Permit CITY O F TIGARD
GAR® ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00183
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/3/2006
PARCEL: 2S113AD - 01700
SITE ADDRESS: 16940 SW 72ND AVE ZONING: C -
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT: 030 JURISDICTION: TIG
Project Description: Burglar Alarm. Job # 3 20247 - 10.
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:
BRIDGEPORT LAND LLC ADT SECURITY SERVICES, INC
3939 NW ST HELENS RD 2815 SW 153RD DR
PORTLAND, OR 97210 BEAVERTON, OR 97006
Phone: 503 -241 -2875 Contact #: PRI 503- 469 -7100
FAX 503- 469 -7110
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 8/3/2006 $75.00
[TAX] 8% State Surcha 8/3/2006 $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: /C�7 A Permittee Signature:
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 0306 08:06a Stephanie Pate 503.469 p.1
Electrical Permit Appli on% FOR OFFK:E' USE ONLY
City of Ti and �'�� K�e,i,dd ry f
_ L ����) /� i
•3 i Datc•I3 s J r/ </, Permit No... r� 2 t /j a 0 J S3
1 3 1 2 5 S W Hail 131st„ Tigard, OR 97223 AUG <
G �
Phone: 503.639.4171 Fax; 503 598,1960 200 ;NE M js i)ater Tian Review llyi Other 1'ennit:
__ inspection lne: 503.639.4175 Y OF TiG � y T' isd ScC Page: for __
1ns i i
p CITY 1 ?ale laved r19y; Jura:
Inter x: www.ci.liganl.or_us SUILD� A U Notifie /Mtthod: /J Supptcmcntai Information
TYPE OF WORN vt --- • .
PLAN REVIEW
❑ New construction [r Adtlit;ion /al0 ration /rep]nen - lent Pleaso cheek all that apply:
El Demolition Q Other: ❑Service over 225 amps, coin 'l ❑I3itzardcus locution
['Service, over 320 amps - rating ❑Buildtig over 10,000 sq. ll.,
. .' • CATEGORY OF CONSTRUCI .. of I- and 2-family dwellings 4ormorn now residential
E] 1- Lind 2-family dwelling ® Ctmtmeroi;ll /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
Qeuilding over throe stories [Weeders. 400 arnps or more
M ulti- farnil
❑ y 1:1 Master builder ID Other; Occu ant load over 9 9 persons p p p ❑M u9ufactuted:;tntclures or
l . ••. )(1t3 SITE JNFORMA AND !LOCATION ELgress /lighting plan RV park
..z- 0, rTir -w -, ❑Health -cart facility ['Othe['Oth['Other: . hip no.: - /Q Job site address: 9,,2 p , $GA) '772 rl"l
Submit 2 sets of p Nita imy of the above.
City /State /ZIP: (-^—� )e 97 f .�, V f 6 "f'he above arc not applicable to tcnlpo[:1ry conaln ic.tion service.
Suite/bldg. /apt. no.: Project nainc :, 1, 2 �,,r- ,��GQ.P� 1 ;' S('tif� Uli1.N� ..
rkticrlptiort I QO'• Nee Tatal
Cross street/directions to job site: Ncw residential single- or multi-family dwelling unit. __
--„ — Includes attached garage.
1,000 sq. It. or lcs.s 1 145.15 4
Subdivision: ^ ~` Lot no,: Ea. udd'1 500 sq. it. or portion 33.40 1 _
Limited energy, rcyidontial 75.00 2
Tax map /parcel nu,: Linmit energy, nott- residential 75.00 2
T >laG'tiir >' lO o WORK .:.' :' _ L•'aeh manu er modular
^ Imo•
4 ,/ u -J dwelling, serve and'Or feeder 90.90 2
Servictx or feeders installation, alteratlon, and/or relocation
200 amps or less__ 50,30 2
- . 201 amps to 400 amps 106,85 2
0 PROPERTY' OWNrOWNER .,, Q TENANT. • • _ 401 amps to 600 amps 160.60
Maroc;. 601 amps to 1,000 amps 240.60 2 I
Address: Over 1,000 amps or volts 454.65 2 .
Rct:.unnect only 66.85 2
City/State/ZIP,
Temporary services ur feeders installation, alteration, and /or
Phone: ) • 1.97:; { ) relocation
200 ;imps or Tess 66.35 1 i
Owner installation: This installation is Yx•ittg mode on property that 1 own which is not 201 sntpsto 400 amps 100.30 2--
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 snaps to 600 amps 133,75 1 2
Owner signature: • _ Date: _ , „ 1lranch circuits - new, altcrtttiot or e' lenSion, per panel '
• [ t31V PACT 1)ts125U1
y -- - A for r branch oiiCtlit3 s+'ilh
El AP PLICAN ._ , _...,.-
sorvicc: feeler lima, each
6,65 2
Business name; branch circuit_
13, flee for branch aneuiis
ContacL name; wfrllrnrr service or feeder fat:, 46.A5 2
first }trench circuit
Addr s: Each add'l brunch circuit j 6.65 _.•.2
_ —
City /State/7_1P: Miscellaneous (service or feeder not induded)
Phone:
-y / / 0 ' ; ( )
Fax; " Pump or irrigation circle - ~� 53.40 2
&13 ) 9_ / i
'"_ /
Sign or Ottl'litie lighting � 53.40 2
F.. .�, Signal eireuit(s) or limited-
_ _ _ _. . . `CON'T'RAC TOK ' ^— . - energy panel, alterat ion, or coo
Business name; ADT Security Services —.—
� �•,.,_,__, cxtutsion. Ucacribc: _• —� / Page 2 2
rd Each additional inspection over allowable in any of the above
Address: 2231,5 SW 153 Dr, _.
-.- ! Per inscpectic n 62.50
^
City /State+'/_IP: Beuvertint OR 97006 Investigation per hour (t !v' nsin) 02.50
1 ' Industrial plant hour 73,75
Phone: (503) 469 -7100 I Pax: (503) 469-7114 ustr ant per
I'1 FEES" _ �•��
_ I.
CCIS Li..: 59944 -- I Electrical Lic.: 26-209CLE Suprv. Lie,: LEA3A9 1 ... :r:c.: rl3 zc „11, PERMIT
7 p°
Supty, Electrician signature, required: �! _ Q / l'lan %of permit f"ce)
Print name: �/�� / )Jute; MI StaLc surchargcl %ofpermitfee) � -
l e - S ^,^-•^ ^•-- • 'TOTAL PERy11T FEE 9/ D C _ 1
Authorized signature: �/ m __, ^ 1 'i'hir permit aptrlleatlr�n expires if a permit ts rot nntafned wf[Ittx 1740J 7
� r th after Jt has brew accepted ar campletr
Print ammo: /4"
F rt/ ?A Us ^ - Utl('c: 7 Fcc m *ahodology act b 7 ri- County evil Ling Indu u'y gurvi L3o,,ni
f( ”' Numh�•r el' inspections per permit allowed.
i U3uil4LNAl 'ermitsT.LC.rertuivApp.e%c 17./11:y /// , - a 4pG- ..- .'(.2.Y.C3t�t„,:il
CITY ���������������
��oo n OF oo��m�xnm��
BUILDING �N��0��U��0� PERMIT DIVISION : ELR2008'00183
13125SVVH Hall Tigard, OR DATE|SSUED
a Blvd., ga . ISSUED: 8/3V2006
Phone: (503) 639-4171
Inspection Requests (24Hrej:(5O3)83O'4175 AA Ail,
INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7:02AM PAGE: 67
SITE ADDRESS � LASSOFVVORN
� 1�E�O �VV��NC)�YE WORK:
SUBDIVISION: LOT TYPEOFUSE
� f�0� E]�X�<� C>A� �ETQ�(��� 030 USE:
PROJECT NAME: k4ENS\hEARHOUSE
DESCRIPTION: Burglar Alarm. Job # 3- 7'10.
OWNER: BRIDGEPORT LAND LLC. PHONE #: 603.241-2875
CONTRACTOR: ADTSECUR|TY SERVICES, INC PHONE #: 503'469-7100
Inspection Request Scheduled For: Date: 8/7y2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034444-01 603-849'8798 N
Corrections/Comments/Instructions:
* `
X PASS � � �S � � |ALAPPROL 0 CANCEL NO ACCES8
ri FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
N �� � � � �� ��
Inspector: ��"*���� x~�� Date: �^ � • "� Phone #: (503) 718' ��
CITY' OF TIGARD
BUILDING DIVISION PERMIT #: ELR1006-00183
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/7006
Phone: (503) 639-4171 ' A
4,84041
Inspection Requests (24 Hrs.): (503) 639-4175 ,._ 1.1.
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7 PAGE: 72
SITE ADDRESS: 1040 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MEWS WEARH OUSE
DESCRIPTION: Burglar Alarm. Job # 3-20247-10.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503-241-2875
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7100
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 034380-01 503-849-8795 N
Corrections/Comments/ Instructions:
FA PASS pi PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
fl FAIL 1 I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: N 6 6 u f Date: 1° 4 • 06 Phone #: (503) 7181.11qt