Permit CITY OF T I GA R ELECTRICAL PERMIT -
RESTRICTED ENERGY
L '� ; DEVELOPMENT Tigard, OR 639 -4171 DATE RMIIED: ELR2002-00224
- 13125 SITE ADDRESS: 15205 SW 74TH AVE PARCEL: 2S112DB -00600
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT: 014 JURISDICTION: TIG
Project Description: Low voltage for installation of security.
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: SECURITY X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
DENNY MEYER SONITROL (AKA SOUND SECURITY)
7340 SW LANDMARK LANE 8220 N. INTERSTATE AVE.
TIGARD, OR 97223 PORTLAND, OR 97217
Phone: 503- 620 -2086 Phone: 503- 223 -5822
503- 223 -5822 Reg #: LIC 53535
ELE 26- 370CEP
SUP 2260JLE
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 10/29/02 $75.00 Elect'I Final
[TAX] 8% State Tax 10/29/02 $6.00
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 w' ;8 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you t: ollow rules .•opted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throuc
Issu-d by ..�' : . � 1 _� �L � ;; Permittee Signature �Q17. � 7Ir!��(
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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
tc - -3z
Electrical Permit Application
_ _, • ;, .\ •�` - Date received: /0 — 2 _O Permit no. :Al o —0 C) 1
�@y,1 .' Projectlappl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR I
Date issued: BRA Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 OCT Case file no.: Payment type: .
Land use approval: �; c C,; i'" "•� , �--�^ - ,
. .
TYPE OF `
❑ 1 & 2 family dwelling or accessory A Commercial/industrial 0 Multi - family ❑ Tenant improvement
❑ New construction 0 Addition/alteration /replacement 0 Other: 0 Partial
•
JOB SI INFORMATION , ''
Job address: % 5 'i tit • l LL Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision:
•
Project name: NM - ‘ j- 00 Description and location of work on premises: `1_ r\._.W-Ca.51, s_A- A) J
Estimated date of co ` pletion/inspection:
C..NTR CTO /� PPLI rA IN FEE SC gol-lE f `
R
Job no: — a, • — \ 01 Fee Max
Business name: Sonitrol Security Description Qty. (ea) Total no. insp
New residential - single or multi - family per
Address: 8220 N. Interstate Avenue dwelling unit. Includes attached garage.
City: Portland State: OR ZIP: 97217 service included:
Phone: 223 -5822 Fax -7773 1112141 1000 sq. ft. or less 4
CCB no.: 53535 Elec. bus. lic. no: 26 -370 •atE Each additional 500sq.ft.orportionthereof = = =—
Limited energy, residential 2
City/metro i no.: Limited ___
� energy, non-residential 2
L` 1T fa O�fJ
Srrvisin el- rician re uired p�� Service and/or feeder Each manufactured home or modular dwelling 111111 2
S ���ame (print): y �Ylir License no:,�1 OE
Services o locs— installation, IIIII� 2
alteration or relocation:
PROPERTY�OWNER 3 200 am s or l ess
Name (print): 201 amps to 400 amps - _a_ 2
40I'amps to 600 amps __ _ 2
Mailing address: 601 amps to 1000 amps
City: State: ZIP: Over 1000 amps or volts ___ 2
Phone: Fax: E -mail: Reconnect only ___ 1
Owner installation: The installation is being made on property I own Temporary services or feeders - •
which is not intended for sale, lease, rent, or exchange according to installation, alteration,orrelocation:
200 amps or less
1 1 2
ORS 447, 455, 479, 670, 701' 201 amps to 400 amps MOM _ 2
Owner's signature: Date: 401 to 600 amps ___ 2
ENGINEER `? Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: • ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: ■. 2
Phone: Fax: E-mail: Each additional branch circuit: __
PLAN REVIEW (Please. check, that apply) misc. (Service or feeder not included):
❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle Ma ■ 2
❑ Service over 320 amps - rating of l &2 ❑ Hazardous location Each signor outline lighting _Mr= 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lightingplan ❑ Other:
Per inspection __
Submit sets of plans with any of the above. Investigation fee -
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application _
Permit fee $ t t
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days ater it has been State surcharge (8 %) .... $ U , CO
Expires accepted as complete. TOTAL $ ? 1 a 06
Name of cardholder as shown on credit card •
$
Cardholder signature Amount 440 -4615 (6/00 /COM)
Electrical Permit Fees: Limited Energy Fees:
d
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
p Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total 4
Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 n Burglar Alarm
Limited Energy $75.00
Each Manuf'd Home or Modular ❑ Garage Door Opener
Dwelling Service or Feeder $90.90 2
Services or Feeders n Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less $80.30 2
201 amps to 400 amps $106.85 2 n Vacuum Systems
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
t Reconnect only $66.85 2
Temporary Services or Feeders — — - -- _ __TYPE OF WORK INVOLVED - COMMERCIAL ONLY
4 Installation, alteration, or relocation • Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
t. , 201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
I Over 600 amps to 1000 volts,
see "b" above. n Audio and Stereo Systems
Branch Circuits
:, New, alteration or extension per panel n Boiler Controls
a) The fee for branch circuits
:i with purchase of service or n Clock Systems
f' • feeder fee.
Each branch circuit $6.65 2 • n Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service ❑
Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 ❑
Each additional branch circuit $6.65 HVAC
•
Miscellaneous n Instrumentation
I (Service or feeder not included)
Each pump or irrigation circle • $53.40
Each sign or outline lighting $53.40 n Intercom and Paging Systems
Signal circuit(s) or a limited energy �Q
panel, alteration or extension I $75.00 95 - — n Landscape Irrigation Control*
Minor Labels (10) $125.00
Each additional inspection over n Medical
the allowable in any of the above
Per inspection $62.50 n Nurse Calls
__ Per hour _ _ _ $62.50
In Plant $73.75 ❑ Outdoor Landscape Lighting`
Fees: I (I Protective Signaling
CO
Enter total of above fees $ 5 - V n Other
oO
8% State Surcharge $ ( n • 1 Number of Systems
25% Plan "Plan Revi ew" section on $ Re Fee * No licenses are required. Licenses are required for all other installations
See Review"
front of application.
. Fees:
Total Balance Due • • $ 91,0')
� 4
Enter total of above fees 1-15 $ \ t
❑ Trust Account # • • 8% State Surcharge $ 6,00
. Total Balance Due $ \ , M
i:\dsts \forms \elc- fees.doc 10/09/00 •
•
CITY OF TIGARfL 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION , Business Line: (503) 639 -4171 MST
..BU
Received Date Requested AM PM BUP
Location '5 2 �� 7 Suite MEC
Contact Person 411II `� Ph ( ) T 73/3 PLM
Contractor. iII ice/ • 1 • Ph ( ) Z-0 — 20 SWR
BUILDING Ten. ELC 0/1 ZZ Z /
Footing ELC ' /
Foundation Access: Drain ELR ` ®�� 3/
Crawl Drain
Slab Inspection Notes: • SIT .
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final 11-71ca, JL
PASS PART FAIL
PLUMBING
Post & Beam / l
Under Slab d t � 3 Q
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole 2 o G 2 ) /
Storm Drain
Shower Pan Z OCJ 2 CO 3 ci
Other:
Final 2—Qc/ — 0 0Z7 7
PASS PART FAIL
MECHANICAL
Post -& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fir larm
a Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
SITE El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA A� Approach /Sidewalk Date AA, .1 CP Inspector --�� ~ _ Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL