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Permit ` r a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00429 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/20/2007 PARCEL: 1S12600-00300 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 ZONING: C - SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: LUCY Project Description: 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: WASHINGTON SQ. LLC ADT SECURITY SERVICES, INC 9585 SW WASHINGTON SQ. RD. 2815 SW 153RD DR TIGARD, OR 97223 BEAVERTON, OR 97006 Phone: Contact #: PRI 503- 469 -7100 FAX 503- 469 -7114 Reg #: ELE 26- 209CLE FEES LIC 59944 Description Date Amount SUP 389LEA [ELPRMT] ELR Permit 11/20/2007 $75.00 [TAX] 8% State Surcha 11/20/2007 $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 direct questions to OUNC at 503.246.6699 or 1.800 332.2344. Issued By: f Permittee Signature: dN ,97 .1/ 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. • Nov 19.07 07 Stephanie Pate 503469 p2 • "r 1lectrkal Fermi# __ - r,,,::,11,,,.... r < �® FOR OFFICE USE ONLY 2ity of Tigard : RCLeivutl i �7 / 1�� J/ / /�/ / �� I)atCll] �� 9 I Permit No, , % ,2Ob ! _ - 46109. S 3125 SW Hall Blvd ,'t 97223 rlun Review " hone 503 639 4171 Pas: 503 59515,M 1 rl 2007 wi(e) , ,I Dntc By: Other permit. tspection line: 503.639.4175 `i 1. Date Reaty'BV• ' • J ae . .,.. See Page 2 for itemet why? ci tigard.or us CITY OF TIGARD l Nol,frcd/Mcfho.- LT,- supplemental Infornwden I� ; . Eant-1D 1ffalt7diil( ON r1's <. , ] New con,truction 5g Addi [ion /aheration/replaccmcnt .._ Please t.heck all that apply ] Demolition Other ❑S ei It, over 225 amps. cum ❑H; za;dot lorauon P 1 ?s' '; 'L iiM` r "t /1'11E 0 ] (yi'' () � ! }' "'• "; > >" • h';;, ❑Scr.tee over 320 snaps rating ❑Bulldog over 10,000 sq. R . 0. ,. *, ; �T1,`(,i;J��l. ;ii ,.1.11 3 :'i` of 1- and - family dwel)ings 4ormore now residential ] I- and 2- lamtly dwcllinL ® Contnten:ial /industtitil ❑ Accessory budding I ❑Syslrm over 400 volts noI1Lnal units in one 5 UCtuic ] MuIk ft)Jt»ly ❑ Mt,,tcr buildcf Other: ❑D uildlnr over three stones ©Feeders, 400 amps or more „r7�,�,• t i ;' ;;;e QOer.up,ult Inmd ovr. 90 persons °Manufact fired sGUcauee or % . , Okl„S'if�r:'r k �'+ 1 .,. ^,',,, ;1 i ',.r- ..,. 1v� 1�i�fi' T),'13 en ?JJ�')S QLgrrCti`ligh[in2 plan 1!V peel ;;;1; nv.',2 / %(,�J - / ) Job site addres' p QHuaIth -core I;tcdrty ❑OItcT: • I :i ft% 4.//917/,//ti /Q ,�_ . ! submit WIS. <.f plans ivrth an of ilk• abov • t �ScatcrLl! ,l,„1 - 7 ry fr i et e JV. :. 3 The shave are UM p icablc to tnnl O1yr�' construction service Ate/bldg./dim. no.: / / h Ir e , •$ C, II E11111;Y'.- '"''i'1?1,'; ; . ' Project name: J , „..„ 66 „_, •Gf del 1. — , - ...., _ -'- - _ - /' - -- _ _.. Ucr+rI 1 lhy , Fer. i TONI _ I •• toss street/directions to lob SIC,. ' i? i-. r .•_ ( > / Ncw residential single- or m lli-fn duty d»cllini unit. — _ Includes Hilo chcd tt'araer, _ .,i abdivision Lot no • Et+ ,r,le)'i 500 sq R. or portico 33,40 - 1 - - ” -- Limited cnoR1, 2 rwren dual 1, [x map,parct:I no.: : t `� - ,, 7 5.0 __ 777.- •; !„ - 1l1 ti Q T''! In1Y, p „ r [ energy, non- ra'rL. nitil 75,0(' 2 • L•ul m O mo dwor /�/ / , . dNCIlin�; service.tnd'orfeeder r 2 -- •- - Services or feeders iristallnlion, alteration, and/or relocation ZUO amp„ or Ik'.s' NU 30 inDALqii0t0'1 bwnartt f ~' - -- - ti. '` --•'---t--1 2Ul an 10 ' 1 00. o f _ '00 34 - If 401 amps to 600 amps -- I 100,40 1 2 Arno — 001 drops to I,Irl;(i snip., :.1t. , ..)ti I I 2 'dress r Over I,C�GU'Amps or vale ' 4i4b5 ty /S[ate/"L1F: - - - -- - R I ixonnectonly ' -- 60.85 I 2 -- "1'crnpot ar,v services or feeders Installation, alteratio audio(• one: relocation ) ' fax: ( ) _ _ — 200 ,imps or less I (ii g 5 1 1 caner inxtalintion: This installation is being made on propel that 1 own wh'•cb is not 201 amps to 403 amps - -_ 100.30 ! :ended for ';:tic, lease, rent, ur exchange, according to ORS 447, a49, 670, and 7 01 4 01 amp, to 000 amps 1 133,75 l nee sign arum' •___ — Date: -- Branch circuits its -new, alteration, or extension, per panel , 7eff, 'vr ` I' •11'I')(,,(E4Allti 1 !,' c (. • 11:2T C'r' Igk:Ii ': •CCJ�Y ` A.. FCc 1;.n branch :mum - I I serv ice or fuNICT I riva h witness name' / hi an, ;l LIIQwI _ / -� K !4c IN 6raneh cin:wh intact name .t. 7- • l ; 1 a "t . -C' �� - ---.. a'uhud! ';crslu v feeder Iic, dG t5 ' 1dre�s, _ l,rs' branch eri4v.i t - _ Each t:illb ;,1ur,),urtult ' 9 0 � -- ( 2 tylSttto /ZIP h1rsrrllancnus (service or leveler not IncludiU) one: ' 7 .›) �E� / ' � � /.:2- 1',et. ' ( Pun,) n, unt ulun nn.)c I � 53,4(1 - -- .. r. I Sign ar i,ullinc Itgl:tuig 53.40 2 mail' - - Signal circun(v) 'x bmitt'J- - 'y`•,,,. CON I ")RA(; f(11j � ' n — cuelhy Pnncl ,dtcration, or • .. ------ • IS(t1Ctiv _...._._ _...... .. ._�� exturJ( D;ser lieu f 2 mime. �lA'I' Security Service, 1'tll; 2 Idress, 2815 SW 153" Dr. Each additional inspection over rII w,ib)c in any of the shove — - _) Pcr inspection 1 02 50 _J y /State' fP' Beaverton OR 97001) Inv ; ;ul?ntion perhaurti I,rininl t 511 _ onc, (503) 469-7100 1 F•Ix: (503) 469-7114 Industrial plant ptrhutrr I �— i3 %S I?1_,ISCI RIVAL 1'RR111I"1 1�tItg *'t '-,'r :9 Lie.: 59944 bleetnc,tl 1.re ' 2 4.209CLE I Suprv. I.ic_, 1.r./5.389 • r � J o b S ib[otat 'Z' pry. Electrician signzttn o, required '` 12GI�� - Plan review 7 __ nl'rxrrna roc) �/ --- e _ thane' `+ _ Arnie „ur.hvge (N of roma Int) - ° --1 nt nne' A N A ��l=Uj' - -J - Onto // /� 1;.:7 - - I - -- TOTAL FI :KNIT' FEE: ft_______ n d 'Monied .. gnaw rt �� /t•Yn(�� +� 1 bra p at tppllur+ (•111;14, if e permi[ a n.Ir nl,uiucd within I8U / clay' aft. i it has boor. acrrptrd as c>rnplctc n( ndmc /1(;',11 K/4 U3' J • Irk: mc'{:• sd:sIct;: xt r nvrh 'IkvIAL'FIudu•,r ' Nrlill !• XI et _crime p, r prrn r olhard •dinr■Pexnwia I C•I'nmu'App d,. ' 24 / ,jnq_nr• ir,i0'J.' r - t,Mlt7 t• e d 7 CITY OF T G /i.R0) . BUOLD NG !IOV S ON PERMIT #: EIS. ?AO"') .30%.30%.17.9 Z� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i< Phone: (503) 639 -4171 w 4liili, Inspection Requests (24 Hrs.): (503) 639 -4175 F� � ,_i.3h. INSPECTION WORKSHEET FOR DATE: 1 ,\' .Z1, TIME: PAGE: SITE ADDRESS: O 301 WASKi rila61 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: L" el OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: ' 11 ' V3 1 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 F►r AL-, Corrections /Comments /Instructions: A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G (A I G Date: ) '11 ' O Phone #: (503) 718- 131Lf.