Permit T ' ' �1.,. f . , �sq TIGARD
OF IGAR®
IN fn� ELECTRICAL RESTRICTED ENERGY PERMIT
' : _F? COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00009
DATE ISSUED: 1/5/2007
TIGA &D' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
= '. :. PARCEL: 25101 CA - 00200
SITE ADDRESS: 07920 SW HUNZIKER RD ZONING: I -
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TRUGREEN LANDCARE. Alarm System.
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:
COE MANUFACTURING CO, THE WIRED BY DESIGN
P 0 BOX 520 2323 NW 188TH AVE #3421
PAINESVILLE, OH 44077 HILLSBORO, OR 97124
Phone: Contact #: PRI 971 - 570 -3163
FAX 503- 968 -3398
FEES Reg #: ELE 84- 694CLE
LIC 163317
Description Date Amount SUP 3966LEA
[ELPRMT] ELR Permit 1/5/2007 $75.00
[TAX] 8% State Surcha 1/5/2007 $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: . 2 . 1_4_122 Permittee Signature: ___5_,e �
\ Q
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.
JAN -22 -1900 11:23 �� `� P.02/02
• 1 • Permit Ap tic hOli OFI'ICE Ilse ONLY
City of and Received Ti _ PermitNt,
W Ha1lAlvd., •
Ti Ord, 11 �Ji22 �� C nn Date•BY1 .) d 7 " � —I(� 2 /) 7 avoq
.14 n 13125 N� � ,�, IV 5 2 Plan Review
Phone: 501639.4171 Fax: 503.5r�8.1. t•%0 Datell ; OtherPclnut:
Inspection Line: 503 - 639.4175
T !GA 1: U w pate Ready /Fly: Juris 0 Sec Page 2 for
Internet: www.dgard- or.gov (Ail U r IAA, Notified/Method: DDDDD ODD 000 DAD Ofo
•.:: TYP t ' ,;;:: t:. .. :. ::1Li1,'N.' I+;iL'1!Ill"W.. .
❑ New construction Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
D Service or feeder 400 amps or mom ❑ Building over three stories.
❑ Demolition 0 Other: where Ills available fault current ❑ Marinas and boatyards.
. r
exceeds 10,000 amps at 150 volts or 1] Floating buildings,
1 - a nd 2 dwelling Commercial /industrial ❑ Accessory E'A;7.�CU Y OF •CONSTRUCF10�1.. .
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
Q y g ssory building angle fir all ante installation.;:. building,.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ In,tanation of 75 1tVA or
... motor load of •�..... ..... . ..:.:. . Emergency system. larger separately cave system.
•
Job no.. - .JOB,S INFaRMA. ,
TiON. ,; ; , . ,
. . ... .. - � ') n . ' ' ❑ • Addition o f new motor ❑ ,. .. „ ,. _
1 .17,...v G,_ r L]� Iar looPre or more. occupancy.
!i✓ Q� V yl : ❑ tsix or more re,identiai units. ❑ kccrcational vehicle parks.
City /State /ZIP: IV ❑ Health -care facilities. ❑ Suppl voltage for more than
t . "^ �� El Hazardous locations. 600 volts nominal,
Suite/bldg. /apt. no.. Project name: —1-wiAreei,v,tavvipt,tiore. El Service Or feeder 600 amps or more.
L
, •:: . ;.: c; ,;`; :FE :SG'fIEDULE `
Cross street/directions to job site: Deacrtptloo I Qty. 1 f I t•onl I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. i3 or less 145.15 4
- ---- -- Ea. add'1 sq. ft, or portion 33,40 1
Tax map /parcel no.. Limited ential
75.00 2
1DESC' RIFfIOi! f q) F;; 1'V,OItIK'',�`i:...., : ..
- . ' '
....... •
.... , .; '; ; :: ' :. , • ' ;. (with above , ft.)
Limited mited ener , multi- family
tVii A. Awrwl (,tit; }M J \ residential (with above sq. R) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
; :PROPER'TY' ER::: ::..l : 1;.TENANT > '.• amps to 00 tamps
'' 201 4 106.85 2
Name: 401 aim s to 600 amps 160.60 _ 2
401 amps to 1,000 amps 24040 2 -
Address: Over 1,000 amps ur volts 454.65 2
City /State/7,.1P: Temporary services or feeders Installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps Or less 66.115 1
Owner installation: This installation is being made on property that 1 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 599 amps 133.75 2
Branch circuits- new, alteration, or extension, cr panel
Owner signature: Date: A. Fee for branch circuits with
iW ` AB LIcANL , : : ':'' , .: �s' cO1$1AG' r P1;'RSON a service or f ee d er f ee,
�, .,. 645 2
each branch circuit
Business name: B. Fec for branch circuits
Contact name: service or feeder fee, 44 - 85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not Included)
City/State/ZIP: Each manufactured nr modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax:: ( ) Reconnect only _ 6.85 2
E -mail: Pump tor irrigation circle 53.40 2
: : ::: ,. • :.; co
:;. Nr1CR'AG;rt)lt;; ;;.;. : : :.; „ : Sign or outline lighting 53.40 2
Business name: \1 ✓ Signal circuit(s) or limited-
energy panel, alteration, or
1 Address: Y1 % 1g L ;A Ate extension. Describe: 1 Paget 75 W 2
N City /State /ZiP: l (Dsyr) t 012 4 1i i'74,,, Each—additional inspection over allowable In any of the above
Per inspection 62.501
NI Phony ' 1 1.'51)1 (p F (503) 968-3398 8 -3398 Investigation p
Fax: ( ) er hour(1 hr min) 62.50
e ' ' t CCB Lie.; 1 t1'j ii" rElectrical Lie.: "i 'L t Ouprv. Lic.: 314,4„ CC /) Industrial plant per hour 73.75
:•ELECTRICAL PERMIT FEES .. .
r '( Suprv. Electrician signature, required: .. Subtotal: $75.00
Print name: t i 1 Date: i �j � a Plan review (25% of permit fcc):
—__ _� -_.. State surcharge (8% of permit fee): $6.00
Authorized signature: � '1 , Y TOTALPPRmFr L'i: $81.00
'—J -rill J ... — Thi�t t ur ndt application expires If a permit is not obtained within I80
�r�,�,, Date: pt
days atter It has bees accepted ds complete.
— ' Print name: if�t"- 1,..18 �Kf^+" t -__
NumhcT of inspections allowed per permit.
—
„ ,.mr,,...,9.. n,l,e.r 1 r- rr,,,,,uMO.doc O5/23/a6 440-461 IT( t I. a ?:COMnv(;n
r.,
TOTAL P.02