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Permit (183) CITY O TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY �I DEVELOPMENT SERVICES PERMIT #: ELR2003 -00193 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/7/03 SITE ADDRESS: 16200 SW PACIFIC HWY Y2 PARCEL: 2S115BA-00101 SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Installation of burglar 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: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: BRGLR ALRM X TOTAL # OF SYSTEMS: 1 Owner: Contractor: BIT HOLDINGS LTD PARTNERSHIP WINNER ELECTRIC INC BY FORUM PROPERTIES INC 5950 SW PROSPERITY PK FIVE CENTERPOINTE DR STE 290 TUALATIN, OR 97062 LAKE OSWEGO, OR 97035 Phone: Phone: 638 - 5028 Reg #: LIC 14794 SUP 2825S ELE 34 -150C FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 7/7/03 $75.00 Elea! Final [TAX] 8% State Tax 7/7/03 $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 throuc Issued by Permittee Signature Wk.. L✓UJ 2 Is z-6 S 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 "x• Date /Ting MRY 14:12 ' 5035981960 P.002 sr 06/01/2003 16:03 FAX 5035981960 CITY OF TIGARD qt002 Electrical Pe Pion FOR OFFICE USE ONLY Received - E ectrical JUL ©'7 1003 � P t :A7/7(t/3 _S� tNn.�uz2oo3- DD /q.3 City of Tigard Date/By: PemtitNo.: 13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other `-- Tigard, Oregon 97223 BUILDING DIVISION Date/By: _ _ _ Permit No.: Phone: 503-639-4171 Fax: 503 - 598 -1960 Post-Rev Land Use Internet: www.ci.tigard.or.us ''` " "','. ' �I ` Data/By: Case No.: ' usis,; ,I See Page 2 for 24 -hour Inspection Request: •503 - 639.4175 Name/Method; 7L(T I Supplemental Information. `ti tG '�°....:••.T' 0).:.,YeLtr a : i t'u.gilli.{, i�:'17,�e p ' 7 .'. S 'n:.- ;i: ;9 .: .�a • .. P �R W R E .,,. - +�.. ;�,iti;'::4' +1'r.:� /: ••i; s rfw�.:M�iis ?+s�'�:� �l: +R:i•�1��•��?'Y1�iC': ' e •� .:• :a �s:i:iY:�' �f<<i �9crt. = rJ.t. �riii'r't)� ���:�`rFyv�{aV'/ .�r}IS -:1.� !..0 � r .`�,.sfrA a,� , p' I } �•.r...� -'• t� New construction Demolition 0 Service over 225 amps- alth-carc thcility Addition/alteration/replacement Other: committal He 0 Hazardous location s •.. D Service over 320 amps - rating of 0 Building over 10.000 square feet. , 41 - :; f r RYOr O `Ri 31110..1 r '.V j`.a Rn? I & 2 family dwellings four or mom residential units in I■ I & 2 -Famil dwellin _ !I Commercial/Industrial . 0 System over 600 volts nominal one structure • AccessoryBuildut III Multi -Famil 0 Building over three stories 0 Feeders, 400 amps or more 0 Occupant load over 99 persons 0 Manufactured structures or RV park II Master Builder ❑ Other: 0 Egress/lighting plan 0 Other., Vailla 0 'b i P i .. a , .riliali MOON •,F 4 -y itit,' Submit sets of plans with any of the above. The above are not op • Ilea . e to tem , co also service. Job site address: .. g , St4 0 ti- km � �. • >4 v ;; ^' .. , � R ..,;.xi � t� +.• 15, =�fiit x ^t;i� r _ t' t° i � � �,, ; ,. ai 3�i Y �1:fi��� Yt`•C°,i:�_ �� 1'.11, 3ie. � .`,: .`,: .,, : :2.r Suite #: , , . Bid 1.1 • • t. #: Number of Inspections per permit allowed Project Name: Description - -- i Qty Fee (ea.) Total ! New residential - single or multi -family per Cross strcet/Directions to job site: dwelling unit. Includes attached garage. Service included, 1000 se. ft or less 145.1$ 4 Each additional S00 sa. ft. or aortion thereof 33.40 1 Subdivision: I Lot #: — Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax ma • I. arcel #: Each manufactured home or modular dwelling d' I r•: s "a . d s e �; t ' • , servic and/or feeder t•�,b�ii i `�:�'t: e.i.� � ,_. .y._ �. �' .+ .R�i.cll ,i ,I,i�� • .t 90.90 2 '— Services or feeders - Installation, alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 antes 106.85 2 2 401 amps to 600 amps 160.60 ,_, 2 E�.. 3J :! ��.:11i.,..�. �� �,i� t �� F �rr� � '-�'-�,� 1 amen m 1000 �% 7A0.60 , Over 1000 amps or volts 454.6S 2 Name: N A «S k. 2 ti vest •rte ( p L Le Reconnect only 66.85 2 Address: .1 21 SW 4 Jn11aA.1 Temporary services or feeders'. installation, • City /State /Zip: P of- j ') 2'e8 200 amps or l 99elocatlon• 66.85 i Phone: 61)3 2 - . Fax: 201 amps to 400 amps 100.30 2 .'"'"11.4 "` / ,� .. •: 401 to 600 amps 133.75 2 'd (a'''' (i ry; ®u� t Al a F � . Q : ; '' _ . • Branch circuits - new alteration, or Name: extension per panel: AddreSS • A. Fee for branch circuits with purchase of service or feeder fee, each branch circuit 6.63 2 . /State /Z,Q B. Fee for branch circuits without purchase of service or feeder fee. first branch circuit 46,85 2 Phone: fFax: Each additional branch circuit _ 6.65 2 E -mail: Miso.(Service or feeder not included): t' u " i rtnu'•,a -' "! I '. • e . . i1 � k r' � J •j: • �r x •ge. • � i�; +1 Each pump or iniRation Circle 53.40 2 .,.. . It :.ra :�5.-„ � _ 1° ivnts''1 ,..n..:. ' '. .r a:. Each si outline li ghtln g � 2 Job No: Signal circuit(a) or a limited energy panel, Business Name: rJ ems- �/_-` >: alteration, or extension I. Page 2 76 2 Business r E ee Description: Address: 6 S t..../ Pecs Pe ci4 PA Art. Each additional inspection over the allowable in sa of the above: City/State/Zip: ��� td?/�' /State/Zi : n D g 7Vf; n- 't- Y Per 6>epecdon per hour (mm. 1 hour) 62.50 Phone: 3 6 3$ ; Z 60 , o 8 Fax: G 3 $ a{ 7- y in_ reso na Z- tion fee: _ � £ . CCB Lie. #: �l "iq+� Lie. #: `;5�1— ISO - Others Supervising electrici :,:a. E -, fri g- r ` 1 ,1 . 1 ; q: • Subtotal $ - 1 ,S', 1 4) signature re ulrad: Plan Review (25% of Permit Fee) S • Print Name: 0 A LJ k I Lic. #: av, -Le f _ State Surcharge (8% of Permit Fee) $ 4.12g TOTAL PERMIT FEE $ g 1- 0 0 • Authorized Notice: This permit application expires if a permit Is not obtained within Signature: Date: 180 days after it has been accepted as complete. • *Fee methodology set Tri- County Building industry Service Hoard.