Permit •
CITY OF TI GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2002 -00172
rl 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/30/02
SITE ADDRESS: 07550 SW TECH CENTER DR 220 PARCEL: 2S101 DC -04000
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of security system.
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: SECURITY X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
RREEF SONITROL (AKA SOUND SECURITY)
720 SW WASHINGTON ST STE 710 8220 N. INTERSTATE AVE.
PORTLAND, OR 97217 PORTLAND, OR 97217
Phone: 503 - 295 -5555 Phone: 503 - 223 -5822
Reg #: LAC 53535
ELE 26- 370CLE
SUP 2260JLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 8/30/02 $75.00 2720020000 Elect'l Final
5PCT CTR 8/30/02 $6.00 2720020000
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. /
Issued by Permittee Signature ON /5 i i0 A/
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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
. • -
A . Electrical Permit Application
i Date received: z y /p Permitno.: o g20 oz.00i ,
�'�t` �' ii City of Ti and ECE V �
^: .,, `, g ProjecVappl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By:" Receipt no.:
Phone: (503) 639 -4171 AUG 2 R 2002
Fax: (503) 598-1960 Case file no.: Payment type:
CIL Y u iii
Land use approval: _ �� g io T
TYPE OF PERMIT
O I & 2 family dwelling or accessory WCommercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
•
JOB SITE INFORMATION
Job address: t 1S5o • 1_• 'Tech C &tt.i- 1' r Bldg. no.: Suite no.:aaQ Tax map /tax lot/account no.:
Lot: I Block: 'Subdivision:
Project name: ?1 Sp uarQc, I Description and location of work on premises: h;4 >. -t S 0`0 alt-L
Estimated date of completion/inspection: "' _-
CON] RWC7:OR APPLIG'A77ON._.,_ _. - FEE SCIIEDULE
Job no: ' 31- 1 p Fee Max
Business name: Sonitrol Security Description Qty. (ea.) Total no.insp
New residential - single or multi- family per
Address: 8220 N. Interstate Avenue dwelling tut & Includes attached garage.
City: Portland I State: OR I ZIP: 972 17 Service included:
Phone: 2 2 3 -582 2 I Fax9 7 3-7 7 7 3 I E -mail: 1000 sq. ft. or less 4
CCB no.: 53535 IElec. bus. lic. no: 26 -370 CLE Each additional 500sq.ft.orportionthereof
Limited energy, residential 2
City /metro lie. no.: Limited energy, non- residential 2
, t4 1 / 0, ilt Each manufactured home or modular dwelling
Signature of su rvising electrician (required) Date 9— z4. o L ► Serviceand/orfeeder 2
Su elect. name (print : 12/�p Z ' Services or feeders — installation,
Sup. (P )Slp► f �(��� License no v_ .I�G alteration or relocation:
PROPERTY OIVNER 200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only I
Owner installation: The installation is being made on property I own Temporary servicesorfeeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401to600am.s 2
ENGINEER Branch circuits - new, alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E -mail: Each additional branch circuit:
.- PLAN I REVIEW(Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225 amps - commercial ❑ Health-care facility Each pump or irrigation circle 2
❑ Service over 320 amps - rating of I &2 ❑ Hazardous location Each signor outline lighting 2
familydwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration. or extension* I 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Description.
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
❑ Egress/lightingplan ❑ Other. Per inspection I I I I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for mom information. Notice: This permit application Permit fee $ P 15 r f 5D
C1 Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8%) $ r 00
Name of cardholder as shown on credit card
Exp1fes accepted as complete. TOTAL $
$
Cardholder signature Amount
440-4615 (6/00/COM)
Electrical Permit Fees: Limited Energy Fees: .
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
/� Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total 4, Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular ❑ Garage Door Opener'
Dwelling Service or Feeder $90.90 2
Services or Feeders ❑ Heating, Ventilation and Air Conditioning System'
Installation, alteration, or relocation
200 amps or less $80 30 2 ❑
201 amps to 400 amps $106 85 2 Vacuum Systems'
401 amps to 600 amps $160 60 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts. �
see "b" above. I l Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel ❑ Boiler Controls
a) The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
`' Each branch circuit $6.65 2 ❑ Data Telecommunication Installation
b) The fee for branch circuits •
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $46.85
Each additional branch circuit $6 65 ❑ HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40 ❑
Each sign or outline lighting $53 40 Intercom and Paging Systems .
Signal circuit(s) or a limited energy
panel, alteration or extension 1 $75.00 15 r 6 2' ❑ Landscape Irrigation Control
Minor Labels (10) $125.00
Each additional Inspection over El Medical
the allowable In any of the above ❑
Per inspection $62.50 Nurse Calls
Per hour $62.:,u
In Plant $73 75 ❑ Cutdoo• Landscape Lighting'
Fees: ® Protective Signaling
00
Enter total of above fees $ 1 � r ❑ Other
8% State Surcharge $ 6 r O° I Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ No licenses are required Licenses are required for all other installations
front of application.
c� Fees:
Total Balance Due $ C> I .00 60
r
7
Enter total of above fees $ l 5. -
❑ Trust Account # 8% State Surcharge $ t.o b 0
Total Balance Due $ S I Oil
i:'dsts \forms\elc- fees.doc 10/09/00
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
/1 7?' BUP
Received Date Requested /v AM PM BUP
Location 7 S5 D _ CiA'L .�L Suite ac MEC
Contact Person Ph ( ) a-3 —5-8/7.%Z.,gua
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access: ^ / 7 oZ
Ftg Drain ELR d —
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam I /
Shear Anchors v
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ,?
Roof 1 f
Other:
Final r) 440
PASS PART FAIL V
PLUMBING .� 1
Post & Beam
A
Under Slab 'I 1111■ — •9
Rough -In S�
Water Service
1
Sanitary Sewer \ C�
Rain Drains 4
Catch Basin / Manhole
Storm Drain l
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
F larm
PART FAIL Reinspeclion fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
El Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ �L_ Inspector + Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re n este d ZD AM PM BUP
Location 7 s _S -7) MEC
Contact Person Ph ( ) 6 S1600 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC '" 00 3 77
Footing ELC
Foundation Access: R ay! L , ✓•
Drain � � i EL�� ELR c J �d / 2?-
Crawl awl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall V-0 � ➢ ` l � 1 r) piq
Fire Sprinkler w ' `�
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL \ �� 4Z1 G N A 1
PLUMBING I� !.�
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
06 u
UG /Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
S L Please call f•r reinspe tion RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
n
Approach/Sidewalk / �4' Inspecto � / - Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL