Permit 411,, CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00187
'I II 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: $/7/2006
PARCEL: 2S 113AB -01201
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: SAFECO, Security 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 REALTY ASSOCIATES SECURITY CO INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA PKWY #100
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: Contact #: FAX 503- 968 -3398
PRI 503- 968 -3300
FEES Reg #: ELE 37- 1054CLE
LIC 161567
Description Date Amount SUP 941LEA
[ELPRMT] ELR Permit 8/7/2006 $75.00
[TAX] 8% State Surcha 8/7/2006 $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.
Issued By: ___ p �� Permittee Signature: S. p \V - 4Q
OWNER INSTALLATION ONLY Y
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.
. 1 AUG-07-2006 08:03 ,,... if \\ \-,'" -1-101) I C PROTECTION I ON 503 968 3398 P. 02/03
e E'lectrical rermit Atkimpon0,
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Cit of Tigard rl \\
iv )_%* l - - L. , Permit No.; C ,Z) - R 7
13125 y SW Hall Blvd,, Tig OR 97223 1 r
("., ‘i Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 p,Usd • -,A!Pill DatdaY: • other Permit
inspecticrn Line: 501639.4175 ' 0 :-.P.g- -■ ■ Date Ready/13y: Jeri: 1 / _., lid See Page 2 for
Internet: wwve.ci.tigard.or.us ' 1 0 .-=,'..N ' Notified/Method: -- 1 - 1 ILI Supplemental tofaroudon
' ' \ ..-Ir ' ' •
•••.,,,....,:•-.,:.:•,....,:..• ,,, ..: ....,, ,/ -: .• ,i. .utp, • • :•••:•!....... . 2....,... • - ...., • .... •••••••.:0': .•• : ,.:•: :-...:..•
El New construction 1:1 ' : .i on/alteration/replacement Please check all that apply:
EiScrvice over 225 amps, contrn'l 0 Hazardous location
1:1 Demolition 0 Other: . ['service over 320 amps - rating 0 Buildng over 10,000 sq. ft., : ...'::::;.. ..',.... of 1 - and 2 dwellings 4 or more new residential
0 1- and 2-family dwelling [g] Commercial/industrial 0 Accessory building 111Systcm over 600 volts nominal units in onc structure
CIBuilding over three stories OPeeders, 400 amps or mom
CI Multi-family 0 Master builder D Other . . 00ecupant load over 99 persons DManufactured structures or
'. ',...;•;.':,",,:;•,. :f.;'''....,..,6!.::'!.'2..".::: kti:;.146iiiitit1etS*Iiitikilio1C.:= ., .:' :: !. ..:':. :. O Egress/lighting plan RV park
Job no.: Job site address: 16505 SW 72' Avenue OHealthcare facility bOther:
Submit j sets pinions with any of the above.
City/State/ZIP: Tigard, OR 91224 The above are not applicable to temporary construction service
Suite/bldg./apt. no.: Project name: BNK Construction (PacTrust) .
:::., • ...,.. 1'1,,i',
:••::•••'. ;•:,:::,::•: ,::: : • ;.... • '; :.
Downodan I Qty. I F. I Toed **
Cross street/dircctions to job site: New residential single- or multi dwelling unit.
-- includes attached garage.
1,000 sq. ft. OT less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. tt or portion 33.40 I
Limited energy, residential 75.00 2
Tax rnap/parcel no.: Limited energy, non-residential 75.00 2
: '. : ' . : ''''' :.: : Each manufactured or modular I '
Install security system , dwelling, service and/or feeder I • 90.90
2
Services or feeders installation, alteration, and/or relocatio
200 amps or less 80.30 2
' • • - -• - - - • • 201 am to 400 an
:::•.::: . ;i• :: !.:.•:" • ' Ps 1Ps 106.85 2 anrps 160.60 2
Name: PacTrust 601 amps to 1,000 amps 240.60 2
Address: . Over 1,000 amps or volts 454.65 2
— Reconnect curly 66.85 2
City/State/ZIP: Temporary servkes or faders Installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 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 600 amps 133.75 2
Owner signature: Date:
Branch circuits new, alteration, or extension, per panel
.....ir.,T..J I'A.O.P.E:TOM;E:';'.:'.::;:.::':::•'V,:f:•:,...•:.::;.;:t ic::. a .■wrisojr.: : ,..:... A. Fee for branch circuiiivilh
service or feeder fee, each 6 2
Business nan-te: branch circuit
------- B. Fcc for branch circuits
Contact name: without scrvice or feeder fcc, 46.85 2
first branch circuit
Address: Each acld'I branch circuit 6.65 2
-------:--------
City/State/ZIP; Miscellaneous (servke or feeder not induded)
Pump or inigation circle 53.40 2
Phone: ( ) I Fax: : ( )
Sign or outline lighting 53.40 2
E -mail: circuit(s) or limited-
• :...',; :;H:•:::'.:•::::.:•::-,::;.:::'.:•.:::,::;•,',•:!:,:, • ,7 :c4 7 1 ,74 7 0:00x . s...i : • :.: ::.-......? : :•• • ;j: .., .. •.: ,-.. :,. : : : :!,.: :i:' • i energy panel, alteration, or 1 1 5.
cxtension. De.scribe: Limited Pagc 2 2
Business name: HSM Security Energy ,
— Eacb additional inspection over allowable In any of the above
AddrcsS: 15495 SW Sequoia Parkway Suite #100
. . per inspection
City/State/Z1P: Portland, OR 97224 Investigation per hour 11 hr ink) 62.50
,75
Phone: (503) 968-3353 . Fax: (503) 968-3353
Industrial plant per hour L 73
_ -- :. .":' ..:. :..i:ELECTRICAL PERMIT FEES*. •
CCB Lic.: 161567 Electrical Lic.: 37 Suprv. Lic.: 941L EA Subtotal - 7 Y .---
Suprv. Electrician signature, required: 52-41114 Plan review (25% of perrnit fee)
State surcharge (8% of permit fee)
Print name: 5 k-o ve ivi, Fr-6 hfrvt. se. Date: 08/07/06
TOTAL PERMIT FEE
Authorized signature: 1/79177,64 FL, This permit opptieadon expires if a permit is not obtained within 180
days after it has been neeepted as complete
Print name: NI 1 le-i st-7'e4 Fr...4 :TDat Date: 08/07/06 • Fee methodology set by Tri-County Building Industry Service Board
— — ." Number of Mr.pections per penult alkiwed.
iauildhle■PermitsAELC-PormitApp.doc 12/03 440-4413T(10/02JCOMAY Pia
. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200 &00187
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171 / y u I '
Inspection Requests (24 Hrs.): (503) 639 -4175 "' I..
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7 :01AM PAGE: 55
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 - 16535 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: SAFECO, Security System.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: SECURITY CO INC PHONE #: 503 -968 -3300
Inspection Request Scheduled For: Date: 10/20/2006 Pour Time:
Code # • • - • Description Confirm # Contact # Message
199 Electrical final 038572 -05 503- 888 -0214 N
Corrections omments /Instructions:
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FINAL 1a iv; . Pte. W.
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j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
4' FAI '4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G--, N Itet..e Date: 1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200G -00187
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 W'I ( it
INSPECTION WORKSHEET FOR DATE: 8/10 /2006 TIME: 7 PAGE: 77
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505.16535 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: SAFECO, Security System.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: SECURITY CO INC PHONE #: 503 -9G6 -3300
Inspection Request Scheduled For: Date: 8/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 034714 -01 503-968 -3355 Y
oc -i 1Ic
Corrections /Comments /Instructions:
503 7O - s 2 ��
6 f 14 ; .4,
•
Ii: Ass ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-