Permit 1, 4 C ITY O F -T I'G A R D ELECTRI RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00434
TIGARD DATE ISSUED: 11/20/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S1346C -00200
SITE ADDRESS: 12164 SW SCHOLLS FERRY RD ZONING: C - G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
PROJECT: EDWARD JONES
Project Description: Security Alarm
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:
SAUNDERS, WILLIAM WTRUSTEE SECURITY ALARM CORPORATION
2155 KALAKAUA AVE STE 500 217 MAIN ST SE
HONOLULU, HI 96815 _ ALBANY, OR 97321
Phone: Contact #: PRI 541- 928 -4544
FAX 541- 967 -8034
•
FEES Reg #: ELE 22 -57CLE
LIC 40591
Description Date Amount
[ELPRMT] ELR Permit 11/20/2007 $75.00
[TAX] 8% State Surchar€ 11/20/2007 $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. Speaalty 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 By:
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Permittee Signature: i ■ ,0 / _ 4 „,._J
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.
•
„Nov 20 07 11:53a Martinvest, Inc. 5419678034 P.3
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Electrical permit A • Ili • X91 '• FOR OFFICE USE ONLY
City of Tigard Received • Permit No.
g oateB . ,,u .. an - 00 3
V
° 13125 SW Hall Blvd., Tigard, OR 9722 20 2001 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 _ te/By: Other Permit:
T I G A RD Inspection Line: 503.639.417 1 x/ U r I WA . ■ a Ready/By: tuns: 6d See Page 2 for
Internet: www,tigard -or,gov 1 lJ f o'fied/Metlwd Supplemental Information
- Tl6 D ('; v D • � • ' PLAN REVIEW
Please check all that apply (submit 2 sets of plans w!items checked below):
❑ New construction O'Addition/alteration /replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 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 agiicuttinal
❑ I - and 2- family dwelling Er 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 toad of ❑ "A” " E' "l - 1 �
Job no.: Job site address: iZ.U. Sw SCA411S wry RD ❑ ix or occupancy.
six more residential units. ❑Recreational vehicle parks.
City /State /ZIP: 1-; /nit D 01Z ° Z ?`er ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: EtwAel 3 43s1,69 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qom. I Fee. I Taal L •
New residential single- or multi - family dwelling unit.
S W I - 2..1 4/ PP- e. Includes attached garage.
Subdivision: Lot no.: 1.000 sq. R or less 145.15 4
Tai map /parcel no. Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Sec U r Limited energy. multi - family
�-1 4I- R � a_Ytt T 4 LL- residential (with above sq. ft.) 7�.ao 2
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: 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 I
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
Opener signature: Date: Branch circuits - new, alteration, or extension, per panel _
A. Fee for branch circuits with
• ❑ APPLICANT I . ❑ CONTACT' PERSON , above service or feeder fee,
each branch circuit 6.65 2
Business name: _St cu i• i 4...J 141 *f ".4 C 6 g F B. Fee for branch circuits •
1 without service or feeder fee,
Contact name: ?AT eASTI'sJl.nJ • first branch circuit 46.85 2
Address: o. I e'ti M�; v- S i� Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: 1-1_,C Pt-v1/4-1 0, ,'73a 1 Each manufactured or modular 90.90 2
dwelling. service and/or feeder
Phone: (Se1 I) Z � . y S y L( Fax:: (S91 ) 7 G t7 .'Q 311 Reconnect only 66.85 2
E -mail: 9,L1 —i �e 1 Sci_L ....6 • Pump or irrigation circle 53.40 2
"` CONTRACTOR . . Sign or outline lighting 53.40 2
„ Signal its) o r limited -
Business name: SF.C I ' tk*evil. CUa energy circu
panel, alterat or ° �
extension. Describe: 1 Paget. 7 S 2
Address:
a ti wtlst. v, S t S Fz
City /State /ZIP: / 'l_ i dR 9 73 1 Each additional inspection over allowable in any of the above
r Per inspection 62.50
Phone: (SL{ ( ) 7-2 Li •S Y y Fax: (S4 I) 9 L 7• $01 Investigation per hour (I hr min) 62.50
CCB Lic.: L1o5C 1 Electrical • • a2si GLe, Suprv. Lic.: go-r(,. Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature. required: s� ` G Subtotal: 7S
*�(�� [ �� J � :�� l ` p Plan review (25% of permit fee):
k
Print name: R • ` \ + I -ta(�+ Date: (t filo State surcharge (8% of permit fee): L °O
Authorized s TOTAL PERMIT FEE: S' ` °=
Print name: l Date: This permit application expires ifa permit is not obtained within ISO
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I1BuildinulPermiti ,ELC- PcrmnApp.doc 05/23106 440.1615T(11/05iCOAUREB
CITY OF TIGARD
BUILDING DIVISION y • PERMIT #: ELR2007 -00434
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007
Phone: (503) 639 -4171 :au.dl t y 11
Inspection Requests (24 Hrs.): (503) 639 -4175 _�' " -_—
INSPECTION WORKSHEET FOR DATE: 12/5/2007 TIME: 7:01AM PAGE: 69
SITE ADDRESS: 12164 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: EDWARD JONES
DESCRIPTION: Security Alarm
OWNER: SAUNDERS, WILLIAM W TRUSTEE, PHONE #:
CONTRACTOR: SECURITY ALARM CORPORATION A PHONE #: 541 -9213 4544
V
Inspection Request Scheduled For: Date: 12/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 060685 -01 541 - 978.4544 Y
Corrections /Comments /Instructions:
,r)
c'c . \
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.1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 03 !-�'► Date: 1 1.-' &' oi, Phone #: (503) 718 - 1•