Permit Pp CITY O F TIGARD I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT
:._ _ -.
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00315
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/17/2007
PARCEL: 2S 113AA - 00600
SITE ADDRESS: 16186 SW 72ND AVE B1 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK I LOT: 00B JURISDICTION: TIG
PROJECT: AVALON DISTRIBUTORS
Project Description: Install buglar 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:
PACIFIC REALTY ASSOCIATES ADT SECURITY SERVICES, INC
15350 SW SEQUOIA PKWY #300 -WMI 2815 SW 153RD DR
PORTLAND, OR 97224 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 469 -7100
FAX 503- 469 -7114
Reg #: ELE 26- 209CLE
FEES LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 8/17/2007 $75.00
[TAX] 8% State Surcha 8/17/2007 $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 questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By 1 / /JjI / _ / // Permittee Signature: \ I i c
""`...►►►
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 16 07 06:57a Stephanie Pate 503469 p.1
1 cal Permit AD �:u °. ,I FOR OFF1SE ONLY
�ity of Tigard ® Ci� U
Received ' m0 rat Nix: : -'°°315
3125 SW Huff Blvd., Tigard, OR 97223 A UG 1 6 200) !Tang iew
hone: 503.439,417! Fax 503.598.1960 ,s' °,> i , 1 . , "Du Other Permit:
rspection Line: 503.639A 175 CITY OF rI t , • 1'i3 �' .: i Dale ere d y ^ ir : 0 Sae Page 2 for
[!Cruet: www,ci.ligttrd.or.us BllI�f]1�K� D Noti1icd'Meiho : - S e W nr armatien
VISIA� +�"
u on a 1
TYPE OF WORK • • ' ` :. ... - PI:AN: Reyiew.
3 Ncw construction Addition/alteration/replacement Please check all that apply:
3 Demolition 0 Other.
['Service over 225 amps, tl as location f
cN ce O amps • rating ['Bulking over I ,
i a comm, r'I
[) i over a ❑ sq. t.
. .CATNGOli1 lefr.[ s,e,:; ; ; ;;...1'r,, ...:,.. :., : }n ; :; .., . ofI- and 2- family dwellings 4 or more new residential
3 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in ono structure
] Multi-family ❑ M:4tgr builder Q Qthcr. ❑Building ova three: stories ❑Feeders, 400 snips or more
. ..., . . pecupartt load over 99 persons ❑ ['Manufactured structures or
-- JOB srtt .Ir'(litALMA AND • LOCATION: • • . ['Egress/lighting plan RV park
o? y/9 / llo/i'ly s w 7 ❑ Hcal sets facility
Submit ❑Other:
>b n0.: / Jo site addres 2 sets of plans with any of the above.
ity/State/ZIP: / /4 0/L 9 702 Q f The above are not applicable to temporary construction service. •
one/bldg./apt. no.: Prr>jcttnurrk:�// JO DiS /a)�rCS' E" SCIIEDUY.)E
bacdprlm Qtr. Fee. Tom ..
YOSS streetldircetions to job site: New residential single- or multi- family dwelling suit.
Includes attached garage.
1,000 sq. ft. or 1Cas l 145,15 4
ubdivision: 1 Lot no.: Fa• add'1500 sq. IC or portion F 33.40 I
Limited energy, residential 75.00 2
ax map/parcel no.;
Limited cnagy, non-residential 75.00 2
DESCRIPTION Ole WORK ...: Each manufactured or modular -
�YJ� dwelling, service and/Or feeder � 90,90 2
�1 �""" "` co, ��w a .L. 7J� �'�s Services or feeders installation, alteration, and/or relocation
/ 200 amps or less 80.30 2
. p 201 am to 400 amps 106.85 2
[] PROPIF:R7'Y OWNER • [] TELYANT 401 amps to 600 amps 140,60 , 2
amt: 601 amps to 1,000 amps 240.60 1 2
ddrss,: Ovcr 1.000 amps or volts 454.65 2
Rerontwa only 66.85 2
ity/Slnttn]P: Temporary services Or feeders Inslaliation, alteration, and/or
relocation
hone: ( ) I Fax: ( ) 200 amps ur less 66.85 I
. weer installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 10030 2
.tended for snlr:, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 1100 snipe 133.75 2
caner signature: Date: Branch circuits — now, alteration, or extension, per panel
In' APPl,tCCANT • I . , :CONTACT •PiERSON ••.. A. Fcc for branch circuits will:
Service or (coder foe, each 6.65 2
u, , ti ne-vt; name: branch circuit
w �
__ H, Fee for branch cin uitt
enact ram .�i, , l .�l�P withhw service or fouler foe,
fist blanch circuit 46.85 2
ddrcss: - - Dish add' 1 bid tcb circuit 6.65 2
ity /Statc/ZIP: i Miscellaneous (service or feeder trot included)
tale: 3 )620 .,�o: Z 1 Fax:: ( pump Or irrigation c1r 10 ' 53.40 2 .
Si oe outlin,; lightutp, 53.40 2
-mail: Signal cireuit(s) or limited-
' ComtitA(`. fQli energy pane alteration, or co
extension. Describe: 1 2 Page 2 7 2
usine5s nitre: ADT Security Services 1
ra _ Each additional inspection over allowable ill any of the about
ddreta: 28x5 SW 153 Dr. Per inspection - 62.50
ity/State/LIP: Beaverton OR 97006 Invcraipation per hour (1 M min) 62.50
tone: (503) 469 -7100 J Fax: (503) 469 -7114 Industrial plant per hots 73.75_
ELECTRICAL PERMCU MKS
CB Lic.: 59944 I Electrical Lic.: 26 -209CL F., Suprv. Lic.: 1EA3389 . o "e
Subtotal
iprv. Electrician signature. rcquircd � Man review (25% of permit fee)
int
State surcharge (8% of permit Ca) 6, a°
name: Date
/�L= . _ .Q r�s
TOTAL Pt;I2lVlri' Feb: d
,ithorizcd SIgtlaturo: ''/,^/ - 11as penult application exDirtz if a
� /444,a, pr yt; permllt is not obtalacd within t89
/ days after it has been accepted as caul/Ogle
-int name: / A/ fQ/j a-t - � Date: _ /c / 7 • Fre methodology set by Tri County [Witch/1g industry Service bawd
�—�
J/ •' Number of inspi:x.00 s pa permit allowed.
, :N ■germ.. -:.N e'.ferot■enr..ene 1:4)' X40 -46I blossom WL•tt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2007
Phone: (503) 639- 4171 u'� , ,.�rt�
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7:01AM PAGE: 89
SITE ADDRESS: 16186 SW 72ND AVE 131 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOB TYPE OF USE:
PROJECT NAME: AVALON. DISTRIBUTORS
DESCRIPTION: Install buglar alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #:503.469 -7100
Inspection Request Scheduled For: Date: 9/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 056305.01 503-469-7212 N
Corrections /Comments /Instructions:
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' PASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Iv 64 L.- Date: q1 4 Q1 Phone #: (503) 718 MO