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Permit ,M '' ‘'' , /. q III CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ' ' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00468 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/18/2007 PARCEL: 25101 DB - 00101 SITE ADDRESS: 07440 SW HUNZIKER RD D ZONING: C -P SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT: JURISDICTION: TIG PROJECT: RECLAIMING VICTORY MINISTRIES Project Description: Low voltage for fire alarm. 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: X OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 1 Owner: Contractor: HALLBERG, RAY C ADT SECURITY SERVICES, INC do HALLBERG, RAY C TRUST 2815 SW 153RD DR 3270 LAKEVIEW BLVD BEAVERTON, OR 97006 LAKE OSWEGO, OR 97035 Phone: Contact #: PRI 503- 469 -7100 FAX 503- 469 -7114 Reg #: ELE 26- 209CLE FEES LIC 59944 Description Date Amount SUP 389LEA [ELPRMT] ELR Permit 12/18/2007 $75.00 [TAX] 8% State Surcha 12/18/2007 $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 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 questi /.. to OUNC at 503.246.6699 or 1.800.332.2344. . / Issued By: _� � . j ` Permittee Signature: !' — i / _ _ ` 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. ' Ilir 07 05 3ra p Stephanie Pate 503 -469 p.2 r . Electrical Permit Application FOR OFFICE USE ONLY City of Tigard f Received -o - - IN E .. Date i3 : / / / Cr O ■ Prnrot No.: - I r ` � d ~ 13 1;.5 SW ma ll Blvd., Tigard, OR 3 ry , / ! . Iahonc: 501.639.4171 Fax: 503.598.19 C 1 f / Other r'er"'it` Ti G t RD Inspection line: 503,639,4175 �1 [, ( t�y Ati® ; li/ Date Ready /13y ib Sac Page 2 for Internet:' www. Tigard- Argov a it ®` a i Notir.vmet ode / ' Supplemental Infprmatiou 4 Iii 6�1e1IL1P TYPE OF VIEt. PLAN REVIEW ❑ New construction ® A .ddition/altomtion/repiacernent Please check aft that apply (submit j sets of plans wiiterns checked below): 0 Service, or feeder 400 amps or mote 0 Building over three storks. ❑ Demolition ❑ Other: where the available fault current ' Q Maritvlt and boatyanls. CATECOKY OP CONSTRUCTION . exceeds 10.000 naps at ISO volts or ❑ Floatingg buildinip. [t 1- 2-family dwel l in ices to ground, or exceeds 14,000 ❑ Commercial -use agricultural y g 0 Commcrcial/industrial ❑ Accessory building amps torah other installations. buildings. 0 Multi- family 0 Master builder ( , ] Other: 0 FigWM, 0 Installation of 71 KVA or ______ JOB SITE INFORMATION AND LOCATION ION ©Emergency system larger separately derived system. © Addition of new motor load of Q "A" "17 "1 -2^ "1.3 - , C 10010 or [Wort. txcupancy. Job no.: $3 (k �'[ Job site ad drGt s. a t� c�Y t!� J7�t'� / f 4 ❑ Six or more residential units. l7 Recreational vehicle ratio:, (f City /State/ZIP; TIGARD OR V7‘ 02 0 liealth.eare facilities. 0 Supply voltage (or more than 0liarcandout locations. NO volts nominal, Suit ^� ldg.lapt no.: Project name: 0 ) v e , ❑ Service or &odor 100 amps or more. -- J/ i.._ i t 2 / 11 FEE SCHEDULE Cross 4tr'octfdirections to job site: �fl(/ 1 " irecripHo. l F". 91r. J ea I zeal I • - " New residential single -or multi - family dwelling unit. Includes attached garage. _ Subdivision: • Lot n0 1,000 sq n. or le r 145. 4 . Es. add'I 500 sq. R. or portion 33.40 1 Tax ntwp/parcel no.: - — Limited energy, residential 75,00 2 DESCRIPTION OF WORK (with above at ft.) " . Limited energy, multi - family ".......0 .JL—at. 1. r .. At tou. residential (with above N. t1.1 _ 75.00 li /S(} / .. Services or feeders installation and/or relocation 1 /r? 'S 1 200 amps or less B0.30 2 0 PROPERTY OWNER 1 Q TENANT 201 amps to 400 amps 106.85 2 Nsrne 401 amps to 600 amps 160.60 —. -- - 601 amps to 1,000 amps 240,60 2 Asti: Over 1.000 amps or volts 454.65 2 ( ity/$txtel"L1 P: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) i Fax: ( ) _ 200 amps or leas 66.135 1 Owner installation_ This installation is being made on property that i 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 590 amps 133.75 2 Broach circuits — new, alteration, or extension, per panel Owner signature: D al:: A. Fee for branch circuits with ! ❑ APPLICANT f31 CONTACT PERSON above service or feeder tee, 6.65 2 -- - each branch circuit Business name B. Foe for branch circuits — - without service or feeder fee, SS 2 Contact Mile: _ fir branch circuit Address; Each add'1 branch circ 6.65 _ 2 Miscellaneous (service or feeder not included) _ City /State/ZIP: ,:each manufactured or modular dwelling, service and/or feeder' 2 Phone: ( ) T I Fax:: ( ) Reconnect only 66.85 2 E-mail: Pump pr irrigation circ 53.40 2 CONTRACTOR - Sign or outline lighting 53.40 2 Busints name: ADT SECURITY • Signal panel, al c r limited- s, D CrtCrjty panel altcratiaai DT ?5 Address: 2815 SW 153 DR• dartf� sion.1� rtbc; Page , 04 n' 2 4 City/State/ZIP: BEAVERTON OR 97006 Each additional inspection over allowable in any of the above Per inspection 62.50 ' Phone: (503) 469 -7100 ]ax: (503) 469 -7114 Investigation per hour (i lit min) 6 2.50 CCS Lie.: 59944 Electrical Lie,: 26 -209CL Suprv. Lie.: LEA389 Industrial plant per hour 73,75 - - ELECTRICAL PERMIT FD.ES — Suprv. Electrician signature, required: .T y �� - / Subtotal; 75.00 Print name: KEN KRAUS Date: f Plan review (25% of permit fee): -- _ .. • . .. Stoic surcharge (Rai of permit fee): 6.00 Authorized signature: ,2,_ / TOTAL PERMIT FEE: /11.00 Print name: KEN KRAUS Date: T MA p ermit application erpirea tf a permit la not obtained within n df do ff �( dap attar St has been accepted as complete. • Ntnnbcr of inspections allowed per ocean, t d.,Igurermital5LC'MvraitApp.doc 05/21/06 440- 4ttt5t'(tlttls/COMnvErl . -' ` —7 / . CITY OF.TIGARD ��wm m ��u ^nnn�om��nn�� BUILDING DIVISION -� '� ~°~,"~~~°""~~° "~"°,~°,~~,~ ` � PERMIT #: ELR2007'00468 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1012007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 14A 111. INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AM PAGE: 36 S|TEAbDRESS: 07440 SW HUNZIKER RD D CLASS OF WORK: SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT #: TYPE OF USE: PROJECT NAME: RECLAIMING VICTORY MINISTRIES DESCRIPTION: Low voltage for fire alarm. OWNER: HALLBER(], RAY C. PHONE #: CONTRACTOR: Au[ SECURITY SERVICES, INC PHONE #: 503 Inspection Request Scheduled For: Date: 1/1612008 Pour Time: Code # Inspection Description Contact # Message 199 Electrical final 503-459-7211 N ~ ` Corrections/Comments/Instructions: \ - C\ / / _ PASS PARTIAL pi | CANCEL / / NOACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: . &148 '‘ Date: |-16 / Phone #: /503\ 718- Nub