Permit k.
a CITY
11 OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00254
TrGARD DATE ISSUED: 9/4/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136AD -04000
SITE ADDRESS: 11535 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: PACIFIC TERRACE LOT: 007 JURISDICTION: TIG
PROJECT: PITA GRILL
Project Description: Install low voltage for burglar alarm. Job Nol 83- 22660 -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:
INSTRUMENTATION: OTHER: BURG ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SMITH, EDITA M ADT SECURITY SERVICES, INC
833 NW 170TH DR 2815 SW 153RD DR
BEAVERTON, OR 97006 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP LEA389
[ELPRMT] ELR Permit 9/4/2008 $75.00
[TAX] 12% State Surcha; 9/4/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 a h in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain co• i- of these rules or direct questions to OUNC at
503.246.6 9 or 1.800.332. .
Issued Permittee Sig . �� ` Al (S� jv - -L,1
//
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.
S.ep 03 OS 02:20p Stephanie Pate 503-460 p.1
4;1 S
I i) � I l.tric i P Fppt .t ali i! M,' y �o f 1. : :•i !iil • "•;, :. :.',J'i < ] ,•!r - '
a Permit pplicataion r . 1 1 • �•
L. ;o: �i1' I „•,'7 lx., :� �.�� l f�. ; i �1 h'. t� r ` i
I,�`'� . ; ^ .,���, r , i .`�`.,�,�.
V a it;_c�lvu, , Q [�
3 1 oy. U;r a IS I elf i Pcnn,t w C / �
City of Tigard , ef ; 00,25
'<
Phone SW hull lilval., 1'i [rd,U {( 'J X2.3 O - - �
L.: Plan Rcv /art I
l : 503.639.4 t 71 !''ax: 503.598, t960
,er e rne
rl c aka ate ........
r,: j::•,ilir. Inspection Lne:.503.639 41 i5 Cj at. ".. ... _ - � .._...,....�.
I 81 lax t'aya• 2 li,r
IlliMMININIMI Internet'. www,iie „ird•tu taw t• d
a �� �_ - . . - . $.glliknn•nlallnfunuanWr
_ _
P
TYPE O WORK Y �� ”" �, f.. PLAN R.EVIL1V ... __.....,
�] Nt W i:pnsuuc ion AdditiOn/al:'txaliultJrt3 t7 t' '�- kase chick otl ihii apply (.utnt:l 7 sets of PIM% w: m rnx '. 14. - iL.cd hch,w ....
I .
D Oilier:
0 ivi . ui kwJcr 400zdrliK of 11.11.11c 0 liuildi o over per_ 0.,,,,,,, ,,
❑ - . ..lttu,Oilier: e
_ •lu'rr the u�nil;tUle huh camel '
❑ IM:uilU:, aid huatyanir,
C:A ?GORY OF COi`J,S• fL()l�l ^• elcecxl: iv,Vg3 .uiip .,r 11) vulu nr
_ C � I�k4UluhbuilJing;�.
"- -- - -- ..,.• — _. >> lvgt to OOund. vl c,eCCJa 14 .00p
:text 2- I:unil , dwelling t ❑ C1llmianul•u c e, ^,ricidu,r,,l
El � ) � � Cl)ltirncrtialrrnduslrial - . Accessory bulklinw
Y 'nuns lu• all ugxr Im4711.1uVrla. hnnGliny %.
❑Muhl- lami(y 0 Master builder 0Other: 0 Fin:pmnp, I .J rn <e:,lliniondl %JkvAu,
I-- - . ✓ JOB sine INFORMATION - -.1iy.... - - - . --- - [11'�rraxatley syateua tamer s paraiety dnivcd „y.k,n
R` AND LOC'A"flON
di:ion Ofmu,. n
Di
•
�,.. . p / u.lril 10,44.1,..1 0 "A ". "1: "• „I t "1.3 ".
10 nt'.: a s 6 60 -/ I ) ob site addresw, / /53 SLJ f,ge, r c, ?w I lINl1t1 tn incw. nec wpm y.
+. __ — r ._. .^._....._ , SI!, Of Wilt ("chillaTt : alum C3 R N.1\•:1.i..3n'i I ,c111.:l.• p.irk::
( i(y /Slig(:17.1 P1 774 1I� Q / 9',` ,. ^ ^.,- .._ _ I 0 lkeulll, -ears lac,11In : ❑:Supply ul:alw Q
Im• mon: •.E,,
!T 1 - f ❑ )1a/4111.1011'. )1a/4111.1011'. )1a/4111.1011'. W .V.10)L1. NV) WAS i.otYHltdl.
i Su erfbilI,;. /apt (i.: 1 Project name: / / � C. ,
IC / G . 0 scr.iet or is k ,:
r t4/0 ITT. or'Am
,- . n -- .i..... �.....__ - -
FEE - - - _ . .
'E SC11i'
1
Cross 5trl1dtliiCCtU);is tit j'b'sitt� ••_•_-
• ... .. _.-.. __. .•
i :Vc tinl
w rwiitt¢n singer t.r mutti- fa.roily divellni;; 111 %it.
tncludet;tltaetto garai;e.
subdivision: -. _
L no 1,9UO so. ft or le ss ; 4 S. ; ti
Tax tt1R J - -- • ... __._ - - - -_.. Ea, add. / 500 I. IL or portion 33 40 '
p flaruc1 no., _,. 1
, . — , - ... Lim: ;rt1 < \r[TLw, residential ..._
OES <:Rli'1"1()N OF WORK m' S.QO
7
f � J J Limited ;perry, irnrlu- Eunity
Gf/r/YYl %S.Ull �—
__ residential L I ...
r,
- - - - - �� .`- _ Scr vimstr . tcad�s-rs installation oltcrna midie 5. 4orwl ism
20 I
amps or �.c i tiro. ?I] • - 7
'1'Y OWNER ❑ PROPElt -
- --
..--- .- -- _ _Tk 1Sr�V"L- ...: 201 ur,lµs fu 400 amps 10 t.;:.ti
Name:
_401 u, 600 amps 160 .b(1 •
.- ....,_- ,._,.,._. (r0l amm to l.000 amps 27(0 60 i —i
Address; _ 1
- _... Ova I MOD amps or vo$. ASq.(,ti
C'tty:SWtei 7.1P: Tcmporarl•sera•ict or rccders inninfhttion, alto wigs', a no or
relocation
Phiine: J rt1:__ t 'in
) I ; _ _. ]00 .imip to a0L' -- T , - - -- ..... . - ..._ _ . .
Owner Owner instniG►tiuo: Iht5 InsIalldtic)r) is htmt. td P `ti Y ilia; on r( t I IS%% 'n lvhtt.rl is rkt 'Ol ;trait! -- i I (11'. r
iii(nticd for sake. Ie:r-ce, rent, or eholu ;e. aceordint; 10 O1.S 447, 449, 670, ;trite 701. 4(i1 amps ui 5.(1‘.1 ;Inv. �� `I g 'j5 -- L
()wrier si analurt - t PCh c rcuiT1 nrtn. AIic rM _ ur v[Il rr \i,n, per pa MO
_ - -- -• - -- • _ _ _... A.1=\..7lit( bench lan:urtswith 1 �
i -
i APPLICAN [ :ti)NTA(,T P _..�.. � -
- - - PERSON abl)vc xrvicr Or fpxler fcc. I
__r./ch brand. tintuit
L.t,5 '
LitrsUlCtin tunnel -- _ _ - ^ - - . -- i U. P:1 kW c ._- - - -- - -` •
,
Contact name As w i t or feeder ;; tee, lG a.
YS DQ.Pf� fjfm o.i � _ __ without pe
- --- - - -- . . - -- -._. _. .. in 1 branch c ire a I ! .
Address: 1 l ?at h aGd'I hrN'IL'tt l in ui(_ b.r, t
- - - , y Mi.e IIanrnots (service r ecdcr rtnr io iUdcd} _, _
lily /Sl;lld7:(l;; r ..,. ... ... ( �_ 1 ti .
1 i.u;h marufacru,<xe or rhodular
1 dwcilinr.• st7rvice and,br li_td7� 90.90 1 2
Phone: 3 ) 02 % .3O c 0 t ^ Po,:: ( ) --
l.._,....._ I R[ti, »,Ixx t only + t _ - ^, _
1 I:-Rl:il l: .' .. ...._.. I ' - -.- .Y_ ...__ err.. J , ,.._.
j -- Ytm{t_uf iputiim_ gatlnn ciiClc 1 53 at) y
-- -- ('ONTRACTOI2 __ t 51gn or nc lit'.ltaing i i 317..-it; — : ="
E3usin�: s name.. AI) -. Sl (:`fJttlTl' _ !' S cpruit(sl ur lnnknt- 1' .. ' - --
cecrJ;y pan 1, • 1t[xatton or
Nations: 2815 SW 153” DR - - - -- - -- - ._....... I cr,( t,r:i1)n. L)eearibc 1 .'5.00 ,
-
Cin:'Stat4'/ IP: 131sA Vk;R7'O1s OR 97Q06 L h:,lch additinrYal :ns tiun over allowable to tiny of the - rbovc
Phone: (509 46') -7 1 - Ptr intiptLrron ` (,2
`Fox- (a03) 46 9 - 7 1 i4 1.....:-,li titan hum _ 1-1,-
._ 0 -
-- - -.. - -..•...-'----- ---_..... _ R perh x hrm:n) 6' S0
CCI3 lie.; 59944 1 I:1ct:triciLl Lie.; 2(r2O9CLF Suprv'. Lit.: 1. -CA389 industrial plant per hoar r 7.. ",.7', • • " I "
5uprv. fil�Ylrier :in hign,ltutC, i'ejuitvvtl: -
t:LECT_RN'Al, Pl. :R:A1ff Pl :r,s -
pill
Prnit n:mti: 1CL:I\ K12;1US - _.__.
Plan revieav(25° nl•pl,tnit feet - _.,, .. - --
_
Authorized s 1t.tZ;c(t ? „buCprrmlt Ice), 14.00 State sure
.--- ......... _ •: •. ......... ... / - -� - - - -' / _ I lU'J'AL 1't'_tilAff l i:;:: i M4.00
I Print narnt_ 1- 1;71, D, - f {iu ticnnir nppliaatina (-spires if a JCratil is not nbta:ned within Ilia
--- - _ dap% after it Au% hcea Weepteil :u cumphte.
N uria+I o tt ,czn a11uws•rt nor ne(t.lil.
I:.r :..Udin.- i•. an ts.I.1 ,' - 1'v......, pp d!s: V) r; 31.. -MJ -th I I I I : I)i t. in11U1.11
az C i.e• --,
�ICITY OF TIGARD
BUILDING DIVISION PERMIT #: EI_R2008 OO1i4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/412008
Phone: (503) 639-4171 *41411t\
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' �: _..
INSPECTION WORKSHEET FOR DATE: 9130/2008 TIME 7:00AM PAGE
SITE ADDRESS: 1153.', SW PACIFIC HWY
CLASS OF WORK:
SUBDIVISION: PACIFIC TERRACE 007
# Q07 TYPE OF USE:
PROJECT NAME: PITA GRIL
DESCRIPTION: Install low voltage for burglar alarm. Job Nol 83- 22660 -'I
OWNER: SMITH, EDITA M, PHONE #:
CONTRACTOR: AM" SECURITY SERVICES, INC PHONE # : 503 -469 -7212
Inspection Request Scheduled For: Date: 9!33/2008 Pour Time:
Code # Inspection Description tonfi rr r # Contact # Message
199 Electrical final 07606301 \ 503- 469 -7212 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: LE" Date: 9 30 1 Phone #: (503) 718- P1► V