Permit C ITY O F T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT
'' 1 DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00159
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/21/2005
PARCEL: 1 S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 415 ZONING: R -12
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT: 009 JURISDICTION: TIG
Project Description: Burglar alarm 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: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST ADT SECURITY SERVICES, INC
ONE SW COLUMBIA ST #300 2815 SW 153RD DR
PORTLAND, OR 97258 BEAVERTON, OR 97006
•
Phone: Phone: 503- 469 -7244
Reg #: LIC 59944
ELE 26- 209CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 6/21/2005 $75.00
[TAX] 8% State Surcha 6/21/2005 $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: 10, r)' 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.
06/21/2005 09:56 FAX 5034697110 ADT SECURITY U001
f.
Electrical Permit A lie .v;A: o c [ 0 VL t> FOR OFFICE USE ONLY
•
City of Tigard
lr Received V_�� ((
`, CJU� Datc/B ; ► C/–' PctmitNo.:6' Ili . ii / t
13125 SW Hall Blvd., Tigard, OR 97223
r Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 2 V4,-yt: sir drkl '°' +'� Date/9 : Othe-Pennit:
Inspection Line: 503,639.4175 -'111 ,„ Irate ReadyBy: � El Supplements! Pago z for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notitied/Method: Supplemental Inrormetion
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74 New construction ❑ Addition/alteration /replacement Please check all that apply:
El Demolition 1ition ❑Other: OService over 225 amps, comm'I ❑i,- Ipzprdous location
.
N:�' '''� `r'r- 'ii °�I,51ta''F�' .;; R,o �i'',! t'' 17 �IiiIIrge o rr('s , ,.;, + J,I i , n . II , ❑5er /ice over 320 amps - rating ❑Huildng over 10,000 sq.•ft.,
Uil a f ' ity.'''`i i,;'iC t r•;��Itti9tg itt' is. ' ?Alu�a 1 1?i4 "t li �:gthnfl :cL �l nsAn 'I I I 22.' ? )„ i : ki : l of 1- and 2- family dwellings 4 or MOM new residential
❑ 1 - and 2- family dwelling Z Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family 0 Master builder 12 Other:
❑Building over three stories ['Feeders, 400 amps or more
r °r{` "s� > *nr ht cr a: �Lrr - ;u'r -naa r.' ��a fl , . ;i. r • r er; e ;2' r , t' r rr r r..; ['Occupant load over 99 persons ['Manufactured structures or
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1 ['Health-care facility [Other:
Job no.: �1. ;
_. O � J . fite address:, D Gr0� , 0
Submit 2 sets of plans with any of the above -
City/State/ZIP: lit a ...4. e -. , • a = 3 & ` C ,The above are not applicable to temporary construction service.
4 Suite •ldg. /apt.no,. � `S5 ptoje ctname: } (J � e .07;! Ir,:;�. eTt��l :+`4i1r,i a 1ae"l fv 'l,iT:, •,,.T r
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t t 1t to � � T t�1 1�� Cr.. C D escription Qry. Fee. TOM
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'I 500 sq. ft. or portion 33.40 1
Tax tuap /parcel no.:
—' Limited energy, residential 75.00 2
gJf: i.i.�,y - F T�m at117I{}Fi :� I ��' 1 ^r. ..ymla�ir t�+ ,y� •,�.. 6+ v�Ia 7` ts' rll?.I`;e,rtl •t:iar {L..e ;t %q Limited energy, non - residential 75.00 2
•';4 Ib� 111:51 41!1 :0 ailal t:LJ•ii+f,C1 ,7, 1,0,11 sild.i* :ire, � it74,1 ,1,} ��l ti tf(. 7x- 7�.;;. ,,,F.:.••17••6•. tI G Y ,t Each manufactured or modular
B (� l m e � iG dwelling, service and/or feeder 90.90 2
`�\ Services or feeders installation, alteration, and/or relocation
(-� _ 200 amps or less 80,30 2
ya' P ' i �] f :: ,F.- viiii o,7rl r , rte' �I ``i i;Ifgiipi gli, - Y N I ' r'.l r �Ilt 201 amps to 400 amps 10 2
i•L lsl l d CiE� m1e� 44•7ti r " ,o„ t'I�j� , 'a-4.2IIkii11a� 111• ire• ::''t�tt.. 4 ,:. i i
e i(1 ciiLl:,l+, ' [Igo .
i �i I { ! 401 amps to 600 amps 160.60 2
Name: 601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 2
Temporary services or feeders Installation, alteration, and/or
Phone: ( ) Fax: ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is cot 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
e rn �, re r . `,E , = m il . ....: !:G , +• cy'.: c' 7.7 yh W: 'lalFl °^: ;FA f:^61''4' 'rt',':
iI �r. ng, ;�'�, I ; � E�' _ ?id i,c -Vht' f : ,. ,3;; s'.. '::; l ' c ' +�'� ih o( ; . 4 :. :.ry, .,.,1 ,1,. fi- off••. +iF t �r ?'l b I `'1,1. A. Fee for branch circuits with
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1:�.�1. � . ,a,. � 1u�' r „ r�x )Ju service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name: p y>) i' B. Fee for branch circuits
1 t without service or feeder fee, 46,85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: 6 'a b Fax: ; ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
-
E - mail; - Signal circuit(s) or limited -
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1 �1 •i ^y L ' g rl Y `&i =+ ^�I i ° -'. 1 ` I. t energy panel, alteration, or
x7e i c,l: l . irs�l'lc:C,�;i 7 z'.. 1 t: i' 11 !,t�_ 1 a�li 1 l i' i c„11� .r, :.,•I I :I l..l ( i cd �j' 14 'n9.4.2:1:121L': :' 1 5Y P
I:G_k::� i:4,1..: �Ct���l� ��'i' ak l.: extension. Describe: I Page 2 75, pt 2
Business name: ADT SECURITY SERVICES, INC _ _ —
Address 71115 S. W. 153rd LJR Each additional inspection over allowable In any of above
PIFA,VRtITCM1 CRR A70flR — Per inspection 62.50
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City/State /,ZIP: (503) 469 -7100 Investigation per hour (t hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour
6?�?fl "' ud° I^ cli i$ e .- , Na' .Ri a�'� r ';
CCB Lie.: i�i iiill+��:1�'l�a� ,�„� � U9R,.'�:i,„,� -><� 'i "� _ +•.,.- , .
: 9 L4L L Electrical Lie,: -j c uprv. Lic.: G, LEA Subtotal
Suprv. Electrician signature, required: Mk L�!l. Plan review (25% of permit fee) —
' u r State surcharge (5% of permit fee) t. bak
Print name: Kph k s Date:
TOTAL PERMIT FEE $ I , 04
Authorized signature: Thi permit application expires it a permit is not obtained within 180
days utter it has been accepted as complete
Print name: Date: • Fee methodology set by Tri•County Building Industry Service Board
^— — • • Number of inspections per permit allowed
istBuiiditepermits■nLC- Peoi ;tApp,dee 12/03 440A615T(10/02/COM/W1211
OF TIGARD . • -
BUILDING DIVISION PERMIT #: ELR2005 -00158
13125 SW Hall Blvd., Tigard, OR 97223 DATE 'ISSUED: 5/21/2005
Phone: (503) 639 -4171 N9p,yiip IVi'\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/20/2005 TIME: 7:11AM PAGE: 40
SITE ADDRESS: 10220 SW GREENBURG RD 415 . CLASS OF WORK:
SUBDIVISION: THREE LINCOLN - TOWN OF METZGER LOT #: 809 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: Burglar alarm system.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: , 503 - 469-7244
Inspection Request Scheduled For: Date: 7/20/2005 Pour Time:
Code # Inspection Description Coi ' I # Contact # Message
5 Low voltage 011 85-02 503- 244 -8454 N
Correcti ns /Commen s actions: / 7 -
0x11110 -
• ' 6 , ,
)Q PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " IRA h, 68 (ter Date: ?-el 5 Phone #: (503) 718- 244