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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00133 114, ,,. DATE ISSUED: 5/26/2005 '' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1-01606 SITE ADDRESS: 07357 SW BEVELAND RD ZONING: MUE SUBDIVISION: HERMOSO PARK LOT: 017 JURISDICTION: TIG Project Description: (4) systems. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: X BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 4 Owner: Contractor: TOM CLARKE NW SOUND AND SECURITY 12448 SW ORCHARD HILL RD 10300 NE MARX ST LAKE OSWEGO, OR 97035 PORTLAND, OR 97220 Phone: 503- 293 -1226 Phone: 503- 254 -2811 Reg #: LIC 112538 ELE 34- 423CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 5/26/2005 $300.00 [TAX] 8% State Surcha 5/26/2005 $24.00 Total $324.00 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: ^� Permittee Signature: r Oo , 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. May 25 05 04:59p p.1 'Electrical Permit s Ap liccj.tio:n. P o, n FOR OFFICE USE ONLY :. City Ti and k i RDate/eceiv e d �_ `J g E r. Permit Ne. r 13125 SW Hall Blvd., Tigard, OR 97223 ©� 1 1, 2 / " �' ' �'` — ���� D Phone: 503.639.4171 Fax: 503.598.1960 , yj l I ' Plan X00 W 1 is Other Permit: Inspection Line: 503.639.4175 .. Ij ! •1 Date Ready/By: `uric E3 See Page 2 for w• Internet: ww ci.tigard or us L Notified/Method: , ( supplemental Information h- \t u {" lg New construction ❑ Addition/alteration / replacement Please check all that apply: Demolition Other ❑Service over 225 amps, comm'I ❑Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ,: CATEGQRY OF CONSTTRUCTI0N _ of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling AZI Cotnmercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi - family ❑Master builder ❑ Other: DOccupant load over 99 persons ❑Manufactured structures or JOB` SITE 'IIVFOR 7ATTON Al t, CT1OA' ❑Egress /lighting plan RV park Job no.: Job site address: 2 , )155 V . ❑Health -care facility ❑Other: 735 C, Uw �` Submit 2 sets of plans with any of the above. City /State /ZIP: T1 a,r 6Z q-7 22 3 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: �} Project name: " IEE* $c40 - 1 Description Qty. I Fee. Total J 1 Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1 1,000 sq. ft. or less 145.15 4 I Subdivision: Lot no.: Ea. add'I 500 sq. 0. or portion 33.40 1 Tax map/parcel no Limited energy, residential 75.00 2 r Limited energy, non - residential 75.00 2 j DESCRIPTION O ' ORIC I { ., Ea m a n ufactured or modular dwelling, service and/or feeder 90.90 2 j Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 . ❑ PROPERTY: OWIgER ❑: TENANT 201 amps to 400 amps 106.85 2 ' 401 amps to 600 amps 160.60 , 2 Name: 601 amps to 1,000 amps j 240.60 1 2 Address: Over 1,000 amps or volts I 454.65 ! 2 Reconnect only j 66.85 I 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 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 100.30 2 intended 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 ' ❑''PPLICANT : r iQ Q ! CONTAO"t'Jit Q 11` A. Fee for branch circuits with service or feeder fee. each 6.65 2 Business name: branch circuit I B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit Address: Each add'1 branch circuit 6.65 I 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) OT limited- .,. .. ,, ' e ner panel, alteration, or CONTR/1CTOlt - energy P � / ( A extension. Describe: !l Page 2 Q 1 2 Business name: A/ K I Address: / ?) D D Ne r � �- i Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: p0,�� -t 0 K. oil 2Z-7) Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 Phone: ( 5� ' S ) 2 5�(— X811 Fax: (66-5) 2 S L i _ .0u / ( L rRICAL 1'E MI'VV$ ;:; CCB Lic.: 311(23C( M Lic.: // 25 3 pry. Lic. :?J- (p '7 Subtotal 2nD e O Suprv. Electrician signature, requ \ Plan review (25% of permit fee) Print name: ) CO , , �_ Date: �1 Z5 0 e� State surcharge (8% of permit fee) c 246 - 0 Y A J TOTAL PERMIT FEE 32(•�, 6l Authorized signature �1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: •� !�' • Fee methodology set by Tri- County Building Industry Service Board J - y Date: as L V " Number of inspections per permit allowed. I:1 Bui ldiaglPermits\ELC- PermitApp.dot 12/03 440-4615T(10/02/COMWEB r CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200 &00133 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/200S Phone: (503) 639 -4171 ^��; ��i���` Inspection Requests (24 Hrs.): (503) 639 -4175 .� !F _,.. INSPECTION WORKSHEET FOR DATE: 99/212005 TIME: 7:07AM PAGE: 52 SITE ADDRESS: 07357 SW BEVELAND RD CLASS OF WORK: SUBDIVISION: CLARKE BUILDING LOT #: 0.17 TYPE OF USE: PROJECT NAME: CLARKE OFFICE BUILDING DESCRIPTION: (4) systems. OWNER: CLARKE, TOM PHONE #: 503.293 -1226 CONTRACTOR: NW SOUND AND SECURITY PHONE #: 533-254 -2811 Inspection Request Scheduled For: Date: 9/212005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 014867-01 503 -2M -2811 Y Corrections /Comments/ Instructions: • PASS PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS n FAIL fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,r te Date: �' 2 ` CS Phone #: (503) 718-