Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00077
DATE ISSUED: 4/5/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AC 00700
SITE ADDRESS: 07440 SW BONITA RD ZONING: I -
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Alarm system, wiring to be done by others. Job # 7240127386.
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:
BHK PROPERTIES LLC SECURITYCO INC
14280 SW 72ND AVE 15495 SW SEQUOIA PKWY #100
TIGARD, OR 97224 PORTLAND, OR 97224
Phone: Phone: 503- 968 -3300
Reg #: LIC 161567
SUP 941LEA
FEES ELE 37- 1054CLE
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 4/5/2005 $75.00
[TAX] 8% State Surcha 4/5/2005 $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 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: 1 _ 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.
APR -05 -2005 1 : 42 HSM HONEYWELL SECURITY 503 968 3398 P. 02/02
11ICL LL IC *I ,C G1'IIIIL 1 r Jt d.W, t,, • IIEIIINEN
City Q. Tigard 19 Received / /�) Per mit No, / ��
Date /fay: ! f l '� . ., 7� ,� O�0
't. r'�,i125 SW Ha11131vd., Tigard, OR 97223 PFt,u Review
Phone: 503.639.417] Fax: 503, 598.1960 4 � , i 1 Gu7 p.,i 'IM Date/r3y: Other Permit:
APR � 5
Inspection Line; 503.639.4175 /yr 2005 _! Date RcadylFiy: ]iris: VI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: I Cr Supplemental Information
i ::.: :' 4d.14rt• k _ , ' 'YL;AN•'REVW
❑ New construction g
d at 1>;eeli �i�Si t PIeasc ch all that apply:
CIService over 225 amps, comer Hazard us location
❑ Demolition ❑Other:
—
Service over 320 amps — rating ❑ Buildng over 10,000 sq, ft„
:•':'::::. •r'.. °: • .'. ',':•;;::' CATEGORY .; . ' ' „','. '... .: • '
• � of 1 -and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling [l Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi-family ❑Master builder ❑Other; OBuilding over three stories ❑Feeders, 400 amps or more
CjOecupant load over 99 persons
„ Manufactured structures or
1p
" ,,.:,: •, ., � : �TI N
ON AD:. LOCATION::
. .: ❑)r • • i p lan RV park
Job no -: 1Z,4017„. Job site address: '144 EV ' j _ ❑ Health -care facility ❑Other:
Submit ,Z. sets of plaits with any of the above.
City /State /ZIP: Po ri-I ivt4 , 0 1- 011 ZZ The above arc not applicable to temporary construction service.
.
Suite /bldgJapt. no Project name: ASSi7U t fl c'LAS , li on ` . ' . _FE
.° . D L]LE • ..• ' ., ,•::
- - ...,... t-� "�- + � �V ])oecYipli ` ,.. -„�.: .• _L� Fea i Tata! ! ”"
Cross str•eet/directions to job site: 1/ IT -- ^ yl ,j a New residential single or multi family dwelling unlit.
r •v � Includes attached garage.
---
1 ,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: pa, ad 500 sq. ft. or portion _ 33.40 w �• 1
._-- .._........_
Tax map /parcel no.: Limited energy, reside ntial 75,00 2
!mF c cnc r non-residential 0 . DEIiIP .TION. OF
WORK: >:,,i. h. manufactured ormodular .... ... .. , . Each I dwelling, service and /or feeder 90,90 2
0/ I ! w `0 . �.” � I mf r 11 t . p�Q/I W (rd J S ervices or feeders installation, alteration, and/or relocation
r;. - ; . i • ...... . 200 amps or less
110.30 2
......:. 1 - 400 amps • 106.85 2
. .:. ' .:; • Ll' 9 "St..: . pjjr� ? " ;. " r : T�: rTENANT:
„ amps to
-- ^ -- 401 amps to 600 amps 160,40 2
Name: - - W w 601 amps to 1,000 amps__ ���� 240.60 _ 2
Address: Over 1,000 amps or volts 454,65 2
Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: )
1
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 70L 401 amps to 600 amps 133.75 2
Owner sigrlrtture: • .,,.• — Date: Branch circuits — new, alteration, or extension, per panel
' : A, Fee for branch circuits with
-- - -°--^— service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: — B. Fcc for branch circuits
- --
,. without service or feeder fee, 46,85 2
each branch circuit
Address: ---
-•_ Each add'! branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) ( ) Pump or irrigation circle 53.40 _ — 2 —
Max: . �_. Sign or outline lighting 53.40 2
. E -mail: Signal circuit(s) or limited- •
, , .,.. ,....:. ... ::: " CON 1 TOIL ; • .......:..: •., , .•.. • �' ;...:.. energy panel, alteration, or /
extension. Describe: Low I Page 2 (? 2
Business name: SecurityCo. DBA Honeywell Security Monitoring Voltage Alarm
Address: 15495 SW Sequoia Parkway #100 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Portland, OR 97224 Investigation per hour ('! is' min) 62.50
Phone: (503) 968-3300 Fax: (503) 968-3398 Industrial plant per hour . 73.75 398
-- .... , , • :,,;.,. 3
;: ELE.CTRIC'.AL•PERMIT FEES' ; ' :;:::'
)
CCB Lic.: 161567 Llecnieat Lie.: 37 -105 LE Suprv. Lie.: 941LEA Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: 5-1 e A i Mtjy . p re Date: 4I C j 1 US- State surcharge (a% of permit fee) L
/ TOTAL PERMIT FEE
Authorized signature: 'wr l i� This permit application expires if a permit is not obtained within 150
"'�� days after it has been accepted as complete
Print name: Li e4/1 W1 I Date: 41 105 • Fcc methodology act byTri -County Building Indnatry ServiceOnard
— - ..."•••.,�•.. -. " -- - -" " N,nnher per permit allowed.
hmaunding \Permita\ELC- PatnitApp,a c 12/03 44o 4415r(lo/o2/t :oM'wi a
TOTAL P.02
IP -- ---- . --
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005~00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2005
Phone: (503) 639- 4171'`�'IPypQl� "i`�\
Inspection Requests (24 Hrs.): (503) 639-4175 ...' 'L.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
5/11/2005 7:12AM 26
SITE ADDRESS: 07440 BONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATED BUSINESS SYSTEMS.
DESCRIPTION: Alarm system, wiring to be done by others. Job # 7240127386.
OWNER: PHONE #:
BI-IK PROPERTIES LLC,
CONTRACTOR: PHONE #:
SECURITYCO INC 503 -968 -3300
Inspection Request Scheduled For: Date: Pour Time:
5/11/2005
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006602 -01 503- 968 -33555 N
Corrections /Comments/ Instructions:
` PASS ❑ PARTIAL APPROVAL ❑ CANCEL' El NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 11 Li &/, Date: 0 d7/ Phone #: (503) 718-
1