Permit P
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C ITY OF TIGARD ECTRICAL RESTRICTED ENERGY PERMIT
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�� DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00190
�� �! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/11/2006
PARCEL: 2S1 14AA - 00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Access control repair.
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: ACCESS CON X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT 23J APPLIED TECHNICAL SYSTEMS INC •
6960 SW SANDBURG ST 6024 SW JEAN RD
TIGARD, OR 97223 STE E -200
LAKE OSWEGO, OR 97035
.Phone: 503- 431 -4000 Contact #: FAX 503 -598 -0498
PRI 503- 684 -9611
FEES Reg #: ELE 2 -71CLE
LIC 89511
Description Date Amount
[ELPRMT] ELR Permit 8/11/2006 $75.00
[TAX] 8% State Surcha 8/11/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: (CYO.. t s r l A Permittee Signature: AA_ c t 42 L C
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM - 8 2008 13: 18/ST.13: 17/No.7500000237 P 2
i EIcctrical Permit Ap 117i tw " il ■ FOUR OI.I.1(•I•: i'si:ONI.1
i s + I••,•-• Received Q ' / (�/�
C:ity,erfigard Date/By. !/ r ' 1 (� g Permit N X ��� 00 110
1315$ SW Hall Blvd., Tigard, OR 97223 P lan Rem
100 m.,::,. Other Permit:
Phone: 503.639A171 Fax: 503.598.1960 ,• 1 .�
AUG 0 9 DudU Y :
Inspection Inc .: 503.639.4175 a Date Ready/By: June See Page 2 for
Internet: www.ci.tiard.or.us . Notifted/Metbod: I E Supplemental Informatini
`
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12 New construction ►tee. - .. i ion /. Iteratio /r Please check all that apply:
['Service over 225 amps, comm'l ['Hazardous location
Q Dcmo ❑ Other
. „ ∎ • r, , ,∎,9 ), 2 „ , , , w , , , , Servlee over 320 amps rating Dul Idl g over ! 0,000 sq. 11,
,
r2;i,i3'.S S , ! J a rr r i c , r , " ; ,4 {' , ∎ t %, 1`4 ' i�� t t lii - ns O t
, 4 ,,. � i , w .• , • i,:1 , �1.. 1 r,i {i� . l ' i r T of l -and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
°Occupant load over 99 persons ❑Manufactured structures or
❑ Multi - family ❑Master builder ❑ Outer:
['Building over three stories ❑Fenders, 400 amps or more
' ° ! i ; ° ,.
' J
l i �i i l ,i ai3:'. ,1 6 0, ;i , , 1 t --'... i r ai .... ❑Egress/lighting plan RV park
Job no.: 21271 Job site address: 9000 SW Durham Rd gHealth-cllre facility ❑Other
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97224 The above are not applicable to temporary construction service.
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Suite/bldg./apt. no Projcct name: Access Control - - �' "•'��`-
Description Qty. Fes. Tool
Cross street/directions to job sitc: 72° to Durham to school New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: L no.: Ea. add'I 500 sq. ft or portion ^ 33.40 1
Tax map /parcel no Limited energy, residential _ 75. 2
Limited energy, non - residential 75.0 2
1. .4.z:i, :'4:=4",r,li ss t 1 , J .i.. , 1 i i r ti,;.., -; : ,7„,7,70 ,i, 1 a .) 1i k '
11 M otlit ,.. ff , v.. r. ,.J .Z :,. .n
,,.,r ? , r r.r' glt7P-' »' 1 y l .e •
.., .,s , '4' 1 ' ,,'1; Each manufactured or modular
Fix access control for remodel dwelling, service and/or feeder _ 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
tF , , r A ; i + : -4i 2,: . ∎,; . ;;r. , .,� ,.,, ' ,#,t 1 , .a., ..N � r , s ! . - 'tr1,iNiigf l } p .i li fi , ' i F�-. 4 . q't)(` ii� ,i�l �l�)E A s, s l 201 amps to 400 snips 106.R5 2
t. , r i ,1 i
401 amps to 600 amps 160.60 2
Name: TTSD 601 amps to 1,000 amps 240.60 2
Address: 6960 SW Sandburg Rd Over 1,000 amps or volts 454.65 2
Reconnect only 66,.85 2
City /State /ZIP: Tigard, OR 97223 Temporary services or feeders alteration, and/or
relocation
Phone: (503)431 -4000 Fax: ( ) 200 amps or loss 66.85 1 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 1 1X1.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 an to 600 amps 133.75 2
Owner signature: Date: _ Branch circuits- new, alteration, or extension, per panel
Rl ���yy i ��� s , t M , ., ' 1' i .r4 , i a l i t , , r r Stu , ;u ::*::?...;,0.
A. l cc for branch circuits with - -
s .adltri,L. e.,:',.%, d, _: - -_; - .-- ` , *_. : ', . ot !i . ,$ i 1. ii :,; ' '2..1 % ., s .ra a,.r it " : , �: l i .� r. J . ,' . `. ,
service or feeder fee, each 6.65 2
Business name: Applied Technical Systems branch circuit
B. Fee for branch circuits
Contact name: Matt Phillips without service or feeder fee, gG.85
Address: 6024 SW Jean Rd #E200 tirstbranch circuit
Each add'I branch circuit 6.65 2
City /State /ZIP: Lake Oswego, OR 97035 Miscellaneous (service or feeder not included)
Phone; (503) 684-9611 Fax: : (503) 598 -0498 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: m.phillips@atsdata.com Signal-eircutt(i) or limited-
fv. :: ••i 4A 'n i + V i41ir , tt ti p7 ' ! I .7: :.. ")r 7, ! `1S`i3'i J i , ' , j 3 ?;kF n )° l i'i .; energy panel, alteration, or
extension. Describe: access Page 2 2
Business name: Same • control I
Address: _ Each additional Inspection over allowable in any of the above
City/State/ZIP: . Per inspection 62.50
Phone: ( ) 'Ezzw Investigation per hour (I hr min) 62.50
Industrial plant per hour 73.75
CCB Lic.: 89511 11=IMMEEIPE uprv. Lic.: 2997LEA '',.. ; ,1„, 4 , i: t:.. `„ ' 1 ; • ;[g'"
�� /' „ Subtotal 15
Suprv. Electrician signature, required //� j��� - (25% Plan review (25/0 of permit fee)
Print name: l e-f' r e ?MM. Date: 8/9/06 State surcharge (8% of permit fee)
Authorized signature: '1 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within IRO
M�� irjr Date: 8/9/06 days after it has been accepted as complete
• Fee methodology set by Tri- C:uunty Building Industry Service LiOnid
is EuildinglPemeits \ELC•PermeApp.doe 12/03 a0.4615T(IWH12/COWWi R