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Permit • a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00258 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/2/2007 PARCEL: 2S 112DA - 00800 SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: PAC STAR Project Description: Burglar alarm installation 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: PACIFIC REALTY ASSOCIATES ADT SECURITY SERVICES, INC 15350 SW SEQUOIA PKWY #300 -WMI 2815 SW 153RD DR PORTLAND, OR 97224 BEAVERTON, OR .97006 Phone: Contact #: PRI 503- 469 -7100 FAX 503- 469 -7114 FEES Reg #: ELE 26- 209CLE LIC 59944 Description Date Amount [ELPRMT] ELR Permit 7/2/2007 $75.00 [TAX] 8% State Surcha 7/2/2007 $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 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 dire • estions to OUNC at 503.246.6699 or 1.800.332.2344. Issued = • . /11 Permittee Signature: firiO I I (Q / 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. j 02' 09:45a Stephanie Pate 503469 p.2 Electrical Permit Application FOR orrK:E 1 :SE ONLY A. City Of Tigard ‘it 1 I ' �` Da+dlll : /�J 1T remit Ng.: ezje "i- -.4 2 58 3125 SW Hall Blvd., Tiyard, OR 9 7221 Nan Kevin,. / 'hone: 503.4$9.4171 Fax; 503,598.1960 JUL Q 2 r � y.,; ''I • I 'i ;, t7otdtr Oth Permit: f 1 I f r - • 1 . • nspcction Line: 503.639.405 -� ► ► Data Rea CITY aq„ r1 to'i See Page 2 for nfetnCt; tvwW,C,.tigard,or . uS 1' , M NutitadfMothod: _ �J� S tom ntal lnrormatba TYPE - Y r V ■ l' _ : ., . „•, -1'IAN; REVIEW. ... . . • , � ® IViS10N ` `"" . New cun5truction - .� Please check all that ^.._y Addition l /altern cion/rC p lttCCmCnt apply: Demolition 0 Other: over 225 amps, comm' )tMardous location et nee over 320 amps rating Ruiddng ova 10,000 so, ft CATEGORY ;.OP . L 1 a ver mpe - g U1�1��. (,�"i:1Uhl,< ; •,try - �• - �•;h; - of 1 -and 2- family dwell 4 or new o mote residential .. 3 1 - and 2- family dwelling Da Commercial/industrial ❑ Accessory building [System over 600 volts nominal units in one structure Multi-family ❑ Master builder (] Other ❑Building ova threw stories 1]Fcodcrs. 400 amps or more DOecupant load over 99 persons OManufactured structures or :JOB SIT :'INFORMATION iANi)• LOCA'T`101Y• - • .. '' ❑Egresa/ltght.ng plan RV park ob nn.: /IOs7 9 � Job site addrm'S: 40.575 SC 6-6 vat R Ek)y ❑He:thhK are facility Other / Submit 2 sets of plans with any of the above, 'ity/Statc/ZTP: 77' j p / © 97,...1,,/ The above are not applicable to temporary construction service. /��' FEE• .•SC:1reottl~C ' :uiteibldg./apt. no.: I ct•L Projoct name:PRC, .57 & t, /�uarenotbn I oa 1 re. [ ru •. toss moot/directions to job Site; New residential single -or multi - family dwelling unit. "- •- --°- includes attached garage. 1.000 so. ft. or less 145,15 4 ubdivision: 1 Lot no.: Ea. add'l 500 se,, fl. or portion 33.40 1 Limited energy, residential 75,00 2 ax map/parcel no.. Limited energy. non - residential 75.00 2 DESCRIPTION' or :YORE . . ' . • • each manufactured or modular / / �t>, o dwelling, service and/or feeder 90.90 2 --� • / - - f / .L ' �d �N ti Servixs or feeders installation, alteradon, and/or relocation 200 amps or less 80.30 2 • .. "' ❑ PROPERTY OWNER • . .) . .: •. "TENANT . 201 amps to 400 amps 106 85 i 2 401 amps to 600 amps 160.60 12 lame: 601 amps to 1.000 amps 240.60 2 del,. Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 :iiy /Statc/ZIP: Temporary services or feeders installation, alteration, and/or relocation hone: ( ) Fax: ( 200 amps or less 66.85 l owner installation: ThiS installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 ttended for sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 owner signature: Date: Branch circuits - new, alteration, or extension, per panel . C] APPLIC NF 1'` • • • Y.: CONTACT' PR.RSOIV A` Fee for branch circuits with • " • service or feeder fee, each :usine:.s name: ///��� branch circuit 6.65 2 L - B. knee for service or branh circuits :antact mains: wirhrn sav feeder ice, 46.85 2 first branch circuit dde Gam: Each add'! branch circuit 6.65 _ i 2 :icy /Statc/ZIP: Miscellaneous (service or feeder not included) (2.3 ) /VO 3 d DO Fa x : : ( ) Pump or irrigation circle _ 53.40 2 hone: 3 .. SiP,it or outline lighting -mail: 53.40 2 Signal eircuit(a) or limited- - , . CONTRACTOR ACTOR , • . aicrgy panel, alteration, or e. • usiness name: ADT Security Services extension, Describe; Page 2 2 ddre t: 2815 SW 153" Dr. Each addidonal Inspection over allowable In any of the above Per inspection 62,50 t 'icy /Statc/LIP: Beaverton OR 97006 Investigation per hour (t ter min) 62.50 hone: (503) 463 -7100 Fax: (503) 469 - 7114 Industrial plant per toter 73.75 I El.FCTRXCAL PERMIT FEES CO Lie.: 59944 J Electrical Lie.: 26- 209CLE l Suprv_ Lie.; I,F,A389 Subtotal IS l° aprv. Electrician signature, required: 4. a.€ee� Plan review (25 %ofpermit fee) tint name: �t -�/ r Dale: _ �- ` State surcharge (8% of pcnnit fee) ,, 'O ulhori7.Ct] Si r - TOTAL mama FEE 9/ O d piuturc' .4 - ,� r _ / ,44' This permit application expires if a permit h not obltdned within Hit / �/ stays after it has been accepted as complete tint name /((N fr 4 Ur I Dam • Fee methodolaRy set byTri•Cowrry puildin4 Industry Service hard '• Number at inspections per permit utlnwed. ,•Uh4• ('.Perm A Mr `)m\ �a.aM1lrrt l OA7./CnM/W1:H