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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 11111 COMMUNITY DEVELOPMENT Permit #: ELR2010 -00277 T IG.Ag D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/10/2010 Parcel: 2S 104CA00700 Jurisdiction: Tigard Site address: 13339 SW ESSEX DR Project: WEGENER Subdivision: HILLSHIRE Lot: 7 Project Description: Audio system. Contractor: QUADRANT SECURITY INC Owner: WEGENER, MICHAEL W & PO BOX 14833 FARRAR - WEGENER, LOUISE PORTLAND, OR 97293 13339 SW ESSEX DR TIGARD, OR 97223 PHONE: 503 - 234 -5558 PHONE: FAX: 503 - 236 -2322 FEES Description Date Amount Specifics: Restricted Energy Permit 12/10/2010 $75.00 12% State Surcharge - Electrical 12/10/2010 $9.00 Type of Use: SF Class of Work: ALT Total Number of Systems: Audio & Stereo: N Security Alarm: N Garage Door Opener: N HVAC: N Vacuum System: N Other: N Other Desc: Total $84.00 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans, This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 - 001 -0090. You may obtain - • • • %• - or • uec questions to OUNC by calling 503. .1987 or 1.800.332.2344. Issued By: = _ ✓"- Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �ectrlc�tl_Piermi>wt A>nd�Zicata2on �' roR oFFit_is t1sr amt � • City of Tigard „ `Y Ric �2 - - lig ( 312$ SW l - tall Blvd., Tigard, OR 97223 + brar`st: f ' �l / Pvtmi ?4o• �� _ y � Pion g o y i m other Perm4t; Phone: 503.639,4171 Fax: 503,598 ....441n in patd9w Inspection Line: 502.639.4175 1. Dine Read /B s rn: tiros Agin 2 for I nternet; www.tigerd- or.gov Notified/T cthod; Sapple A R . rr td l i ■. - PLATT. ,RE New construction Addition /alteration /rep :ice C 1 Plenne check all tint Apply (nubreir seta of plans w /itom3 checked below): 13 service er feeder 400 amps or more 1:1 Building over hone stories, 0 Demolition -- Q Other: - - . where tee A vailable (Omit current ❑ Mrtrhins end boatyer9,t, ' CATEGORY OF CONSTRUCTION , . creeeds 10,000 tint„ se 1,0 volts or ❑ Gloating buildinp9, • teas to ground, elf exceeds 14,000 ❑ COrnmetest -use ngrieoiturnI 13401 and 2- Family dwelling ❑ Commercial /industrial 10 Accessory building amps for AI otherinstal4ationn. building+, © Multi- fbrnily 0 Mester builder Q Other: 0 Fin Dump, q InFtnllaflon of 75 KVA or ' JOB Sin' NF'ORM.taTItli kin tocATION ❑Emergency nysicm. Inrptr scpurutcly derived synee, _ Q Addition of new motor I0 of Q "A” - •E" "1 -2" "I-3", Job no,: Joh site address: 1 3 5rd br, loop ormme, oeamnr,ey. o .Six ar+r+ora reaideMint unic5, Q Rcccdtriondl vehicle pones. IL, City/State/VP: ---1 ❑ Nenith ry Faoiiitiet, ❑ Supply voltnnc for more than D:1 HavmdeuA lneMinns,, 600 volt scrnidal. Suite,/bldg. /shpt. no.: Project name: fit, ine�r. _ ( 4 - 1: service or feeder MO stn. A Or mote, PER SCHEDULE Crass street/directions to fob site: .4.. J 1 Ot7 1 Ft*, 1 T. T • New residential, Ingle- or mufti- firar111y dwelling unit. Includes Attached garage, Supdivision: j Lot no.; 1,000 sq. 'R- of less - 145.15 4 E. add'' 500 sq. ft. or portion 11111 33.40 0 Tax map /parcel no-: Limited energy, residential 75 00 . DE1KR -ION OF wow {with above std R:,) Li nIted energy, multi-family r r t 75.00 _ p 1 . + ' " At) 4 air trsidCntial with shove e., t4, Services or fee r ors installation alters , nl, and/or relocation 200 aln•s or less 80,30 2 0 PROPERTY OVOT R 0 TENANT • • 201 amps to 400 amps 106,85 Name: 401 amps to 600 amps 160.60 601 am -s to t,000 am•5 240,60 Address: Over 1,000 amps or volts gin 454.65 2 City/State/7_1P; Temporary services err feeder's installititm, alteration, and/or relocation Phone: ( ) Pax: ( ) 200 amps on less . 2 Owner installation: This instaliation is being made on property that 1 own which is not 201 , . to 400 amps 100.30 2 intended for salt. lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 133.75 2 Branch cirCUlts - new,niteriiio or extension, per peue1 Owner signature: bate: A, Fee for branch circuits with 0 APPLICANT ❑ CONTACT PERSON , -, above service or tbcder fee, 6.65 2 Htlsincss name' each brartoh circuit B. Fox for branch circuits +s,ithotd service or feeder fee, Contact name; 4{.R5 2 first,ltrPticI1 circuit Address; Each add'I branch Circuit 6, 2 City/State/VP: /State/7ip: — Miat'ellttneons (service or feeder not inclade: t3 Both mandfbcturcd or modular 99.90 2 dwellin_ service and /or Seeder Phone; ( ) Fax; : ( ) RecrrnncC[ only 66,$5 2 8 -mail; Pump or irrigation circle 53,40 2 ' GONTRA►CT'01!R . Sign or outline lighting — 53.40 2 • Business name: 1 Signal ci -cult(s) or limited- . f m .. YA-5 energy panel, alteration, or Address: 0 ,. r 0X / y 83 extension, Describe: 1 Page 2 7�, _ -- 2 City/State/ZIP: Pvt. 4 ,,-LeJ , Q,r? \ c `7 9 • Each additinnai inspection over ollvrvable In any of the nbore — v Per in• r ection 62.50 Phone: go 3 1,-; ' y _ r - Fax: (57J3) _ _ a invent: • • tion r er hour (1 br tin 1.11 62,30 CC$ Lic.: 9 t, gay ; Electrical Lic.: as,, - 3 Industrial plant pct hour 73.75 Sttprv, Electrician signature, required; - " '�'-"— EUE IC? PEIiMST, 1 9 °J �" Subtotal: '? .~, Print name: FEET ' i�r&i rt Date: I . 9 . f O Plan review (25% of permit &e): i State 5urcharge (12 °fo of i3Crrrltt fee); --i., Authorized signature; to TOTAL PERMIT FEE; ' : .I4 , "---• Print name: , ' 4. a. - ,� A. Date: i 2 _ NM :kin permit d � R rOa r h been n persnit k not n ,arced within 1.9e eeeptad as csmpleet, * 'Number or in,srot ;one Allewcd parr ram*, 3:9hildlofferro011aC•Pernitopp tlos eM,roG toe -got T( Ittos/towerwEe