Permit CI TY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
AvVI A s DEVELOPMENT SERVICES PERMIT #: ELR2006 -00003
a 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/4/2006
PARCEL: 2S110DC -00300
SITE ADDRESS: 15700 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 016 JURISDICTION: TIG
Project Description: Low voltage: gate access and intercom.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
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: GATE ACCES X
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
SSC PROPERTY HOLDINGS INC METRO OVERHEAD DOOR
BY SHURGARD OF KING CITY /TIGAR 2525 NE COLUMBIA BLVD.
ATTN:38004 PORTLAND, OR 97211
SEATTLE, WA 98109
Phone: Contact #: FAX 503 285 - 1793
PRI 503 - 595 - 4716
FEES Reg #:
Description Date Amount
[ELPRMT] ELR Permit 1/4/2006 $150.00
[TAX] 8% State Surchart 1/4/2006 $12.00 REQUIRED ITEMS AND REPORTS
Total $162.00
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- 01 -0100. You may obtain copies of these rules or di rect questions to OUNC at 503 - 246 -6699.
Issued By: ie eLZie, t' Permittee Signature: dl v
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.
Jan, 04 06 07:45a Metro OHD /Access Control 503 285 1793 p.1
- •01/0 3/ 2008 10:02 FAX 503598060 CITY OF TIGARD 001
A : .. s
Etectlri , ,��. x•a. wu ca h o n ri�r (lrri< I: t til':u�l.�
11 iput 25 Ha t)1i4122 BY� 0. PanitNe. "67b
e... M R -.'-W Qua Permit
Phone: 303.639.4171 a# 03.598.1960 nattily
lnape err Line: $03.639.417 + y , + . � r.l ,( . ' I rhea Ready/By $oa Papa car
Int enet wwwci U�' l AATjS - Na50od/Madmik 1 i I Sep1lomaata lIntones non
a.... f ' {� ' � a '- nF`v ", � ' � 't� •�7:'? L � • - e -a �- �, - . s. ia�r•..t..pt..?t4::: _Bid.:5C�. t. 1 . ;` fc :t►ifir e i i'� � '..TL ;�` • i�,y7 ,? i i._..•i, .r ')
❑ New coos ,' on li Addition/alteintionheplawment Please cheek all t apply;
1:1 Demolitior+ Q Other. ❑Service over 225 limps, cornm'l DHara dous location
w , „, " e.. •• r. s , ,., • . ❑Service over 320 amps -luting DBwldng over 10,00u sq. ft..
1 •,4
`: : • ��:�`:•�;, `'��'�ti�i'� r: �A`�(�,Q�i�`• �. ' •a., :� «r:i�� of i- and 2-family dwellings 4 or more slew residential
1- and 2-fa mily dwelling Commerelai/mdustrial ❑ Accessory building ❑ system over 600 volts nominal unit! in one structure
❑ Multi- fan37y El Master builder 0 Other: ❑Building ova three stories °Feeders. 400 amps or more
❑Occupant load over 99 persona OMonWJetured sttudures or
. .:•f ` "•. ~Y i*Oirlatt#W?: v 11d'9'L'd P� , • :. , -.�r.. >•;.F Q�anightingplen park no.: : V.^ yob site address: /5 d p OHrBlth -care laity ❑oaku;
sob n
I 7 P «•C / f e f/ w/' Submit 1. sets of plans with nny of die above. .
City /State/ZIP: 77 a/ D • ?7)-Y The above are not applicable to temporary construction service.
Suite/bldg./apt no.: Project namne: f v rd
N m esa 1 pl b a I Qty . 1 Fes Iran I •.
Cross street/directions to job site: yw X 9 91 B eTWieen New residential tingle - or multi -hmgy dwelling molt.
n Includes attached garages
5 P Urhaen1 °LP,/ 5 - w Roya 1)1 ?Hwy 1,000s ft. orless 145.15 4
Subdivision: l Lot no.: Ea- add'1 S00 sq. ft or portion 33.40 1
! Limited arcgy, residential 75.00 2
m
Tex ap/patcel no.: 7h001.411.1 o-v .1. c, , 6 SS - G 7 2 - 0 °z /�`ar ' Limited energy; maa•rwiaendal 75.00 2
"r9 • : .t.{?cI :.• ''�'- '..o,.'� a• tI• , ' ::1* . ", ••M • •�'! r`',.v EaCh manutotoredormodular
r� S frern5 du rim
dwelling.
erv e iee rsk orfeeda 90.90 2
ge Cccare- Low VoLt
fie- y y services or feeders oinRrlilon�4ttteratlon, and/or tr�loeatioo
Reftial f /, v , /4 It �p�, 7 7- -z //4r a- ,i...f /3,f}CX 7e. Old _20oampaarl� 8030 • 2
;r ; a,•, �: - � •,∎.. • EJ• 2 01 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Nam e: 601 amps to 1,000 amps 240.60 2
f
Address: 1;JA. GONfv• Over 1,000 amps or volt - 454.63 2 •
Ci /Statc/ZIP: Reconnect only 66.85 2
�' Temporary serviette or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) elocution
200 amps or less 66.85 1 _
Owner installation: This installation is being made on property that l 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 amps _ 133.75 2
Owner signature: . Data Branch circuits - mew, alteration, or extenaion, atiel
,., . . u";C:114p V t•' T 'i!...:21. +:. i 'r 4 A P'ex fbr branch tirAa19 wrdr
: branch or dder feel each 6.65 2
Business name
:174M 0 A Dec Pr
C f � B. Pee for branch circuits
Contact name
� W / f hr / 3 rk e r without sravioo or feeder fee,
Bt. _ fruit branch circuit i 46.85 2
Address: 25 2- NE- C (- i.„n be. B " /1 Each addl brands circuit 6.65 2
Cp' / Sta t e / ZI / ri a-,t.- Z A o lc y 72- I / Miscellaneema (service or feeder riot included)
Phone:(703) 7SO- oZ67 I Fax::�°3 ) 29 S- / p i Sign 0ritl t irdo 53.40 2
Sign or ouUNe lighting 53.40 2
E -mail: �r.�,� Signal eiratit(s) or limited • .
.... Til:i* 8 ' 1 ' '!`$ .1,': riMig t4leiK. R ;. : y ' n t,'ff s i, - :4 - 7.V elle'gy panel, eitaation, or
extension. Describe: a l Page 2 2
Business name: Merles Over Poor -
/ r Each additional inspection aver allowable lm any of the ribose •
oa Address: 2 7 / ,f ( O `G/fir 114 �L Ug- Per inspection 6250 :
City /Stam/ZIP: ` / , J o f O 21/ Inveuigadon per hour (1hrmin) 62.50
� Phone: ( SO3 ) S !�' 7 �� gat; C� ) 2 - 1'� 7 tndastlial rant pa hour 73.75 • (L
a / `a Jab;: ' :'::C: A • u y •4I ei le •';]If 1 :6; ;
CCB Lie: 9f ‘ 7/ I Electrical I-Ie.: &7/ uprv. LIa / � , subtotal _____ _
Suprv. Electrician signature, required: f � 1 / t# plan review (25% ofpetmmit the) "�`0
Print name 0 � / y hr A A . O r �G e% / Date: - y et State surcharge (8v6 afpemit fee) ,B -
Authori23sd signature: , ! TOTAL PERMIT FEE
This permit application wires if a pare nw obtained wits io so •
days merit bar bees accepted as waspish'
Print name: Date: • Fee methodology set by 11i- County Building wavy service a lard
" Number die:peei= per punk llovw& 0-, 'DU
i:\Bailding.P�miti .C.PemitApp.doe 12/1)3 440-4613T(IaVVCOM/WFi9 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:,,;
Phone: (503) 639 -4171 �NNiBmlpq��i�l,j
Inspection Requests (24 Hrs.): (503) 639 -4175 ' -
INSPECTION WORKSHEET FOR DATE: (V =; TIME: 03 n,M PAGE:
SITE ADDRESS: 16 ; sq , " � k "` CLASS OF WORK:
SUBDIVISION: Vi4 °a. ,i_j.'jN LOT #: t' 4{; TYPE OF USE:
PROJECT NAME: SHtJRGARO STORAGE
DESCRIPTION: f f')<t ,i� ^t.er..o11 212.!
OWNER: i t 'I `w. ° ' > °3t: ?':,t.' It T,'„ PHONE #:
CONTRACTOR: ME. ` a ' 'i ` Ai, ° ,r F'j;? PHONE #: r� r * y 71f
Inspection Request Scheduled For: Date: 4 i, ::o : Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructio -:
1/4t
CnFA.a
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 vbe C-G Date: k t - 4) Phone #: (503) 718- 2 �'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: i'L.R 00 ? 00 0i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2Ci,6
Phone: (503) 639 -4171 lItil
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,_,W
INSPECTION WORKSHEET FOR DATE: 5/4 /2000 TIME: /:00AM PAGE: 4
SITE ADDRESS: 16700 SW PACIFIC HW( CLASS OF WORK:
SUBDIVISION: LOW BROOK ° . LOT #: 016 TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 11 voltage-: and intercom 2/23/06. Added Borgia - Alarm.
OWNER: SSC PROPLRTY I INC, PHONE #:
CONTRACTOR: isivmo OVF.:? HEAD DOOR PHONE #: 933-f49541/10
I
Inspection Request Scheduled For: Date: 6/412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1. y . . ; 029305-01 603,6M-9690 N
C ctions /Com uctions:
C
(ST ti
Z
` i PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FOR INSPECTION )1 ADDITIONAL FEES ASSESSED
Inspector: Q--ik 1 $N3 L Date: L i (VD Phone #: (503) 718- -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELi ?2006 -000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1141.
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/3/200G TIME: I O0AM PAGE: 70
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 01G TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE'
DESCRIPTION: Low voltage. Gate access% and intercom. 2/23/06: Added Burglar Alarm.
OWNER: S;.;C: PROPFRTY FINDINGS INC, PHONE #:
CONTRACTOR: METRO OVERHEAD DOOR PHONE #: 50 : ;'i9f1 -4116
Inspection Request Scheduled For: Date: 5/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13?i low voltage • 02915601 .)03-680-9690 N
Corrections /Comments /Instructions:
vN om•cRc u►SD _Nir 423
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v f"v N 6a �i� Date: 51 b 0(7 Phone #: (503) 718 - 2.4
CITY OF TIGARD •
. A
BUILDING DIVISION e PERMIT #: ELR2006-00003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2006
Phone: (503) 639 -4171 IPO �*
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7:07AM PAGE: 83
SITE ADDRESS: 16700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHtJRGARD STORAGE
DESCRIPTION: Low voltage: Gate access and intercom. 2/23/06: Added Burglar Alarm.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: METRO OVERHEAD DOOR PHONE #: 503-5954716
Inspection Request Scheduled For: Date: 4/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 028011-01 503. 595 -4716 Y
Corrections /Comments /Instructions: sbv") - ' ,/ 3
‘)tsci. kt cis s ILL (3e
I?;)) S03 - 6 go 96 q o
❑ PASS ❑ PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT 1 `v `4 L� Date: 4 ici <% • Phone #: (503) 718-
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI_.I�200€ 00003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1M/2006
A Phone: (503) 639 -4171 '4
( Inspection Requests (24 Hrs.): (503) 639 -4175 "'I L.
INSPECTION WORKSHEET FOR DATE: 4/17J2006 TIME: 7:04AM PAGE: 112
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SI STORAGE
DESCRIPTION: Low voltage: Gate access and intercom. 2123/05: Added I3wglar Alarm.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: ME=FRO OVERHEAD DOOR PHONE #: 503 59Lr4716
Inspection Request Scheduled For: Date: 4/12/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 027793 -01 503 - 5954709 Y
Corrections /Comments /Instructions:
No p_9-1L-14/1 ..t l c lad /
iisKa1( CP bi
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: PLT � Date: 4 7 / 4 2 - Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: r
kLR ?.Oil , 00003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1M0006
.
Phone: (503) 639- 4171�Wi, �
I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ��L • `__..
INSPECTION WORKSHEET FOR DATE: 2/24/2006 TIME: 7:03AM PAGE: 112
SITE ADDRESS: 16700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: Low voltage: Gate access and intercom. 2/23106: Added Burglar Alarm.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: METRO OVERHEAD DOOR PHONE #: 503 - 595 -4716
Inspection Request Scheduled For: Date: 2/24/7006 Pour Time:
Code # - - - tion Description Confirm # Contact # Message
135 Low voltage 027297 -01 503- 5954709 V
Corrections - = - 8 s /Instr tion-: Vi1 q
?YY\ - mT o 0217
Mp,I. , l e ,
Aksr ► DNS - 1 KKE .-405
t K- 1 , 4 li(L _
------__ )
❑ PASS . A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i V (8 11 Date: e'• Phone #: (503) 718-
. —