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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00232 - 13125 lli DEVE PMENT rd RRVICES 639 -4171 DATE ISSUED: 05/09/2000 PARCEL: 2S 112AB -00400 SITE ADDRESS: 07400 SW LANDMARK LN SUBDIVISION: ZONING: 1 -H BLOCK: LOT : JURISDICTION: TIG Project Description: Install signal circuit or limited energy panel. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp:. PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: - SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 1 MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: HAYTER FAMILY LIMITED PARTNERS ADT SECURITY SERVICES, INC 23643 SW STAFFORD HILLS DR 2815 SW 153RD DR WEST LINN, OR 97068 • BEAVERTON, OR 97006 Phone: Phone: 503469 -7100 • Reg #: LIC 0059944 ELE 26209CLE FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT GEO 05/09/200C $60.00 0002013 Elect'I Final 5PCT GEO 05/09/200C $4.80 0002013 Total $64.80 (� t OR t ViNAL 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 N otification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 - 1987. l f ". `� y i PERMITTEE'S SIGNATURE / ISSUED BY: 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: ef, LICENSE NO: 3 Tz.E Call 639 -4175 by 7:00pm for an inspection the next business day 503 598 1960 503 598 1960 ~, 03/17/00 FRI 12:15 FAX 5 CITY OF TIGARD WNO3 CITY OF TIGARD 13125 SW HALL BLVD. Electrical Permit Application Plan Check# RECEIVED Reed By TIGARD OR 97223 Date Recd Phone (503) 639 -4171, x304 • Date to P.E. SAY 4 200 Date to DST Inspection (503) 639 -4175 Fax (503) 598 1960 Print of Type Permit # -c Oce7 -qp R3� • COMMUNITY DEVfili881hfjifete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: • Name of Development c Number of Inspections per permit allowed Name (or name of business � '04_,_._' %f " Service included: Items Cost Sum Address •7 3 • 0 f 6,11 ^/ffl "'k ,�j�. 4a. Residential - per unit City /State /Zip i , ,./_, 1 ©,,Q 17,2 of 1000 sq. f . or less $ 117.75 4 rr / T Each additional 500 sq. ft. or Commercial , Residential 1 portion thereof $ 26.75 1 Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder (Prior to permit issuance, applicants must provide contractor license $ 72 75 2 Information for COT data base). 4b. Services or Feeders Electrical Contractor Installation, alteration, or relocation ADT Security Services, Inc. 2 00ampsorless Address 2815 SW 153rd Dr. 201 amps to 400 amps $ 64.25 2 City $ 85.50 2 Y RPavPrt nn St ate OR Zip 97006 40 1 amps toB00amps $ 128.50 2 Phone No. 517 i) 469 601 amps to 1000 amps $ 192.50 2 Job No. /N3444069-03 Over nec amps or volts $ 363.75 2 Elec. Cont. Lice. No. Reconnect only $ 53.50 2 26- 209CLE Exp.Date 10/2000 4c. Temporary OR State CCB Reg. No. 59944 .Exp.Date 5/07/01 Installation, alraa Selocat Feeders COT Business Tax or Metro No. • xp.Date 200 amps or less $ 53.50 2 • 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n �P�tA.-- 401 amps to 600 amps $ 1 00.00 Over 600 amps to 1000 volts. 2 . License No. (3g( •- Exp.Date See "b" above. Phone No. 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits feeder fee. with purchase of service or ' Print Owner's Name vi► „ ' 14)..1a _ Each branch circuit $ 5.35 2 Address I b) The fee for branch circuits City State Zip without purchase of service Phone No. (503)0cf - 53gg Frfeb ranch . First branch circuit $ 37.50 • made on property Each additional branch circuit $ 5.35 The installation is being P perty I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Servedr inGuded [IL "/n°r'S Signature Each pump ice or fe or irrigation enot circle ) $ 42.75 g, atu. a Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension I $ 60.00 le 0 00 Minor Labels (10) - $ 100.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 System over 600 volts nominal Per hour $ 50.00 Classified area or structure containing special In Plant $ 59.00 described in N.E.C. Chapter 5 g pedal occupancy as 5. Fees: k Submit 2 sets of plans with application where any of the above a 1 5a. Enter total of above fees $ 60 00 Not required for temporary construction services. Pp y' Subtotal Surcharge (.08 X total fees) $ ! . 80 Subtotal $ NOTICE lib. Enter 25% of line 5a for Plan Review if required (Sec. 3) $ • _ 'ERMITS _BECOME-VOID-IF- WORK -OR- CONSTRUCTION AUTHORIZED Subtotal $ (4:80 • S NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR NORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # \T ANY TIME AFTER WORK IS COMMENCED_ Total balance Due $ 64.80 AstsUorms \electri a dnc • CITY OF TIGARD BUILDING INSPECTION DIVISION MST • 24 -Hour Inspection Line: 639 -4175 :Business Line: 639 -4171 .5/ 0 BUP Date Requested S/ / 2/Q 0 AM PM BLD Location 7 L/ DC2il _J Y1 t Suite MEC Contact Person Tet-0 - Ph 698(4 Sc./2 PLM Contractor 7 *1 Ph bill!' 1 - 7 / 1 SWR P BUILDING' Tenant/Owner b -- Y I 0171414 ELC %COD-0d7.Z2 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab £ Ext Sheath /Shear G W. -d't, gl---"- , Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler -(it2 t; —e Fire Alarm Susp'd Ceiling Roof t Mc: Final t PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains , Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers . Final PASS PART FAIL (gLECTRIatt) Service Rough In UG /Slab Low Voltage Fire Alarm J PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line_ [ ] Please call for reinspection RE [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date �� L>1 Ins ,� Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. -