Permit CITY O F TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2003 - 00335
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/29/03
SITE ADDRESS: 11505 SW HALL BLVD PARCEL: 1 S135DA 01400
SUBDIVISION: ZONING: C -
BLOCK: LOT: JURISDICTION: TIG
Project Description: Install audio communicator.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
BRAHMAPREMANANDA ASHRAM/TEMPLE HSI SECURITY SYSTEMS, INC
11515 SW HALL BLVD 3424 NE 35TH AVE.
TIGARD, OR 97223 PORTLAND, OR 97212
Phone: Phone:
Reg #: ELE 26 -755C
LIC 42140
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 10/29/03 $75.00 Elect'I Final
[TAX] 8% State 10/29/03 $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 Zo,,L, ,� , Permittee Signature] 0 10 i'1 N —
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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
OCT. 27. 2003 10: 47PM P 2
FROM : HS I, PHONE NO. : 503 287 1345
1u/ GS,i.zu.p o. - If ,•,: ua 11f..A. U JbbtilIJKU CITY OF TIGARD EI001
. , . . rtR� -o03 - 00/ 63
Electrical Permi . 4 =1- i ilcatioll E cir. �� r c l(:: e >r • r -
Aaadved /D P t at •
City of 'Tigard
13125 SW Ball Blvd. u. T 2 Plan Review Other
Tigard, Oregon 97223 8 1 003 Date/13 !, Permit No.:
Phone; 503.639 -4171 Pax: (�t�3�S 8 -1960 Post- Bariow .. I
intorr,.et: WWW.ci.tigard.v1 (/ /l F Tl R T - _ i v as contact ruses. case No.:
See P
24 --hour Inspectipn Request 503 -•y crime: '-a Page for
SioN
t fount
4 1 , r _i.li.; ;', a. t � 0T - -.. : _ !• . ..... t 1 r . 1:Jf, i} sL. . r y i ri 1 ; r :J H .1t
Iii New construction Ili Demolition B
■ ervio• ov er 2 - ■ -
Heaidl'care eoility
-- aduu�oial
IIE! Additit>l1/a ttratiOthe • laeeinent r.1 Othe ❑ S
r: ■ a ldin s on
etV1G over 320 aInp!4Rtlllg Of 0 utlQiAg over r i i0.000 square Aet,
c i . . : � , � 7t I I " " ' '1 y -:. r r s � 1 A: :'• " i;: , ' t & 2 family dwc]1ings four or more residential unite in
I l 1 & 2 — F amil dwellin r. I Commeraialllrtdustrial m over 000 volts nominal one etructuro
■ Access) }3ui1 • �� Buit ovr f l eas stories reeders, 400 amps ar morn
Occupant load over 99 persona Manufpowtsrvd saucturce or RV petit
,a Master Builder HI Other: O Egress/lighting plan Other,
,1,.:._.r, ? 1 / 1 4.) [ da' , 4 , :-, 7 :• '�: rl ••, i n +7a iF Submit acts Ot plane witkf'o7GY0t ate a7pyi.
e above rob site address: ' '
are not a 1: tam m conseruatJOn ampler.
e
Suite #: Bid IA " t. #: Number of in . actions • er • ermit allowed
Pro "eat Name: + : �.. /,� �I` f "7i�i if Gt./ , Desert ■ • on_ .�= pee ea Torsi In
Cross sIIeetlDirectioic to Job site: tiwalra` n es attached age. per 1111
Service e
M t. micas 1000 .. $ arcta ae
i. T t1 ■ t, 500 . ft of " . on MI __ ___ y�0
Subdivision: Lot #: L ••. cmor non -. "[I
Tax nm ',areal tit: a,•
C = - ''`I ?..':!'::t iy : ,.•7 y, ^ r,, ,, ,, !: 90.90
,r .::•.�d', _ . '•t' r .. J.�.i' ^ �a:'4 : ".� ' ':G71t_ni� : ..., ', ,.. �.. o ":'.S'
ffgggiiiMillio 8030
201 ,.
..,, mill mmrd
_ . ,,x to 6o0aaa-a l� X Ini
:1 — 'T' ''" ; °i(i.v.16, ?�'L�',�lt " tE ' i. .�'r:rl S;li;; qIu .01am. to • J' em. . m .e �ll�
ut- i . .. It Si S;°: i I : •i:..i a',. •i_ :rr
Name: N A4• /9 Lr j /Mart 8 A.
• 4.wr - $ •• osawaset • • _fit till iti
Address: fly" .� ,/..‘,0 ,0 . dr. Temporary services or redden • instalbdion. Ill II
ohm &fron or relocation:
Ci /State/Zi .: s , 4,-: a/ ( !j 77Z 3 200 or leas
Phone: 1 ; . 0 _er ,. ��, .. =MI IOEEM.IIIIIIIIIIIIIIIIIMIIII.1
aai to • 1
•=11111MMEIIIMIIIIMIEll
i;i 'nj r •, ` l:� 'f'' . o.;',,,, - ' : ';y L, ,,'• ': r-: 'j ' i. ;N: o
�i,�_:!: .;:! ,..!
;a. ... si.11._s: _.__�, la Branchairaults - new.alteraHAn,or
Name: eXtensivn per panels
Address: .A- Fro for branch circuits with pu tolteee al'
eorviee or feeder - ...:;,, .. L L._t 6.65
comics =feeder t.. slit : n:3 - • :Ln. t
Phone : , •t'•r: 645 IM■iEl
IN
Job No: jlgWalIIIIIIIIIIIMIIIIIIIIIMM Si • • r . t(e) or a Mated. mom panel, � E
to a mdemioa
Business Name: ,��� r � *..: , •�; . M ���
Address: 3 , 2 ' .� -
liggrEMETWInf, ti • fie% DA. f 7/ Z Bath add . aunt lox' rodeo over the allowable In an Of tba abb a
Fame: 5b 3 = 7' m - Fax o - f -�/ 3 SCS P --� . '�3 t't
'IS�>�M� 6250 �lf.
1111111111111110111=1■1111111111
CCB Lice #: / a Lio. #: ZG — c
Supervising electrician I / Subtotal
si •r atui a re t uired: _ sin ew r • arm. • ee II $
Ptixl t Name _ Lie. #: ' Aill State Surcb • : o 8% ofpenmit Pee E1111111111111111M alilia
Authorized , � / a - i D -fl Notice: This permit application expires Lin permit is not obtained wi • •
Sigaattiue: c Dates 180 days atter it has been Accepted as complete'
*Fro methodology set_by's'rl- County Sandbag lnduetry Service Dame.
11f4.t 9 O I c a, 4 n 1 it
Pty print name)
iADals \Pursuit Forma \S1cPcnmtApp -dot: 01/03
■
1
t
CITY OF TIGARD 24 -Hour. •
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: ''(503) 639 -4171 MST
BUP
Received D. Requested / /-- ! AM PM BUP
Location 3 - / - Suite MEC
Contact Person 1/ 50 Ph ( ) 936 /07 PLM
Contractor Tp� Ph ( _ ) SWR
r
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access: ,
Ftg Drain Gc ,y( � / ' (31 . ELR 3 - O 33
Crawl Drain -
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ='
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
•
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post-& Beam
Rough -In
Gas Line •
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
in.
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'MD PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no•access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record fr m the jo site.
PASS PART FAIL