Permit III
II CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00014
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/17/2008
PARCEL: 2S 112AD -01100
SITE ADDRESS: 06650 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: THOMASVILLE FURNITURE
Project Description: protective signaling for burglar 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:
INSTRUMENTATION: OTHER: BURGLAR AL X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PHILLIPS ELECTRONICS
15350 SW SEQUOIA PKWY #300 -WMI 1110 NW FLANDERS
PORTLAND, OR 97224 PORTLAND, OR 97209
Phone: Contact #: FAX 503- 227 -4992
PRI 503- 222 -5083
FEES Reg #: ELE 26- 213CLE
LIC 125364
Description Date Amount
[ELPRMT] ELR Permit 1/17/2008 $75.00
[TAX] 12% State Surch 1/17/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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: .„,./ / - Permittee Signature: -2 /CGP5
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.
1 / 18 / 2 @8 15:52 5032274992 PAGE 02
lectrical Permit Application
.., FOR orricc i /SE ONLY
City of Tigard r m , r , R ilswii
TIM'
°I 13125 SWI Blvd., Tigard. 0 • ,,..„.gcEIV , .,_,.;v
! II ' Rhone: 503.639.4171 Fax: 503; 9 . . I)
IIIII Pisn Rcvlow
Dateilly Other Permit;
TIC.:A,RD Inspection Line: 501639.4175 JAN 1 6 ZU08 Date Ready/By; Juriii: lil See Pnge 2 for
Internet: wWw.tigard-or,gov Notified/Method; Supplementni Information
IV it•I'' . tit;g1D
'' '.' ,; :: : : : .''';•:',.: ' .:V ' .'1.; !..:. .:;:::.;',;'.': '1: .7'7-7.: • :i '0: :: ' ;:•:,•!'' t:; l• ci4'!;l ''1•:
ila New construction ID Addition/al 7 t IA* 1 , ., in ' ' Please check all that apply (submit 2 sots of plans tv/itcmil checked below);
D Demolition 0 Other; ElService or feeder 400 craps or more In Building over three Altancs.
'' where the available fsult current El marinas and boatyards.
: ':,:i'.';.5:t •!: :`t! l ..: '.' '; 'l l.. '.: :..:,...: ::: cxeccdg 10,000 ;imps at 150 volts or 171 Floating buildings.
iCSE: IO grbuncl, or 1 In
1- and 2-family dwelling 2' Cornmcrcia I/in exceeds 4000 Commercial -use a dustrial 12 Accessou building amps rot all othar instrillotions. buildinga,
0 Multi-family ID Master builder 0 Other: 0 Fire pump. In Installation of 75 KVA or
!PgSITEANt .::..',":.."...':•.: : ::.. i ; E E-7-cY '')-c"i. irirgcr ROpOratcly derived syntarn, or
Job no.: Job site address: „6 ,..(;(4_ , 1 F 0/u (4a R.6( 1001-1P or more, occupancy.
0 Six or more residential llAiT.A. El Recreational vehicle parks.
City/State/ZIP: 7 / Or - ? 72,24 ['Health-care facilities. 0 ..5orply voltage for more than
0 Hazardous locations. 600 volts nominal,
Suite/bldg./apt. no.: Project name; - 1 - 6. 1 6ks iotivi i( e, ei e 6,4F n Smite la feccier amps Or more.
..' ::'■'...;, FtE.'$C1Ill .:
Cross strect/dircctions to job site: , .
beieription ...”-
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision; ' 1 Lot no.: I ,000 sq. ft or less 145.15 4
' . .
Tax map/parcel no,: Ea. add') 500 sq. ft. or portion "33.40 ' ' ' 1
Limited energy, residential
i '':':• ';•': .::: : ,i :;:*;: ( above g q . 0) 75.00 „ .
..:. .. 2
Limited energy, multi-family
OunfAz,-- 111624 residential (with above sq. (t.) 75.0.0.
2
Services or feeders installation, alteration, and/or relocation
200 amps or less . 80.30 2
. ....-•,,.
t.1 t;'' l!'f :!'t E:;1,Z.:T :::;:•.:'::',; :,.: ' 201 amps to 400 amps
• e•
Name: t1 oo .. A, t;tC Pccie4Calfi1 "-': kc. 9„A 14y 401 amps to 600 amps '
- ----
lie] amps to 1,000 amps '''160:60
''240:eilr : , 21
2
Address: '4 „ d oi , AA, . .. . 5 16,, Over 1,000 amps or volts , .: . , 2 "
, . . --,....i..-....
City/State/ZIP: 72,
Temporary services or feeders Installation, alteration, and/or
( c. 9, .g ..z_q relocation
Phone: ( , ) I Fax; ( ) 200 amps or less 66.85 ' 1
Owner installation: This installation is being made on property that T 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 circuit!: — new, alteration, or extension, per panel
Owner signature; Date;
A. Fee for branch circuits with
irOANt::M:H:':::,i); ,E:':::;::i:;0jP0178PT.'..1.901::.;•:;1:,..: above service or fccdcr fee,
6.65 2
each branch circuit ..
Business name: • B. Fcc for branch cittuits . . .. . ,
without service or feeder fee, 46 • 2
Contact name:
first branch circuit _
Each addl branch circuit . - . .. 0 ' 2
Address: .....
Miscellaneous (service or feeder not included).. . .
City/State/ZIP: Each manufactured or modular
• .• 913,90 ''. •• 2
dwelling, service and/or feeder
Phone: ( ) i Fax; ; ( ) Reconnect only • 46.115 . 2
.. ... .. ..
E ' . Pump or irrigation circle 2
:;:: i:::. ::.'. ;:: •'.i;,.; :: 1;•; ': : ;•:. : ;;., . •:''.,• Sign or outline lighting
Signal circuit(s) or limited- .
• .. '.....
Business ns r/ e 12S &4 energy panel, alteration, or
-
extension, Describe: ..). . PKiiifi.';* . 2
Address: ///d) A40,9- fi --,.C . .
—
EaCh additional secn over allowable In anyof the above
City/State/ZIP1 Oro. 97 inspection 0C21 - ' •
— 4 rcr inspection 62.50' •
Phone! (SO ) Z 7.5-0Rs Fax: ( s n ) 2,27_ qgc,,,. Investigation per hour (1 hr min) 62,50
CCB Lic.:L2s— Electrical Li., _,,,, Supi Lic...3 59 Al-64 ..: ;..,..;,,,,..: ........ .„
!.;!,"!,...: .:.,.,..; :
10 /iii & , . --
Try. Electrician signature, required: ,--.. ...- ,"" subtotal: 7 C
.111L.,:a■—=e ..4
Plan review (25% of permit fee):
Print name: - cee--v?-420. Date: / /4,4-g
State surcharge (12% of permit fic); : ;•• 'i •
Authorized signature: TOTAL PERMIT PEE::1/..egY ..1
Tiltsi permit opplientinn expires if a permit Is notobraMed within ISO
Print name: "Date: days otter it has been accepted as conipleie.
— • Number of inspections allowed per permit. ' •, '
imtvildir 05(23/06 440.4615T(11/05/COM/WEB . . . . ,
. .. . . .,
■
CITY OF TIGARD ; . ° � ; _.
BUILDING DIVISION PERMIT #: ELR2008- 0()814
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2008
Phone: (503) 639 -4171 y lf" I �
Inspection Requests (24 Hrs.): (503) 639 -4175 'I 1.
INSPECTION WORKSHEET FOR DATE: 1123/2008 TIME: 7 : 00AM PAGE: 213
SITE ADDRESS: 06650 SW I3ONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMA SVILLE FURNITURE
DESCRIPTION: protective signaling for burglar alarm
•
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PHILLIPS ELECTRONICS PHONE #: 503 -222 -50133
Inspection Request Scheduled For: Date: 1/2312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 4)63701 -01 / 503 -222-5003 N
19 f- iNA L.,, ,/
Corrections /Comments /Instructions: \ O
i I
El PARTIAL APPROVAL [1] CANCEL ❑ NO ACCESS
/1,
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: _RT 6 06 Date: 1' Phone #: (503) 718- ZA
CITY OF TIGARD 0:,
BUILDING DIVISION PERMIT #: Et-R7008 -00014
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ) /17/2(,)Qg
Phone: (503) 639 -4171 /�mm,i�tM w �I
Inspection Requests (24 Hrs.): (503) 639 -4175 '- --
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7: 02AIVI PAGE: 40
SITE ADDRESS: 06650 SW BBONITA RU CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVILLE FURNITURE
DESCRIPTION: protective signaling for burglar alarm
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PHILLIPS ELECTRONICS PHONE #: 503. 222 - 50:83
Inspection Request Scheduled For: "Ate: 1/18/2008 Pour Time:
Code # Inspection Description -- Ce&irm --# Contact # Message
135 Low voltage 063510.01 503..222-5083 N
Corrections /Comments /Instructions:
W U_ CA L (.. ACII Pot iv .
Il PASS I I PARTIAL APPROVAL ■mot \' ❑ NO ACCESS
fl FAIL CALL FOR INSPECTION I. , DDITIONAL FEES ASSESSED
Inspector: c7'- -, 14 0Q) L ---- Date: 1 - 't'V 01 Phone #: (503) 718 - 1 F *