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Permit fa r; r. 4 f CITY OF TI GA R D ELECTRICAL RESTRICTED ENERGY PERMIT i I DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00089 e� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/15/2005 PARCEL: 2S 101 AD -03100 SITE ADDRESS: 06956 SW HAMPTON ST * ** ZONING: MUE SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Alarm installation. 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: WESTON INVESTMENT CO CENTRAL ELECTRONIC ALARM INC 2154 NE BROADWAY 8435 SE STARK PORTLAND, OR 97232 PORTLAND, OR 97216 Phone: Phone: 503 257 - 9696 Reg #: ELE 26 -920c1 LIC 00042607 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 4/15/2005 $75.00 [TAX] 8% State Surcha 4/15/2005 $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: 7 7,4 fr Permittee Signature: , ; C?1A T 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. Sent By: HP LaserJet 3100; 5032578716; Apr -14 -05 17:18; Page 1/3 Ele ti!ic ? . l Permit A 1 1 : } =�'El hi, NED l'Oi: 01.1 it 1: 1 .. (► ♦i 1 City of Tigard elan R� nay d� . � - d S R.'1— PcrmitNo.,� " Ueia,kf 13125 9W Hall Sled., Tigard, OR 97223 Y (� 1 �` 2005. Review Phone: 503.639.41'71 Fax; 503.598.1960 A " : , • Date/HY: Other r Permit: !! inspection Line: 501639,4175 e3. 'i Date Rcady/Ey: - lu - ri.: Sox Page for Internet: www.ci,tigard.or.us crry OF TIGA ' xNotified/Method: t ified/Method: 1 ' 6. Supplemental loibnnatien ' r !•1'F I .� '11� . !15Y f. ��1. .)!S 551l "1 " �� 1 1" Y1 �'. f. , "(+ k.1 ( t 1'tt !', + 1 F, ' • S'.� .Y Mi > )5+ .) '•) i 'P<+ty'. 5. A ,qd +UM1 v X, : I q .i W 1 ,f TA IS iF Y " , k 7t i„ "i:k7 ;,. ') ,Y f Xu� , 11 l+fb:�}.1 Y.. r . .s4,c X, ��> � {i .•,� . , a . hiV c. 11 � Y�• 5 ( ' t V,. l . t � A �tiX• " F6` . c a;� dt�' "` L(lt,,ti }CX1>Y. 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I�Sf4H W.. •AA..1Ar1�,`MF}F,t�M',M1Y 4�I�IN�} 5 'tt'.Ih'1H'AV {���h'�'J, }FX� 0 New construction Pi Addition / alteratio i/rcplacement Please chock all that apply; ❑Scrvicc over 225 amps, oomm'I ❑Harardotns location ❑ I)et7nolltian. ■ Other: ❑Service over 320 amps- rating ❑Bulking over 10;000 sq, ft, �� W" 1'MCk l0 ta) j (e: @yi �yt , i115'fG`�tt t rr, . ;41/ tit\ P";;;1" ; . } ),;,h., , , W.) u , ;' ' y l.bG N,:6 )bd ;: ;P 1 + ; v v S ;03; '';i . IS ' y S s: 's1`;g k ,;;; a �. r }n. v ° d <) 1Y ,, ( A Y n ., � ,) h ;1 :i § �G iz{P,4 , ,: ��� i Y� ,T; l oo ,� },�� , �? i it � , • u�,� ,�,. }„ u t � �, ), , n „ ^,9 a ti$a��, � #,i ��������`� � �n5 >'° �� ; of 1- and zrfbmily dwellings 4 or more new residential �C'� �a.v.A „�,a anTr , rti a> �, 2d; X �> �. �, n'd4.;'.Ir;,�,..�wn,,,�c.)Y : A.S�iJY�,.•x6�� . �$X 1,�' t. v ,..,rn., � I,a,� Xt, ❑ 1 - and 2-family dwelling 1'4 Corrlmercial/induslrial ❑ Accessory building ❑ System over 600 volts nominal units in one SWUM= s ❑•Multi- 'f`amily 0 Maatet' builder El Other: DOccupant over 99 persons OManut>ietured structures or � ,� i P +� &�W�? i . � a '� `1V1�X'Ar}, m 1,14 n y wn; qg,�Y ? u 't x 7'41 nN!'r �. y .jV "y�a W ,,� w a fin q �� ❑�COUpBtlt 1o3d over 99 persons i ..i ,. :..1);V :;, YO l ' l , f i ns , k r U a e . : , ; r” ” `,, , , t, t , a d, l'! ; Y,2 , r?i,> ,,N,, ^A , u ; + h :1 N;i •t. , � ,l .;� ??Y ❑ EBressl ishnns ^ R V park Job no.: —t lob site address: 1 ❑Health -care facility ❑�v': 1 4 i mri. 1 4 e ' S u b m i t " City /State/ZIP: `r 1 a `�. e - 2 ^.3 ~ Y 3 , The above are not applicable to temporary construction service J ' �/` ��•C , �71 1� DVS �Iw� s � } , f��N, } I ,t r M sal 7 al ,l )YtYX �,�� G,,'Y ,,4J1 l +dv a� \ Sr� ry Suite/bldg./apt. n4.: 3 I Project name' 11 5l . ----Z �rhJt l �. � ' ei n i1 11��ia) la xw, nt +,z�Y x� H rr» ) 11 `h + Y A+Nn ( beterlptloa Qty. Fen T, •• Cross street/directions to job site: New residential single- or multi - family dwelling unit. 1 Includes attached garage. 1,000 sq_ ft. or less 145.15 4 Subdivision: Lot no,: Es. ndd'1 sq, ft. or portion 33.40 Limited energy, residential 75,00 y Tax µ ma 1' p / no n / Limited energy, non - residential 75.00 ,( ;: ' `� y u1), Vf� �llt +�l�1A �r1��,1�. Q i X� f r �Ll' r ��1 � �' � in k : HA.i.�. �l.. 1 tf H e r7" �Y{ 1� r/" k}� � 1 A l Y �. p � } 1 a t h l } 1 h ' A S 8 . @� y 1 1 ri, 1 0? �2 ' N � } t } ^` ° e A(" } It rt i;g! . � © G�i)�ant� °lll�,��� Ili, ltieetr ��: Ir} ta, ��llri�akYn•( a{ �1J+ 41: kvn ),rr.,v�v a�v1,, ��Jo1. Eur�, t�n1 d. r�} )}, �' hE11�� 5^ �CBr4 ,�'�,�,'� yn���J1;li,�'��la,�� a1J� {ilJ. each manufhctilted or modular dwellin_ s and/or fee der 90.90 iii 1 a t a .1l Servi or (ceders Instaiiation, alteration. and/or t eiocation ) � 1 � q 200 amps or less ' 80.30 2 . 30 t1,r� i r r 71' I ro ' ,� ' e�p m rt x' jA� f twl4vat ;p "p; riit� XD! "�,�ro], i Yry'1 A 7 i( I (fl h } 9 1 1 {) ?if y Y t� � , Y � I l' ( dti it ( 7 l}, ) J 1lp) , N , ��4i t�'i a`L4 t11ix t t {f rr iiY �Vp0. "Cri /�' �1'l�l ' 1 1r'� y ' ? I ; ' 1 r'ti ti l 201 W I g to 400 all )06.l15 )06.l15 2 iu��i!'Yai,/ge ? t ililnrl,�{ it,. >,as .i , ) t1 ;., frlyd11nc::',, n pi. ° 4 th :;'u.Ylib liti SCI rh1i, ine� "` 1iii t:, ■i rtilSWl1 Jtl .,g X.41 51 �` ,'i�'1A t.:r 401 antes to 600 amps 160,60 Name; 601 amps to 1,000 amps 240.60 Address: Over 1,000 amps or volts 454.65 Reconnect only .66.85 N. City/Statt/ZIP: Temporary scrvicta or feeders installation, alteration, and/or relocation Phone: ( ) , Fax: t ) 200 amps or less 1 66.85 1 1 1 Owner instaltati»nt This installation is being made an property that I own which is not 201 amps to 400 amps 10030 2 intended for sale, lease, rent, or exchango, according-to ORS 447, 449, 670, and 701. 4011 amps to 600 mites 133,75 2 ... Owner signature: Date: Branch circuits - new, alteration, or extension, per panel } fiF %,+A {r+S i tt:e r oo'; r v�rx,k))s i ifil',QI } ri l37 taxi }1jp "�Iign,,vs , ° ',N After ha t „ } r { t }YF Vii, : i r 0,Arat i� r „ i b� e hj , Y+ 1 ,h z rj,,iij '.A: :! r�En;, 4 ;;W:; ;;: ` ` %1:`0: it 4? * ;': '�". rig ∎toil i ;4: ^ ii�4 k0. 65kt A. roc service or feeder fee, each f,>, �4�x:M�$� .Yl. hr r, , ,,, ,1 r servicC of feeder fee, eac Business name :. branch circuit 6.65 2 i . 1 ► h1 B. Fee for branch circuits Contact name: without servil a or feeder fire, II each branch circuit Address: / • i A G '/ , i 0 11,! -as Each adl'l branch circuit 6.65 2 City /State/ZIP: '0 , • Miscellaneous (service or feeder not included . .. r► ,►s '.. 7 a pump or irrigation circle 53.40 �Q ii mmil Phone: F ax ax: ; ( ) Sign or outline lit.htlr,ig 11111 53,40 © E-mail:. p ,: : *; :� /, Signal circuit(s) or limited- . i , ; � ;1 40: ; 1i�ik��,�,' V�t��e¢,Y tMs t ies; 1v r#':�S.>�l , r l .7� tcr . t f r4)i, ii}, e;; , �k y , ;:q; ,, '^�� y tit ); / ;4:. }, F ) „I Lihh" , energy panel, alteration, or S?< , .0Yk ,' , n,;,N.c lay;,,:;1 /;l1A,0: w .s:4, .ml)1n,AK, +tn✓Hb :`;;; A .. G,,at�:5vh1A ;:P;+ ;;h :aM >, , 's ?is$Auv;M 11h,;liiu 1: 1 extension. Describe: Page 2 Business name: �If J P (� Q,�rn Inc. _ L Each additional inspection over allowable in an of the above .° lddress. b `i3 c L 1C- Per inspection En 62.50 MOM City /State/ZIP: x. 1 and O • 4,1704 & Investigation per hour p hr min) OM 62.50. _- } �y 1 industrial Iant per hour ® M Phone: (13, ) .- - / , i Fax: (,67)3) a2 ll �L� industrial. t )t�4' }Clrs, �H h" kuy''a l" a rq m ; X c , } if j �t, r y X' '1xrY:tYX MXA `!.d)'Iea11.. Mf., w „mh ,:..�k.w�W..'Sa.,v.ulitlrE tr +"� , .dvx 1 n `�.t�:4454'brsflS.IX7. .fY,L'Uw;:'.$t % .. CCB Lie.: 14. 6 Electrical Lie.: , -_ r� Suprv, Lie.: • 1 Subtotal — 1 s• 00 Suprv, Electrician signature, retluir " /1s � d Plan review (25% of permit fee) r . State surcharge (8% of penult fix) , . 00 Print name: :: -i3- jJ / � g � s . ...��. • . � J .w� .. TOTAL PERMIT FEE ' f'., 00 Authorized signriturc: `this permit application expires it • permit is not obtalnui within 1g days otter it Las been accepted as complete Print name: Date: • Fee methodology at by Trl- County BuIlding Industry Service Board •• Number of inspections per permit allowed. ismell e5Wermltn aLC- vetmittpp.doe L2/O 440g61sT(10/O2/C:al.•t/WPa • CITY OF TIGARD - 1 BUILDING DIVISION PERMIT #: ELR2005 -00069 13125 SW Hall Blvd., . Tigard, OR 97223 D ATE ISSUED: 4/15/2005 Phone: (503) 639 -4171 �r��4fu�lp iII ?' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:10AM PAGE: 67 SITE ADDRESS: 06956 SW HAMPTON ST --- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: INTERGRATED PAIN SOLUTIONS DESCRIPTION: Alarm installation. OWNER: WESTON INVESTMENT CO C PHONE #: CONTRACTOR: CENTRAL ELECTRONIC ALARM INC PHONE #: 503- 257 -9696 Inspection Request Scheduled For: Date: 5/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 006065 -01 503. 257 -9696 Y Corrections /Comments/ Instructions: r (. -,- - - 14 ) : : K PASS ❑ PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A/. -A Date '° v ,�? Phone #: (503) 718-