Permit a
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I I DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00046
I DATE ISSUED: 2/6/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112 DB - 00300
SITE ADDRESS: 07233 SW KABLE LN 500 ZONING: I - L
SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. LOT: 005 JURISDICTION: TIG
Project Description: LV Fire panel.
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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ADVANCED SECURITY & FIRE
15350 SW SEQUOIA PKWY #300 -WMI 2218 NE SUNRISE LN
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Contact #: FAX 503- 640 -8311
PRI 503 -519 -4550
FEES Reg #: ELE 34- 560CLE
LIC 152853
Description Date Amount SUP 611LEA
[ELPRMT] ELR Permit 2/6/2006 $75.00
[TAX] 8% State Surcha 2/6/2006 $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: j � `` 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 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.
Feb 03 06 02:2 l p David Moravik 5 0 3 6 4 0 8 3 1 1 P • 1
— — ---
02 13:54 FAX 5035981960 CITY OF T I GARD (J001/003
; •
Electrical Pe i A " 14.1.:‘.1;1. I
• City of Tigard IV EIDA
13 1 ' .i Licat246 WO A
125 SW Hall Blvd., Tigard, OR 97223 4W1■ Rea Review
"ma 41 '
Phasic 503.639.4171 Frac 503.594.1060 FEB 0 3 200' U . , _ , x „.. ) , Otbox Panic .
lama:non Liam 503_639.4175 . '. Ns- 'i.J.... Rae Ranlynty: • .
Internet www.ci.tigard.or.us Piceacendenott kiln S. Sra illag letawseamen
,Il .
•. ;-4'APrikeiA m-. ': . 1: - ii . 14 3/4: rAr . ..t-"'.1 . _J - . ROMMINIMMINEMNIMEF
0 New construction ■ . ..7 7 -, - alteration/replacement ' Please chock all that apply;
0 Dem lition OService over225 soaps. enamel EllIssardoos 'cicadas
o CI Oil=
— ._ : CIScrvics over 320 amps - 'Wing EllSeildng ova 10.000 sq. It;
f .4".17'''' ... ': , - " , ; 7 - ' : Zi• •t '''' 777 s ' - ' 1 ' . ' - ' - on . and 2-faraily elvieltillne 4 10 illarC new =Medial
1 I- a 2-amity dwelling 4 Coannercialfindustrial 0 AcceaSOry bulking OSpabsto over 600 volts nominal malts is use sarseesso
Duailding over three stories Maulers. 400 amps or mom
• 0 MUlti 111 . — builder 0 Other:
, 1:10ocomnt load aver 99 persons 01Mousfauured =manes or
7.77 M„2:.; ; Is- -•.1., " oup pa RV perk
Job n0.: I Job site address: 7233 au Well 1 e. 1,-. -OS alleolth-oue facility ClOther:
.. tie A "' Submit 2, sets of plans with 1111y of the above.
City/State/ZIP: --- rcs 1 1 0 r2- 7 Z_2_14- The above are not applicable to temporary constractiost service.
Suitc/bIdg./apt. no.: I Project name: 5 ey4 OS
omemente Ow- FM- TOW 2
Cross Streetidirootioos to job site: • New residential single- or inelti-faingy dwelling mit.
Inehides numbed garage. _
. 1,000 sq. a co less 145.15'
Subdivision: 1 Lcn no.: : Ea. adt'l 500 sq. ft or portion 3340 1
T , Limited energy, residential 73.00 2
ax map/parcel no.:
Limited magy, non-residential
700 2
.T.: :474; e7 kt-A.r..- - .. " 7 7 7 '71-74:-.77.7 . 77.77: : ' • - . 1 0. 1. :1,-";..4 k g.frett!. ':' Each fissured es m
&veiling. nenribenadlor fl anks • 90.90 • 2
-1 42_ e_ n ej se...iki. nr feeders inetallanon. Aeration, wailer rebsendea
200 amps or Ins $0_30 ' 2
? : 1 : 4 W) -71 0W0 1 1STAAVIIII**WWWZ . V.WitarTWitigii - -t:Mtto: "I *aPs g°4°° a "' s . 106.15 , 2
401 amps to 600 amps 160,61) 2
Name: VCXC__ S+ . 601 amps to 1,000 mops ,
240,q0 2 '
Address: Over 1,000 amps or volts 454.65 2
Rama= only 6615 2
City/State/ZIP:
Temporary serviers or feeders installation. alleralloa, aodier
Phew: ( ) I Fax: ( , ) relocation
200 emps °Floss 66.15 1
Owner imdallation: This instailatics is being made on property That I own which is not '• 201 amps te400 amps 10030 2 ,
intended & sale, Leone, rent, or exchange, ttecorchng to ORS 447, 449, 670, and 701. - 4W ampere 600 maps 133.75 2
Owner eignaturm Data ,:_. Irma eirestes - new, anemias, or extension; kier panel
•
, ;:• ,; .t.,t.:1, 11 - - .f.1 , - ". , ;-:t . :- 7c., ..7_ `'.',, •-%ir" .:',.. i ;::::' ,. !.Tal - ` , ,"f ! A. Fec for brands circuits with
Business name: il C s! . . A. . SaViCe or feed er fee, each
4 ., .. - tesach circuit 6.65 2
me I I C ' a . .4 .1 .L.
B. Fee for bunch circuits
Coined name: ). v 1 a M (2 , ra 'l : k__ 1 without savior or feeder fee, 46.115 2
fast breach circuit
Addiss: 2-2- I 3 i'l E. SAJ2 i?'5 Lane. i Each arld'I branch acait 6.65 .
2
City/State/ZIP: i--1--11 is / 6:3)z..... 7 /2L : PArmeellanteian (earrice ur feeder mot Included) .
! Pump at irrigatioo circle 53.40' ' 2
Phme: (503 ) G — 4 / ---- I Fax: : ( 5D3) 6.40-831/ • Sign or coding PIP:* 53.40 2
E-mail: : Signal cirenit(s) or bruited-
"Kt;A:r...*;;;I:;.; . .r:" . -." ' .* - "777' '` f• :•.' ' ' z'.'""i''.:4-. "'-'...-?* Av'et... ' main' Panel, anal*" ur 1
Business name: A 46, y, At At iwomeri aii,„ , , , el:tension. Describe: Page 2 2 ...„..
Addn= • . facb addidenal bespectlon over lote ie may of the game
k 1 ___J )7 e__ ...... , Pew buil:Kai= 62.50
arY/Slate&IP: NM, ..,- 4 t h , i i111111111 911 a r : Inveselpstioe per tour ct lows) 62.50
Phone: (51-33)5t3 _ L4 %-.-1,.---4,, Fax: ( s?s) : Indestrid • . - per hour 73.73 :
- '''";it';g'n! ',V ' i• . '
CCE1 Lie.: I Electrical Lie.: el.. g I Suprv. Lie.:
Subtotal
Suprv. Electrician signature, required: eza a /I' -ra,t_,,., Plan review (25% of/monis fee)
- •
Sego se cabana (II% orp.tisk 62e)
Print mu= DC2.. yip Za. Vik-- Date: c9- - 3 - -6 6 .
A
Authorized si Th
gunture: is mews appitesslan estplimt
snerebessetet maws 110
bow beau
Print name: , i V) V rP — 3 -66 lim Nisi-it aoceptal as maples*
• S Booed Fee methodology set by Tii-Cowity Raiicriee Tudaegy ervice
so Nmoberefimpetheme per permit snowed •
IASuilang1PerminIELCAsneitApp.des 12/03 44046IST(1042/CO10WER •
CITY OF TIGARD
BUILDING DIVISION . , - .
PERMIT #: FL R2006-00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/612006
Phone: (503) 639-4171 bll414,1A
Inspection Requests (24 Ws): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/7/2006
\ TIME: 7:02AM PAGE: 56
,..
SITE ADDRESS: 07233 SW KA131::';;; 1,N 500 CLASS OF WORK:
SUBDIVISION: SOUTHERN PAC C TIGARD IND. LOT #: 005 TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: LV Fire panel.
OWNER: PACIFIC REALTY ASSO,' TES, PHONE #: .
CONTRACTOR: ADVANCED SECURITY 84 ;I PHONE #: 503-519-4550
Inspection Request Scheduled For: 'mate: 2/7/2006 Pour Time:
Code # Inspection Description Co firm # Contact # Message
135 Low voltage 026' ' 6-01 503-519-4550 Y
Corrections/Comments/Instructions:
I
A PASS n PARTIAL APPROVAL El CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Q (J A) 66 I-Az Date: 2 1 1 04 Phone #: (503) 718- -LTA