Permit . CITY OF TI GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2009 -00001
T I G A R D DATE ISSUED: 1 /2/2009
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CD -00500
SITE ADDRESS: 08050 SW PFAFFLE ST 100 ZONING: C -
SUBDIVISION: PACIFIC CROSSROADS CORP LOT: JURISDICTION: TIG
PROJECT: FBR
Project Description: Low voltage for burglar alarm. Job No. 83 22989 - 1
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: BURG ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PFAFFLE OFFICE LLC ADT SECURITY SERVICES, INC
915 NW TORREYVIEW LN 2815 SW 153RD DR
PORTLAND, OR 97229 BEAVERTON, OR 97006
Phone: 503- 647 -5416 Contact #: PRI 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 1/2/2009 $75.00
[TAX] 12% State Surcha: 1/2/2009 $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
503.246.66 r 1.81 •.. 32
Issued y: &____10 I 1 ! _ ... , A4 , Permittee Signat e: kretiM
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: --,,d -! r 'rr}. -�----"' 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.
, Jan 02 09 08:14a Stephanie Pate A # 503469 p.1
tt.lectflca1 Permit Application FOR ORPlCE USE ONLY..,.. •
.. City of Tigard Jtcc
1 V fiv / " V ?omit Nu. .at
GltLaT/7 - Gc.. -ci /
13125 . sW -.Uou t3tvd., Tigard, Olt � � ' r n:llrl t : , n nev iew a.. Phone: 503.63'1.4171 Fax: 503. - ' "' D;ucn .lY onus Prrrrtir
T1GARD inspection L;nc'. 503.639.4175 Dare. Rektlylliy. Sera. 65 1.14v Ppgr. for
Internet: www.tigard.or.gov N 0 2 2009 NotifledeMedttxl: - ,
JA �� tiul,plmmntallnfOrntpliuo
WOR - FTI �,AR� -- ' " .�
_ :My PLAN REVIEW
New construction ® T YPE 01 Addition /ak ctlk llrZ 0 1 ` '1Q'ON Please cheek ;,11 Ihat apply (submit Z sn;. of amiss wfitcinteheekrd bckrwl:
{ 11L�1 g V 1 V Q ticrv,r�• Or feeder 400 nines or mom ❑ LiuiWtnc, err Inset. slorn 5.
I ❑ Demolition 0 Ocher. 3v , . where the Yvattahlo fault current ❑ Marius and boatyard.
CATEGORY OF CONS c'RIIC PION exceeds 10,1M ;goys at 150 voter; or ❑ Floatin buildin
ksg In around. or rrceech 14.000 ❑ Coramerinni.rise agricuhur:/1
❑ I • and 2- fatuity dwelling LE3 Commercial /industrial 0 Accc spry building _ a
mp5 IOr all other invltll,itlaRS. buildings.
o M i ly u lti -thrn ❑ _ Master builder _ Other. 0 Fier pump,
, ❑ 0 Ins>.illarwnu( KVnor
J013 til1't? INFORMATION AND LOCAT 10Folen:cney la44r +��antcvdcmod.,y5lcrn
y = -. i 0Adttilirtn
Job no.: 22 f i7-/ 1ob situ mit:JP:SS: j4)4rj SL �f /a ,eFL - Jo011Yernwtc. h oc upalky.
- _
•- _.. _. -.._ . -.... $�_ [] S", al' Mere rtxident units Rwo::dlumll vehirl.' putiu.
lily /Statel/.1P: '/ //.O, 9Zaa 3 C2 tlraltlt•emctactlni¢s ❑ 5uppty v,,har..• fc'l uwri hurt
- y � V - -..._ .. CI } la rardtwa lua+uvm. GOG vulw nominal.
Suireibltle, /api, no.: Pro I Inc: f 41 ❑ Scmcc or fccd;rWO Igarytk or tram:.
1•1".1; SCHEDULE
Cross sir l/di rectiuns to _ site: 1 I ►'1 j . _ :F alai
Ncty residenti.-tt single - or multi -tarmy eiwetiinp unit.
Includes auachcd gauge.
Subdivision: Lot no.: 1 1,000 sq. ft. or less _ 145.15 .t
Tax mnplpurcel no.; - + Ea. add') 500 sq. A. or portion . 33.40 1
1 i energy, residential 75.00
_ DESCRiPTION OF WORK (witnnbuve:.l. R,)
_.. -_.
-- _ Limited energy, ttn,lti•1'antily
TS.I)75.00 l 2
.•_[� /, / / 4" �A. _ residential (with abuvt: s3. 0.1
Services or feeders installation, alteration and/or relocation
-•-• lUU amps nr I vry 80.30
0 PROPERTY OWNER l7 7'lNANT 2(11 amps to 400 umps 106,85 �- 2
Name: _401 amps to 600 amps 160.60
Adds 5s: - WI amps to 1,000 amps 240.60 2
Ovlr 1.000 amps nr volt,. 4 c4,65 2
CitylSt;,aal11': Temporary servk'c or feeders hist:Mation. alteration, and /or
relocation
Yhonc: ( ) l•':Ix: ( ) 200 amps t)r lest, 1- Llr.rii ! i
Owner Installation: this irtstall;uion iv being made :.in property that 1 aw i n which not , 201 : to 400 amp 100.30 k 2
intended for sale, lciue, rent. or c aJi ingc, according 1n ORS 447, 449, till), and 701. 401 .,mlr., to 599 amps 133.75 j. F
($ranch circuits - new or extension cr panel
Owner xignutuee: Owe: _ _ ... _ .tZit I
-
y (_E .... -- - .--- ._.._. . _ _ A. Pin for branch cin.ui[t a•11/r •
APPLICANT i CONTACT PERSON - - rhovt, wavier or limiter 1'CC. 6 6 2
. 'i branch circuit -
1lutiine u: _ H. F F lt : f or bra nch circuits
Contact name: K I` 6l � G , - be st b ,r service C ar or feeder fir,
�••f (ii �r br�pCh Circuit 46.35 2
Address: _ Earh add', branch circuit (1,(j5 2
•' - -- - • - Miscellaneous (servicc. or [ceder ant included)
(:ity /$U1ldLI1 tak;h manufactured or modular i
.. �y .S r /6 j dwelltnr, cov und/ur i 90'10 2
Phone: (.3 ) ,p ' J /6 / / _.. F ax:: l ) .._ Recc anew only -- .._. 46.1(5 F - nt:li I: I I rump or irrigation sir I • t 53.40 2
(?ONTRACTOR Sign or outline lighting 53.40 ?.
Rusines:s ntnm: AD'r SFCU R1•ra' Signal wet uit(s} nr Iimiled•
enrxgy panel, olu cation, or
Address: 2815 SW 153" DR - axlatsion. O rite: t 1 Page 2 75.(/0 e
City /Staid %IP: 13Ii;A Vk:R'rON OR 9Y7006 - Each additional inspecbnn over nnowable ii any o f the shove.
i 2 Per inspoumn -� 62.50
Phone: (S03)469 - 7ZI2 - , rite: (503)469 -7114 5g9 Ltd - 1 6Z,5p I 1
--- _ lnvtycuTotiun per hour (t Iv min)
CCD Lic,: 59944 j Glcctric:iJ I. ic.: 2G2Q9C ^ ['Suprv. Lic.: Indushi;ll pliant per hour i 3.75 L r _•
r/ ELF;(; rRiCAL P6 :ItMrr FEES
Suprv. Electrician tiignaturc, required: _ � _ - ��/ // st ntat ;5.00
Print name: KIi1V KRAUS D Plan review (25 % ofpen -nil fee):
�_....- _ - -•.. - I_ - State sun:Nitre % ofp and fix!? 9.00
Authorizer[ iii titturtr'7�r/J(, - � "4` -fZ .G4 / = rOT M [I AI, . Lk M 1I' I'LL 84.00
Print name: 1"); n: p: I his permil appik ado+ expires if u perntir is uul u nod within illo
.. .. •.- -- - _' - . _ 1 - __ - J da after ti ban Won accepted os MmVlote.
•Et... t • Nurnbcti of inzpcctinnc allowed per pcn:ul
t.
x`rormits•t:l.l. • rernluA i f 1 41. It:i: ; , Vt, 410.•16 1 5'rr 1 1.115.CO W 1 vt:11
Ce a iN;0 -,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI R20g9.00001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2009
Phone: (503) 639 -4171 11 i� 4,
Inspection Requests (24 Hrs.): (503) 639 -41751 "__..
INSPECTION WORKSHEET FOR DATE: 1120/2009 TIME: 7 : 001. M PAGE:
SITE ADDRESS: 0806() ;'a / PFAFFLE S T 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: I:1312
DESCRIPTION: Low voltage tor burglar alarm. Job No. 83- 229B91
OWNER: PFAFFLE OFFICE LLC, PHONE #: 503- 647 -5418
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503.409 7212
Inspection Request Scheduled For: Date: 1120/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 79814 -01 503695.1862 N
Corrections /Comments /Instructions:
1 , PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N dg • Date: 1..2. • - 1 Phone #: (503) 718-