Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00016
DATE ISSUED: 1/11/2006
^= 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DC - 04602
SITE ADDRESS: 07337 SW TECH CENTER DR ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: LV Burglar Alarm, Job #083 - 18469 - 03.
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:
MCCORMACK, WILLIAM L + DARLENE T ADT SECURITY SERVICES, INC
7190 SW SANDBURG ST 2815 SW 153RD DR
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: 503- 624 -2090 Contact #: PRI 503- 469 -7100
FAX 503- 469 -7110
FEES Reg #: LIC 59944
ELE 26- 209CLE
Description Date Amount
[ELPRMT] ELR Permit 1/11/2006 $75.00
[TAX] 8% State Surcha 1/11/2006 $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 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.
Issued By: Permittee Signature:
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.
01/11/2006 12:32 FAX 5034697110 ADT SECURITY 0 0 oi
i
IE gctrical Permit Application
4,- . , . .. . .
, . , .,._ FOR.° EFICE USE ONLY ' ' " • ..-.'. , ,. .
_ , .. ... ., .. .
city of Tigard
A Received •
Dit ; — / 7 • / C 121rAv
13125 SW Hall Blvd., Tigard, oRECEIVFC) nanRc.3,,,,
Phone: 503.639.4171 Fax: 503.598,1960
4 .i lh 31 hjit ilillx Dat/B : Oilier Perviie e F • 16 ) 10 (=.
Inspection Line: 503.639-4175 ,-0,. !-'11 . Dat dy/13y
e 'Rea:
__,.. INN El See Page 2 for
Inrn
teet: vvww,ci,tigard.or.us JAN 1 1 2006 ---- No Ened/Method: Supplemental Information
r
1 WI lli 1 11 ' i I, , " i 1,4 1 i ll T
it ' i Iii/i: A 1 41 ..t? Ltua "d, 41 ,' ■13 N . A L,`41 , i , , .0o. 1,1d11.10,'jI IL. if • . „,..., -,.., „ , 6, '. ,..,..,: , ' ,
• I, • ' ',. il ......
IFITNeW construction is r .' I * din ..''. Altbaiv .. bcfk Please cheek all that apply:
0
0 Demolition B 3 lA'
\Tu nScrvicc over 2 amps, comm I:H
'l azardous location
F
OService over 320 amps - rating OBuildrig over 10,000 sq, ft.
01iL.IL& ,
' '. 1 1 l'' t. ZWiTa,, t itii V :4": J . :, J of 1- and 2-family dwellings 4 or more new residential
' i Arirr?lkit ' ai:i' LI :. . Nt , -■ .- 3; -VIZ: - r .. . 'I ..irltir'hAA " II. 40:;,.; kuNd .d..63. Ti.r. i.k
0 1- and 2-family dwelling /1 Commercial/industrial 0 Accessory buildi 0Systern over 600 volts nominal units in one structure
0130110111g over three stoic. [I Feeders, 400 amps or more
E Multi-family D Master buildcr P Other:
. 0 Occupant load over 99 persons 0Manufactured structures or
1‘ 11,4145 l il I n .1 :i "o VEZEMA talintyliMi D Egressilighting p I RV park
Job no.: , ... • 4 in—; at site address: -- 1,31 S ".) - nit 1‘ _ ,, '
), I:wealth- facilit DOTher;
Submit 2 sets of plans with any of the above,
City/State/ZIP: '0 10 4/Van.C1 by) 0 The abov are not applicable to temporary construction service.
1 IL_
Suite/bldg./apt. no.: Project name; I a_ 1 isp
, ,.
DeSeetoliOn 1:215 Fee, l'171
—
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage,
1,000 sq. ft. Or less 145.15 4
Subdivision: Lot no.: Ea, add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75,00 2
Tax map/parcel no.: .
, . Limited energy, non-residential 75,00 2
7, MEINIMMENEM,.` 0 leVAPPITEZEI E
...i. ._ oia:MI. . manufactured or modular
dwelling, service and/or feeder 90.90 2
OA -
k 1 _ Itt if Services or feeders ins:all:Ilion, alteration, and/o - relocado
III
200 amps or less 80-30 2
IrdirainMi. ;-ii.i:::e.,:aiireliV 'Y ''ii)PO'' r iilfg f PliRP , r-,l'iple
.1.06 h A A ,, k; 4 2 _ • . .. _ ■-.. . t.,,,. Atti a, 201 amps lo 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/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66,85 t 1
Owner installation; This installation is being made on property that I own which is not 201 amps CO 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
rfigatiormo . avi Bagymomal Biel it,,,;,, ...-ii 4 A. Fee for branch circuits with .
service or feeder fcc, each
6.65 2
Business name: branch circuit
— —
,--,;-..,.. ,,,, B. Fee for branch circuits
a
Contact name: e_ m6 it without service or fccdcr fcc,
46.85 2
each branch circuit
Address:
_.... Each add'l branch circuit 6.65 2
City/State/ZIP: MIsceilaneotis (service or feeder not included)
Pump or irrigation circle 5140 2
Phone: ( D ...... ,t_....cricto Fax: : ( )
., Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
MifitgergamiN9 agramorair ,,I :!, :',',. 9 1 iy 3,1fir Amy. , .4 ener panel, alteration, or
extension. Describe: I Page 2 75, D- 2
Business name: ADT SECURITY SERVICES, INC.
Address: 2i15 SW Each additional inspection over allowable in any ofthe above
A/FRTOrtf}R WEIN Per inspection 62.50
City/State/ZIP: (503) 469-7100 Investigation per hour (I hr min) 62.50
Phone: ( ) Fax; ( ) Industrial plant per hoUr 73.75
i M 1 : 7 5 .-:1-77''''.'
CCB Lie.: 5994 j Electrical Lic.: ‘.. • ct.e uprv. Lie.: g.. • Subtotal
Suprv. Electrician signature, requited: ,, Plan review (25% of permit fee)
A / /A .- 1 • .t . . •
State surcharge (8% of permit fee) b.tx)
Print name: , .
1a,.1k- Date; I I I DIP TOTAL PERMIT FEE gf.DO
Authorized signature: This permit application expires if u permit is no obtained within 130
----- days after It has been actepted as complete
Print name: Date; • Fee meModology set by "fri-County Buildi Industry Service Board
Number of inspections per permit allowed.
4 12103 rN/ - I I c,,,- s u ...n ofazicomi,,..
,
\
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLR2006-00016
13125 SW Hall Blvd., Tiard, OR 97223 DATE ISSUED: if 11/2U06
Phone: (503) 639-4171 \ /444
Inspection Requests (24 Hrs.):(503) 639-4175
INSPECTION WORKSHEET FOR \ DATE: 211/2006 TIME: 7:02AM PAGE:
SITE ADDRESS: (11337 SW TECH ENTER DR CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: RAYTEX USA
DESCRIPTION: L.V13urglaf Alarrn, Job , 83-11069-03.
OWNER: MCCORMACK, WILLIAM L DARLENE I, PHONE #: 50:3-6242090
CONTRACTOR: ADT SECURITY SERVICES;. NC PHONE #: fa3
Inspection Request Scheduled For: .te: 2/7/2006 Pour Time:
Code # Inspection Description Con''rm # Contact # Message
199 Electrical final 02639 01 603419-8796
Corrections /Comments/ Instructions:
1\ A \ i'S' o: `P% (t.C. 4\■....40.44\ .
14 0 4 RANVO VAN 60 ft_i 71) -
*Net cul\r&L. Peora (CES ■A:R5
A t t40 A knk ' 0,5
!
ili■ fik •
PASS 7 PARTIAL APPROVAL 7 CANCEL El NO ACCESS
El FAIL • CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: - Date: 1 (A Phone #: (503) 718-24