Permit CITY F T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
: DEVELOPMENT : COMMUNITY DEV PERMIT #: ELR2008 - 00274
_T■CARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2008
PARCEL: 2S112AC -02800
SITE ADDRESS: 14865 SW 74TH AVE ZONING: I -P
SUBDIVISION: METRO PART /MLP2002 - 00007 LOT: 001 JURISDICTION: TIG
PROJECT: KOREGON INTERNATIONAL
Project Description: Job 80875131 Alarm System
•
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X 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:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
BRINKS HOME SECURITY
8080 SW CIRRUS DR
BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 641 -0287
FAX 503- 641 -0960
•
FEES Reg #: ELE 34- 166CLE
LIC 44421
Description Date Amount SUP 3213LEA
[ELPRMT] ELR Permit 9/26/2008 $75.00
[TAX] 12% State Surch 9/26/2008 $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 at 503.246.6699 or 1.800.332.2344.
Issued By: fir` Permittee Signature: (`44: )
p ��
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date 1 By ✓ Code I Inspection Description • I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural ❑ 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
- 235 Shear walls /anchors 199 Electrical final
•
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 ' Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in
•
920 Suppression trip test 310 Crawl drain
995 Misc. inspection:
315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
_SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 0 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection _'599 Final inspection
•
I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07
4'9/25/2008 22:56 5036410960 BRINKS HOME SECURITY PAGE 01/03
Electrical Permit APPJ]CathIECEIVED FOR OFFICE 1.1SL ONLY
CI of Ti and Received J�,,
g nate/9y; ` 1 FerrellNo..Z .Z 2 J.9 tt - 0 6 7
13125 25 SW hall Blvd,, Tigard, OR 97 ' 2 6 Plan Review
C ' Phone: 503.639,4171 Fax: 503.598 .1960 2008 Dale /By Other Permit!
T i (5n RD Inspection Line: 503.639.4175 Date Rcady /By: Arch: El See. Page 2 for
Internet: www.tigard- or,gov CITY OF TIGARD Notified /Method; Supplemental infarmation
' ' li ., , ‘f h I , , tii 1r. ' ' ENG DI • ISION, ' 'I+ 1' I' , otAti it vjEW.:, i i. ;1',11;1;;;';'111;;; i. -
0 New construction ® Addition /alteration /replacement Please check 311 that :poly (submit z sets of plans whtema checked below);
❑Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other whom the available 1h It r M and b
1 , + + ■4 X` ,pci4v;ctiptc0198TRv oIV',; onon buildings.
less to ground. or exceeds 14,000 0 Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for MI other installations. buildings,
0 Multi- family ❑ Master buiider ❑ Other: °Fire pump. Q installation of 75 KVA or
'i p i' nJY�II 11"I t ZrA 1O ❑ Emergency system. larger separately derived system,
'
lii0` iliMATiOR 1'ANb b
❑ Addition of new morn, load of ❑ "A" ••g•• "I -2", "1.3 ",
Job no.: 80875131 Job site address: 14865 SW 74 Ave 100HP or more. occupancy,
-
❑ Six or mom residential units. 0 Recreational vehicle parks,
City / State/ZIP: Tigard OK 97224 ❑Health -care facilities, ❑ Supply voltage for more titan
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 130 1 Project name: 0 Service or leader 600 amps or motte�. c Y
1' 11' 1 i ; , ,C:;V i�''i" 1 1, i ; i '
Cross street /directions to, job site: ascri ' y-6- 1 - 'pa I Fee. I Tatar I
New residential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: Lot no,: 1.000 sq. ft. or less f 145.15 4
En. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential
I t i r + , ',UESC iI1'TION : ' ;OF�WORK'' with above s 0. 75.00 2
r . ,
9 )
Limited energy, multi -family 00
LV Alarm installation residential (with above sq. 0_) 75. _L2
Services or feeders Installation, alteration, and /or relocation _
■ ❑ rkeiP4;RTY "OWNIGR i ® ;TEi' ANT r 400 amps
200 amps or less 1 80 30 i 2
201 amps to 40 l OG.85 2
Name: Koregon International 401 amps to 600 amps 160.60 1 2
- 601 amps to 1,000 amps 240.60 2
Address:
—
Ovcr 1.000 amps or volts 454,65 2
City / State/ZIP' Temporary services or feeders installation, alteration, and /or J
- relocation
Phone: (503)924 -3080 Fax: ( ) 200 amps or less 1 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 599 amps I 133.75 1 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
2) , Pitlit, ∎ it ;i 't ' !.,i 1 , ! ,, 'CB.N'i'AC C' ' RSON' above service or feeder fee,
each branch circuit 6.65 2
Business name: 13. Fee for branch circuits
without service or feeder fee,
Contact name:
first 2
st branch circuit
Address: Each add' branch circuit. 6.65 J
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 1 2
E -mail: Pump or irrigation circle 53.40 2
V CONTRACTOR Sign or outline lighting
' ..,, • . 53.40 2
Business name: Brinks Home Security Signal cireuit(s) or limited-
_ energy panel. alteration, or
Address: 8080 SW Cirrus Dr extension. Describe; I Pagc 2 75.00 2
City / State/ZIP: Beaverton OR 97008 Each additional inspection over allowable in any of the above
P er i nspect i on 62.50
Phone: (503) 641 -0287 Fax: (503) 641 -0960 InvCatigatinn per hour (1 1,r min) 62.50
CCB Lic. 044421 Electrical Lie.: 34 -166CL pry. Lic.: 3213L• EA Industrial plant per hour 73.75 ,
''
Suprv. Electrician signature, rcqui , -
nv _ _,_ - 1gPJEC tILIC�(T il'F!EIt t17T FiE5 ' Subtotal;
Print name: Kevin Tucker I Date: 09/26/08 Plan review (25% of permit fee): i
State surcharge (12% of perrnit fcc): 9.00
Authorized signature: TOTAL PERMIT FEE: 1 84.00
Print name: This permit application expires if a permit is not obtained within 180
L I�atC. days after It has heed accepted as complete.
" Number of inspections allowed per permit,
t: fluildintrTermits \ELC•Permitnpp,doe 05/23/06 440.46157(11 /05 /COM/w1D