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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT r.l DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00434 DATE ISSUED: 12/8/2005 `---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 101 AC -01600 SITE ADDRESS: 07100 SW HAMPTON ST 137 ZONING: MUE SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Burglar alarm. Job #083 - 19616 - 01. 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: NEIMEYER, JOHN ADT SECURITY SERVICES, INC 25 82ND DR STE 200 2815 SW 153RD DR • GLADSTONE, OR 97027 BEAVERTON, OR 97006 Phone: Contact #: PR! 503- 469 -7100 FAX 503- 469 -7110 Reg #: LIC 59944 FEES ELE 26- 209CLE Description Date Amount [ELPRMT] ELR Permit 12/8/2005 $75.00 [TAX] 8% State Surcha 12/8/2005 $6.00 REQUIRED ITEMS AND REPORTS 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: siLf.. 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. 11/22/2005 14:17 FAX 5034697110 ADT SECURITY 0001 Electrical Permit A,ppixe{Q� din f1E O V r_ FOR OFFICE USE ONLY • 4 Idm 1�. Y V City of Tigard Receives - , • ' Tigard, OR 97223 I DateB _ 13125 SW Hall Blvd., Ti 5 e NOV '� t 1 Plan Review Phone: 503,639.4171 Tax; 503,598.1460 �Vs)� / � , :t .wr'y` " t I'+� baten3 : Other Permit: Inspection Line: 503.639.4175 ' L� , . :`rI_ Date Read iuris 8 See Page :for Internet: w-aw.ei.tigard.or.us CITY OF Tl , 1�. Nodfied/ Supplemental lnrOrmrtion ' � t ( t, t e i A,0 t ! 1 l 5 l J l r1Z'' I' '� � lr rw,.. h, r -, i r'-� - a r fit) � , ! f l' E M {, It t �'Z ti 1� d G T' r� l °fir br I l �s r 7 Avt_ °p.rr,�ll F %I •y1J ".� � �L,,:J �' � �IJ, iy 'I f ��'f _ x _ ' t 1t � �I �. � r41�� b''IR4r'�.Yer- 8�� 1 F,w i �� .'� i ' i � y r��n,-' h• �rl�z�ltstlullh '��t1i�il�lTi�i`, ,,, _ ,.4�!t �� 1 :��'� . i11��t41 t r � � ��; L• ia'Y„ t _� ',.. +. , , . A,. cw construction ❑ Addition/alteration /replacement Please check all that apply: ID Demolition ICI Other: ['Service over 225 amps, cornm'l ❑Hazardous location � �� ,W ❑Servicc over 320 amps - rating ❑ Buildng over 10,000 sq. ft., li *Di � t a1 fi 52Pli- •.'r ' 3 a o � , r . a t .t ic Y , I,n INJ-g' ° ' ~ ", �r '1s14:$1 i of 1 -and 2- family dwellings 4 or more new residential • ❑ 1- and 2-family dwelling IR Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi famil ['Building over three stories ❑Feeders, 400 amps or more y ❑ Master builder ❑ Other ctures or xu{ �. Y � ,, e r, ; t i r .age �(N' y "�r;t 1'111 1.,�„ x A �. r, ir { , F ° " { "l` tur ❑Eg n , ,l { ['Occupant load over 99 persons Manufactured stru ❑ eNtil 9:!6 ` 14l' l.p lt ,.. , dtr. a +i ,tr• i • f.Il`idlt�acC? 11 :� �� S lf�'�e9 � �{I� �'�tJ! ress /lighting in RV park 0 a 1 �I. � a• i Job no.: DR - IGID I(0 — } b site address: 1 iDC (9Lc' Ci r f ©Health -care facility ❑Other: Submit 2 sets of plans with any of the above, _ M r above are not applicable t City/State/ZIP: T` a , e ! Du 0 the abo to temporary construction service. c r ,1' t h ;iV ! }'1,'' hell T , ,:, }� , q l i . ° gi It ° ".., • •• •. • •idgJaptn h Project name; �{ {�i ..c _ rr +a,li s.;,' �l l.i. r '',. ` v`'t Pe Dl�yc� t i L �J Descsipdon Qry. Fee J Trtul Cross street/directions to job Site: 1 New residential single- or multi - family dwelling unit- includes attached garage. _ 1,000 sq. ft. or leas 145 - 15 4 Subdivision: Lot no,; Ea. add'I 500 sq. ft. or portion 33.40 l Tax map /parcel no,: �� Limited energy, residential 75.00 2 uj I 3'� I `,�' ti� r {9rS ;a l A� - +r 0 G �F Q • sp r ' 11 ' A� �` � li `S, � ' t� ' i Limited energy, non- residential 75,00 2 '''+i d � tt i 1 . . ,j„y �i.. ' , 4712 r1.11 zlrl ,SJ. , * 2n Each manufactured or 'nodular • 0 dwelling, service and /or feeder 90.90 2 �- �(ad I �1 �i Services or feeders Installation, alteration, and/or relocation 0 200 amps or less 80.30 2 t � t a„ r ca l';'',1;;;, • • r'416,31} ' ti , 'I "' .r '• w d' 4,; 4' T , -•- . , r, r „ ' 201 amps to 400 amps 106.25 2 #4uu�i. , „ , ,, , i 4.,�., ; a■i q l +1 i% ?' s ra. li ,r , I � IIY 1 d a61 1 1 IJllx 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 Reconnect only I 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or — 1 - 17a - x; relocation Phone: ( ) ( ) 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 2 Owner signature: Date: _Branch circuits - new, alteration, or extension, per panel �Vl 6, .p'�F, n ' a s' tp ht' I1 g ";ai f e '(P tT R K p " bY(� �� rNt r ! ,:t'�- �tL4� r ,,,: � I r:YL"T �I�� n . -�!!'' ,�,, atio r 'i r I muetb t,,�trr % A, Fee for branch circuits with .,.A. I service or feeder fee, each Business name: branch circuit 6.65 2 Contact name: l f 1 id! ( f �D 1 B. Fee for branch circuits '` ` - L/ without se or feeder fcc, 46.85 2 Address: each branch circuit Each add'I branch circuit I 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) - Phone: I1 ,w, Fax:: ( ) Pump or irrigation circle 53.40 2 W Sign or outline lighting 53.40 _ 2 E -mall: Signal circuits) or lirnited- 'r"1', 1im 3i" Augur urri ti " age Jm i tip mE•_ a ener panel, alteration, or 15 extension. Describe: ' Page 2 2 Business name: ADT SECURITY SERVICES, INC. . _ Address: i"S iii5T.V77 Each additional inspection over allowable in any of the above BEAVFRTON, OR_97006 - Per inspection 62.50 City /State /21P: (503) 469.7100 Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) tnduanial plant per hour 73.75 ;r - :''i, I 1 1 1dA; ! «!,! 4?,o l , L , 1 1 o,. , ;l aK';''•i',-,. � 1 '° , "ii+ 'Y d e� , ;: T�i; ` � lai CCB Lic.: Electrical Lic.: o u rv, Lie.; �� ' Z. t Cl P $• I., `. Subtotal Suprv. Electrician signature, required: _ Plan review (25% of pcmrir fee) R Print neme: ictk_ IG� aa Date: i 1 ig D5 State surcharge (8% of permit fee) tp. pp TOTAL PERMIT FEE 81, OQ Authorized signature: This permit application expires it a permit is not obtained within 180 - days after It has been neeepted as complete Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board " Number of inspections per permit allowed. kilt l Idinv \PennildFT.C.PrrmirA,n,dnr. 12/01 440- anisT(10 /02/CO14VR7fB CITY OF TIGARD • BUILDING DIVISION PERMIT #: f LR2005 -0O i 4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/W2005 Phone: (503) 639 -4171 ` 1 1411 hmilp..'I iI Inspection Requests (24 Hrs.): (503) 639 =75 INSPECTION WORKSHEET FOR DAT : 1/9/2006 TIME: 7 :01AM PAGE: 59 SITE ADDRESS: 07100 SW HAMPTON ST :' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CAR PEOPLE INC DESCRIPTION: Burglar alarm. ,.lob #053 - 19616 -0 OWNER: NEIMEYER, JOHN, PHONE #: CONTRACTOR: AIT SECURITY SERVICES, INC PHONE #: 503-469-7100 Inspection Request Scheduled For: Date: 1 / " 006 Pour Time: Code # Inspection Description Confirm # Contact # Message '135 Low voltage 024527-01 502 -639- 1266 N Act F;Nhu $ 0 %0E Corrections /Comments /Instructions: �® lA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: iV C) Date: t 1 (4 Phone #: (503) 718- 2-L/1111*