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Permit
_� n CITY OF T I A ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00131 TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/2/2008 PARCEL: 25101 BD - 00301 SITE ADDRESS: 08015 SW HUNZIKER RD ZONING: I -L SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: PERFORMANCE CONTRACTING Project Description: Installing (1) low voltage system for surveillance. 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: MONITORING X TOTAL # OF SYSTEMS: 1 Owner: Contractor: PERFORMANCE CONTRACTING GROUP ADT SECURITY SERVICES, INC 16400 COLLEGE BLVD 2815 SW 153RD DR LENEXA, KS 66219 BEAVERTON, OR 97006 Phone: 913 - 888 -8600 Contact #: PRI 503- 469 -7212 FAX 503- 469 -7114 Reg #: ELE 26- 209CLE FEES LIC 59944 Description Date Amount SUP LEA389 [ELPRMT] ELR Permit 6/2/2008 $75.00 [TAX] 12% State Surch 6/2/2008 $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 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. I ssued By: / �, `�� Permittee Signature: 4 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. Jun 02 03 09:33a Stephanie Pate 503-469 p.1 �' feet ' if A 1i4a� ROD City v t ; t r `*: h a ,; , !i- , t .1 0) la 01 I-(C,-l'� 5 1 , - 0,„ ;yi. {g S tor' u C �i* -�ta F `4 \N. c �"s. hb. . r.VS» i(7 \ ]�L 1 �v ;;� �`' /S t l ! .r� i e�N 13125 Sw Ha Qf p(� .r 111YL:��j�i. 1 kML W �.5�., f lli.�n...il1F'..� , ,. Rail Svd — d • q °: N mitNo.; r / �, ) / 3 ., `L00 w Phone: 5036394171 Fax 503. "s • "r Other Petit_ 0/ a i' ;I a 1 503639.4175 \\ \N -. • _ E "Go q 1iE .._ . .. + vvpvr g p • Jv („ _, „ R! See P ie S for TYPE OF r nsl lrtenoadae l \ _ I PLAN on N Additionlaltcrasirid .' t Proaae. ckeuthateParrt�bm;t j xd� ❑ New 7,, odd Woo): ❑ Demolition 0 Other fS\ Ciservicecr 400 co- ❑Bo overtime stories. • CATEGORY OF v exceeds mo a.�yb swot crmant Q iNarirms and troetym�b. ❑ 1 -and 2~ UCE7ON a ICAO at 130 wit, ar p Flooring bW L®ntly dwaeliing Commercial/industrial iial �ppcs y building ter. to gr orcm+od. woo ❑ Comencdel -ose aarkintoral 0 old -idly ❑ ► 0 Other oav «>r; �,�„� ramp. D tranl6pioo of 73 KVA or JOE ' F 1�0 4TXON '4T1D LOCATION i:3 Additino of tire` larger' 4 derived eyumn lob no.: 83- a o/f -/ 7 Job site address: gO /S Se" h e ,�'C !z is e « motor vend of IOW. "E';'1-2", - 1.5» lam. oceopoosy. Qty l7�: Y'[CA�tD OR 7 a? ©S&arasme.erideoainl [mitt 17R oast vehicle s. Ofholifreare kcllitffit. 0 sti,pi lr voltage for more than Suite/bldg./apt no.: Project name; - FO";_-‘)L- r NCB" Q Sewn or yaps or 60o Yoe' nom. /C Cross street/directions mjob site �' p i ,�'�¢C T /NCj • � _ roe SCHEDULE • New residential single-0r m aid taegrly dwelling gait Subdivision attached _ Lot �� 1,000 sq or less Tax parcel no.: -� Ea add"' 500 @ or i 145.]5 sq. Portion 33.40 DESCRIPTION O>9 WORK Limited �16Y. residential • Fig ;A/�-G — � _ ebo.s skit ) 75.00 2 /V 4/C /e1 S --Fee P B//{Ct G� mss s above f a-) 7500 2 *s Ca a � i 77 /t.' / V �/ /0/C/i - +�ces or feeders installation titter [] PROPERTY ' �� /� 200 snips or less tloq. and/or * etoCation OWNER 80.30 Names 0 T ENANT` . 201 amps to 400 craps 10625 n© 401 cramps to 600 amps 160,60 Add - 601 amps W 1.000 imps 111 240.60 2 CS(yyfState/ZYh: Own 1,0013 amps or Yobs 454.65 �� Temporary modem or feeders inata(atlos, alterrtlmr, AOdlor Phone: ( ) Fast: ( ) — nelorat coti O it> latidodR; This installation is being 200 or less 1 intended for sale ltd net, or 8 tnadc on property that a own whir* is scot 2111 >r�s o0 400 amps 10030 2 exchange, according to ORS 447.449, 670. and 701. 401 amps to 599 arms 131.75 rwecbeilr®la —new al 2 Ro Owner signamm ca Foe for branch circuits wok , � � ar tTttJrtBlon, . else! 0 Arian : err 14 • • .. ACT PERSON . on* branch cir fc+cdQ Sae. � � name: 4/i mdt 6rzam oira>it B. Pee for breach circuits GDn>zsc[ name �Q�L J breath i likood seavioo or feeder fob � � Address: brat bean circuit ir GtylSttsta lLlP: Dads add1 branch circuit 6.65 2 A' liseel ineomr (sue er feeder not included) Phone: (03) Each connufeetumd or modeler ! Sy . 1=E0(:: ( dwelling„ service and/or feeder 2 E-mail: n ooly 6e6.35 2 CsOliintAcTOR Pinup or irrigation circle 53.40 2 Doziness name: ADT SECURITY energy lighting 53.40 2 Signal circuity) or limited - Address: 2315 SW 153 DR- c rgy pt . alteration, or Moat. Describe: 1 2 75.00 REAV ERTON OR 47806 Each additional 1 , —' Pcr • over Allowable In any nt the above PLtloc(503)469 -T1t2 Fast (SQi)' 46¢77x114 inspection w 62.50 �EN CCE Lk.: 59944 muesli ... ..... r 0 la ma) 6230 Electrical Lie. 262090..E Suprev. Lie.: X4389 Indmpial±imnt per lour 7175 & . Electrician signaller, ELECIE CAL rumor FEES AA . r � Print name: KEN KRAUS r/ S`nbtoael: 75.00 ' Authorized si, ., • � � � b s (12% s Inc): 900 I.� ct.e-e-r' TOTAL LPxint lama: KEN KRAUS admtapa>:c.rlre R q 84. Date: p a not obtamod within Ise r stays eat, k we beau accepted se com p l ete. b/�µdex a521/b6 ih 44P4673Y(a 105ACQayJpfl ' Z R �� mowed Pa.pmmit. CITY OF TIGARD BUILDING DIVISION PERMIT #: El-R 2008.01131 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/712008 Phone: (503) 639- 4171'y�� r A Inspection Requests (24 Hrs.): (503) 639 -4175 _� INSPECTION WORKSHEET FOR DATE: 7/15/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 080Th S'!Al HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PERFORMANCE CONTRACTING DESCRIPTION: Copy Room Enlargement - Installing (1) low voltage system for suoveillaance. OWNER: PERFORMANCE CON'TRACTING GROUP, PHONE #: 83888 -8600 CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 5034169.7212 Inspection Request Scheduled For: Date: 7115/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072610-01 503.469- 7212 N Corrections /Comments /Instructions: \ \ \ r. ,, ,..,,,,,, V \ \\\ v j i n ''\■\ " V \PASS n PARTIAL APPROVAL El CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G---' (1\)■4 Date: �I (0 p Phone #: (503) 718 - -2.1114( . .