Permit 4 ` ^ v C FTY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00259
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/2/2007
PARCEL: 25101 DC - 00200
SITE ADDRESS: 13535 SW 72ND AVE 100 ZONING: C -P
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT: JURISDICTION: TIG
PROJECT: APEX CONSTRUCTION SYSTEMS
Project Description: Install low voltage alarm 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:
PACIFIC NW PROPERTIES LTD PTNSHP BRINKS HOME SECURITY
9665 SW ALLEN BLVD STE 115 8080 SW CIRRUS DR
BEAVERTON, OR 97005 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 7/2/2007 $75.00
[TAX] 8% State Surcha 7/2/2007 $6.00 REQUIRED ITEMS AND REPORTS
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 .uestions to OUNC . 03.246.6699 or 1.800.332.2344.
"// Issued •: P e rmittee Signatur• p r� ,
// /mil i / „ i 1• �
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.
Electrical Permit A plication FOR OFFICE USE ONLY
City of Tigard t w ti ;:, 7/2/0--+ s LN Permit No.: �Lk2 — 6b2J
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 ' AR JUL ate/By: Other Permit:
T I GA R D Inspection Line: 503.639.4175 � 02 2 20 � (D ate Ready /By: 19 ® See Page 2 for
Internet: www.tigard - or.gov �'` / f � Notifiieedd/Method: 6_ Supplemental Information
TYPE OF WCCJ Iry� �, 1 O �' D PLAN REVIEW
❑ New construction ❑Addition /altrepa t DIVISION. Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E "I - ", "1 -
Job no.: 70671609 Job site address: 13535 SW 72 " Ave lOoHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: 100 Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: HWY 217 Description 1 Qty. 1 Fee. 1 Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Low voltage alarm install Limited energy, multi- family 75.00 2
g residential (with above sq. ff.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 106.85 2
Name: Apex Construction Systems 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
Owner installation: This installation is being made on property that 1 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 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date:
A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I 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
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Brinks Home Security energy p a) or alteration, or energy panel, alteration, or
Address: 8080 SW Cirrus Dr extension. Describe: 1 Page 2 2
1 5.05 City /State /ZIP: Beaverton, OR 97008 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 641 -0287 Fax: (503) 641 -0960 Investigation per hour (1 hr min) 62.50
CCB Lic.: 044421 Electrical Lic.: 34166CLE Suprv. Lic.: 3213LEA Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 75.00
Print name: Kevin Tucker Date: 07/02/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 6.00
•
Authorized signs TOTAL PERMIT FEE: 81.00
This permit application expires if a permit is not obtained within 180
Print name: Jackie McKee Date: 07/02/07 days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\ Building \Permits \ELC PermitApp. 05/23/06 440-461 5T( 1 I /05 /COM /WEB
CITY OF TIGAFD - - •
BUILDING DIVISION PERMIT #: ELR2007 -00259
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2/2007
Phone: (503) 639 -4171 Atbet, II
• Inspection Requests (24 Hrs.): (503) 639 -4175 . '_
INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 68
SITE ADDRESS: 13535 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT #: TYPE OF USE:
PROJECT NAME: APEX CONSTRUCTION SYSTEMS
DESCRIPTION: Install low voltage alarm system.
OWNER: PACIFIC NW PROPERTIES LTD PTNSHP, PHONE #:
CONTRACTOR: BRINKS HOME SECURITY PHONE #: 503 -541 -0287
Inspection Request Scheduled For: Date: 8/10/2007 Pour Time:
Code # Inspection Description Contact # Message
135 Low voltage 053731 -01 N., 503 -641 -0287 N
Cor / / I
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Cijasp ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i tgigt ikosaroosiirraloN ❑ ADDITIONAL FEES ASSESSED
Inspector: Gm 1\16 Date: I OJO) Phone #: (503) 718- 1.4