Permit 1, CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00299
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/7/2006
PARCEL: 2S113AC-00103
SITE ADDRESS: 07216 SW DURHAM RD 2001' ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Access Control. Job # 83 18932 - 6.
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: ACCESS CON X
TOTAL # OF SYSTEMS: 1
Owner: - Contractor:
PACIFIC REALTY ASSOCIATES ADT SECURITY SERVICES, INC
15350 SW SEQUOIA PKWY #300 -WMI 2815 SW 153RD DR
PORTLAND, OR 97224 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 469 -7100
FAX 503- 469 -7110
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 12/7/2006 $75.00
[TAX] 8% State Surcha 12/7/2006 $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 or 1.800.332.2344.
Issued By: • / 7:4_1�1— Permittee Signature: _s_e
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.
Dec 07 06 12:46p Stephanie Pate 503469 p.1
EIeCtrlcaJ Permit A - a-1i'0 - t FOR OFFICE USE ONLY
City of Tigard ' .' -- tt3tmct: 'Ivv d �_
D� Pennif No.S t 0 1 6 )0 �(> 7// 6
SW 13125 S Hall Blvd„ Tigard, OR 97223 4
Phone' 5133 -634, ! t 71 Pax: 503 591 .1960 ,,, Plan lcvica
7 200 "
j j t nafa' f}thcr Pcnair,
Inspection Line: 503,639,4175 DEC 0 f "_ Uoiu Ruady;8
inferno: www,oi,tigard.or, ' o 3 —) 13 of P 1 for
Notil'cd•'Nicthod:
j SupplumenrHl
i. 1Cii'�1.kik-iCi.'t' ^ PLAN REVIEW
� ❑ New con truction t # ' tIO' 1iiFO t a c 7Tc47C Pleusc cheek all that apply:
❑Sm'ice over 225 amps, contin'I ❑Hazardous location
D Dctnoli El Other:
❑Service over 320 amps - ruting U a Bulking, uv 10.000 sq. 11.,
C --�. TCCOB�''.'•;o ..CONSTROC T14N: -' .'..'c" .. ' of I- and 2-family dwellings 4 or more now residential •
El I - and 2 dwelling ® Commercial /industrial ❑ AcceNsory building — DSystem ovct 600 volts nominal units in one structure
❑ Multi-family 111 Master builder ❑Building ova three storioc ❑h wiers, 400 amps or mum
❑ Other;
:7011. SITE 1sT (j1tti1ATTO'11 'AND LOCATION ['Occupant load over 99 person,e ❑Manutheturcd structures or
n
3r- - _ . _ ❑f grtSMirhting/Man RV park
o.; rt3z ^� I Job site address: 702/( S� 4). 2h�in ❑liutllh carCfteility ❑Other'
Submit 2 sets of Ions with any of the above,
7 �
City /StntclGlP: `z f* y f & . 97� a / The above arc not applicable to toml)orary construction sa
�uii bldg. /apt. no,, • e7d ! Project name: Y� I�/ � NI,F StFlk;1)UI.,r : .
Otnriprton r ply. I Per_ ( Tufal
Cross stre to job site: New residential single. or multi
g family dwelling unit.
inau attached garage.
1,000 sq. 1t, or less 145.15 I 1 -
Subdi'visivn; i Lot no,; _ Ea. add 500 sq. ft. pt portion f 33 I .
Tax map/parcel no. L.ifuitcd energy, residential 75.00 2
1 imitoJ cndrgy, non-residential' I 75,00 2 • ;4 ,7 , . , .P.r;SC)ur, r1vx. •or1 -•- w.n».IC � ; . . - C Rich man ct u f
ed or modular
� j � :Re � /� ` / d,yelling ti and. or fwiler 90,90
l.py t 2
F�L 5 Scrvi Or feeders installation, Akterat amerce rclocatiprt
1 200 amps or less 80.30 2
❑ rltul> RT!' 'UWNER ❑'. TENANT 201 amps to 400 amps 10o,85 2
Name: 40 f on,ps to 600 amps � 160. ^
601 amps to 1,000 amps _ 1 230.61) 2
^
Addr r Ova 1,000 amps or volts 454.65 2
City. /State /ZIP: h■cvnntS only 66.85 2
Temporary services or feeders installation, alterrltion, andfoe
P y relocation
Phone: (
Pax; ( )
Owner instillation: "Phis installation ;b made on property that 1 own which is not 200 amps or less 00,30 1
intended for sale, lean, rent, or exchange, according to ORS 4 47, l !9, (i" 201 amps to 61X1 traps I Q0.3D 2
b n, and 701. 401 amps to 61X1 amps I 133.75 2
1 Owner signature: Date: Brooch circuits - new, alter;ttion, or extension, per panel
0 ' . .coNfAc,,r ) >1? RSON' A, flee for branch Circuits x'ilh !
" " - 1 Scorn e o r f Ice, each I
name: 5 65
brunch circuit
Contact nname: �� ��� �.� B, F,,e for branch citrons -
Business name:
- -- 4. %1 .,e., _�2/ without Scr•vicc 1'
Address: lira branch circuit feeder foe, 4G. Sl5
L'ach add' bnruh c 6,65 J 2
City /Sttte!l_1 P; i Miscellaneous (serr'icenr feeder not included)
) ( Fax; , ( ' ' -- Pump or io'igalion circle 53,40 2
Phvnc;
�� 7 Sign of outline ligblittg 53,40 2
(, m il: Sit sal cirrus ur hmirtd-
: „CON'1 .. energy panel, ;dternti0ta, or I /
�- .. - '� — - exienslun. Describe: ` i P;fgc 2 ' 2
Business name: ADT Security Services
Address: 2815 SW 153" lit. inch additional inspection over allownhle in any of the above
Per inspec'-linn 62.50 .
City /State /ZIP: Beaverton OR 97006 -
Investigation per hour(' hr rain) 62.50
Phone: (50) 469 -7100 i Fax: (503) 469 -7114 Industrial plum p�Y hour 73,75
M I • r;I,:EC'T'121C Ai, PERMIT FEES *.'
CCB Lie,: 59944 � Electrical Liu,: 20- 209CT,,C 1 Suprv, Lic.: LE,` S9 '
Subtotal % om
Supt's Electrician sign:rturc, sjti ircil; /� -
f. � Plan review (25% of pcnuit fee)
Print name: X-2-7,41 ee 4.,..-C Date:
/37/7/5,6 state surcharge (8% ofporm4 fiti;) ' 0°
Authorized signts.turc�,a „ _ �a,(/��
/ !�'� ^ i'hir pt.rnnit application a tpir�p if a permit iv not ublriruTi within !HU
Print n f<N US days nft IT bar been accepted AN cvmplcre
i D itto: • Fee ii )Xxlp1c `Y sm. by 'f7i- ' y
� 6. Cuum limldiog lnduenySen,cc Dowd
-' •'duster a aup Vt lient pa- permit allowed.
: dlmldini , .K. 12m} 7 ,..4 i ‹, •4o ocilarf1T02CYJrww}iit
CITY OF TIGARD -
BUILDING DIVISION
PERMIT #: ELR2006-00299
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121712006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 07216 SW DURHAM RD 200 P CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: WELL PARTNERS
DESCRIPTION: Access Control. Job # 83-16932-6.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469.7100
Inspection Request Scheduled For: Date: 12/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # , Message
135 Low voltage 041264-01 503-469-7212
C k 001 L.__
Corrections/Comments/Instructions:
r_tPASS 0 PARTIAL APPROVAL fl CANCEL I NO ACCESS
FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: --- "*-A (% L'12 Date: I -2 -1 2 -dbf 6 ( Phone #: (503) 718-2i412