Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2006 -00169
11
, DEVELOPMENT SERVICES DATE ISSUED: 7/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AA -01800
SITE ADDRESS: 10180 SW NIMBUS AVE J5 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
Project Description: Vision Business Products. Burglar Alarm. Job # 93 19842 - 1.
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:
ROBINSON, CONSTANCE A + ADT SECURITY SERVICES, INC
ROBINSON, LYNN + BELL, KAY ET 2815 SW 153RD DR
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97006
BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 469 -7100
FAX 503- 469 -7110
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 7/12/2006 $75.00
[TAX] 8% State Surcha 7/12/2006 $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: Sj,� A
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.
Jul 1 06 12:45p Stephanie Pate - 503469 p.1
—
t JectricaI Permit App.'_:_ .4 ' FOR OFFICE USE ONLY
r
City Row -
y u t Tigard 1� 1 , a DaWU . �. hermit No, a�6
13125 SW Hall Blvd., Tigard, OR 97223 l 2, Plan Review
Phone: 503.639.4171 Fax: 507,598,1960 0\'' I �`�+' It r Ji; i Datc+Dy' Or Permit:
sp
inection Line: 503.639.4175 , • , o t: ��- ''! t;, Date tttaldy'U / y; Sue Page 2 for
Internet: www,ci.tirard.or. is 1 O Nouried'Mcthod; ) f I S Ell Information
• • TYPE. CIP 1 " �� ' • . PLAN REVIEW
ew construction 0 Addi ' a�,.: . t rcplacemcnt I Please c heck all Jut apply:
Ii■ ['Service uvvr 225 amps, comm'I ❑H:vardaus location
in Demolition p Other':
. ❑Scrviacava 320 amps - rating ❑ elu d ing aeeT 10,000 sq. IL. • ' CAT .1GORY_ OFYCONSTRUCT,IOVk ? : ::: IIl: ; • f. f. _ . of 1- and 2 dwcilinsts 4 or more new residential
❑ 1 - and 2- family dwelling ® ComminciiiVindustriul ❑ Accessory building USystem over 600 volts nominal units in one sLructurc
El Multi El Minder builder ['Building uvir three stories ❑Pcad*rs, 400 amps or muse
❑ Other:
['Occupant 1084 ova 99 persons p. Pc OM:uluraCluttx!seructures or
: • JO12 SITE INFORMATION PION AND) LOCATION . • ❑Egre .s/lirlttiut; plan KY pork
Job no P $1o? - / I Job rite udtiress � / ❑ Health cwt facility QOthcr: ,,,,_ .
T
1 . r 'SW /y mys d er Submit 2 sets of plains with any of the above.
CityiSt;atu'ZiP; The above are not applicable to temporary construction service.
if .ldg.ral2t, no,:T - Project name:
.. FEE" 'SCHEDULE
r/esnlptiu0 i et?. I Yee, I 'raW
Cross street/dim-lions to job site: 7 New residential single- or multi•fpinily dwetling unit.
Includes attached garage.
y- I,OUt) sq. It. or 1cs I 145,15 d
Subdivision; Lot no.; Ea. add'l 500 sq. 11. or portion 33.40 1
! Limited enemy, ntsidcntial 75.00 2
Tax map /pored no Limited non.rgidaitiul 75.00 2
• DESCRIPTCON: OF WORK.:.::... Bach nituauractured ur modular ..___
dwcllinp, service and/or feeder 9(1.90 2
Services or feeders installation, alteration, nndror relocation
200 amps Or less S0.30 _ 1 2
Q PROPERTY OWNER O TENANT 201 amps to 400 amps 106.85 2
•
~°' : 401 amps to 600 amps 160.60 1
Name: • 601 amps to 1,000 corps 240.60 1 2 I
Address; Ova 1.000 amps or volts 4 54.65 2 '
- Reconnect only 66.1(5 2
City/Stile/ZIP: � Temporary services or feeders initallr+lion, 'invention, and/or
Phone: ( ) sax: ( ) . ••• reloca(ian
200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400anip --- — 100,30 .---- 2 _
intended ibr sale, lame, rent, or exchange, according to ORS 447, 449, 670, and 701. 1 401 amps to 600 amps 133.75: 2
Owner signaturc; ,_._, __ Date: Branch circuits - new, alteration, or extension, per panel
❑ 'APPLICANT CONTACT' PERSON. • • ' A. rca for branch circuits with I I
service or railer fee, each 6.65
Business name; branch circuit
- "'" B. Poe for brunch circuits
Contact name: wirwur a trvice yr feeder foe,
46.85 2
Address: line bnuich circuit,.. - , ._ -_ -- _
._ wr... — .., Each add'I branch circuit b 65 2
City /State/ZiP: Miscellaneous (srrvite or feeder not included)
Phone: (�3) Vi/— a 3 ' 1 Tux' : ( ) _ --- Pump or irritation circle T ��+ 53,40 ~ v � v � v 2
I Sign or outline. lightinp, 53,40 2
I: -moil; Signal circuit(%) or limited-
• CONTRACTOR . • - . : •. i mein mind, alteration, or p
Business name: ,4pT Security ,." ....+ . _ ...� •� 7 extension. Describe: / Page 2 Z 2
ty Services
Address; 2815 S SW 153 Dr. Each additional inspection over allowable in any of the above
Pcr inspection 62.50 , I
City /State /Zit': Beaverton OR 97006 Inva- ideation per hour (I lu'rrin) : 62.50
t lndustriil plant per hour I 73,75
Phone: f.S 9, ) 469 -7100 Fax: (503)469-7114 _
;( Ri,M TRI( \l. PERMIT FEW'
I
CCB Lic,: 59944 Electrical Lic.: 26- 209CLE I Supra•. Lie.: LEA389 —" Subtoue. S� e?
5upm , . Ilectricionsign,turc required: ,� ism
Plan rovie:w(25' %ofpemut1'ee)
_
Sotto rcburgc (8% ul permit foe) 6, be) n:un
Print ts: "e2. �f1'� /� ,. DDate: j � tt: TOTAL PERMIT FEE gO � d
Authorized signature.,. ! l , /44,042,.: This permit application expire If a permit is not obtained within 130
/ ` days after it has been accepted a. complete
,/ 6 ( J l '
Print name: A/ I Data • Pre methodology set by Tri-Counry Building Industry Bessie; nonnl
-` N,ttnt4'r of inspevlicm per poring allowed
/� �a� l / .di
o Uuildin Orcriniu PrnniaApp.dcc 12n;.1 �J P 4anlsT(IO A4wn
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CITY OF TIGARD * �'
BUILDING DIVISION PERMIT #: ELR2006-00169
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/
Phone: (503) 639 -4171 d• ' 4.
Inspection Requests (24 Hrs.): (503) 639 -4175 ' .. IL
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7:05AM PAGE: 67
SITE ADDRESS: 10180 SW NIMBUS AVE J5 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: VISION BUSINESS PRODUCTS •
DESCRIPTION: Vision Business Products. Burglar Alarm. Job # 93-19842-1.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503469 7100
Inspection Request Scheduled For: Date: 8/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034942 -01 503469.7100 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
_______45a____________