Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
Aft DEVELOPMENT SERVICES PERMIT #: ELR2006 -00264
' II 13125 SW Hall Blvd., Tigard, OR 97223 50 - 6 39 -4171 DATE ISSUED: 11/1/2006
PARCEL: 2S 110AB -00200
SITE ADDRESS: 14285 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: CANTERBURY SQUARE LOT: 1 -3 JURISDICTION: TIG
Project Description: Installation of burglar alarm. Job No. 20424 -2
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:
KOLVE, G C ADT SECURITY SERVICES, INC
14389 SW PACIFIC HWY 2815 SW 153RD DR
TIGARD, OR 97224 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 11/1/2006 $75.00
[TAX] 8% State Surcharl 11/1/2006 $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 fol rules ■ • - • by the Oregon Utility Notification Center. Those s are set forth in OAR 952 - 001 -0010
through AR 952 -00 -011 You may obtain copies of these rules or dire que lions to OUN ' at 50 - 246 -6699.
Issued y : k (l tl ; Permittee Signat re f d.,NW (_ —
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.
Oct 31 06 06: Stephanie 3Ga Stephan Pate 503 -069 p.1
-- -- --- ..a .ar,iVL
•
FOR OFFICE USE ONLY 4 41 i0 Citybf TA;ard Received
( 3125 $ W Kai elvd., Tigard, OR % )722) ,i- �� Q� t hcmtie No.: Phone: 503.639,4171 hax; 503 59& 1960 r Mau Keview L�iI /- �� .n Inspection [lne; 503.639.4175 OCT � It Dafe91 : 1 Other Period;
I ww :: 503 us a „l ,4 _ I 'hue Ready;By;
� ' ._ r r t Not ifiodMethaJ; 1 "` See nc c i tw
• •
.. .. E / ( Supplemental lararrstali
❑ New construction f Addition /a � = .. � ' PLAN RFY1N^l'Y ' ••• �
4,4Tationtircplaccnient . Please clux:k all that apply;
(]Service over 225 atnps, comm'l QHar rrdoes lo�:ation
❑ Demolition 0 Other,
0 . • • C'AT.EG.ORX OF CO:YS�'Rl.'G'lI1ON ..' •:.' .
03tzvico over 320 amps - rating QBuMnF. over 10,000 sq. it.,
1 -and 2 -f, aril Y dwelling Comrtlercial /i of 1 • and 2- family dwellings 4 or more new residential
ndustrial ❑ Accessory building ['System over 600 volts nominal units in one structure
D Mudti- flmity 0 Muster builder El Other. ❑fivilding over three aturi
[Weeders., 400 amps or more
• �� d $1 E • INFORMATION 'AND 1.00'AT10N QFgt c' !1 ip tt load over 99 persons ❑Manuftettaed mrueture or
❑F.gts/lhting fern I2�' r
�{:
Job no.: r 0 - - 2. Job site address: 1 /4/„2"... 5 .- 6 j � " P A'
6 - 4 ., / u /({ []Idearrh� are facility ❑Ot _
CirylStarc'7.1P _ / i1; , li y `- � Submit 2 stgs of plans with m of the above..
, t ( 7 / The above arc not applicable to temporary construction service.
Suite /bldg, /apt. no,: ( d "a'kl�• SCHEDULE
Cross street/directions to job site: Qty. i Taw
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision:
1,000 sq. ft or less 145.15 q
J Lot no.: En. udd'I 500 K), it. crpurtioil 33.40 --1 l
—
Tax map /parcel nn.: — - _ Limited energy, residential d
75.00 2
Dk:\ :OPTION OF.'K'ORI+ ' Limited rntrgy, non- residtmtial 75,00 2 • Q _ Pitch matlu %actured
or modular
, ..,,c4 dw service and /or feeder
1 90.90 2
_ Services or (ceders instpllation, alteration, nod /or relocation
200 amps or kss I os — 1 — 2
• ❑ PROPERTY OWNER , 106.:.5 _i
Q. T1r: AN I :.:' : ''' 220 t leaps to 400 amps
Name:
amps to 600 amps 160, 2
601 amps to 1,000 amp:; 1 24U.o0
Address: Over 1.000 ttmpc of vo1Cc I 2
�^ I 454.65 2
Ro onncct o 66.85 2
City/State/ZIP:
Temporary ser or feeders l.latalladon, alteration, and/or
Phone: ( ) relpCation
Fax: ( )
Owner installation: This installation is being made on o not 201 amps to 4400 400 temps 100 200 ;imps or less 00 85 1
intended for sale, lease, rent, or exchange, according; to ORS 447th 449, 670, and 701, 10 2
Owner s ignature: 401 ;,reps to 600 amps • 133.75 I 2
— Dart: -. • t B r �n cA cir cu i ts -new alteration or e tcneion, per Vaned
❑ n>Prx .CAN'T: co;wra4'I' ' PERSON I n ,1Tce file branch c ircuits wilt e—
fdusitic`s r name: or %coder ft e, cad;
r ,rr c h c irt uit 6.65 I 2
Contact name; B. Foe for branch ent:uits '
_ „irlrout service or (ruder fcc
Address: first branch cirt:uit 46185 2
City/State /ZIP; - _
Each add'. branch circuit �-�-�•
6,(+S I ' -
p+� Miscellanea US (service or fecdcr trot included)
Phone: (jd,3) 3/- / d c=J I f•:rx:: ( ) Pump or irrigation circle I 53,40 I 2
R -mail:
Sign or outline lighting
53.40
Signal cireuit(s) or ii,nited
.. C Oh 17 A( I:OR
01: energy pane, Aeration, or co
3u tints manure: ADT Security Services I extension, Describ'a I r / Plue 2 2
•
I
liitiress: 2815 SW 153` Dr, 1 jiach additional inspection over Allowable in any of the above
'ity /Statc/7ll': Beaverton OR 97006 I Per inspection 62 50 I
Investigation per hour (I hr rain) I — 1 62.50
'hone; (503)469-7100 �pa�
: (503) 4 69 - 7114 I lrsdustnal plant (• ) t per hear 73.75
7-03 Lie.: 59944 EIo trical I.,ie.: 26 209C') 7 Suprv. Lie.; LE.4.389 •I'LECTRICAI, PERMIT W Sa
•• 1
Tlcrtrician signature, required: uprv, Subtvdat I 42 .- ° ' i
� � ` )'fan r0vit w ( 2 5 ° J e of perrrut lee. )
rint name: A.-2.-...A,/ ,/ C `✓ H ethurizt cl signature: �in l)- Phis permit application i ha b Ira parriit is cot obtained trp
rim n /zit/ f/ „ , , I ante; • I &pi after it has been omitted
• � rJr v I e1 cd as iil.i - .c
S complete
J • Fee methodology set by Ili- C'uvnty Uu,4hn hnhlry• Sn'ice lk,.',ni
ih orwitosiliut.e.i∎tmii!Ap t :/f /J //� _ (2 4 * Number u:' Insp�: r poi-permit :
' \l / t // / / �/ 44,„„,,T4,,,,,,,,,,„,,,.,„
?it
CITY OF TIGARD ,
BUILDING DIVISION - PERMIT #: ELR2006 -00264
. - A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 11 /3/2006 TIME: 7:01AM PAGE: 74
SITE ADDRESS: 14285 SW PACIFIC FIWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: STUDIO II FRAME & GALLERY
DESCRIPTION: Installation of burglar alarm. Job No. 20424 -2
OWNER: KOLVE, G C, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7100
Inspection Request Scheduled For: Date: i 11/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039244 -01 503-469 -7100 N
Corrections/Comments/Instructions:
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( ik( N60 L Date: ) 1' 3 `64 Phone #: (503) 718-14
C