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Permit
1 . / 0 , /7 g j ,.r . , 71 a CITY OF T I dA D ELECTRICAL RESTRICTED ENERGY PERMIT i . COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00266 �- V n k p DATE ISSUED: 10/9/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DB-02601 SITE ADDRESS: 11606 SW PACIFIC HWY /0 ZONING: C - SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: NEXT LEVEL MARTIAL ARTS . Project Description: Low voltage for burglar alarm installation.. Job No. 80939514 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: ALPROP CO BRINKS HOME SECURITY 6149 SW SHATTUCK RD 8080 SW CIRRUS DR PORTLAND, OR 97221 BEAVERTON, OR 97008 Phone: Contact #: PRI 503- 641 -0287 FAX 503- 641 -0960 FEES Reg #: ELE 34- 166CLE LIC 44421 Description Date Amount SUP 3213LEA [ELPRMT] ELR Permit 9/17/2008 $75.00 [TAX] 12% State Surcha; 9/17/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 suspende • - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those s are set forth • • • - 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain c• • ies of these rules or direct questions to OUNC at 503. 6.6699 or 1.800 • - • • Iss ed By: —AMA. i ' I r_ Permittee Signatu - • • • _,in ',1(� c .—D 7 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: 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. / /6;ot il ! C. , <4 t' BRINKS HOME SECURITY PAGE 61/63 " ' E�ctrical_Permit Application � ` ` " I og of MCI uSE ()NL\• r�, , Recei Q , /YID— /y1�v�Q City of Tigard nnr -" •'� j' r 11„, , ■ 13125 SW Hall Blvd.. Tigard, . 0, Plan Rcvio ved � �O O • Permit �'� Other Pernik •. ' Phone: 503. 639.4171 Fax: 503.03. 59898,19 6n�, 19 / 1� DetcA3v! Ittspcction Zinc: 503.639.4175 e Information Internet: www.tigard- or.gov c p G' � tc Rcn - /CvI ° • _ Jern: Iii See Pate 2 for T i C. ,\ 1l - uPP 9 1 ....... I,......,r ..r r., ' ., >r . �.,,,,,,,,,,; •; ,.... ::., .,; ' : . .. ... ,,. - . -- s. ''s check all tha apply (submit � sets of phial w!ttcros checked ). ed be Inca Lj New construction ® Addition/alterationfrcpb c• y p Service m rcedcr amps or more ❑ Building over three stories. ['Demolition ©Other: wham the availeblc fault cunent 0 Marinas and bonbmrds. .0 Floating buildings. „ •'1 �, -n;.p' .:, ,. �,'�'ry6YRY t�iPIJ / :.;';`..' . "..' E ; i'- "rte � � ..� ..... ' ' �'��' :':�:..�` : ' � d grolmd M c�eccde 14.000 or ©Commercial-use agricultural • D 1 - and 2- family dwelling ® .Commercial/industrial ❑ Accessory building snips for all otter installations, buildings. 0 Multi-family 0 Master builder ❑ Other. LI Fite pomp. 0 lnstollation of 75 KVA or '..:.r'1 •. ,i ,;?; kr,'„i r : I ' :a° u y � , � , �� *4) . .. .., O Addition of new motor load of ❑ larger ` separately d 1-3 • system. • : ', y!y�y!, dIV IOD.HP or more. Job no.: 80939514 Job site address: 11606 SW Pacific Hwy 0 Six or more residential units. 0 Recreational vehicle pans, 0 Health - care fi eilities. ❑ Supply voltage fbr more than r- City/ . - `7z _ 23 ❑ Hazardous locations. 6011 volts nominal. uite/bid / ' i ❑ SeMca 7, feeder 6,00 amt er more, ' g+' � ....,:.,.:.';!,",•:;:.!..„;•,, is ;riu ;i'ailp'ailD, .,,'.:,::.: rii� { ' , l n; { „i.. , :�: ross streetrections to • • . uemlpdon qtr. i Pc I T otal ` • New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. R. or less 145.15 4 — Ea. add'I 500 sq, ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, tesidential 75.00 2 , , .. ...,, „ ,�yr : ( so tl ) �l'.. { .. .� '..:•Ijlr� n,..r"';'. ' 1 il' ir> yIGA YniCl :�7� ?.V7�','h��'V1�11... .. .. �. �. ; _ with abovc �' .,' . , . � ..,• , ; Limited energy, muiti- family )( 75 00 2 Low Voltage alarm install residential (with above sq. ft.) , Services or feeders installntion and/or relocation • 200 amps or less 80.30 2 ..,:.•. , ii ;i ...... !' flTl.1 amps to 400 106.85 2 1b .. ,.x'..n. p 'I�.�n:R'J'C\t►thA4AkIC�..V rr,PlrJ : .r. , , .. .. ..... .. i: ,, ''I•`.EAT 2 a mps Name: Next level martial arts 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 • Temporary services or feeders installation, alteration, and /or City/State/ZIP: relocation Phone: (503)352 -5035 T Fax: ( ) ^ 200 amps or less _ 66.85 1 Owner installation: This installation is being made on property that I own which is not • 201 amps to 400 amps _ 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration., or extension, per panel Owner signature: Date: A. Fee for branch circuits with ;. ;, i . :,. ',.: u, Z.G15 � Cam;: i above s or feeder fee, 6.65 2 tl. ...•:,,..,. -;. ,1,.,...,, .. . ...,. ,...: ... '- rach branch circuit Business name: B. Pee for branch circuits without service or feeder fec, 46.85 2 Contact name: first branch circuit . Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included City / State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) I Fax :: ( ) Reconnect rnily 66.85 2 E -mail: Pump or irrigation circle 53.40 2 ., ... 'CTOR , 53.40 2 :,.,:.,. �,. ..: a rl:: ''q�' � °t`t 1 �. Sl�+tl0rttlrt _ , , . ,, •, .,.�.. .,:� _;:;. i;� ;:..;,•.,� me t6 R Signal circuit(s) limited- Business name: Brinks Home Security it(.) or l• ited energy panel, alteration, or Address: 8080 SW Cirrus Dr extension. Describe: 1 Page 2 75.00 2 City /State/ZIP: Beaverton, OR 97008 . Each additional inspection over allowable in an of the above Per inspection 62.50 1 3) 641-0267 I M. Fa + 641 invrad ution per hour (l h min) 6 2.50 i_: r • Cal Lic.: 044421 6 Electrical industrial plant per hour C _ 73.75 sti _ Subtotal: Plan review (25% of permit fee): Print namc: Kevin Tucker Date: I: State surcharge (12% of permit fec): 9.00 . Authorized signature: • TOTAL PERMIT FEE: M.00 This permit application expires If a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. ” Number of hrnrreetions allowed per permit 1:\Bulldlna \Prnniezto PamltApp.doe Qi/i?fll 444d515T(I V05 /COmAVFB CITY OF TIGARD A BUILDING DIVISION PERMIT #: ELR2008.00266 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10191200!3 Phone: (503) 639 -4171 knm ,� Inspection Requests (24 Hrs.): (503) 639 -4175 `'I �.. INSPECTION WORKSHEET FOR DATE: 11/17/2008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 11606 SW PACIFIC HWY 100 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NEXT LEVEL MARTIAL ARTS DESCRIPTION: Low voltage for burglar alarm installation. Job No. 80939514 OWNER: ALPROP CO, PHONE #: CONTRACTOR: BRINKS HOME SECURITY PHONE #: 503.64.1 -0287 Inspection Request Scheduled For: Date: 11/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 .e 078127 -01 503 641 -0287 N C. : • • - - - uctions: j W n\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: G N661 Ise Date: 11 1 Phone #: (503) 718- 1.