Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2011 -00133
TICARD.. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Date Issued: 06/10/2011
Parcel: 2S110AB00400
Jurisdiction: Tigard
Site address: 14260 SW 112TH AVE
Project: The Colony Apartments Subdivision: THE COLONIES APARTMENTS Lot:
Project Description: Installation of protective signaling system.
Contractor: SONITROL PACIFIC Owner: HOUSING AUTHORITY OF WASHINGTON
8220 N INTERSTATE AVE ATTN: HENRY ALVAREZ
PORTLAND, OR 97217 111 NE LINCOLN STE #200L
HILLSBORO, OR 97124
PHONE: 503 - 223 -5822 PHONE:
FAX: 50.3- 973 -7773
FEES
Description Date Amount •
Specific s: Restricted Energy Permit 06/10/2011 $75.00
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12% State Surcharge - Electrical 06/10/2011 $9.00
Type of Use: MF
Class•of Work: ALT •
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
• HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: Y
Security Alarm: N Other: N • Total $84.00
Other Desc: 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 -001' •ug ,• - : 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 - .1987 or 1.800.332.2344. .
Issue By: _ Permittee Signat 11110111..
OWNER INSTALLATION ONLY
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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.
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JUN-1011 10 :10 Aryl SON I TR:OL-PORTLAND 973777 P . 01
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-, • Pk:lig: ohock all that apply 1.aiamil 1 s,cts of pl:IM WliffntlA checked Mow):
0 NOw construction gli Add i t i on/t1 I tat) iln'Aililjiti‘Cich'ItY11`"'-' .
ton I: Servica or fccd, r 400 amps 01 MUM' 0 iwn.y. Ill VT 1111te storios. ..,
0 Demolii 0 Other: when the 4‘ fileil currcot 0 Marinai, aral boatyayda.
1 i.1, : . i. • CATEGORY OF (:()NSTRUCTION •• ,,,J., 10,000 amps al 150 tulle or ID Ho
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silog bulibigs. .
..... to urtJund, or execcds I 4.0o0 I: Coruna:re iul aac agrickarural • ',..
0 1. id 2-family dv..elling gp commerciaiiind 0 Accessory building amps for all what itmallations. boding.
12 Multi•llonily E Master builder D ()tiler: 17IFirc pump. 0 Insiailalion of 75 KVA or ,.-.
.--- .-^- - 0 Flour kpa: N ) ' 4,, I. largo 6eptomuly derived flystatn.
'(:•:','; : JOB SITE INFORMATION AND LOCATION 0 Addition of new nunkir lo,idul E] - A'', - 1.", '' I -1", '' I-3'', .
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. 1(01 or ' loom ocvoimocy.
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IC..rOSS: 142 .Rja .. 1 . 7 Av
Job no,: P110090 -II i ii [3140,,,,,,,mai ocluolo putts. . 4
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. ' '""•• •-• L' •-•"'- 0 Si.‘ or look: re,,idential units,
0 Houltli f:JCIlitio. El Supply voltagc fOr more OM • ..
City/State/ZIP: Tigard, OR 97224 _ _....,..._ o i lago duo locationa. 600 voila wont:ail.
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0 Scrvice or fccdtr 600 ainpa oi more.
Suitc/b14.itipt no.: f Project name: Wa co Th colonies Apts ,,_., ,..
:. • ' • FEE SCII EMIL E 'i .....4.0,4,5 .
Cross street/directions to job Mite; _OrxertatliDi 17Qa=c Elltral=
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Now residuntli single- or multi-furnily d‘%elling unit. 1 .
Duluth's altaclind enrage. 1 ':.
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-I Lot no.: 1,000 sq, i1, or lino_ . 108.54
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1V;':l • ' • DESCRiPTIO,N or WORk ',, : .. . , :. '...',, :,', • 'ovith aboviLly. III _ . ._ _._
1..iniitcrl iiniffg
Installatidc of intrusion security devices. roiidolitiaLiwill absiOc sq. il.) _ _ _ 2
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---__ Siorsfeits,or foodersinsiallation, tlicralion relocation
Irriaks tza.. nivel, }Ewe& 2 macs ami 2 ccrkocts zuframi-,,,,,erit. 100.70 'NM
. .':,.:':::• r.13•titoPrizn OWNER ' 1 " 0 TENANT . • •• , 201ornps to:400 amp:,
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_ - 401 amps oi NE 21/0.34 ..,
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Address' Door I WU umps or volig 552.26 2 • ,.
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Temporary.servko% or leeglWanstallutian.,witeruilon, and/or " •-•••:
City/SW[01.1P: relocation •••..•
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l' Fzx; i 20.0 anips or loss .
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Ovs'ne,,On n: stallatio Tilts installation is being made on property that I own which is not • --,7'::.:::;• --------------------- - ------- -:----;:--
401 snip 10 amps . 168.54 '2
intendec.1 for sale, lease, root, or ekehitnge, according. tu ORS 447.449. 670, :and 701. -
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...th:ung, Fi niqt,•„,,ipterncitin. or wittlislitr.L.ger panel ...
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Owner Signature: Dale! . A.Tiii:•11ii",t1J'il.ljeKii,c'uiti n!iih
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.ALICANT . . . . , , 0 CONTACT PrRsoN ::: .• : , • •
fee
each branai circuit 7.42 - 2
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Biasiness.name: . n, rkful'ii'r'llrundi circuik with(mt
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Addrcss: MiiicclInnidos (ii6r.iye arlAth• aZin _ .•,.
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Cily/Stitle/i IP: , dwoling„S'etviceiuLty fccdcr
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phone: t, ) I Fax: : ( ) Rconnect,only . - - 67 '
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- - ., - hirrip iliigniion:circle 67.54 .,
E7Mcill! _ ..„ Sign outlineligliiing 67 84 • ii , :'.
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" : • Signal i:irCLiit(a) or linii10
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litoirimgumc: Sonitrol -Pacific ponel;alteration, Or exteos ion. I ' 15 2
----.--.--____. ..----------_ _ _._ F.itCli idilitiOnal inspection Over allowable In unv of Ille above , ','•':,
Addres11: 8220 N. inte Ave - -- rtata - MitlitinMilpipgiiiin (1 hr min j 66.25/ hr . ,..„
-7--7 -._. -• -. •
Invostigainin (1. 81. tnin) 66.2.5/ hr ..
City/.S talc/7.1 P . Portland' OR 97217 _____________-_,„„„,_...,___.
„....,_ Inclustrial'Olinit (1, hr,min). 78.18/hr III .•:.:.
Phone:( ) 503-223-5822 Frov( 973-7773 insoyntio n6 Fee is •
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le .' 5 3 53 5 - cillynnliNli;d1V, ht min) 0 hr
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1 1 4 : 1 •01 1 il LIc•• 2 6- 370CLDupi V. 1 -ic' , . 3 567 LE A :• - . - ELECTRICAL PERNITt PEI'S 4 .',.. : * ., ':..'.if,:::',;:;:;. : V . , ..
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Suprv. Electrician signature, required! -- _.., ••'"A . ..
. . , P1411 reviow (25% or ponit fe.):
ee
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Print name:. Gordon DuCette Date: 5-1 0-1 1 NE:IIV surcharge (12'1 i.ta mit rola 1 • •
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• . ,L, . . TOTAL PERMIT HT.: *0 • •••'?
.. - Autnorizeasignatu re: -- -......--
.... I'lils permtl Application vfloiro.1 if a wroth Is not obtained wItIllo180!
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inni name: a C do 112 ,,
A rt. Date.: -: J0-1) unthor rho liner It lius been tscovputsi us oomp
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JUN- 10: -11 10:11 AM SON'ITROL— PORTLAND 9737773 P.02
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• Electrical Permit Application - City of Tigard
Page 2 - Supplemental. Information
LIMITED ENERGY PERMIT FEES:
�D1w:NTIAL WORK ONLY: _
Fee for a11 residential systems combined ... $75.00 :
Check Type of Work Involved:
❑ A and Stereo Systems*
❑ l ;ltrgl;tr Alarm
❑ ( iara #!,1.: I )otor Grin er* +'
❑ Heating, Ventilation and Air (.:<ludicioning System*
❑ Vaetiuni Systems*
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MB1`tCI.AI. WORK ONLY:_
Fee for each commercial $75.00
system
(S1it'. OAR 1 )18- 309-1)(111(1)
Check Type of Work Involved:
❑ Audio and Stereo Systems
E I3 +'-11.11'1' (.c,ntrolx t'
❑ (..kOCk Sytitenld !
❑ I7at1t •I'ciccoinmunic:aiiun Installation
C Fire Alarm installation
❑
VAC
❑ I:
Instrumentarion
❑ Intrt'\.oru and Paging Systems
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❑ Landscape Irrigation Control* •
❑ Medical •
❑ Nurse (:ally •
❑ Outdoor I ;andscapr Lighting* .
Protective Signaling
❑ Otlter
Total ui.uillu'r r11 commercial .systernsi
*No licenses are required. Licenses are required
for all other installations
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1.'Uuiltlluµ.PCntn�'i.3 H wo\pi 1 u7ai�'i ii