Permit CITY TI GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
c I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00084
641 DATE ISSUED: 4/12/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB 03400
SITE ADDRESS: 10260 SW GREENBURG RD 760 ZONING: C -P
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT: 014 JURISDICTION: TIG
Project Description: Access control system. Job # 083 - 18793.
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 #: LTC 59944
ELE 26- 209CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 4/12/2005 $75.00
[TAX] 8% State Surcha 4/12/2005 $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: Permittee Signature: Nef
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.
•
'' 04/12/2005 09:21 FAX 5034697110 ADT SECURITY zoo., v..eei ical Pernait.Ap ° ' FOR OFFICE USE ONLY
City of Tigard Reoebmd Per mitNo_: -% �L.
Date/13 : / t. . , s 2/(i _ !� d 4(/
13125 SW Ball Blvd -, TiOrd, OR 97223 i
APR 1 ' PlaaW
Phone: 503. 639.41 Fall: // 503.598.1960 - ,, J �
r,, Other Permit:
Inspection L 03.639.4,175 CITY r ` bate Reedyi y: ®5ce Page a tar
Internet: ci- tigald.or.11s ed:
O 1 - '' ' i NotifiealMeth
f� i Sgppicmantallnformanpn
New con
:r. 1 '' l L } r ;i .• j Olt , 1 "s.J•h ",,Iii, l II r .3
6,i, ,.........,,:-,-,;.:,..T.7.'41:1,;'
i!ll cJ 1 9 • !t - 1 1: %• 9 + t , 4 ,' , 1 1 r , r l _ r . Il'6 a , Yl 1.1•76 lt ri;4ES : I �+ J I, ,Ile tR 1 • , p . ; .,.
.. ... .,. ...., _ .. , - . �A , ._ .e_ .. tlrl i El kl ,.'c 11• 4' .'_ JY F. •
L' r�• t i„ r ;� • ;41;',-y;4%,',:,34,.,/, ` � , . .�<<' , � —
struction ❑ Additi. •� alteration/replacement Please chock all that apply:
❑ Demolition El a I]Servlcc over 225 amps, comm'l 01
.: '1. •. . - 10,000 sq
', . I :' .: : : ;,1 1bi„I d J I\ . 1 1 1 1� I' 11 I. uA 1 1� , W c I J t ll liV. l i ' � :
4 i Service over 320 amps rating OBp ildn g over 10 , sq. ft_,
_ ,_ ._ ._. I 1 � i . r u ,i E L I of 1- and 2-family dwellings 4 or more new rosideririal
❑ 1 - and 2- family dwelling iii Coaunercial/industrial ❑ Accessory building ❑system ova 600 volts nominal units in one structure
[( Multi- family ❑ Master builder ❑ Other; ['Building over three Stories ['Feeders, 400 amps or more
.; , •;: , _ , :: ; , , .11 :. ; .,_,.. •.. Occupant load over 99 persons ❑N ml
lanufoetured structures or
'.•. .:.. ,! .. , '., ' :dH : :I +,I, ; ii) i {.; , '. I "$' . {;' �.
,.: ::.. �, .:... ,..r,::: ,, ... •; :.: � ,.•:: : ?;•.•.„ . QEgressAightuigolan RV, park
job no. 07 _`'p . . Job site address ;4 f w (mil .J /f -air ❑Liealth�Pre facility ❑Other:
Submit./ sets of plans with any of the above.
Cz /State/ZIP: t i ��• •• The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: .76 tJ Project name: A w '': <I, + .::�;L�`,.,Ei,'l' si i;; ?' '• i`: i V'i .I:'Iu.;.:...'l'a: °, ; .'
besoriptlon � ' �:;.. '::�,� .. I Qty. , pee, 1 Tote 1�,
Cross etreet/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft or less 145: l5 4
Subdivision: • Lot no.: Ea. add'l 500 sq. R. or portion 33.40 1
Tax oliapJpatuel no.; Limited energy, residential 75.00 2 -
Limited energy, non-residential 75 00
• . ; .' .. manufactured or modular
Eu G.--f •• f fT �� � f�� dwelling, service and/or fender 90.90 2
A eC
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
t 1 I •I • f 1 11 . \' I 1 I i 7, .iii of � ' i� ' _: 201 amps to 400 amps 106.85 2
L !I 1'- . • • 401 amps to 600 amps 160.60 2
Name:
601 amps to I,000 amps 240.60 , 2
Address: Over 1,000 amps or volts 454 -65 2
Reconnect only r 66.85 2
City /State/ZIP: - Temporary services or feeders installation, alteration, and/or
Phone: ( ) Pax. ( ) relocation
200 amps or less 66.85 1 1
Owner installation; This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, remit, or exchange, according to ORS 447, 449, 6 t .., . 701. 401 amps to 600 amps 133.75 2`('
• r signature:
Owner
. .,.,. e . n , or extension, panel
..: ( . , c '. ;gre s .,..,.
. .:,.: ' l.. �:.� .... •..t. �.;. ••.; " %i7_,�j•t;: °��;:•''a.'•� A. Pee -
.. .. .:.. ..... : . new, a era
: .:. � ...:_... ±a:�. ::�.. .t.•.•.t�..1.; �,:;, ,��,; ?,: £orbtanchctrcuitswi
:...........:. :r ...... ........_, ...:. , • . • : ',:..i.: .31' service or feeder foe, each
Business tuitne: branch circuit 6.65 2
I B. Fee for branch circuits
Contact name:
�' L q Co __7 wirltour service or feeder fec,
Address:
each branch circuit 46.85 2
Each add'l branch circuit j 6.65 I 2
City /State/ZIP: 1 Miscellaneous (service or feeder not included)
•
Phone: T Pump or imgatian circle 53.40 2
(.5�3) 9) / g i Y 1 j Pax: ( ) Sign or outline lighting 53.40 2
. . ,... :.r „ ; ?,a: � <; IlK f "'� � I ; ; _i, ..a ^�� - : -err
Signal circuil(e) or limited-
,.,•� t ��: so- :: , l�. l•i ;a tit,liY _, {'':'� "•Y,:i',�• r, rC;:" - ..lit' •��,
_., a .a:: �, r; .� •• .. ij::, . :.. >> ��„ l li: - ,1:,...I: `i.;i. crier anal, alteration or
..r ;;s ......_ ...,..�..I_L. 'r *i.,'' li: ,tSr.lI�r " : Fi�ir ,
,: ,,:� r:. .... BYE
,,.... ... . Describe: ( Page 2 'S
Business name: ADT SECURITY SERVICES, INC. e"t -'° 2
Address: 281 Each additional inspection over allowable in any of the above
RFAkiria. f)M, nR a7nna -
Per inspection 62.50
City /State /ZIP: 1503) 469-7100 investigation per hour (1 hr min) 62.50
Phone: ( ) Fax: (G3) 1/6?... 7 /A, Indust L rial . lant per hour 175
n 7 @
CCB Lie.: 4 Electrical ±:u :_:..: _,1.�,.,, t_,_
l�lzd Lie.: �• �� u pty. Lic.: $ � .
Subtotal ', ., .0 .3
Supra. Electrician signature, required; Plan review (25% of permit fee)
Print name: � Date: �� ) State surcharge (8% of permit fee) ( -a n
TOTAL PERMIT PEE el ,d u
Authorized signan;
ut: This permit appucation expires If a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Pee methodology set by Tri Building Industry Service Board
` '* Number of inspections per permit allowed.
c\B ulldinglPem >its1BLGPermiulpp.doe 12/03 un-0
CITY OF TIGARD .}5.
BUILDING DIVISION PERMIT #: ELR2006 -00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2005
Phone: (503) 639 -4171 ��mm
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/4/2005 TIME: 7 :15AM PAGE: 52
SITE ADDRESS: 10260 SW GREENBURG RD 760 CLASS OF WORK:
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT #: 014 TYPE OF USE:
PROJECT NAME: PAYW
DESCRIPTION: Access control system. Job # 063- 18793. -
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC • PHONE #: 503-469 -7244
Inspection Request Scheduled For: Date: 5/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 006068 -01 503 - 469.7100 N
Corrections /Comments /Instructions:
("
� n
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / — 9 ' Phone #: (503) 718-