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Permit V CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00366 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007 PARCEL: 1 S136DD -00900 SITE ADDRESS: 06830 SW ATLANTA ST 100 ZONING: MUE SUBDIVISION: HAINES CROSSING II LOT: JURISDICTION: TIG PROJECT: JERMEY T. VERMILYEA ATTORNEY Project Description: Installation of limited energy for protective signaling. Job No. 70909768 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: MALCOLM ESLINGER BRINKS HOME SECURITY 11575 SW PACIFIC HWY 8080 SW CIRRUS DR PMB 160 BEAVERTON, OR 97008 TIGARD, OR 97223 Phone: 503- 997 -8478 Contact #: PRI 503 -641 -0287 FAX 503 -641 -0960 FEES Reg #: ELE 34- 166CLE LIC 44421 Description Date Amount SUP 3213LEA [ELPRMT] ELR Permit 9/18/2007 $75.00 [TAX] 8% State Surcha 9/18/2007 $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 Not a ion Ce tter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or irect question U t 503.246.6699 or 1.800.332.2344. . /---' Issue By: Permittee Signatur : r • P ' ------ ��'- --�_ 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. 09/18/2007 00:11 5036410960 BRINKS HOME SECURITY PAGE 02/04 Electrical ical R e mil A �' r . °I.::;:.. y° l , a , (, : l 01 1 ICf:-U f''6,.., , ' .._. ,. r eceived / / O O .7 (W1 e ` 46 �' 1 • R City of Tigard Datc/By: 0 / Permit No.: f r ow q 13125 SW mail Alvd,, Tigard, OR 97 ? 'l Plan Review OtherPermic - :, Phone: 503.639,4171 Fax: 503.59! 1 L Dntc�3y: - 6 y 1 Date Rend/B ac yy: ama el sec Pace Z for *a , - • In terne t : Line: 50 d-or. 4175 i � J �� Supplemental Information 71 C A RD 14� Notified/Method: Interact: www.tigard-or.gov ip s. r �.,. ........................ . - . + � � +, 7 :i, ; , J, "� � n+ � 1,1 .1 F+ w.;:r }' Vt �.s il {i {'�i1i , AA�S} ' }7 d u � P7 ?`d lil(1 ( 1 1 N1N 1" i -�. r ,� ii 1 y', x> ii} .{T`lil°)J,t ti, i �WIliM ,, , '�r� +*; tiv ?`` VL . '.,, 1,)Jlt, . r . , ,;' : . , si a I . q .: C,`A� �' w ;, Ii, „ I i V . i C `c.f: (-S , a.,;;A , , , . : ,,:, '. ts : to li +tti�ukVibl /Sid tin e�.•., `4i. hnr�i.,..,.11{, rnl.r at . l. 4 lj(�t��,1N e , { �t o Jn s ' t uct io h lt ( ?t�. k 41 . n, 4� r�klar ,: ,i` 6 : k� i,o t, p ans. em ,.t,..t}u.,..,�r,mm �a,,a,a. , .� t �' Please chcck 1l that apply (tbm1t , a�teofplanaw /itemschcekedlwlow): rr Ki * tlOnR on/replacement 0 New construction U A "' � ❑ Service cn• feeder 400 limps ar more ❑ Building over three stories, ❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatynrdg, ', y vim,,,,,, r i yi t, 0..9 I,',.;; i , t„ c ,'6 , ,, moth 10,000 WTI at 150 ,¢drg or El F1oat3ng buildings. 'u,1 `t t: n �, A, + s 4 k : 4 Si i'{ 44 ( h + + 4p..' t r �4,'�!i l 5/ 1 1 ,- ; I ) t ,i Pf ,I +, .t !I' n r f Y. ((�� � �� yy++ '' 1,� LL } CA / , t� 1' Ices to ground, or exceeds 0 e lls ❑ C -tile agricultural k 111D.$1t,til:. fn1�. R. F{I�,��i0rt7:?d?:'.kh�r. y (�ti rtlrtrlG'ds.. S V iP. 15i:� P.aurA�ul}t ix {s(�L,�Y.v.A.lir,l,. i1M ua+:h��.k�.t, Accessory building mps for all other instnllntinns. buildings. © 1 - and 2 falnilydwelling ®Commercial / tndustrial 1: $ a © Piro putn p1„cranndonor751cvAer Q Multi- ❑Master budder ❑ Other: 17 Emergency system. larger ceparntely derived system. „J Qr i } l n : {�. ,,�r p1,�,' {,nf ti,/�tt1 I,o /( t p +I c/ id l . ,, f { t it l } �I N ' . ❑ Addition ornew motor toad of ❑ "A r 1.2" „ t.� } "� �� {�" "�,.�, , 4a, ;hM1 rF4pR' ic{ �TRt 17 ,". �tR�t' ,.1^5 �..e'f{ 75iSr. ..1.4 u ! } 1 AI ON'. ), 6 r ,�1�,1� ,uL,i'li , : „ IOOHP or more. occtmnncy Job no.: 70909768 Job site address: 6830 SW Atlanta St ❑ Six M more residential unite, ❑ Rccrcntior vehicle narks. ❑ Ncnith -car fhcilities. ❑ Supply volinge for more dun City/State/ZIP: Tigard 97223. ❑ Hazardous locations. 600 volts nominal. Project name: ❑ Service or (baler 600 amps or mote. Suite/bldg. /apt. no. 100 J - ,1,11* , it 7r " 17WO ^ n o n r ' 1 I iil�fttiiti,f8fg'>t ti .. " ' 1 ' s i r 1! s r }fs+, i4, th �' ` � , . if . , �+ ,M_I (( } {,� nea�u+ Cross street/directions to job site: 68 St Dext:30Mo Qtr. Fec, Total New residential single- nr multi- family dwelling unit. includes attached garage. • 1,000 sq. {t, or l ess 1 45.15 4 Subdivision: Lot n °" 33.40 1 Fla. add'1500 sq. ft, or portion - Tax map /parcel no.: s t Limited energy, residential 75,00 2 g , yy1� �y t s .nu! y vryryr, ! s e i i 1 1 1 " s ifs {+ (With above sq. 11) ',Aid , , °' ( •+ ' F 7 r svr. ��� n W { A;•i: , Rnli }d,Fl�.0��l1 }a�.Yt� 9,�F>9 1 .>J1llu. &r fnJl�,iez>.lt 1a t ., ,., ,y .J { 1 � {` }, . ! tY Limited energy, multi-Family 75.00 2 Low voltage alarm installation v residcntia1 with above sq_ n,) Services or feeders installation. alteration, and /or relocation 200 amps nr less 80.30 2 4..i {(i y i �4 t ' 4i ►,,.141 .a ... n tA at. ; ,:m! ` .,6 ;?, . r , . 44iii �;1411r i i G i i 41, : Afar " ` g i1°, ;l i �1 +, `. ;, , .;i { i ' 1r <� 3 ;11 3 31: ? l il y 4 201 amps to 400 amps 100.85 2 • b ,tit l E.l� it n,,,n 401 amps to 600 amps 160.60 2 Name: Vermilyea Law Group • 601 amps to 1,000 amps 240,60 2 Address: Over 1,000 amps or volts I 454.65 l 2 Temporary services or feeders installation, alteration, and /or City /State/ZIP: relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 201 s amps to 400 amp 1 00.30 2 Owner Installation: This installation is being made on property that 1 own which is not 401 dttlps to 599 amps s 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension. 133 per panel Owner signature Date: 1 A. Fec fnr branch circuits w rfA n r ! {, 4qM r11 1 " tisu'(k tM� tii1ri,�1t.Y� f4,Yi iii.;lt.1. b ;`f r+;+ :: i1 ' , '',' i ile6l.u�ss�1:? ? ,�,; above service or feeder fcc, 6.65 2 .ii r. Nf f..•�,I),tlu. each branch circuit Business name: B. Fee for branch circuits without service or feeder fcc. 46.85 2 Contact name: first branch circuit Each add'l branch circuit 6,65 2 Address: Mintdinncous (service or feeder not Included) City /State /ZIP: Each manufactured or modular . 90,90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E-mail: * , m 14 1 1 Pump or irrigation circle 53.40 2 i1 "i the „1n1,11..1tya,{fi ti ..0.T., `ti,d740,ititi14010 .a t;. ' ;),A1f`i ' leit _S ignor mitl Inc l ig h ting 53.40 2 Signal circuit(s) or limited - Business name: BrinitS Home Security _ energy panct, alteration, or 1 extension. Describe: Page 2 75,00 2 Address: 8080 SW Cirrus Dr . — City/Statc /ZIP: Beaverton, OR 97008 Each a dditional in spection over al lowable hi any of the na tive Per inspection 62.50 Phone: (503) 641 -0287 I Fax: (503) 641-0960 . 41-0960 invcatigatian per hef (t hr 111111) 02,50 I /Su rv. Lic.: 3213LEA Industrial plantperhour 73 75 044421 Electrical Lie.: 34 -iGGCL P t , r , 'ttn a r1 m a, I''” CCB Lie.: 0 — „ „ an 1r, i(3lr �l:i, t,l�,�x , ° 1ia„� .a1.aiUG. id,.a4 .h rl;.i>i>t1lh Y � — 13 �, Suprv. Electrician signature, requir e.•,/ Subtotal 75.00 e ms% t ^' I Plan review (25 of permit fcc). Print name: Kevin Tu r J Dat:c: 09/l7/07 State surcharge (8% of permit fee): 6.00 Authorized signatur .fl/ �� TOTAL PERMIT FEE: 6.00 ,_ Thin'tonna appllcatinn expires if a porenii: in not obtained within tort Print name: Jackie Mc cc Date: 09/17/07 dart after it has been accepted as cntnptete. • Number of inspections allowed per permit, mail ldineertnitam- e- Prmltnpp.dvc 0:1/25/00 440 -0618'(11 /fO /COM/wtiD •