:;' � .° AT� :y(5';,;, { io y , rh ❑Service over 320 amps - ratin ild g QBun over 1:3,00C ...t.. c'.. m ,yf !01,(1' i rVS t/0f . ) bye: S' Tj' •r;;..:; L iy. K. { 'hr :- �,,'1�r'': r:• +;• o 1 • and 2- ialttily dwellings 4 $ or morC nob residanital ] 1 - told 2- family dwelling © Commercial /industrial 10 Accessory building ❑S)srcmo Giro volts nominal unity in one $trucf rr 3 Multi f',imil (] Ma.+;ler builder Bu over three sh or t t Iy qr y Other: ❑Occupant load over S9 persons ❑M etur d �JJ bull ri+ ' eed amps more { -:1 � .,...' .a :.V V iirQF �If!11'.(1N11i� GG1:Alti 1 , +' .: cgs tlnuf structtuc¢ or . � � • �-' "` � ... E f hcirl g plan Ito' park gi nn, _____ -! , Job site. r,ddress T ❑Hvuith —arc ftcitit []Other: Submit 2 sets of plan'; with any of {tic above, ivy /StatGLIF'; -774•4-4.1 -774•4-4.1 Q 07_24.2 N 3 - 771e at>o :c ar: ooh al pliCable to temporary conyliuc.lian service_ >b14, /opt, no,: I Project name.: �iPO /J N Fl;i:! SC'lll?1117 `:. � ^`ter `;. �,: Jitc . ... /y /J� T%- - .ntntripuwr 1 f1tY, �f h. ".... :- 1'fotat J ' toss .elect vdircctiOns to job site 4e w reside single- or murti•ranlily dwelling unit •' - Includes attached garage. 1,00t) sit t1 or less 145.15 ti 1 JbdiVisipn 1.ot no,: p a . a 5�)U cq. U. or portion 33.40 I I Ix map /parcel no.: -- I Littulyd wlr;lpy, rhldCUltitl 00 - — t' '• +' "• �. L.IRtlfpi L Orr 11671 -i 1 .. '5 ,I ' 2 j ;�+ i .. n: ti....- f : ., ;' °:':: a;1 ;S CGtTf1'!!(011 •07' .)1'UItI:'...,. � + : :i - .�'. cs dant s.U;i 2 - --- ,,. —_, .. , , cash ma no f c turcd '77 , s I l i' �J M/ .dwellaln, service :crdiurfa:dG 9V.90 ' 2 -- - Services or feeders installation, alterntion, and/or relocation / 200 amp or Its J S0.30 1 1 a' t @ r!1i..0,0 14 U1ViNli t - :� ... : }' I -�' :i :• 7,0 amps to uN) amps _ - 2 • �I �';]' N ;N A ti. I '' �'• 1 {1(1.115 ) mc: :' ' 401 amps to PUO amps ILO.f:U r^ i ]llress; �^ ._ (>QI ernes to 1 r):;U ulltps • -�- 243.(,L _ 0 :•cr l 000 ,amsC p) volt.; 414 ,q 2 ( Rccpr puts I CALKS I :. - - Temporary services or fetxlcrs inctu q ilation, alteratio andr5rr 'One: ( ) f it. reloca l caner installation: 'This installation 1 being r i d . on property that I oven which i� not ' 0l amps to 100 amps UU amps or lw;: _[ I 0.85 r - 2 :ended for sale., lease, rent, or exchange, according to ORS 4 .47, 449, 670, and 701. 1 4(11 aide$ Cu KM :111117; i 11111,10 I i 133.75 l 1 2 _ !__ .aver signature: Date: Branch circuits - c )ts -new, algvalion or etension, per . panel „ .. 1`G'01'?t(: h�JIi:SG1;1'.; ::;:, 1: A. I a. fo1 branch :• � link, it ' - T — � I h5inCS. name: : Crvicc nr fchcla I'm, each - branch ci::•uit 6,65 1 , 1 intact nano; Lt, Fee 1b1 (Muni) c:rt'.uits �- -� - I teiNw:rt Neivicc er lbecici fcc, --1 !dress: Crst branch circuit 4G.t 5 1 _ -- - Etch add't branch erect it I 6.6: I 2 tylStatc. — Miscellaneous (service or feeder not OR 97004 • Llvcrtl it eluded) -� -- - ..• _ T - _ one: ( ) p cr nttl ,lien cirTl:: 53.4C $1 020 ''l r:tr, , 1: ? 0 mail: ... „ Sign ur puffin,: lighlighting 53.411 ' ". ii;i' = - S�rii r1 cimuit(v) or binned- l 1 . __�. 4 _ g '''.,�. • • :. _ ' t O \ nl' _f O lt ?'''' cnn'r r pinch ttlteruuan. or i oc rsint s name: �1DT Security Services _ — clrcu.eiur. 1]esclite: I Par 2 Idress; 2615 SW 153 "t Dr. - 1?ACIl :ldditiotion f additional inspection over allowable in an of lire above Per inspection 6' .50 I' '!_IP; Beaverton Beaverton _ _i_ ' ;�;,ti6nprrhpu +'(Ilu'mby 62.50 I _� — I ty /Statcl onc: (503) 469 -7100 I Fax: ('50 -7114 •,.- Industrial plant per !tofu -- '73.75 i s r,ic., 599gq o - r `_' L•:i.I ;C'IRICA1 ;-•PEi ItiN '•I'. JTI S" r ' ' 1_ 1 .: l ectt ' � ;: 11.ic., 26.20 -- ....r,—!,?+ , 19(^1 Epr+, Lie.: I,F;h7 Subtat.i. °° I p?� 1 ?Icchici:nn signature, rcquir'cd: � J nu, t i' tt w (25`,N, of lltmti t fee) I 11( name:: r+ / E : N U J J I).11e; / / O - . , rchar ^(.S "h nfpCrrttit {' ^,c) h, �° St su thorizcd sil;u:uurc: ,/ /..":„.4,4„.i.„..1 - -- TOTAL Plia;n�rl rr h 4! D —� • — / � !• • Ttrl.- In rmil AppliCaliun vapl rat if a penult b not CLtAlued wilbin MO creel nt name: ( I -- -° �— — -- — After it hr' hr Cr1 nett Ird /EN 4/A 13nic: l il Mulplrlr. Pe ”et;:dc■lory u•1 . per 3'rr 1Moiling le.dn:ry Crvicc rtw,rl ..._...__ 4. \'•,111,1 :er .)1 i4i;■t6Lnrs ream a: rued. d:nhV•emint'J:LC•t'.)ninA ':r91 n`e9•Ai1 +S:;i'Vir7,LYJ•'drVl:li 7 CITY OF TIGARD BUILDING DIVISION A _ PERMIT #: ELR2007 -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2007 Phone: (503) 639 -4171 t�l�n Inspection Requests (24 Hrs.): (503) 639 -4175 '`:_.. INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 12405 SW MAIN ST CLASS OF WORK: SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE 2 LOT #: 1 -2 TYPE OF USE: PROJECT NAME: TIGARD CHIROPRACTIC . DESCRIPTION: Low voltage for burglar alarm. OWNER: ERDMAN, TERRANCE E AND, PHONE #: CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 603469 Inspection Request Scheduled For: Date: 11/26/200? Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electiical final 060143-0/ 503-469-7212 N Corrections /Comments /Instructions: \ . \,,__, .,\ \j L/I' l PASS. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • 6 Date: f 12.b Phone #: (503) 718- 11 b