Permit .,a ._ '\
I CITY OF TI C A R D ELECTRICAL RESTRICTED ENERGY PERMIT
, I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00054
c 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/14/2005
PARCEL: 2S101 BB -01400
SITE ADDRESS: 12178 SW GARDEN PL BLD3 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
Project Description: Security system.
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: P-RO-T- E-C- T-IVE— SIGNAL: X
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
KALBERER REAL ESTATE SONITROL (AKA SOUND SECURITY)
733 SW 2ND. AVE. 8220 N. INTERSTATE AVE.
PORTLAND, OR 97204 PORTLAND, OR 97217
Phone: 503- 227 -8600 Phone: 503- 223 -5822
Reg #: L1C 53535
ELE 26- 370CLE
FEES SUP 1812LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 3/14/2005 $75.00
[TAX] 8% State Surchar€ 3/14/2005 $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 95 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: ,� 4,,,U Permittee Signature: G z, (ate v---,2J
i
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.
electrical Permit Application , , Y uri i 3
MAR .j. di �4Sr'3 ..t , Y4 -' 't�,
City of Tigard MAR 1 4 2005 Received rx'
Date/By: / 0 i 4 _AL . -; 4 I
13125 SW Hall Blvd , Tigard, OR 97223 Plan Revi
Phone: 503.639 4171 Fax: 503 598,1
r HI OF TIGARD d � t� Date/By: Other Permit.
Inspection Line: 503.639 4175 Elm r,1 : , ! ' L'� x " Date Ready/By iZI See Page 2 for
1 erg --
Internet: www ci tigard or.us _ - �VI ION Nonfied/Method Supplemental Information
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❑ New construction ❑ Addition /alteration/replacement Please check all that apply.
❑ Demolition 2: ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft ,
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_ 1 -A" =R= "P .:1,° ;' t, - �T ,
, r' ;; '' . '+ , -':l,CA_ T GOR 4CONSTRU- CT TOi V = , , of 1 and 2-family dwellings 4 or more new residential
[1] I - and 2- family dwelling 21 Commercial/industrial ['Accessory building ❑ System over 600 volts norrunal units in one structure
❑ Multi family ID Master builder ❑ Other:
El Building over three stones ['Feeders, 400 amps or more
.Y,! , � Multi y , s ;µms * T
� Other: *may Occupant load over 99 persons ['Manufactured structures or
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Job no.: ' 831_63 5 Job site address: 1 1, co C- mac( P t�� ❑ Health -care facility ['Other.
�q Submit 2 sets of plans with any of the above.
--
City /State /ZIP: \ Wr t _ ( y r 7 aa3 The above are not applicable to temporary construction service
Suite/ bldg. /apt. no.: tl Project name: r1I ✓, , .h .- ',FEE*- 'S_cBEDVI:1E .-
v;�� � Description -r. Qty. F. 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 - 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft or portion 33 40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
rs 4 D 'PTIONyF'WO7103- -'i•: 1 ; - .�,. ,; :, -` Ns 1
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.v,�- f"`;._. �„�.:e„•sa:a,_. � ., 1 ...E<:�.z..,�,`1` t�,��..,,. Each manufactured or modular
dwelling, service and /or feeder 90 90 2
`.F VL,t1/4_ `\ ‘___,0-__C- 31.-3.:kl a- Services or feeders installation, alteration, and/or relocation
., 200 amps or less 80 30 2
< * >,, ,; _ s -” r 201 amps to 400 amps 106 85 2
. - r 11#P.PERT 1' 'OtVNER •. ,rr c` = i :, -E r : ®:,
' ' "' �'= 401 amps to 600 amps 160 60
Name: K �` �e,� �t��� 601 amps to 1,000 amps 240 60 2
Address. , - 1 33 ■-■ (; usi.._ Over 1,000 amps or volts 454 65 I 2
Reconnect only 66.85 2
City /State /ZIP: Pc *`Cj 6 \ Of—_ C h cLC y Temporary services or feeders installation, alteration, and /or
( 5(3) aa - 8 relocation 00 ams
Phone: N �-° Fax: ( ) 200 amps or less 66 85 1 I
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 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
,r. .;;; ::, ;; = A. Fee for branch circuits with
>� ., :m . -: ❑. iii ,,. :fiiwo ..::r ° Geii riaefPERSON .;i, >: .
4�v.
�;• ... _ -_ - -... service or feeder tee, each
Business name: branch circuit 6 65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46 85 2
Address: Each add'l branch circuit 6 65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53 40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53 40 2
E - mail: Signal circuit(s) or limited- v b
i - „1 ° u �' r- energy panel, alteration, or
�� -� - - �..., . ..., k Page 2 r 1 5 2
�' .�'"' °°�' �': .;= � "�`�` � � extension Describe
Business name: S ., \ S .e ,k `{
O Each additional inspection over allowable in any of the above
Address: y �--)._C_, pJ . - i - tStyS' `��. Q $L
/� 1 Per inspection 62 50
City /State /ZIP• pc -k Ct,tr\a t V�� - 1 �l.-1 Investigation per hour (t hr nun) 62 50
Phone. ( v5b3) ,)a 5 Fax. (5(u) C1--) 3.- —1-11 Industrial plant per hour 73 75
' " ;'' ",'EaC:ItiICAI ePERNII TEES* . ` ._.,
CCB Lic : j '35 - 3 5 Electrical Lie.: �‘ - 0 Supry Lic qt) 1fi' Subtotal "°15 , 06
Suprv. Electrician signature, required: Plan review (25% of permit fee)
- _ +� State surcharge (3% of permit fee) , U
Print name f • • Date..
e___ . - • ♦. TOTAL PERMIT FEE g1 ■ 0
Authorized signature: . This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Pnnt name. Date. - Fee methodology set by Tn- County Building Industry Service Board
" Number of inspections per pernut allowed. ?) C.-
I \ Building\Petrnns,ELC- PernutApp doc 12/03 440- 4615'r(I0 /02 /COMJWEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
I Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
E Fire Alarm Installation
(� HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
Medical
❑ Nurse Calls
U Outdoor Landscape Lighting*
Protective Signaling
❑ Other k
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
t \Butldmg\Pemuts3ELC- PermttApp doc 04/03
CITY OF TIGARD .
BUILDING DIVISION #: ELR200S- 00054,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2005
Phone: (503) 639 -4171 i uardiyu� " �� Inspetion Requests (24 Hrs.): (503) 639 -4175 - °'.. .
INSPECTION WORKSHEET FOR DATE: 3/17/2005 TIME: 7 :13AM PAGE: 123
SITE ADDRESS: 12178 SW GARDEN PL BLD3 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: PRINT ON DEMAND
i
DESCRIPTION: Security system.
OWNER: KALBERER REAL ESTATE, PHONE #: 5 -8600
CONTRACTOR: SONITROL (AKA SOUND SECURITY) PHONE #: 503 - 223 -5822
Inspection Request Scheduled For: Date: 3/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 001945 -01 503- 223 -5822 Y
Corrections /CommentInstructions:
c E
/•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
72
Inspector: G l Dater - AO "- C Z5 Phone #: (503) 718 -