Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2006 -00103
11�� DEVELOPMENT SERVICES DATE ISSUED: 5/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S134AD -06201
SITE ADDRESS: 10450 SW NIMBUS AVE RA ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Limited energy for security system, (10) motions. Job No. 083 - 19161 - 06
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:
CONSTANCE ROBINSON ADT SECURITY SERVICES, INC
PO BOX 590773 2815 SW 153RD DR
SAN FRANCISCO, OR 94159 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 469 -7100
FAX 503- 469 -7110
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 5/10/2006 $75.00
[TAX] 8% State Surcha 5/10/2006 $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: � Csu . T . ( s� l Permittee Signature:
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.
f 05/0f t /2006 14:59 FAX 5034697110 ADT SECURITY a 001
Electrical Permit A.pplicatjo_i FOR OFFICE USE ONLY
City of Tigard ' Clew Received 0)_
•' Date/B : -1 W IX PertmtNo.: l' , • _QQ /63
13125 SW Hall Blvd., Tigard, O . ". - Plan Review
Phone: 503.639.4171 Fax 503.598.1960 C L \o6 '" ^',•.1,•l I i` Dat (B . Other Permit
Inspection Line: 503.639.4175 MH� 0 1r '!' I Date Ready/By: El See Page Z for
Internet: wvvw.ci.tigardor.us `' _ 1t6ASo Notited/Method: 0 Supplementallnfdrmacion
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, ew construction 012R .) on/alteration/replacement Please check ail that apply:
['Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other: ['Service over 320 amps - rating OBuildng over 10,000 sq. R,
� '31 7 .. F �I� dl W r i[. h Ir,�11 !�, � 1 i �. ' -r [ 1: •-, � Z ;17 � T Vyfi� �.. ft < ,FY14, �� i ,. , �' �'
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❑ 1- and 2- family dwelling V. Commercial/industrial ❑ Accessory building ❑sysmm over 600 volts nominal units in one structure
_ Multi- lanttily ■ Master builder C] Other: OBuilding over three stories ❑Feeders, 400 amps or more
�O ld
ccu antoa over 99 persons ❑ Manufacwred structures or
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laP.1. .,.1• ! i �, : S: _ li ,.6 1 I „....:L4-, I.— ., : l r L : i I i I ry g Egre sni hurl Plan
[ r., ': �,. l '` rr I _ t, ' ' . . . ' IL ` �J_�.,�i_a 1 ....l rn l I9i.I LSO. rc1..h�.a ".�.. � RV park
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Job no.: IA _1 6 rob sire address- /D S� ML J 1. L_ . ' �Heatih -care of aty DOther:
Submit
ek + q -ia The aove are n 2 arts b plans t appl with any of applicable to temporary the above.
City/State/ZIP: _
�� �`�' The abopplicabl construction service.
Jar A Project name: E � �� , ... , ,,,, , l ` a -„, - , „ „ Wi„ „io . aV'1 J '” . .• . _ ,
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Suit.
Dataistioa Qty. Fee. Total
Cross street/directions to job site: New residential single. or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
-
Subdivision: I Lot no.: Ea. add'1500 sq. R or portion 33.40 l Limited energy, residential 75.00 2
Tax map/parcel no.:
➢! u ` .vci ;,r,• : r , ; :` i ; • rui +:.771': '`t77P' � � I �Ci = i�r, '� ' : •”, i-, i,�, 6:' g,- Limited , 'Energy, non 75.00 2
ry i y s 'I I 1IPM ,' Y1 wi'i i 1U.� I Ip,.Si1.`(4dellll'1yQ l {,�nir ` JS �4 i I { . lgil , $�' 1 {% '7,- Each manufactured or modular
II�IS���iL' l��dli,,, T71._! �^: al: �? SSI, L' L.._ �' �11�� .RJ.f ➢h�U'L�g1.L��t'.0 I
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A I ( (l DVI dwelling, service and/or feeder , 90.90 2
(� I - mil Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
a �,� i n r-1 I in�, .'? ti rpl]h : 1 a 'I �' 'ttV iy,t ' ,1 0 27 r h {i T �Fj S ", •, i , i ;'I i - ;K r + <<� 1 0 1
l2 w 1- e, a 201 amps to 400 amps 106.85 2
� r ,° JI72•i'L7 i f II �.4 1.1,'� i}� l r1� - '1
r �.... �_..1_:�- ±s= _ G- uL- �.u_t� r•+iJ.i', ^ � Jn. �ti - �_ `+� - .�!.- 401 amps to6o0amps 160.60 2
Name: l 0 -fl -Nv f "---_ ? - -F... ) l 601 amps to 1,000 amps 240.60 2
AddressE�� ?,-� ' 5 9 — Over 1,000 amps or volts 454.65 2
�a
Reconnect only 66.85 2
_
City/ State/ZIP: j j I ' , LC v ! S Temporary services or feeders instal alteration, and/or
relocation
Phone: ( ) I 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 600 am 133./5 2
Owner signature: _ Date; Branch circuits - new, alteration, or extension, per panel
- •;gr.iP ^ P 'e:a 5r7 F ` i 7,i "rll v.,, _ ;n ' :1151 , z:; _ ;; T „
�����{ l� <i I,� r ��, - +jli:,�V t � te �f J r [ {�! i!, � , �f r +F� ri 11t�!� y�,'�i' 0 1 � It� �� p r. T A. Fee for branch t:irouitswrth
, -. sn, -1r. „ NA.,i:, rirez :t°17' ic_,. r, hc! 111.:irrz. �I. 4111 t :. a t5_ G.1: .., _ :.,gt .,',-' ,-wrki ht1,701,& service or feeder fee, each
Business name: branch circuit 6.65 2
B. Pee for branch circuits
Contact name; .J I II) , A ' •11711NNIIIIIIII without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( D3- " -7 --1823 i Pax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
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ir..1;.;:iu�..._ „r,l f, J. �`. u 3� .� :. _ fi� , lU!:'I�I_. d: icw.t h I : I , . I 1 L;I' extension. Describe: Page 2 75,06 2
Business name: ACT SECURITY SERVICES, INC. _
Address: 2815 S.W. 153rd DR. Each additional inspection over allowable In any or the above
9EAVERTON. OR 9 Per inspection 62.50
City /State/ZIP; (503) 46g -7100 investigation per hour (1 hr min) 62.50
Industrial plant per hour —®
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CCB Lic.: 516144 Electrical Lie ,- etc ) Suprv. Lic.: $ci A Subtotal
Suprv. Electrician signature, required: - Plan review (25% of permit fee)
• , A. •t.;. . --
Print name: / Date: [ 7 State surcharge (8% of permit fee) ID. TOTAL PERMIT FEE O (. tO
DO
611 Authorized signature: This permit application expires if a permit la not obtained within 180
days atter it has been accepted as complete
Prue name: — 7 - 40(///7--- G Date: • Fee methodology set by Tri-County Building Industry Service Board
i - ,/ •- Number of inspections per permit allowed -
e\Buildin alPermita�ELC-PemutApp•doc 14/03 11 /.''rv) 1 1 ci —Ir 1, T(10/07/COM/WEB
CITY OF TIGARD - -
A , BUILDING DIVISION PERMIT #: ELR2006.00103
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2006
Phone: (503) 639 -4171 ,,a11 ��di�ll
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' .. :
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 74
SITE ADDRESS: 10450 SW NIMBUS AVE_ RA CLASS OF WORK:
SUBDIVISION: SCHOL.LS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EID PASSPORT
DESCRIPTION: Limited energy for security system, (10) motions. Job No. 083- 19161 -06
OWNER: ROBINSON, CONSTANCE PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503 - 469 - 7100
Inspection Request Scheduled For: Date: 512512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 030549 -01 503.469.7214 N
c c
Corrections/Comments/Instructions.:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: 1 v "C Date: Ob Phone #: (503) 718- 2, '