Permit 11 1a CITY O F _ T IGA R D ELECTRICAL RESTRICTED ENERGY PERMIT
� ' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00257
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/28/2007 -
PARCEL: 1S134AA-01800
SITE ADDRESS: 10240 SW NIMBUS AVE L11A ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
PROJECT: MAGIC MAID
Project Description: Install low voltage alarm system. Job NO. 70639125
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 + BRINKS HOME SECURITY
ROBINSON, LYNN + BELL, KAY ET 8080 SW CIRRUS DR
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008
BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 641 -0666 •
PRI 641 -0574
FEES Reg #: ELE 34- 166CLE
LIC 44421
Description Date Amount SUP 3213LEA
[ELPRMT] ELR Permit 6/28/2007 $75.00
[TAX] 8% State Surcha 6/28/2007 $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 or 1.800.332.2344.
Issued : . // Permittee Signature: . 4
OWNER INSTALLATION 0
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.
- 6lectrical Permit Application FOR OFFICE USE ONLY
City of Tigard • Received -- W Permit No.: /
IIIII a• ^ .'A lc 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other PemDate/By:
TI G A R D Inspection Line: 503.639 Date Ready/By: lur 0 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: C Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current
❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A "E ", "1 - ", "1 - ",
Job no.: 70639125 Job site address: 10240 SW Nimbus Ave IooHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: L-1 1A Project name: Hal C MdkA ❑ Service or feeder 600 amps or more.
" �'`' J � FEE SCHEDULE
Cross street/directions to job site: Scholls Ferry Rd Description I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Low voltage alarm installation Limited energy, multi- family 75.00 2
g residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 106.85 2
Name: Magic Maid 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 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 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ APPLICANT I 0 CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufacturcd or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Brinks Home Security
energy panel, alteration, or
Address: 8080 SW Cirrus Dr extension. Describe: I Page 2 75.00 2
City/State /ZIP: Beaverton, OR 97008 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 641 -0287 Fax: (503) 641 4960
Investigation per hour (I hr min) 62.50
CCB Lic.: 044421 I Electrical Lic.: 34I66CLE Suprv. Lic.: 3213LEA Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
l 3 /lid
Suprv. Electrician signature, required: Subtotal:
Print name: Kevin Tucker Date: 06/28/07
Plan review (25% of permit fee):
State surcharge (8% of permit fee): 6.00
Authorized signature: TOTAL PERMIT FEE: 81.00
Print name: Jack' cKee Date: 06/28/07 This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
•
• Number of inspections allowed per permit.
1:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 46t5T(II /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION . . • PERMIT #: ELR2007 -00257
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/28/2007
Phone: (503) 639 -4171 /pro -I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' P:_..
INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 10240 SW NIMBUS AVE L11A CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MAGIC MAID
DESCRIPTION: Install low voltage alarm system. Job NO. 70639125
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: BRINKS HOME SECURITY PHONE #: 503 -641 -0666
Inspection Request Scheduled For: Date: 8/10/2007 Pour Time:
Code # Inspection Description .: •• •• , Contact # Message
135 Low voltage 053731 -02 503-641 -0287 N
Cor ns /Commen s/ ` nstructions:
/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i Nag LC Date: t t ij 61 Phone #: (503) 718- IL441
/G2yo S�✓ /i/�'v5 ,,
CITY OF TIGAR I
c: UOLD NG DIVISION PERMIT #: EI.RZw) ( :14257
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 417140k
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10 . ( 0 U TIME: PAGE:
SITE ADDRESS: egoo- S L ( i m B Vj LI 1 A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: IQ .16^ .0i Pour Time:
Code # Inspection Description Confirm # Contact # Message
c1 FAO
Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G' ` N (Sg L'" Date: 10 .1g Qt Phone #: (503) 718 - 2,1h1
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11711X
Name:ROBINSON. CONSTANCE A + Updated 6;28/2007 SLN Gener al
Address:10240 SW NIMBUS AVE L11A 1 Jur: 1TIG
Description: Master # IELP2007-00257 Project: !MAGIC MAID Commercial
Install low voltage alarm system Job NO. 70639125
1
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Activity for ELR2007-00257 ' - r _ 1 ,, ix
ry,... Code Created Date] Description Datei Date2 1Date3 1 Disp Done By llotes
1010 06r28/2007 Application received 6)2E2007 RECD SLN .
,
iO30 06/28/2007 'Check for parcel tags 6/28/2007 DONE SLN
1280 06/28/2007 Issue permit 6/28/2007 DONE SLN
1 1020 .06/28/2007 Permit cr ed 6/28/2007 DONE SLN 1
2135 08/09/2007 ow voltage 8/9/2007 8/1012007 /10/2007 PASS GN 053731-02 - 503-641-0287 - VIVI - N
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