Permit IIII v ' CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° ' COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00245
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/19/2008
PARCEL: 2 S 102A D -022 0 0
SITE ADDRESS: 08900 SW BURNHAM ST F014 ZONING: CBD
SUBDIVISION: BURNHAM TRACTS LOT: 006 JURISDICTION: TIG
PROJECT: DIAMONDS IN THE ROUGH
Project Description: Installing 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: X
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
BURNHAM BUSINESS + STORAGE LLC PROTECTION ONE ALARM MONITORIN
9500 SW BARBUR BLVD STE 300 15500 SW 72ND AVE
PORTLAND, OR 97219 STE. 100
PORTLAND, OR 97224
Phone: Contact #: PRI 503- 624 -0244
FAX 1- 866 - 223 -9925
FEES Reg #: ELE 34- 428CLE
LIC 116325
Description Date Amount
[ELPRMT] ELR Permit 8/19/2008 $75.00
[TAX] 12% State Surch 8/19/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 a e3.246.6699 or 1.800.332.2344.
Issued By • 2,14, �� _ Permittee Signature: h ��
� 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.
AUG, 18. 200E 3:08PN1 „ 4 z�. N0. 984 i P 3 ze
►;fit►, : Electrical .rermit agplic i t , FLIED P 4 r,� , , FOR OFFIC ;.. i Y ip 1 ,, 'If r TM
;�, City of Tigard Date/ 6 a Fri _ M 5
,,�, *a a 13125 SW Hall Blvd., Tigard, OR 21p8 Plan Review
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3 i.,;
Phone: 503.639.4171 Fax: 503.M/1 0i 2U�
DatclB Other Permit:
"'r Inspection Line: 503.639.4175 Date Rcndy /By: 0 See Page 2 for
•11fGi \.KT)`. •
tntg.z„.. :34 Internet: www.tigard-or.gov Notified/Method: Notified/Method: , SupplementallnfOrtnallon
.. {. aj��a�!�� y ;��. {. A ,,, ,.r ! n3,! ° i fi g'it 1, ,, .. tl . +,"d i ,. PSI tl 11I
11111 F . `lit l(1 ,1,,,,, [7711711 aiaaai6lgrJ , - , ,i1'! l , r, • VII I'Al f r . 111 I111[I ,'; , ! I „ .' ! ? tl�l • '' i VIII • �;• II jIN I .,. litl.i,'.
;:� , I 11I11I ; � ti � I� I ! 1 rl�� � ' I►�
CI New construction ' Addition /altcration/replaeement Please check all that apply (submit A seta of plane W /items checked below):
['Service or thedcr 400 amps or more EI Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards,
.: !, 1/,‘„,, it lutfrat ° .... .,,, PI aPa t � n w '';1 i llli lli ` " li!ll itl Iltiit1 I,Ii,, , exceeds 10000 am , s a 150 volts or ❑ Floating buildings.
t!11l' • , H'' ! ' I I { 8:4,v r•: n!I { i l t1tt ? tl 0 r iim `iiBl -Iilfai ,'tr, 11 jr !r` ') i i l , ` mts,a•t . 1. bp,-• P 8 s.
g
d ,� i �l it, ,I, �tiia , ,� , lId oil ti{ to I !t 1nt ,+ � . E' less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
0 1- and 2- family dwelling tJ Commercial /industrial d Accessory building amps fbr an other installations. buildings,
❑ Multi- faniil ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or
, [�nof's :: n nyy��r tg�j5 5 I t lujl [ t�' I t r ❑ Emergency system, larger separately derived system.
. LA Job site address: [ its • t1.1$ ttutHE 3 ZEI'l f>� �' A ti ll t1 r r� 0i tills. i' 41 ii . r l , r I ❑ Addition of new motor load of ❑ " "E„ 01-2", „1.3„
,n Iili tF II 11 IVI ! I
Job no.: ; v L 0 „ l*' t, six rP or r rest Recreational x L ;A l .�I � _ ,. ❑Six Or more residential units, CI Raeceati0n al vehicle parks,
City /State/ZIP: r �' 6 2 � ❑ Hcaith Oare facilities. [l Supply voltage for more than
` ❑ Ilazardaus locations, 600 volts nominal.
Suite/bldg./apt. ect me: � • �' .t 14' +. C7 Servtcc or feeder 600 am s or more, �i
no.: Project � U - * ,.. `` " `18 . I „i ii 1: 1 ii "MEET: 11 :l,l! t `a it ill dill! , "'" RI IiiIC.lii -
Cross street/directions to job site: Description otr. see. 1 T al i ,
New residential single- or multi- fbmily dwelling unit.
i Includes attached garage.
Subdivision: Lot no.. 1,000 sq. ft, or les 145.15 4
map/parcel no.: - Ea. add'1500 sq. ft. or portion 33.40 1
Tax ma
P/P Limited �:` energy, residential
MT: , pif@ rn, I � ;� 2
V ' • i1:. .'''''!'$ tit s uu I�, G �t�yyry 1f18[I�:�' I �
� 1[111'� �rl I. ( Willi above 8rf. {�,� 75.00
Limited energy, multi - family 75.00 2
4 . , t Imo.- si , . , - ... , - residential (with above sq. ft.)
Services or feeders installation alteration, and/or relocation
F jj tt�� 200 amps or lass 80.30 2
�' i i(Ir: ., fit i t' l ��l� i ' . ;ij o,{ 1i3i ,t!• I I ' 1 . I "ppt..1, ' ; •i ° ;�. 1[ [ l � l•y ''., l� 201 amps to 400 amps 106.85 2
• :, „ r rlil{d�r m lin: en,prC 131 dal 6a t I
Name: 401 amps to 600 amps 160 -60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 1
201 400 amps 100.30 2
Owner installation: This installation is being made on property that 1 o amps own which is not _
intended for sale, lease, rent. or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps , 133.75 _ 2
Branch circuits -- new, alteration, or extension. per panel
Owner Signature: Date: A. Fee for branch circuits with
t ' , i ! {I a �tw 1 ig ;IIi' rii'• ' • t l:.! ! 7 i;' ,1 Ann. abo service to feeder fee,
r,, mil ill °! d �E fi� �t1;,N1 � i! I e i .Il; Il t� ,�I: ... ,h i fd f 6.65 2
each branch circuit
Business name: B. Fcc for branch circuits
Contact name: without service or feeder fee, 46,85 2
first branch circuit
Address: Bach add'1 branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
'tr ' r , i tl r ' t�l 1 I '' .h" is
�Jll �, - � {. � " � { l r !i i (1 .PL , . , .�t���1 ice, � rl �,41��w �ia�i• i� t � � 11 - it E , ` (,.;1•�l�lJl 1 1ri ) ; Sign or outline lighting 53,40 2
Business name: >r Signal circuit(s) or limited -
r���. . i ,� Mk! energy panel, alteration, or pt
, rt ► c� iT� �. extension, Describe: 1 Page 2 2
Address: 1 Ale al A f .
City /State/ZIP: 1Ojgr ii 1� i ?� . Each additional Inspection over allowable In a • of the above
�/� ) ( Fax: Per inspection 62.50
Phone: (
d1J f i 16. (tr .0 •67 �,�I Investigation per hour (1 hr min) 62.50
CCB Lie.: Electrical Lic.. 4, g ee Su rv, Lie.: Industrlat lent yeryhour t 73:75.
� r
• y ��" h • _ 1 , , n, l tt..H': 1 tl Vie 1 J. 1l IiiY tll ,u,r
i /.f� ititi r..ti 1.1 n, yy y.... td ,,., , „ atf k ig i !
Suprv. Electrician signature, required: r� �` Subtotal
f , r Plan review (25% of permit foe):
Print name: e ,k le - ;r Date: g /i' State surcharge (12% of permit fee):
0P�
Authorized signature: w A / A i� f ��tl i L� TOTAL PERMIT FEE: f3(4°a
,� � ■ J This permit application expires if a permit is not obtained within 180
IZMIR .I , Date: days after It has been accepted as complete,
* Number of inspections allowed per permit,
c: 1BulanEWermliAE1.0 -P ra App.dee 05/21/06 , 440- 4615T(I1/05/C0M /NEE
CITY OF TIGARD -
BUILDING DIVISION PERMIT #:
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8 00t300f): X15
Phone: (503) 639 -4171 nn' ��i; 'iII\ 8I19()l3#
Inspection Requests (24 Hrs.): (503) 639 -4175 �.� ..9#
INSPECTION WORKSHEET FOR DATE: 10/14/2008 TIME: 7:00AM PAGE: 33
SITE ADDRESS: CLASS OF WORK:
08900 SW BURNHAM ST F014
SUBDIVISION: HURNHAM TRACTS LOT # Clef, TYPE OF USE:
PROJECT NAME: DIAMONDS IN THE ROUGH
DESCRIPTION: Installing burglar alarm. F -Y
OWNER: BURNHAM BUSINESS ÷ STORAGE LLC, ��
' CONTRACTOR: PROTECTION ONE ALARM MONITORIN PHONE #: 503-6240244
Inspection Request Scheduled For: Date: 10/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
-13g t rio- v4Itzge 075588 -02 503 - 443 -2911 Y
P G \ Fi t►A, .
Corrections/Comments/instructions:
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PAS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /0 --/ V _. t Phone #: (503) 718 -