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Permit • i ' ) I CITY OF TIGARD ELECTRICALPERMIT - RESTRICTED ENERGY A' DEVELOPMENT SERVICES PERMIT #: ELR2004 -00279 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/2/2004 SITE ADDRESS: 10350 SW LINCOLN ST PARCEL: 1S135AB -00100 SUBDIVISION: TOWN OF METZGER ZONING: R -4.5 BLOCK: LOT: 005 JURISDICTION: TIG Project Description: Installation of security 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: WASHINGTON CLACKAMAS CO ELECTRIX LLC SCHOOL DIST 23J 115 V STREET 6960 SW SANDBURG STREET VANCOUVER, WA 98661 TIGARD, OR 97223 Phone: Phone: 360 - 694 -5094 Reg #: LIC 148685 ELE 37 -930C SUP 4398S FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 9/2/2004 $75.00 Elect'I Final [TAX] 8% State Surcharl 9/2/2004 $6.00 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. Issued by y7, / Permittee Signature _.R.., P \c 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day 08/31/2004 22:27 3606950670 ELECTRIX PAGE 07 Electrical Permit ' ol_l ED l C11: (lh ,: l ll I I I ( )• C City of Tigard • Date/13 ! - - 1 /, - 'dY t'11, 1 13125 SW Hall Blvd., Tigard, OR 97MD Plan Review 8 496 0 r y Permit: Phone: 503.639.4171 Fax: 503.59 1�U4 , U, . nate/B ; Other Pe inspection Line: 501639.4175 e, 'U.. Date Ready/By. IM El See Page 2 for Internet: www.ci.tigard,or.us CITY OF TI i : t No°fied/M`thod` Supplemental Inform r = t"��•: !.:. •i "� i I. l ,: ,.,�y rJia, lJ r , �e , n , , q �, mn, 4 r � r r r 1 I 11 i r.rrc -r � „v rt �{ , , •f..,.rr lu .' 1 , , !I ,.....,., A . �. , lr,� -1 + ,lif!1 tilir Ir.1'tl ., I li h �' , h iL;. [I rl(� , 1 1 t . 1 1 t .., S r 1 °. �i {r. ! I,ti � i..• I, .1„ o ut, �' iG lt, ,'t :' l bit, d .,i; x, u i ,. avtoi.iaril � {i ?-1.St.tp. : r l" s?n'ra, .v m,. :.. ;i.,:t. /t1.,(, l,!.,,,,l!'1 Lril:.'(`il�lf,,,t,G dill! I p .. 1. lA:t, }I �u�l t(0,,..tar1, .,,,r!, ' ,'.)r•rpgd_ - r t �f'>♦ . . �� l;I1C5~ I :iti ❑ New construction ❑ Addition /alteration/replacement Please check all that apply: (]Service over 225 amps. comm'1 ❑Hamrdous location ❑ Dernolition ❑Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., �g1 i11 �i1 't.t .:,:gi 6 fi r R t 1 r '�7 4 [ 'T itrt 1 IH1 , P I. i i ri } I r Y I it'll ;l1 1,`∎ I£tC�i� it t , .1,!1 11: :111117 t.'ll•i:i', 1 ? rot, 'ti ;!.� . s ` I r { 9 . • 1i. e. i l. ,. 1 Ir_r. i ltt,i .r to.t; i., 1 " ;N t i!f!io l llt(lsr+ of 1 and 2- fmnily dwellings 4 or more now residential r ►. i Y. y m f, t. �. ,. La r El 1- and 2- family dwelling 1:1 Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi family ❑ Master builder ❑Other' ['Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manuiltctured structures or b N' n iSS a' , -��7r, rrm� . I, I nnnma �{� :r t i a�1{jll ;� , pl • fit, yy ,y; 9!.r�y�r tfI +p. 11 r 1r'r�.{ I t 5 n 1 , ,'..0;,..:} , n f `ljc lt f r!l• ,; f. iI l 1, ' ` ❑Egress/liglitin RV park _ M1 e�f¢rrrmk, Lv.., „otota �f^ ?11 ltn+ Mt:n ;h ... 1ii lie. { :i:t.1 : :1 V I r r Job no.: Job site address; ( ❑Hcaith -cart facility ['Other: Submit 2 sets of plans with any of the above. City/State/ZI q1 Z 1 Q 35 -0 \ \ ,, \ , The above are not applicable to temporary construction service (Li I t' °dlllll!lu1!tS�(I to iit7� :i111'f =i(f !�i1}�Idl t 1 ,ri {l,fl l,r Suite/bldg. /apt n Project name; M,� D enuipt on Qty. Wt. Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. ledndca attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision; I Lot no.: Ea. add'l 500 sq. ft, or portion 3340 l Limited energy residential 75.00 2 Tax � map /pa { reel nto 11 f Limited energy. non - residential 75.00 2 IIg i��lE.#lr }�r'Al1ca7! N l ?!i 1 .iiirf �iri TT4..�Tt(, r . tilt ,C11r p F l � ��S. li!; I i 111 il I ru 1'i� C t :1 l ;1ll YI i'i:I ^,r .,1 I Each manufactured or modular dwelling, Rcrvice and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocatio 200 amps or less 80.30 2 r i t , i- i ,:T7',: � ri l \�) ) -1:i.t I iilg; lull is ��`. ig i�i ;t.�i F �r,iii ttysi! � r; ;-.;ri�i i, h, f .r r t' ii td 201 amps to 400 amps 106.65 2 l � I - � I t t ^ i' Ai ` 401 amps to 600 amps 160.60 2 i' I Name: 601 amps to 1 „000 amps 240.60 2 Address: , Cl 4. 4.A •_ I �f.a& Over 1,000 amps or volts 454.65 2 Rcco nncct onl 66.65 2 .try /StatefZIP: �,,, oil / Temporary services or feeders installation, alteration, andlnr relocation Phone: (Its) - 1� rr Fax: ( ) 200 amps or less 66.85 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 600 amps 133.75 2 Owner H signature: Dale: Branch circuits- new, alteration, or extension, per panel [ hy'1 1 p' 1 , h f i t 1 r . , ! i , i n t ,}. _ -,,. i 'l . r i.rr $ a� , i!i � .. s .. ", Prp i' 1 /, I t ,r 1 4,01 r 4I P.l �: ifltmftn r ite :: irht - h.11,1 lIFE 1 4 j Fee for branch circuits with P ' � 1,1-e 4 bra service circuit 6.65 2 fee, each Business name: � branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.65 2 Address: as V 5fired each branch circuit � �� Each add'l branch circuit 6.65 2 j� City/State/ZIP: �► � J • f/ty if Ci e C i y,` Miscellaneous (service or feeder not included) Phone: ( � '� y .. t 4 Fax; : (%) (c iS -bb `{ Pump or irrigation circle 53.40 2 �.`F Sign or outline lighting 53,40 2 E -mail: U LL" I/ - Z- Signal circuit(a) or limited - M.Y. r I u l f;� ,. r .•- rte.. - -c �.,- in- � �-r 1 i , ! , ,I li', �,I d'i I r r I' try , en anel t! , alteration, or „:•., ,'., r!��ft�k� "'itk'lll�;d!�� .t:hc6 >e,� ..: �t �, ��1A.: t. 74: ;�iit!.tr, ".j��.��Illiiliii':t� I:,i II it r.til i� �E;3:I�l:enll ?!v,ir11P thl 4 � P Page 2 2 extension. Describe: Business name: Lj x f / G � Address: It s 1/ `/ tt Each additional inspection over allowable In any of the above Pcrinspection 62.50 City /Statc/ZiP: IJ2 i i y rr C JJ gi36,6, / Investigation (. } ga per hour 1 hr min) 62.50 Phone: ;S I , ) 6 9ci I Fax: 3 ) (9 qS T0/ 7 O Industrial plant per hour 73.75 � r VLO r. t�l!{ It A;..:'L � r i r rvH�,M• `:'1� ''h i��i. F' r -a •: CCB Lic.: �i-€ talc I Electrical Lic.37.10E I Suprv. Lie., - 3 11a L S 'g1P1� IltlllT +:ll:.t. I: ,.;ii,., ,i,� i. ark ���'� ' ;:dw a;i i , Subtotal 7s Suprv. Electrician signature, required: ..t,_ l ,, Plan review (25% of permit fee) . a .1+,,.,. .rte r� State surcharge (8% of permit foe) �- tint name; �L %,h it. IA Ym�s Date: g .a.-- 0 � (a TOTAL PERMiT FEE �' 1 -- Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: days after It hail been accepted m complete Date. • Foe methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i:\ Duilding \Pemdtr\ELC.PermitApp.dne I 7111 4e04415T(10/0]/COMAVLa CITY_ OF TIGARD BUILDING DIVISION PERMIT #: ELR2004 -00279 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2/2004 Phone: (503) 639 -4171 ' i ' Inspection Requests (24 Hrs.): (503) 639 -4175 U. INSPECTION WORKSHEET FOR DATE: 8/26/2005 TIME: 7:06AM PAGE: 41 SITE ADDRESS: 10350 SW LI 1 OLN ST CLASS OF WORK: SUBDIVISION: TOWN OF MET ER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEM" TARY DESCRIPTION: Installation of securit• system. OWNER: PHONE #: CONTRACTOR:, ELECTRIX LLC PHONE #: 364- 694 -5094 Inspection Request Scheduled For: Date: 8/26/2005 Pour Time: Code # Inspection Description - . • • Contact # Message 135 Low voltage 014 ' -11 503-318 -6499 Y Corrections /Comments Instructions: 2Z m pa, cyL N© CL A t14.1-1. LA Li t 66. cibm i N co N`1 c w ∎1\4 ba.oC) t,QI, aC, 71 oa. 6 .I, • it PASS - -- ❑ PARTIAL APPROVAL ❑- CANCEL -- - ❑-NO. ACCESS— __ El FAIL ❑ CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: Crivia ( ` ce L Date: I V 0 Phone #: (503) 718- 2,.4410