Permit n , .-„ . CITY OF TIGARD
R® ELECTRICAL PERMIT
IL '1 PERMIT #: ELC2007 -00259
COMMUNITY DEVELOPMENT DATE ISSUED: 4/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BB -01400
SITE ADDRESS: 12100 SW GARDEN PL BLD4 ZONING: C -G
SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG
PROJECT: LEIF'S AUTO
Project Description: Installation of a security alarm system.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 0 401 - 600 amp: SIGNAL /PANEL: 1
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SPIEKER PROPERTIES LP AMERICAN SECURITY ALARMS
4380 SW MACADAM AVE STE 100 5411 SE MCLOUGHLIN BLVD
PORTLAND, OR 97201 PORTLAND, OR 97202
Phone: Contact #: PRI 503 - 231 -0303
FAX 503 -230 -1044
FEES
Description Date Amount Reg #: ELE 26- 283CLE
[ELPRMT] ELC Permit 4/20/2007 $75.00 LIC 58640
[TAX] 8% State Surcharge 4/20/2007 $6.00
Total $81.00 REQUIRED ITEMS AND REPORTS
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 B y4M1,/ / . / _ `' / // Permittee Signature: Set, ti /' o
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.
- ,. •g; ,
Ere ctr1eal- Permit Application FOR OFFICE USE ONLY . .
City of Tigard Aa�aV Permit No.- ac.2QDq —6025
13125 SW Hall Blvd., Tigard, OR 97223 : Plan :Review Other Permit. Phone: 503.639.4171 Fax: 503,598,1960 " " " "���� � � l ;1 •. <t
" 5� y�,a Datd ., B
Inspection Line: 503.639.4175 - N Date l teady/By; Juno r. Sae Page 2 tor
Internet' WWW.ci,tigard onus APR 2 0 � NotifrecVMetlrod. Supplemental inrarmation
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0 New construction 13 Add ", , r, Mg 0 ,Jb .14simpt Please check all that apply,
Q Demolition Other: ❑Service over 225 amps, cornm'I °Hazardous location
r f , De m o . �� , i o 'a < ",: �t: ; ; Other: : r,.�; �, r::rrir s; ^� ay } Y. P . ❑Service over 320 amps — rating ❑Buildng over 10,000 sq ft.,
rg ` r ,f !• y fi'# +e ti fit' a't : A q�i,`i '1?1411! i ii �Erg of 1• and 2- family dwellings 4 or more new residential
e�. � Sf2e.. .'.,n?.C ii: �i(441 .!I .si. :zeiii L'n .Y�•tE./.% :. ...t.1..?:v:ithi , d K a : 1 . ., _c,
0 1- and 2- family dwelling 1 / Commercial/industrial 0 Accessory building ❑ System over 600 volts nominal units in one structure
0 Multi-family 0 Master builder 0 Other: I:Building over three stories ❑Feeders, 400 amps or more
a a ^�:. e 'a'i r rn cr . ;v;w ;rs :n a s '_: �r ❑Occupant load over 99 persons ❑ Manufactured structures or
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d/ { t 'c s . r ,. S. . (, <<p L ,,' J ¢^.•y , L!rl�t:. , vfi;.'•3- .ti•.;i RV park
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Job no.: . Job site address: IQ DO 51/1) C 1 • ❑ Health -cart facility O --
.� submit 2,,, sets of plans with any of the above.
City /Stale /ZIP: k ♦ 6 . 0 F l FAO The above arc not applicable to temporary construction service.
„„ ,,
Suite/bldg. /apt.'no.: r 1 4 Project name: Le rr t e„ 111 a A tY ` 'Fd'"�: fk 3` 5 " " e1,ub • E d'f 44 '' .RS ti.�r;�. •, - ' '
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Descrlplfo!_ Qty Bte. Total
Cross street/directions to job site: New residential single.- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft, or less — 145 15 _14
Subdivision: Lot no.: Ea add't 500 sq ft or portion 33.40 I
- - Limited energy, residential 75.00 2
Tax map /parcel no,: ,
r 'ri;; {'; .; ; ,i.r�:; y,tit... ,,i�yt�, • :, : i: ' -i; "a- ^�x- � o :: ^;a�_f�L • x , ;, ' ;a•:,rj : ' : ," r':;,.•hG ¢ ,r,..r,ah ; r t •1 il' � „ Limited energy, non-residential - 75.00 2
• �� • t,!' :. • ' d :fit, , 8t`
i i4 �t9 ` 41 , a�i 4,, :� �r P(i1!V'�i f!d ., r '•'(:: a"# J l. ' r t% ; ; °Fig 1. :4
Gael ./ .. d: .,- .1,.t1 6 ti's t.U∎14 :;n .._: ! ":jrk:' t:zf5_a: zt'_SW.45 11L J WP,4: 1 d li`>•.;>,.v il: , ;, a Ea m anu fa c tur e d or modular
Mai* dwellin:, service and /or feeder 90.90 2
Tnstnllation of SEr.VA , Ma j' *. r �,�1 , - Services or feeders Installation, .alteration, and /or relocation
200 amps or less 8030 2
D. • •r'4 zU :fR'f� :ai'r: t':`�t, . .? r ..�t ':n +ni , : ; s'rrR,;zs`, S q :,,. ; .:5m -•:.::y/ T J 201 amps to 400 1 1,0la' yh.' .� Sec ' 717,1: .Fig -i�.., t, mod . ;ey '. ! " i, fS P amps 106,85 2
� Y... ! MI', lF� ts ":.'g � n A: , .ar. Ali. - ' 1:: §15i i: rt .,; l t' t ), J ,r l + �, f �i+ ii N e y ir,. t
'....,. -.d. 1 ff' e'.: n. i.:, a�., � t. fsS.,... �.,. t,, tiw�.,., e::,.�.Y.:.,.,,.�,l;kE;uS.st1. • 6: i.., 71,: t :i'�i:Y „ >.xrt�V!k�:'iS�x!au,a�s 2rr..: @:::zi:y�•:��x��'i 401 amps to 600 amps 160.60 2
Name: a a.1: I i / 601 amps to 1,000 amps 240.60 2
Address: Ovcr 1,000 amps or volts 454.65 2
Reconnect.only 66.85 2
City /State/ZIP; Temporary services or feeders installation, alteration, and/or
Phone: (L^ ) . Fax: ( ) relocation
�JtJ 1 11"� 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 701. 401 amps to 600 amps 133,75 L2
Owner signature: Date; Branch circuits— new, alteration, or extension, per panel
ryr .. ,.,•: ..rr :: ,.sa✓iJp�;;w,r5��:,rpy.;i.: %c; V•�,+ T^7X'.•S�, :•4• ••5 jw ": ",.'j "�. %.�,.�a: p5 - - -
�t' fd,l lisik le ?k, - i p lti�i4 .,s.,..I � .sgv, :F , 14t:. , <,,.�,ii .. 'i g.5ik >;l-�4? r r�,.' .s��f rt',4!,,,L �`.i., }: b1 A, fleaforblanchcircuits with
service or feeder fee, each 6.65 2
Business name: American Security A T rm T ZZ(! . branch circuit
13. Pee for branc them is
Contact name: 4A 'ma HyJJan d withou service or feeder fee, 46.85 2
Address: each branch circuit
5411 SE McLoughlin Blvd. Each add'/ branch circuit 6,65 2
City /State /ZIP: . • , e a • 1 , 1 Miscellaneous (service or feeder not Included)
Phone: ( _ Pump or irrigation circle 53,40 . 2
1 – 1 1 1 i t
I Sign or outline lighting 53.40 2
Signal circutt(s) or limited-
,.,., :;,�,.. ' {,:,.;i7�.a�.. r %ft;:p •. .: ls: yr ,_. �. .a ^mLra > „n�.. : : r: •.rc .Y:: :noq.:z,:;- r• ^trr:
� - 'CtiM J:rfrl� - .•':b.,ty% � .;l'r . -a iJ -• r� •'i 7.''i;t�1; �Yi:;•'�;f ,, ...'•iii " Piif rit l ener lteration. Or
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w.,. r 1
N uu ,da ;Yx_°ad ::r� e,ak ..�`•.t.r _.i_t : i u::i1 :k�....a.x Y: Z , anal, a g 2
extension. Describe; Page
Business name: Amerie : n - _ _ n c y lit ' i n - -
Address' Each additional inspection over allowable in any of the above
5411 SR McLaughlin - Rlvrl Per inspection 62,50
City /State /ZIP: p, : n! • t , i Investigation per hour (1 hi nun) 62.50
Phone: ( ) II (6,\2 a P [ 73.75
Fax J�) tJ , iii gg(�}r l i;x `'f' 'fSt F2V '4, ;:,ftila ffigeff li ,4: 1‘.'a 'wy •R, 6(
CCB Lie.; 58640 Electrical ic.: 26-'2830L uprv..is :774JLE Subtotal
Suprv, Electrician signature, required: A Plan roview (25% of permit fee)
Print name: • 1e - ` , a a Al Date: 4 . jo •O3 S tate surc harge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: mir permit application expires if a permit Is net Obtained 1 within 180
days altar tt has been accepted as complete
Print name: i Date: * Pee methodology set by 7ri- County Building Industry Service Board
r -.Number of inspections per pemut allowed. •
I \Buildingff ermii [ ' d "" "PIO 6 9 L' o N 440- 4615T(1 D/02JCOM!WEB W d 6 l: 6[ L O O z'OZ ' I d d