Permit e-01/Sed do2-14/ 4.9 o-0a4/4?
C ITY OF TIGARD LECTRICAL RESTRICTED ENE GY PERMIT
i� DEVELOPMENT SERVICES
PERMIT #: ELR2005 -00352
Ail DATE ISSUED: 10/18/2005
13125 SW Hall B lvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112DD -01600
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
Project Description: Burglar alarm low voltage.
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: BURGLAR X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HONEYWELL INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA PKWY #100
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: 503- 624 -6300 Phone: 503- 968 -3300
Reg #: SUP 941 LEA
LIC 150191
FEES ELE 26- 207CLE APP. SAYS CI
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 10/18/200`. $75.00
[TAX] 8% State Surchari 10/18/200E $6.00
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 O: 952 -.01 -I 0 You may1•tain copies of these rules or direct qu lions to OUNC t 503 - 6 -6699.
Issued ,. y: J` 4' ' ' Permittee Signature: l
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.
503 968 3398 P.02102
OCT -17 -2005 11:08 HS tj YWELL SECURITY
' .. ∎ =t ..a .- a•••■• s aMMUVN SIV
City of Tigard Rj eived
13125 SW Flat! Blvd., Tigard, OR
if - � G 5 Pcnnit No.: ��3'S�-
Phone: 503.639.4171 Fnx: 503, 0 r1 OQ� �!,•., ! j : � , c/gv: Review
OrherPcrmit:
Inspection Line: 503.639,4175 -c b P i I _ ,1- " , i I 1 twee Ready�By: s B s Page 2 for —
Internet: www.ci.tlgard.or.us OC` O � �� J \ � �j - NotiArd/Me ci L � Supt mtar
•• . �.� 1 . • • •.• ... PLAN REVIEW. ' . . •
❑ New construction ❑ Ad • ..1. • erasion /rcplacemcnt Please check all that apply: ' —
❑Service over 225 amps, coma'l ['Hazardous location
[� Demolition ❑ Other. • • ..: _
: ' ': CATEGORY OP CONSTRUC7'lON of 1- ac ov er mil am rating Q o r m g over residential
s ti
of 1- a nd 2- family dwellings 4 or more new residential l
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Buildmg over three stories DFeeders, 400 amps or more
1:3 Multi - fancily ❑ Master builder ❑ Other.
❑OCcupanl toad over 99 persons ['Manufactured structures or •
. ' • . _ ..10B: SITE INFORMATION' AND LOCATION . . • s • ❑Egress/li plan RV park
Job no.: I Job site address: 15495 SW Sequoia Parkway Ste. #120 ❑Health -care facility ['Other.
•
Submit 2 sets of plats with any of the above.
City /State/ZIP: Portland, OR 97224 The above arc not applicable to temporary construction service, •Suite/bldg. /apt. no.: 120 Project name: Dental Professionals ,.,...:;.,:'•.:: PEE" SCHEDULE...; ' .. .. : . •
Pacriptioa l Qty. j Ser. [ Tatal 12_
Cross street/directions to job site: Carman Dr. New residential single or multi- family dwelling unit.
— Includes attached garage.
1.000 sq. R. or less I 145.15 4
Subdivision: Lot no.: Pa. add'I 500 sq. ft. or portion 33.40 I
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy. non - residential 75.00 2 •
.. •. . • . DESC2tlr]TON:.OF. WORK: :... .:.; • . " Each manufactured or modular
Install alarm system i dwelling. service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 2
D! 1'ROPERTY.OWNER•,.... ... •. ••. 1 ` : , ,. D. TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name:. 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
" Reconnect only 66.85 2
City /State/Z1P:
- Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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 amps 133.75 2
Owner signature: Date; Branch circuits — new, alteration, or extension, per panel
D . T''. .•.:...`::•:: .' D• CONTACT. PERSON • A. Fee for branch circuits with
service or feeder fcc, each
Business name: branch circuit 6.65 2
Contact name - 13. an Fee for branch circuits
without service or feeder fee,
46,85 2
Address: each branch circuit
Each add'i branch circuit 6.65 2
City/Statc/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Pump or irrigation circle 53.40 2
Fax : :( )
_. Sign or outline lighting 53.40 2
E - mail: Signal circuits) or limited.
::. .. - :: :..:.:: CONTRACTOR .. • ':•'.:•-• . energy panel, alteration, or
extension. Describe: I Page 2 1 ;J ,0 2
Business name: SecurityCo Inc. ABA Honeywell Security
Address: 15495 SW Sequoia Parkway Ste. #100 Each additional Inspection over allowable In any of the above
�
4 Per inspection 62.50
City /State/ZIP: Portland, OR 97224 Investigation per hour (I hr min) 62.50 •
Phone: (503) 968-3353 1tx: (503) 968 -3398 \13 1 Industrial plant per hour 73.75
ELECTRICAL: PERMIT FEES* ' .. '
CCB Lie.: 161567 • Jilcctrical Lic.: 37- 1054CLE I Suprv. Lic.: 941LEA Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
me VI/1 w, - Date: 10/17/05
State surcharge (8% of permit fee)
Print name: Q
'7C h ' TOTAL PERMIT FEE
Authorized signature: &it UV 817e4 r _ This permttapplication aspires if a permit is not obtained within 180 -
/ u' �11 WD I � �,, days after it has been accepted ee complete
j i
Print name: i , Date: 10/17/05 • Fee methodology set by 1Yi-County Building Industry Service Board
•• Number of iarpections per permit allowed.
BIluildiripeernits %1X-PermitApp.due 12/03 '404615110/02 /COM/WER
TOTAL P.02
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00352
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005
Phone: (503) 639 -4171 AA
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: '12/16/2005 TIME: 7 :06AM PAGE: 29
- SITE ADDRESS: 15+495 SW 5" UOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC COR 'RATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: DENTAL PROFE' IONALS
DESCRIPTION: Burglar alarm low vo age.
OWNER: PACIFIC REALTY ASS. IATES, PHONE #: 503-624 -6300
CONTRACTOR: HONEYWELL INC PHONE #: 503-968-3300
Inspection Request Scheduled For: late: 12/16/2005 Pour Time:
Code # Inspection Description C. firm # Contact # Message
199 Electrical final 023: 0-03 503.888 -0214 N
Corrections /Comments/ Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: <T"41\ \V (A L ' Date: 16105
1 f Phone #: (503) 718- 2�
___111
CITY OF TIGARD . A
BUILDING DIVISION PERMIT #: ELR2005 -00352
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . -' `'I �..
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM • PAGE: 1
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: DENTAL PROFESSIONALS
DESCRIPTION: Burglar alarm low voltage.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 624 -6300
CONTRACTOR: HONEYWELL INC PHONE #: 503 - 968 -3300
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Cod# Inspection Description / Confirm # Contact # Message
135 \ 1 ` Low voltage
) 0 020627 -01 503-968-3355 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4-y_ Date: / l� Phone #: (503) 718-
.